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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
Ghadeer Hassan Suwaimil

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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