Baltimore Dental . COM
*CHILDREN'S TEETH*
Enamel Fluorosis
Q: What is enamel fluorosis?
A. A child may face the condition called enamel fluorosis if he or she gets too much
fluoride during the years of tooth development. Too much fluoride can result in defects in
tooth enamel.
Q: Why is enamel fluorosis a concern?
A: In severe cases of enamel fluorosis, the appearance of the teeth is marred by
discoloration or brown markings. The enamel may be pitted, rough, and hard to clean. In
mild cases of fluorosis, the tiny white specks or streaks are often unnoticeable.
Q: How does a child get enamel fluorosis?
A: By swallowing too much fluoride for the child's size and weight during the years of
tooth development. This can happen in several different ways. First, a child may take more
of a fluoride supplement than the amount prescribed. Second, the child may take a fluoride
supplement when there is already an optimal amount of fluoride in the drinking water.
Third, some children simply like the taste of fluoridated toothpaste. They may use too
much toothpaste, then swallow it instead of spitting it out.
Q: How can enamel fluorosis be prevented?
A: Talk to your pediatric dentist as the first step. He or she can tell you how much
fluoride is in your drinking water. (Your local water treatment plant is another source of
this information.) If you drink well water or bottled water, your pediatric dentist can
assist you in getting an analysis of its fluoride content. After you know how much
fluoride your child receives, you and your pediatric dentist can decide together whether
your child needs a fluoride supplement.
Watch your child's use of fluoridated toothpaste as the second step. A pea-sized amount on
the brush is plenty for fluoride protection. Teach your child to spit out the toothpaste,
not swallow it, after brushing.
Q: Should I just avoid fluorides for my child all together?
A: No! Fluoride prevents tooth decay. It is an important part of helping your child keep a
healthy smile for a lifetime. Getting enough -- but not too much -- fluoride can be easily
accomplished with the help of your pediatric dentist.
Q: Can enamel fluorosis be treated?
A: Once fluoride is part of the tooth enamel, it can't be taken out. But the appearance of
teeth affected by fluorosis can be greatly improved by a variety of treatments in esthetic
dentistry. If your child suffers from severe enamel fluorosis, your pediatric dentist can
tell you about dental techniques that enhance your child's smile and self-confidence.
