Aesthetic problem in the appearance of permanent teeth in children and adolescents - dental fluorosis.
DOI:
https://doi.org/10.12775/JEHS.2023.13.02.017Keywords
dental fluorosis, fluoride poisoning, aesthetics, amelogenesisAbstract
Introduction: Dental fluorosis is a disease caused by excessive consumption of fluoride and its deposition in the enamel during odontogenesis. The result of this process is the appearance on the surface of permanent teeth of unsightly stains of various colors depending on the intensity of damage to the enamel. Deterioration of dental aesthetics can significantly affect the quality of life of patients affected by dental fluorosis.
Aim of the study: The purpose of this study is to present contemporary knowledge on the cause, diagnosis and treatment of dental fluorosis.
Materials and methods: Medical databases of the National Center for Biotechnology Information/PubMed and Google Scholar were analyzed by typing the following keywords: dental fluorosis, fluoride poisoning, amelogenesis, enamel. When analyzing the literature, data from 25 scientific articles from the last five years (2017-2022) were used.
Results: In most of the articles, the authors emphasize the significant association between consumption of fluoridated water and fluorosis of permanent teeth. The literature is unanimous regarding the choice of minimally invasive treatment procedures when dental fluorosis needs to be treated.
Conclusions: Dental fluorosis is a significant aesthetic and functional problem among affected children. Education about the etiology of dental fluorosis and ways to avoid it should be constantly disseminated among children's caregivers. Patients affected by this problem should be under the constant care of a dentist.
References
Alshammari FR, Aljohani M, Botev L, O'malley L, Glenny AM. Dental fluorosis prevalence in Saudi Arabia. Saudi Dent J.2021 Nov;33(7):404-412. doi: 10.1016/j.sdentj.2021.03.007.
Shahroom NSB, Mani G, Ramakrishnan M. Interventions in management of dental fluorosis, an endemic disease: A systematic review. J Family Med Prim Care. 2019 Oct 31;8(10):3108-3113. doi: 10.4103/jfmpc.jfmpc_648_19.
Revelo-Mejía IA, Hardisson A, Rubio C, Gutiérrez ÁJ, Paz S. Dental Fluorosis: the Risk of Misdiagnosis-a Review. Biol Trace Elem Res. 2021 May;199(5):1762-1770. doi: 10.1007/s12011-020-02296-4.
Saldarriaga A, Rojas-Gualdrón D, Restrepo M, Santos-Pinto L, Jeremias F. Dental fluorosis severity in children 8-12 years old and associated factors. Acta Odontol Latinoam. 2021 Aug 1;34(2):156-165. doi: 10.54589/aol.34/2/156.
Martignon S, Bartlett D, Manton DJ, Martinez-Mier EA, Splieth C, Avila V. Epidemiology of Erosive Tooth Wear, Dental Fluorosis and Molar Incisor Hypomineralization in the American Continent. Caries Res. 2021;55(1):1-11. doi: 10.1159/000512483.
Niazi FC, Pepper T. Dental fluorosis. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan. 2022 Sep 15.
Zepeda-Zepeda MA, Picquart M, Irigoyen-Camacho ME, Mejía-Gózalez AM. Diagnosis of Dental Fluorosis Using Micro-Raman Spectroscopy Applying a Principal Component-Linear Discriminant Analysis. Int J Environ Res Public Health. 2021 Oct 9;18(20):10572. doi: 10.3390/ijerph182010572.
Armas-Vega ADC, González-Martínez FD, Rivera-Martínez MS, Mayorga-Solórzano MF, Banderas-Benítez VE, Guevara-Cabrera OF. Factors associated with dental fluorosis in three zones of Ecuador. J Clin Exp Dent. 2019 Jan 1;11(1):e42-e48. doi: 10.4317/jced.55124.
Azzahim L, Chala S, Abdallaoui F. Role of enamel microabrasion associated with external bleaching in the management of patients with dental fluorosis. Pan Afr Med J. 2019 Oct 4;34:72. doi: 10.11604/pamj.2019.34.72.20401.
Zotti F, Albertini L, Tomizioli N, Capocasale G, Albanese M. Resin Infiltration in Dental Fluorosis Treatment—1-Year Follow-Up. Medicina (Kaunas). 2020 Dec 29;57(1):22. doi: 10.3390/medicina57010022.
Wang Q, Meng Q, Meng J. Minimally invasive esthetic management of dental fluorosis: a case report. J Int Med Res. 2020 Oct;48(10):300060520967538. doi: 10.1177/0300060520967538.
Di Giovanni T, Eliades T, Papageorgiou SN. Interventions for dental fluorosis: A systematic review. J Esthet Restor Dent. 2018 Nov;30(6):502-508. doi: 10.1111/jerd.12408.
Curtis AM, Levy SM, Cavanaugh JE, Warren JJ, Kolker JL, Weber-Gasparoni K. Decline in Dental Fluorosis Severity during Adolescence: A Cohort Study. J Dent Res. 2020 Apr;99(4):388-394. doi: 10.1177/0022034520906089.
James P, Harding M, Beecher T, Browne D, Cronin M, Guiney H, O'Mullane D, Whelton H. Impact of Reducing Water Fluoride on Dental Caries and Fluorosis. J Dent Res. 2021 May;100(5):507-514. doi: 10.1177/0022034520978777.
Do LG, Ha DH, Roberts-Thomson KF, Spencer AJ. Dental fluorosis in the Australian adult population. Aust Dent J. 2020 Jun;65 Suppl 1:S47-S51. doi: 10.1111/adj.12764.
Saldarriaga A, Rojas-Gualdrón DF, Restrepo M, Bussaneli DG, Fragelli C, de Cássia Loiola Cordeiro R, Santos-Pinto L, Jeremias F. Clinical changes in the severity of dental fluorosis: a longitudinal evaluation. BMC Oral Health. 2021 Jul 22;21(1):366. doi: 10.1186/s12903-021-01729-3.
Mohanta A, Mohanty PK. Dental Fluorosis- Revisited. Biomed J Sci & Tech Res. 2018 Jan 2(1):2243-2247. doi: 10.26717/BJSTR.2018.02.000667.
Morris AJ, O’Connor R, Holmes R, Landes D, Shah K, Tanday A, Veranzza C. Dental fluorosis. Br Dent J. 2022 Apr;232: 492. doi.10.1038/s41415-022-4210-1.
Wang Q, Chen X, Hu H, Wei X, Wang X, Peng Z, Ma R, Zhao Q, Zhao J, Liu J, Deng F. Structural changes in the oral microbiome of the adolescent patients with moderate or severe dental fluorosis. Sci Rep. 2021 Feb 3;11(1):2897. doi: 10.1038/s41598-021-82709-z.
Li Q, Shen J, Qin T, Zhou G, Li Y, Chen Z, Li M. A Qualitative and Comprehensive Analysis of Caries Susceptibility for Dental Fluorosis Patients. Antibiotics (Basel). 2021 Aug 27;10(9):1047. doi: 10.3390/antibiotics10091047.
Kashirtsev F, Simon JC, Fried D. Imaging dental fluorosis at SWIR wavelengths from 1300 to 2000-nm. Proc SPIE Int Soc Opt Eng. 2021 Mar;11627:116270Q. doi: 10.1117/12.2588696.
Iftekhar A, Anwar A, Marium Z, Ibraj F, Nazeer K. Frequency of Dental Fluorosis in Population Drinking Water with High Fluoride Level in Thar. J Pak Dent Assoc. 2020; 29(4): 259-263. doi: 10.25301/JPDA.294.259
Cavalheiro JP, Souza MIAV, Duque CCO, Bussaneli DG, Zuanon ÂCC, Jeremias F. Esthetic rehabilitation of anterior teeth with molar-incisor hypomineralization and dental fluorosis: a case report. Gen Dent. 2020 May-Jun;68(3):34-39.
Wadia R. Dental fluorosis - bleaching and resin infiltration. Br Dent J. 2020 Jan;228(2):82. doi: 10.1038/s41415-020-1214-6.
Bourouni S, Dritsas K, Kloukos D, Wierichs RJ. Efficacy of resin infiltration to mask post-orthodontic or non-post-orthodontic white spot lesions or fluorosis — a systematic review and meta-analysis. Clin Oral Investig. 2021 Aug;25(8):4711-4719. doi: 10.1007/s00784-021-03931-7.
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