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VOLUME 9 , ISSUE 1 ( January-April, 2021 ) > List of Articles

REVIEW ARTICLE

Enlightening Diagnosis and Differential Diagnosis of Dental Fluorosis—A Hidden Entity in a Crowd

Deepika Patidar, Dinesh C Patidar, Atul Sharma, Priyanka Prasad

Keywords : dental fluorosis, diagnosis, differential diagnosis, discoloration, opacities

Citation Information : Patidar D, Patidar DC, Sharma A, Prasad P. Enlightening Diagnosis and Differential Diagnosis of Dental Fluorosis—A Hidden Entity in a Crowd. 2021; 9 (1):14-21.

DOI: 10.1055/s-0041-1725218

License: CC BY-NC-ND 4.0

Published Online: 18-03-2021

Copyright Statement:  © 2021. Bhojia Dental College and Hospital affiliated to Himachal Pradesh University.


Abstract

Aim To provide diagnosis as well as differential diagnosis of dental fluorosis. Background Dental fluorosis is a developmental defect of enamel, due to consecutive exposures of tooth during the formative stage of development to the higher concentration of fluoride, resulting in enamel with lesser mineral content and enhanced porosity. Several epidemiological indices have been utilized for diagnosis and assessment of dental fluorosis on the basis of clinical appearance. Fluorosis of the deciduous teeth occurs less commonly and is milder than that of permanent teeth. Highlights The diagnostic difficulties are usually associated between fluorotic and nonfluoride opacities. A complete history of the clinical condition, teeth affected with specific areas, pattern of lesion, color and its method of detection are the few important diagnostic criteria for differentiating dental fluorosis from nonfluoride discolorations of the teeth. Conclusion This review article has enlightened the diagnosis and differential diagnosis of dental fluorosis among various nonfluoride tooth discolorations. A correct diagnosis results in an appropriate and early management of dental fluorosis and plays an important role in oral epidemiology and public health.


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  1. Microabrasion using 18% hydrochloric acid and 37% phosphoric acid in various degrees of fluorosis - An in vivo comparision. Eur J Esthet Dent 2013;8(3):454–465
  2. Development of a standardisation device for photographic assessment of dental fluorosis in field studies. Oral Health Prev Dent 2008;6(1):29–36
  3. Dental fluorosis: exposure, prevention and management. J Clin Exp Dent 2009;1:14–18
  4. Ritter. Talking with patients. Dental Fluorosis. J Esthet Restor Dent 2005;17:326–327
  5. 2nd ed. Copenhagen: Munksgaard; 1996 42–46, 132–34
  6. Differential diagnosis of dental fluorosis. J Dent Res 1990;69(Spec No): 714–720
  7. Distribution of dental fluorosis in the primary dentition. Community Dent Oral Epidemiol 1978;6(6):329–337
  8. Clinical and structural features and possible pathogenic mechanisms of dental fluorosis. Scand J Dent Res 1977;85(7):510–534
  9. 3rd ed. Mumbai: Varghese Publishing; 1999 262–65
  10. Comparison of two indices of dental fluorosis in low, moderate and high fluorosis Tanzanian populations. Community Dent Oral Epidemiol 1994;22(6):415–420
  11. Epidemiologic indices for measuring the clinical manifestations of dental fluorosis: overview and critique. Adv Dent Res 1994;8(1):39–55
  12. Clinical appearance of dental fluorosis in permanent teeth in relation to histologic changes. Community Dent Oral Epidemiol 1978;6(6):315–328
  13. A new method for assessing the prevalence of dental fluorosis–the Tooth Surface Index of Fluorosis. J Am Dent Assoc 1984;109(1):37–41
  14. Diagnosis of mild enamel fluorosis in permanent maxillary incisors using two scoring systems. Community Dent Oral Epidemiol 1985;13(5):273–276
  15. Indexes for measuring dental fluorosis. J Public Health Dent 1986;46(4):179–183
  16. Comparison of two fluorosis indices in the primary dentition of Tswana children. Community Dent Oral Epidemiol 1987;15(2):95–97
  17. Aesthetic concerns of children and parents in relation to different classifications of the Tooth Surface Index of Fluorosis. Community Dent Oral Epidemiol 1993;21(6):360–364
  18. Two types of intraoral distribution of fluorotic enamel. Community Dent Oral Epidemiol 1997;25(3):251–255
  19. A visual analogue scale for measuring dental fluorosis severity. J Am Dent Assoc 2005;136:895–901
  20. Agreement in the diagnosis of dental fluorosis in central incisors performed by a standardized photographic method and clinical examination. Cad Saude Publica 2009;25(5):1017–1024
  21. Accuracy of the simplified Thylstrup & Fejerskov index in rural communities with endemic fluorosis. Int J Environ Res Public Health 2010;7(3):927–937
  22. An epidemiological comparison of Dean's index and the Developmental Defects of Enamel (DDE) index. J Public Health Dent 2010;70(4):344–347
  23. Quantitative light fluorescence (QLF) and polarized white light (PWL) assessments of dental fluorosis in an epidemiological setting. BMC Public Health 2012;12:366
  24. Distribution patterns of enamel fluorosis in permanent dentition. Oral Health Prev Dent 2012;10(2):167–174
  25. Evaluating the use of fluorescent imaging for the quantification of dental fluorosis. BMC Oral Health 2012;12:47
  26. Distinguishing between enamel fluorosis and other enamel defects in permanent teeth of children. Peer J 2016;4:e1745
  27. 1st South Asia ed. New Delhi: Elsevier; 2015 49–105
  28. 7th ed. New Delhi: Elsevier; 2012 50–58
  29. Molar incisor hypomineralization, prevalence, and etiology. Int J Dent 2014;2014: 234508
  30. Tooth discoloration by blood: An in vitro histochemical study. Endod Dent Traumatol 1997;13(3):132–138
  31. 4th ed. New Delhi: Elsevier; 2013 352–53
  32. Vol. 1. 3rd ed. Hyderabad: Paras Medical Publisher; 2018 335, 338
  33. A new technique for the controlled removal of mottled enamel: measurement of enamel loss. Br Dent J 1998;184(5):239–241
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