Differences Between Initial Carious Lesion And Mild Fluorosis
1. Ghadeer Hassan Suwaimil
Mild Fluorosis Initial Carious
Position enamel enamel
Demineralization, a small "white spot" has been
formed ,without forming cavity, the surface is still
hard.
. White opaque areas on the surface are more extensive but still affect less
than 50% of the surface.its range from tiny white specks or streaks that may
be unnoticeable to dark brown stains and rough, pitted enamel that is difficult
to clean. Teeth that are unaffected by fluorosis are smooth and glossy. They
should also be a pale creamy white
Surface
Dental caries is caused by a disturbance in the
balance of demineralization and remineralization of
the teeth. According to Koenig (1971), 4 factors
interact in the development of caries. These must
come together at the same time in order to initiate the
disease: Substance (= tooth) ، Cariogenic
microorganisms (= bacteria) ،Substrate (=
Carbohydrate) ،Time.
A major cause of fluorosis the inappropriate use of fluoride-containing dental
products such as toothpaste and mouth rinses. Sometimes, children enjoy the
taste of fluoridated toothpaste so much that they swallow it instead of spitting
it out.
But other things can cause fluorosis. For example, taking a higher-than-prescribed
amount of a fluoride supplement during early childhood can cause
it. So can taking a fluoride supplement when fluoridated drinking water or
fluoride-fortified fruit juices and soft drink already provide the right amount.
Causes
Primary diagnosis involves inspection of all visible
tooth surfaces using a good light source, dental
mirror and explorer.
The traditional criteria (the “Dean Index“) for diagnosing dental fluorosis
Thylstrup-Fejerskov Index (“TF Index”) and the “Tooth Surface Index of “-
.)“Fluorosis” (“TSIF
Examination
caries are only located in the dental enamel, they can
still be treated without any drilling.
In many cases, fluorosis is so mild that no treatment is needed. Or, it may
only affect the back teeth where it can’t be seen.The appearance of teeth
affected by moderate-to-severe fluorosis can be significantly improved by a
variety of techniques. Most of them are aimed at masking the stains. Such
techniques may include:
Tooth whitening and other procedures to remove surface stains
Bonding, which coats the tooth with a hard resin that bonds to the
enamel
Crowns
Veneers, which are custom-made shells that cover the front of the
teeth to improve their appearance.
Treatment
Differences Between Initial Carious Lesion And Mild
Fluorosis