Abstract
The authors surveyed parents of 708 patients in a pediatric dental practice about their satisfaction with the color of their children’s teeth and factors associated with their level of satisfaction. Overall, 43 percent of parents were dissatisfied with their children’s tooth color, and 78 percent of children had a Tooth Surface Index of Fluorosis, or TSIF, score greater than 0. The worst TSIF score was the only factor associated with parent satisfaction.
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Development of a questionnaire to measure perceptions of, and concerns derived from, dental fluorosis
OBJECTIVE: To develop a questionnaire in English and Spanish to measure concerns caused by children's (and their parents') perceptions of dental appearance. MATERIALS AND METHODS: The questionnaire addressed concerns in the physical, mental, and social domains, perceptions about discolourations and other oral conditions including tooth colour. Test-retest and internal reliability,
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Perceptions of adolescents and young people regarding endemic dental fluorosis in a rural area of Brazil: psychosocial suffering
Severe dental fluorosis is endemic in some rural areas of Brazil. This paper describes the psychosocial consequences of this condition and how it has affected the self-esteem of adolescents and young people in a rural area in Brazil. Semi-structured, face-to-face interviews were carried out with 23 adolescents and young people
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Aesthetic concerns of children and parents in relation to different classifications of the Tooth Surface Index of Fluorosis
Increasing prevalence of dental fluorosis for children both from fluoridated and non-fluoridated communities are now well documented. Along with recent studies purporting possible adverse health effects from fluorides, this proven public health intervention is again being challenged. This study was undertaken to determine the prevalence of dental fluorosis for children
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Factors associated with parents' esthetic perceptions of children's mixed dentition fluorosis and demarcated opacities
PURPOSE: With the increasing prevalence of dental fluorosis, improved understanding about esthetic perceptions of dental fluorosis is warranted. The purpose of this report was to present results concerning parents' overall satisfaction with the appearance of their children's teeth and factors related to dissatisfaction, comparing subjects with and without fluorosis and
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Aesthetically objectionable fluorosis in the United Kingdom.
OBJECTIVES: A cross-sectional national survey to explore perceptions of dental fluorosis and to determine the proportion of people regarding fluorosis as aesthetically objectionable at differing levels of defect. METHODS: A survey using a multistage stratified random probability sample of 6,000 UK adult households. Face-to-face interviews were carried out using a structured
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Diagnostic Criteria for Dental Fluorosis: The Thylstrup-Fejerskov (TF) Index
The traditional criteria (the "Dean Index") for diagnosing dental fluorosis was developed in the first half of the 20th century by H. Trendley Dean. While the Dean Index is still widely used in surveys of fluorosis -- including the CDC's national surveys of fluorosis in the United States -- dental
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Diagnostic Criteria for Dental Fluorosis: The TSIF ("Total Surface Index of Fluorosis")
The traditional criteria (the "Dean Index") for diagnosing dental fluorosis was developed in the first half of the 20th century by H. Trendley Dean. While the Dean Index is still widely used in surveys of fluorosis -- including the CDC's national surveys of fluorosis in the United States -- dental
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Dental Fluorosis in the U.S. 1950-2004
Before the widespread use of fluoride in dentistry, dental fluorosis was rarely found in western countries. Today, with virtually every toothpaste now containing fluoride, and most U.S. water supplies containing fluoride chemicals, dental fluorosis rates have reached unprecedented levels. In the 1950s, it was estimated that only 10% of children in
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Dental Fluorosis Is a "Hypo-mineralization" of Enamel
Teeth with fluorosis have an increase in porosity in the subsurface enamel ("hypomineralization"). The increased porosity of enamel found in fluorosis is a result of a fluoride-induced impairment in the clearance of proteins (amelogenins) from the developing teeth. Despite over 50 years of research, the exact mechanism by which fluoride impairs amelogin
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Moderate/Severe Dental Fluorosis
In its "moderate" and severe forms, fluoride causes a marked increase in the porosity of the enamel. After eruption into mouth, the porous enamel of moderate to severe fluorosis readily takes up stain, creating permanent brown and black discolorations of the teeth. In addition to extensive staining, teeth with moderate to severe fluorosis are more prone to attrition and wear - leading to pitting, chipping, and decay.
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