Archive for July 2016

Dental Fluorosis 

  
One of the many types of common tooth discoloration is Dental Fluorosis.  Dental Fluorosis is a developmental disturbance of dental enamel caused by excessive exposure to high concentrations of fluoride during tooth development.  These changes are most prone to occur in children between 20 and 30 months of age.  The critical period of exposure is between 1 and 4 years old.  Dental Fluorosis occurs when a child ingest too much fluoride.  Be certain that your child can fully spit out their toothpaste before introducing fluoride toothpaste .  When a child swallows fluoride toothpaste at a young age it can affect their permanent teeth that are forming.  The affects of fluorosis are strictly cosmetic.   The teeth are actually stronger because of the extra fluoride, however fluorosis can cause severe stain throughout the teeth.  

How to treat Dental Fluorosis?

Dental fluorosis can be cosmetically treated by a dentist.  Tooth bleaching, microabrasion, or a conservative composite restoration are commonly used treatments.  Typically bleaching and microabrasion are used for superficial staining, where constructive restorations are used for more unaesthetic situations.  Be aware that this treatment can cause severe tooth sensitivity, so it is recommended that you wait until teenage years to do treatment. 

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Visiting your dentist every 6 months to have a dental exam, have debris removed, and a fluoride treatment applied.  Dental hygiene is very important! Simply removing bacteria daily will significantly bring your decay risk factors down.  Brush twice a day and floss once a day. Use fluoride toothpaste around the age of 4 years old, when your child is able to spit toothpaste without swallowing it.  Fluoride make childs teeth less disolvable in acid.  Beware of frequent snacking.   Also, assure proper fluoride through drinking water (city water contains fluoride, while well water does not).  You may want to start a reward chart/sticker chart to make caring for your teeth a positive reinforcement.  If you are already brushing twice a day and flossing but still have a high decay rate, you may want to add a fluoride rinse once per day.      

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