A Synergistic Approach with Microabrasion and Resin Infiltration in the Management of Dental Fluorosis

Dental fluorosis, a developmental enamel defect resulting from excessive fluoride intake, presents as discoloration and surface irregularities. This systematic review aims to evaluate the effectiveness of a synergistic approach using microabrasion and resin infiltration without bleaching for the aesthetic management of mild to moderate dental fluorosis. A systematic review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Studies were identified through an extensive search of MEDLINE (PubMed), Scopus, Web of Science, Google Scholar, ResearchGate, and ScienceDirect. Inclusion criteria encompassed in vivo studies, case reports, and case series evaluating the combined use of microabrasion and resin infiltration for fluorosis treatment. The risk of bias was assessed using RoBvis 2.0 for randomized controlled trials and the Joanna Briggs Institute’s critical appraisal checklist for case reports. Data extraction was performed independently by two reviewers. A total of 12 studies met the inclusion criteria, comprising case reports and case series with 217 participants aged 5 to 45 years. Treatment outcomes primarily focused on aesthetic improvement, surface roughness, patient satisfaction, and postoperative sensitivity. Most studies reported significant enhancements in enamel appearance, reduced surface roughness, and high patient satisfaction. Minimal postoperative sensitivity was observed compared to bleaching. The risk of bias was low in most studies; however, heterogeneity in treatment protocols, small sample sizes, and lack of long-term follow-up data were noted as limitations. The combination of microabrasion and resin infiltration alone offers a minimally invasive and effective solution for managing mild to moderate dental fluorosis. This approach improves aesthetics while preserving enamel integrity, demonstrating advantages over traditional bleaching. Despite promising short-term outcomes, further longitudinal studies are required to confirm long-term durability and effectiveness, particularly in severe cases.