Severe dental fluorosis can be treated with enamel abrasion followed by tooth whitening and infiltration application 14). Our guide to veneers has more information about this treatment, including the benefits of composite vs. porcelain. Since then, with the combination of fluoride containing toothpaste, mouthwash and other sources of fluoride, dental fluorosis has become common. You’d have to watch your child like a hawk and in real life, this is not reasonable. Some water companies make available bottled waters marketed for infants and for the purpose of mixing with formula. It’s through fluorides direct effects on ameloblasts, the developing matrix and processing of the matrix that disrupts normal development(3). The severity of the condition depends on the dose (how much), duration (how long), and timing (when consumed) of fluoride intake. Fluoride supplements can be prescribed for persons as appropriate or used in school-based programs. This treatment option of restoring vertical dimensions of occlusion for severe fluorosis patients requires careful investigations and preparation. To better harmonize color, at-home bleaching was suggested to the patient. Reversal of dental fluorosis: A clinical study. This information should help with decisions about using other fluoride products, particularly fluoride tablets or drops that your physician or dentist may prescribe for your young child. It’s through fluorides direct effects on ameloblasts, the developing matrix and processing of the matrix that disrupts normal development().This disruption can happen when permanent teeth come in (at the age of 8) or when baby teeth come in (around the ages of 1-2)(). A reaction-time study of social, health, and personal attributions in relation to fluorosed teeth. Even though dental fluorosis can be cosmetically treated, enamel damage is permanent(2). Int Dent J. Severe fluorosis can also be treated with porcelain fused to metal crowns. If the children are younger than 6 years, however, then the dentist or physician should weigh the risks for developing decay without supplements with the possibility of developing dental fluorosis. Moderate and severe forms of dental fluorosis, which are far less common, cause more extensive enamel changes. Dental fluorosis typically signals the first sign of fluoride toxicity and the development of more severe health effects caused by fluoride(3). A major cause of fluorosis is the inappropriate use of fluoride-containing dental products such as toothpaste and mouth rinses. In the world, at least 25 countries suffer from endemic fluorosis, only in China 26 million people present fluorosis 5). Before the treatment is administered, the teeth to be cleaned must first be dried so as to prevent the strength of the fluoride from being diluted. 2004;38(3):182–191 [, Hellwig E, Lennon AM. There are a few different ways that dental fluorosis can be treated. You should clean your child’s teeth as soon as the first tooth appears by brushing without toothpaste with a small, soft-bristled toothbrush and plain water. Mehta DN, Shah J. Access to other sources of fluoride, especially drinking water, should be considered when determining this balance. Check with the doctor or dentist about your child’s specific fluoride needs. This can happen before the age of 8 when permanent teeth come in, or around the ages of 1-2 when baby teeth come in. Dental fluorosis is caused by taking in too much fluoride over a long period when the teeth are forming under the gums. 2002;71:1238–43, Petersen PE, Lennon MA. Do not use fluoride toothpaste unless advised to do so by your doctor or dentist. McInnes solution has been used for treating mild grade fluorosis for a long time and successfully 8). EFSA J. Increased metabolic turnover of the bone, impaired bone collagen synthesis and increased avidity for calcium are features in fluoride toxicity. Teach your child to spit out the toothpaste rather than swallow it and to rinse well after brushing. Tooth whitening is suitable for the treatment of mild to moderate fluorosis, and masks the white striae/mottling associated with dental fluorosis by whitening the surrounding tooth structure such that the areas blend in. The first and most important step is to eliminate fluoride exposure. In a proportion of cases secondary hyperparathyroidism is observed with associated characteristic bone changes.