Fluorosis comes in four “shades,” if you will: very mild, mild, moderate and severe. In the first two instances, the mottling of the tooth enamel is hardly perceptible, and usually shows up as a faded white streak or spot. In many cases, your dentist or hygienist will be the first to notice it because of all the attention they pay to your child’s teeth. The latter two, however, will certainly be noticeable to you because the discoloration will likely affect more than one tooth, and a larger surface area of enamel. Sometimes, the coloring can include the outlining of brown as well. With the “severe” shade, the predominant color is brown, and most certainly noticeable.
Since most cases of fluorosis are of the “very mild” or “mild” variety, most people live life without a single concern about it. In fact, most are even oblivious to there being anything “different” about their teeth altogether. So, if your child isn’t worried about it, you probably shouldn’t be worried about it either. If on the other hand, your child is bothered by the appearance of their teeth, and particularly if your child’s teeth are shaded brown, then intervention can be a good option.
That said, covering up a case of fluorosis is more difficult than you might think. The three favorable methods to correct it involve a bit of work and cost, but they can be successful. They are dental bonding, veneers, and deep whitening.
- Dental bonding: Dental bonding is the most affordable of the three, and is something you may already be familiar with. This solution involves removing a slight portion of the enamel and then filling it in with a tooth colored filling. The results match your child’s teeth exactly, and can be a quick and easy fix.
- Porcelain Veneers: Veneers can be costly, and definitely not a good option on primary teeth. They can be a good solution for a teenager with fully erupted permanent teeth, however, or for a child nearing their twenties.
- Deep Whitening: Deep whitening, while it might seem like an easy fix, is often done with only limited success. In fact, the success rate can be so limited that some dentists will not even attempt whitening due to fears it can make the spotting more pronounced. This process can involve several visits to the office, in addition to proprietary whitening products. This type of deep whitening is most certainly not an over-the-counter remedy.
Below is the PHE statement on fluorosis emailed to me which implies that the white spots are caused by tooth decay
There are a number of causes of white
spots on teeth, including fluoride ingestion during tooth formation.
Water fluoridation reduces the
prevalence of tooth decay, including early tooth decay causing white spots such
as might be treated by the above methods.