DENTAL FLUOROSIS

• What is dental fluorosis?
  Dental fluorosis is most common disorder affecting your tooth enamel. Drinking water that contains excess of 1ppm fluoride can affect ameloblast (tooth formative tissue which deposit enamel the outermost hardest layer of tooth) during development. Which leads to hypomineralization of tooth enamel and clinical entity called mottled enamel.

• What is hypomineralization?
  Hypomineralization is defect in which amount of tooth enamel is normal but minerals are less which may leads soften enamel.

• Clinical features?

• Most commonly seen in permanent dentition.

• Teeth are stained as slightly yellow to brown color.

• In most severe cases teeth may show tendency to wear and fracture and even carious.

• Some time white spot and patches on tooth surface or cusp area are seen.

• Loss of outermost enamel in irregular areas or less than half of surface or more than half of enamel involved.

How it treated?

• Restoration- Affected teeth are more susceptible to caries which may leads to tooth ache or tooth loss hence tooth restoration is required.
• Crown- In severe cases where restoration is not possible crown is given.
• Bleaching- To eleminate stains bleaching with micro abrasion or grinding is beneficial.
• Calcium sucrose phosphate gel.
• Desensiting paste.

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