It causes change in the appearance of the teeths enamel by leaving white, lacy or light spots or marks to appear on them. However, in more severe cases there are several fluorosis treatment options aimed at improving the appearance of affected teeth. People are most susceptible to dental fluorosis between birth and age 14 which is the developmental phases of the permanent teeth. Dental fluorosis in children skeletal fluorosis in adults non skeletal fluorosis swami vivekananda institute of pharmaceutical sciencessvips, vangapally, bhongir. Dental fluorosis is defined as having very mild, mild, moderate, or severe forms is based on deans fluorosis. There is some potential for developing dental fluorosis when young children consume fluoride during the time when teeth are forming under the gums birth through age 8. Teeth may be pitted or perforated and may even get chipped off. Dental fluorosis distribution and measurement pds 372 dr. Dental fluorosis children living in high fluoride zone are bound to get dental discoloration which may be seen even in deciduous teeth. Studies conducted in the 1930s showed that the severity of tooth decay was lower and dental fluorosis was higher in areas with more fluoride in the drinking water 2. Dental fluorosis is a defect of the teeth marked by increased porosity of the enamel a condition known as hypomineralization. United states, 1999 2004 unaffected questionable very mild mild moderate severe notes.
Dental fluorosis, also termed mottling of the tooth enamel is caused by excessive exposure to fluoride. Instead of measuring the overall prevalence of fluorosis i. Polishing of composite restoration was accomplished with super snap. Composite resin has been used for treatment of dental fluorosis. Inoffice dental bleaching and enamel microabrasion for.
The method of microabrasion was applied employing the readymade product opalustre, and the remineralisation employing tooth mousse. Fluoride works both while the teeth are developing and every day after the teeth have emerged through the gums. With fluorosis, it is important to remember that the problem is not a lifethreatening one. Once teeth break through the gums, you cannot develop fluorosis fluorosis isnt a disease and doesnt affect the health of your teeth. The normal version of fluorosis does not affect the function of the. Fluorosis is a type of permanent tooth stain that forms as a result of a childs exposure to excessive systemic internal levels of fluoride during the time period when their teeth are forming the high level of fluoride in the childs blood serum disrupts the. Inoffice dental bleaching and enamel microabrasion for fluorosis treatment article pdf available in the journal of clinical pediatric dentistry 323. Some mechanisms affected by lower chronic fluoride levels, resulting in enamel fluorosis, are likely to be specific to this uniquely mineralizing tissue, while others. Above this level, the risk of developing fluorosis. Excess fluoride ingestion results in dental fluorosis. Dental fluorosis is a common disorder, characterized by hypomineralization of tooth enamel caused by ingestion of excessive fluoride during enamel formation it appears as a range of visual changes in enamel causing degrees of intrinsic tooth discoloration, and, in some cases, physical damage to the teeth. This is a good thing because there are a wealth of cosmetic treatment options that are relatively simple. Fluoride consumed during tooth development can also result in a range of visible changes to the enamel surface of the tooth. Children living in high fluoride zone are bound to get dental discoloration which may be seen even in deciduous teeth.
These changes have been broadly termed dental fluorosis. Exposure, prevention and management introduction dental fluorosis is a developmental disturbance of dental enamel, caused by successive exposures to high concentrations of fluoride during tooth development, leading to enamel with lower mineral content and increased porosity. Definition dental fluorosis is the hypoplasia of the dental enamel resulting from prolonged ingestion of drinking water containing high levels of fluoride, manifested by the condition called mottled enamel 3. Ppt dental fluorosis powerpoint presentation, free download. Dental fluorosis is a permanent hypomineralization of enamel, characterized by greater surface and subsurface porosity than in normal enamel. To help prevent both tooth decay and dental fluorosis, the centers for disease control and prevention cdc recommends the following. Dental fluorosis is the appearance of faint white lines or streaks on the teeth that only occurs when younger children consume too much fluoride, from any source, over long periods when teeth are developing under the gums. Rehan khan pediatric slideshare uses cookies to improve functionality and performance, and to provide you with relevant advertising.
In mild cases of fluorosis, no treatment is required. The severity of the condition is dependent on the dose, duration, and age of the. Enamel hypoplasia can occur in a single tooth or a set of teeth dental fluorosis dental fluorosis as a long term damage, so the patches were scattered in a cloudy pattern, and not in a well defined pattern dental fluorosis occurs in most teeth, particularly in the maxillary anterior teeth. In the moderate and severe forms of fluorosis, the enamels porosity increases to such an extent that the teeth can begin to erode and crumble. Skeletal fluorosis a case report linkedin slideshare. In endemic zones people lose their teeth at an early age and may become edentate. A guide for health professionals normal mild moderate severe percent distribution of dental fluorosis among persons aged 6 49. Depending on the severity, it can range from normal to serious. Anthony blinkhorn, kareen mekertichian, in handbook of pediatric dentistry fourth edition, 20. When it comes to how fluoride impacts human health, no tissue in the body has been studied more than the teeth.
Excessive intake of fluoride over an extended period of time 4. Dental fluorosis causes, prevention, treatment, pictures. This is the time when most permanent teeth are being formed. The suspected case on survey are confirmed by x ray forearm and fluoride level in urine 1. The treatment involved veneer preparation with window design, composite resin used was nanocomposite ceramx duo dentsply, india enamel shade e1 and dentin shade d2 bonding agent employed was prime and bond nt dentsply, india. The community fluorosis index cfi is a way of measuring the burden of dental fluorosis in a population. The mechanisms affected by longterm chronic exposure to low levels of fluoride are likely to differ from those affected by acute exposures to high levels of fluoride. This lecture reader should understand that fluorosis is a public health problem in many parts of the world. Ppt fluoride powerpoint presentation free to view id. August 31, 2010 106 comments amazon or other affiliate links may be included, see full disclosure after the post.
The proper amount of fluoride helps prevent and control tooth decay in children and adults. Dental fluorosis refers to changes in the appearance of tooth enamel that are caused by longterm ingestion of fluoride during the time teeth are forming 1. Its caused by overexposure to fluoride during the first eight years of life. Fluorosis can occur at any age however the tolerance does not peek until age 14 when the permanent teeth have fully developed. Mechanisms by which fluoride causes dental fluorosis. At the department of childrens dental medicine to the medical university sofia 18 children aged 4 15 were treated for different degrees of fluorosis. Yet, despite over 50 years of research, the mechanism by which fluoride causes dental fluorosis a hypomineralization of the enamel that results in significant staining of the teeth is not yet fully understood. Mild fluorosis is characterized by opaque lines following the perikymata. Rather, it is merely cosmetic and is in no way reflective of the childs health.
Dental fluorosis is an enamel defect caused by an excessive intake of fluorides during the time of enamel. It normally does not affect the function of the teeth or cause pain. Dental fluorosis is a slight change in the look of the teeth, usually in the form of very faint white markings. Dental fluorosis is a very common disorder caused due to excess consumption of fluoride. Sampling procedures in randomly selected 20 households of sample villages where dental fluorosis is prevalent in school children, survey is conducted for skeletal and non skeletal fluorosis. Several mechanisms, however, have been proposed, and it is generally. Most fluorosis is the result of consuming too much fluoride before the age of 8, while permanent teeth are. Above this level, the risk of developing fluorosis due to chronic fluoride consumption will be evident 7. Fluorosis community water fluoridation faqs community. Skeletal fluorosis exposure to very high fluoride over a prolonged period of time results in acute to chronic skeletal fluorosis.
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