Fluoride adovcates say dental fluorosis is no big deal (as long as it is not their kid?) But it is a big deal and is an adverse effect. Someone has to pay to have it corrected. And why should the patient or insurance company pay the cost of restoration when some government official somewhere has decided to add it to their drinking water?
Khandelwal V, Nayak UA, Nayak PA, Ninawe N. Aesthetic management of dental fluorosis. BMJ Case Rep. 2013 May 22;2013(may22_1). pii: bcr2013010029. doi: 10.1136/bcr-2013-010029.
Significant numbers of patients visiting the paediatric dental clinics have aesthetically objectionable brown stains and desire treatment for them. Intrinsic tooth discolouration can be a significant aesthetic, and in some instances, functional, problem. Dental fluorosis, tetracycline staining, localised and chronological hypoplasia, and both amelogenesis and dentinogenesis imperfecta can all produce a cosmetically unsatisfactory dentition. The aetiology of intrinsic discolouration of enamel may sometimes be deduced from the patient’s history, and one factor long associated with the problem has been a high level of fluoride intake. Optimal use of topical fluorides leads to a decrease in the caries prevalence but may show an increase in the prevalence of fluorosis staining because of metabolic alterations in the ameloblasts, causing a defective matrix formation and improper calcification. A 12-year-old male patient was screened at the dental clinic for routine dental care. He wanted us to remove and/or minimise the noticeable brown/yellow staining of his teeth. He requested the least invasive and most cost-effective treatment to change his smile. Various treatment modalities are present for the treatment of fluorosis stains. This report discusses the microabrasion technique in the patient having dental fluorosis.