Use of accelerated orthodontics and porcelain veneers to treat fluorosis with malocclusion.

This article focuses on the interdisciplinary management of severe dental fluorosis combined with malocclusion in a 29-year-old patient. The treatment involved corticotomy-assisted accelerated orthodontics to reposition a palatally displaced maxillary left canine, surgical crown lengthening to improve gingival symmetry and crown exposure, and the application of feldspathic porcelain veneers to mask discoloration while preserving tooth structure. Corticotomy-assisted osteogenic orthodontics (CAO), also known as Wilckodontics or Periodontally Accelerated Osteogenic Orthodontics (PAOO), was employed to accelerate tooth movement through selective alveolar decortication and bone grafting. The case demonstrates that careful coordination among orthodontic, periodontal, and restorative disciplines can achieve functional, esthetic, and biologically sound outcomes in complex fluorosis cases.