Dental FluorosisDefnitionDental Fluorosis is the hypoplasia of the dental enamel resulting from prolonged ingestion of drinking water containing high levels of fuoride, manifested by the condition called Mottled enamelCA!"!#"$cessive intake of fuoride over an e$tended period of timeC%MM%& !%'C"! %F F(%')D"!#*ooth pastesDrinking water in fuoridated communities+everages and food processed with fuoridated water, Dietary prescription supplements that include fuoride -e,g,, tablets or drops., !)/&!Chalk0like discoloration of teeth with white spots or lines on tooth enamel)n more severe cases the a1ected areas have a yellow or brown discoloration)n e$treme forms Fluorosis may result in a pitted tooth surface!2M3*%M!#Discolored toothD"A&! )&D"5 C(A!!)F)CA*)%& C')*"')A#

Description of "namel#&%'MA(0Smooth, glossy, pale creamy-white translucent surface6"!*)%&A+("0A few white fecks or white spots 7"'2 M)(D0Small opaque, paper white areas covering less than 25 of the tooth surface M)(D0!paque white areas covering less than 5" of the tooth surface M%D"'A*"0All tooth surfaces a#ecte$ marke$ wear on %iting surfaces& %rown stain may %e present !"7"'"0All tooth surfaces a#ecte$& $iscrete or confuent pitting& %rown stain presentD)FF"'"&*)A( D)A/&%!)!#"namel hypoplasia 3'"7"&*)%Do not use fuoride toothpaste until the child is two years old unless advised to do so by a dentistFor children age two and older, place only a pea0si8ed amount of fuoride toothpaste on the toothbrush at each brushingAvoid toothpastes with favors that may encourage swallowing