Incisor enamel mottling prevalence in child cohorts which had or had not taken fluoride supplements from 0-12 years of age. 1991

K W Stephen, and D R McCall, and W H Gilmour
University of Glasgow Dental School, Scotland.

Blind photographic assessments were made of the permanent incisors of 322 children who had participated in two successful fluoride drop/tablet hygienist-based preventive dentistry programmes. Two groups of four dental and two lay assessors unanimously scored 57% of dentitions as mottling-free. The dental observers unanimously scored 37 children (12%) with some symmetrical homologous tooth-type mottling, although only 13 decisions (4%) were scored "unacceptable easthetically". The lay assessors rated 77 children (24%) with mottling, 15% being easthetically displeasing. However, no significant mottling differences were noted between cohorts which had commenced oral fluoride supplementation at birth and those which either commenced as late as 7 years of age, or which had never taken any such supplementation. Thus other fluoride sources must have been responsible for the non-drop/tablet diffuse symmetrical mottling noted, the most likely being highly fluoridated dentifrices ingested by youngsters unable to control the volume dispensed and swallowed. Hence the evidence does not suggest that this proven caries-inhibiting F- drop/tablet regime dosage should be reduced. There is, however, a clear and continuing need for both the dental profession and the public to be made more aware of the problem of uncontrolled fluoride ingestion from other sources.

UI MeSH Term Description Entries
D007180 Incisor Any of the eight frontal teeth (four maxillary and four mandibular) having a sharp incisal edge for cutting food and a single root, which occurs in man both as a deciduous and a permanent tooth. (Jablonski, Dictionary of Dentistry, 1992, p820) Incisors
D007223 Infant A child between 1 and 23 months of age. Infants
D007231 Infant, Newborn An infant during the first 28 days after birth. Neonate,Newborns,Infants, Newborn,Neonates,Newborn,Newborn Infant,Newborn Infants
D009050 Fluorosis, Dental A chronic endemic form of ENAMEL HYPOMINERALIZATION caused by drinking water with a high fluorine content during the time of tooth formation, and characterized by defective calcification that gives a white chalky appearance to the enamel, which gradually undergoes brown discoloration. (Jablonski's Dictionary of Dentistry, 1992, p286) Dental Fluorosis,Mottled Enamel,Mottled Teeth,Dental Fluoroses,Fluoroses, Dental,Enamel, Mottled,Mottled Enamels,Teeth, Mottled
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005459 Fluorides Inorganic salts of hydrofluoric acid, HF, in which the fluorine atom is in the -1 oxidation state. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Sodium and stannous salts are commonly used in dentifrices. Fluoride
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000367 Age Factors Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time. Age Reporting,Age Factor,Factor, Age,Factors, Age
D012606 Scotland The most northerly of the four countries of the United Kingdom, occupying about one-third of the island of Great Britain. The capital is Edinburgh.

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