Fluorosis

Question 1

What’s fluorosis ?

Answer 1

hypoplasia of dental enamel resulting from the prolonged ingestion of drinking water containing high levels of fluoride, developed during the time of tooth formation and manifested in form of mottled enamel

Question 2

What’s causes fluorosis ?

Answer 2

Excessive intake of fluoride over an extended period of time

Develops in endemic areas with high level of fluoride in drinking water

Tooth paste and mouthwash contain fluoride

Fluoride overdose espicially children’s

Severity of mottling increases with the increasing amount of fluoride in the water

Question 3

What clinical manifestation?

Answer 3

Very mild : Small opaque white pits or flecking areas covering less than 25% of tooth surface

Mild : Opaque white areas covering less than 50% of the tooth surface

Moderate : All tooth surfaces affected with opaque spots Marked wear of biting surfaces Brown stains can be present

Severe : tooth surface affected discrete or cofluent pitting brown stains

Question 4

What’s the diffntial diagnosis ?

Answer 4

Enamel hypoplasia
Chalky form dental caries

Question 5

What’s treatment options ?

Answer 5

Mild : no treatment
Moderate , severe :
1. Tooth whitening
2. Composite resin
3. Veeners