Non-destructive management of white spot lesions by using tooth jewelry
A 25-year-old male patient presented with a chief complaint of an unattractive smile because of the presence of a white spot lesion (). The medical history of the patient was non-contributory. Intraoral examination showed that a single white spot lesion was present on the incisal third of the maxillary left central incisor. The patient's oral hygiene index was scored as 0. Multiple gingival recessions and cervical abrasions were detected and cold sensitivity was observed on the cervical region of the maxillary central incisors.\nThe patient rejected all treatment options requiring tooth preparation. After discussing with the patient, tooth jewelry was considered as a treatment option. We explained that the tooth jewelry would have a masking effect, didn't need any tooth preparation, and could be removed at any time. Tooth jewelry (Shine, Vertriebsges, Innsbruck, Austria) was bonded to the distal part of the maxillary left central incisor following same procedure shown in the first case (). Cautions were given to the patient that debonding should be done only in a dental clinic. After 4 months, the patient came for removal of the tooth jewelry. The tooth jewelry was maintained well without marginal discoloration. After rubber dam isolation, tooth jewelry was debonded safely using an ultrasonic scaler, followed by removal of remaining resin with a low-speed finishing carbide bur.