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Fluorosis affecting the upper centrals
From: Abdul Parmar
Sent: Monday, April 20, 2009 4:31 AM
Subject: [roots] Not endo related but need help dealing with fluorosis
I have this pt early twenties who has a quite severe and
prominent case of fluorosis affecting the upper centrals.
I have already tried micro abrasion (opal lustre + tooth
mousse technique) and the patient also wanted to try some
whitening. Unfortunately the fluorosis is still quite
visible - my question to you guys is what would you
consider next? and was wanting to be as minimally
invasive as possible.
I have attached a pre microabrasion and whitening photo
here in kenya we have some of the highest fluoride levels
in the world and speaking of severity i will post pictures
later troday of very severe fluorosis. i think direct
composite venneers would also work but seeing you want
minimally invasive. i suggest porcelain laminate veeneers.
excellent results with minimal prep. watch out for the pics.
Hudson, I remember many many years ago when Rotary
International was involved in drilling clean wells all over
Africa, they found that problem in Kenya. I was on a
district panel and informed them that fluoride could be
scavenged out of the water. I donít guess you can do that
for all wells. We have areas in the US where is approaches
toxic levels Texas and Northeast Florida. Scavengers are
placed on those wells - Guy
yeah fluoride is pretty a big issue here and yet the govt
has no specific programme to deal with it. even the local
dental school doesnt seem to pay so much attention, the
worst areas are nakuru district and murang'a district.
the thing is so bad that people with fluorosis are asked
''are you from muran'ga?'' back to endo guy i read your
posts and i think you are a great clinician. i need ideas
been trying to get local lads to think endo but the
resistance is a lot. i can count less than five dentists
in the whole of kenya who use rubber dams. i can count
the guys willing to retreat a failed endo. no single scope
in the country. two guys only using loupes(and they are
foreigners) the only dental school does not even own
rotary files. implants are done by less than three people
.... and the extractions go on. it makes me crazy. i formed
this thing on facebook called kenyan dentist to try and
stimulate the younger guys. so far the response is annoying.
am trying and trying. what i need is not a webinar on why
tf or protaper. i need a conference to start by why we
should do endo. then the treatment planning then the basics.
at least to get it going before we even think rotaries and
well the rest. i have tried the web, i have tried personal
talking am even considering running for [president of kenya
dental association . and am only 26 years two years out of
dental school. so as i read your great treatment plans how
do we get people down here to even consider treatment.
- Hudson Alumera