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    Patient Education / Mottled Enamel (Dental Fluorosis)

    A chronic endemic form of hypoplasia of the dental enamel caused by drinking water with a high fluorine content during the time of tooth formation, and characterized by defective calcification that gives a white chalky appearance to the enamel, which gradually undergoes brown discoloration

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Adult fluorosis can occur at an intake of 10 mg/d for prolonged periods and results in mottled and pitted defects in tooth enamel as well as brittle bone (skeletal fluorosis). Much lower doses of fluoride (0.7 to 2 mg) can cause dental fluorosis or mottled enamel in infants and children...

Source : Harrison's Principles of Internal Medicine





There are some 21 million people suffering from fluoride-caused mottled enamel and 1 million from bone disease caused by fluorine poisoning (Public Health in the PRC 1986). Efforts to control the disease include the use of rainwater, along with wells and other low-fluorine water sources, for drinking purposes...

Source : The Cambridge World History of Human Disease





Excessive use of fluoride in drinking water or in fluoride mouthrinses containing greater than two parts per million can cause mottled bleaching of the enamel. Although many cities add fluoride to drinking water, such excessive amounts usually do not result from municipal water treatment...

Source : The Johns Hopkins Family Health Book





Excessive fluoride exposure in children can lead to a condition called fluorosis, which is characterized by a mottled discoloration of the tooth enamel. Does my breast-fed baby need fluoride supplementation if I'm drinking tap water that contains fluoride? While fluoride was once pushed without thought, we're now aware of the risks associated with extra intake. Fluoride is expressed in breast milk in small amounts, and its levels reflect your intake...

Source : First Foods





Fluoride in excess of 1.5 mg/L in some areas causes "mottled enamel" in children's teeth. Fluoride in excess of 6.0 mg/L causes pronounced mottling and disfiguration of teeth. Water containing large amounts of nitrate (more than 100 mg/L) is bitter tasting and may cause physiological distress...

Source : The Chemistry of Water





The consultants identified dental caries , dental infection, and mottled enamel a permanent discoloration of teeth-as the three most important research problems in dental science...

Source : Dental Science in a New Age: A History of the National Institute of Dental Research
(Iowa State University Press Series in the History of Technology)





Frederick S. McKay first observed Mottled Enamel in 1916, and published this "unknown endemic developmental imperfection of the teeth" in a paper with G. V. Black ...

Source : A Sourcebook of Dental Medicine

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