FLUOROSIS

(Mottling)
Brown discolouration of teeth

Cause

  • Occurs due to long term excess of fluoride. Endemic in areas of high fluoride water content occurring naturally in the water

Clinical features

  • Varies from white opacities to severe pitting and discolouration due to incorporation of the excess fluoride
    in the enamel structure

MANAGEMENT

  • Tooth coloured (composite) fillings, veneers

Prevention

  • Monitoring of fluoride levels in drinking water
  • Use of fluoride-free toothpastes in endemic areas