Abstract
This paper reports on two cases of dental fluorosis caused by inadvertent ingestion of fluoridated dentifrice. An eight-year-old child showed whitish spots and loss of dental enamel in first permanent molars and whitish spots without structure loss in permanent incisors and primary second molars, whereas a fourteen-year-old teenager showed whitish spots in all permanent teeth. In both cases, homologue teeth were affected similarly and mothers did not report on the use of fluoride supplements during pregnancy or children’s infancy. The water fluoridation of the city where they live is considered optimal. Both patients reported eating dentifrice frequently during tooth brushing and in other occasions. Mothers also stated that they did not receive instructions about oral hygiene or about the fact that chronic ingestion of dentifrice could contribute to the development of dental fluorosis. It is believed that the cooperative work between dentists and other health professionals is a way to prevent the occurrence of this condition.
Highlights
Dental fluorosis is a systemic side effect of chronic excessive fluoride intake.[1]
Dental fluorosis is a systemic side effect of chronic and excessive fluoride intake during the enamel-forming period.1People are exposed to different sources of fluoride such as foods, beverages, supplements, water, dentifrices and other therapeutic products
The extent to which the disease affects each tooth and the number of teeth affected are directly related to the duration of fluoride ingestion during childhood
Summary
Dental fluorosis is a systemic side effect of chronic excessive fluoride intake.[1] The inadvertent ingestion of fluoridated dentifrice may be an important contributor to the occurrence of this disease. Discussing with other health professionals the main causes and preventive measures that should be taken is important and will provide a transdisciplinary approach to children’s oral health. Since in the Family Health Strategy parents have a frequent contact with nurses and physicians during routine follow-up visits, even before dentists, it is important that these and other professionals involved in Primary Health Care are informed about oral health care. To the best of our knowledge, very little is published about dental fluorosis for general health professionals. The purpose of this paper is to describe two cases of patients seen at a Pediatric Dentistry outpatient clinic that showed dental fluorosis
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