Smile rehabilitation of anterior teeth using Ceramic Veneers

A young woman came to our clinic with a complaint of discolored teeth. She had sensitivity due to the presence of pitted surfaces. She was not satisfied with her smile and requested an immediate solution.

She had already visited many dentists elsewhere. She was advised to undergo direct composite veneering. Direct veneering was attempted for upper and lower front teeth before 1 year. She was not satisfied with the results as the stains were still visible.

She visited our hospital after extensive research. Complete clinical and radiological evaluation done. She was diagnosed with Dental Fluorosis.

What is dental fluorosis?

Fluorosis is a cosmetic condition caused due to excessive intake of fluoride at a young age. It affects enamel causing tooth discoloration along with possible physical damage. The severity of the condition depends upon duration, age and exposure to fluoride.

Types of fluorosis

  • Very Mild- Small opaque, paper white areas
  • Mild- Molted surface of the enamel
  • Moderate- Brownish stains all over the tooth surface
  • Severe- Brownish stains with pitted enamel


  • Water with more than 8ppm of fluoride
  • Fluoridated mouth rinse (which young children may swallow)
  • Fluoridated toothpaste

Treatment Options

  • Mild cases- Bleaching
  • Moderate cases- Micro-abrasion
  • Severe cases- Direct composite filling, veneers, crowns

Following clinical evaluation, our cosmetic dental team suggested ceramic veneering of the upper and lower front teeth.