Dental fluorosis occurs as a result of excess fluoride ingestion during tooth formation enamel fluorosis and primary dentin fluorosis can only occur when teeth are forming and therefore fluoride exposure as it relates to dental fluorosis occurs during childhood in the permanent dentition this . Fluoride can have both beneficial and potentially detrimental effects on dental health while an increase in the concentration of fluoride in drinking water means less chances of developing dental caries it also means greater chances of developing dental fluorosis the optimum level of fluoride in drinking water associated with the maximum level of dental caries protection and minimum . They revealed the clear relation between water fluoride concentration and therefore fluoride exposure and prevalence and severity of dental fluorosis and dental caries after successful trials programs for water fluoridation were introduced and industry developed effective fluoride containing toothpastes and other fluoride vehicles. Dental fluorosis is a condition that causes changes in the appearance of tooth enamel due to hypomineralization of tooth enamel caused by excessive exposure to fluoride during tooth development affecting its organization composition and structure 1 fluorosis is a dental lesion caused by the destructive effect of fluoride on the tooth making
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