Fluorisis

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unlvdmd

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I was told by a part time attending that this is a manifestation of only systemic fluoride, not topical. So you can put all the topical fluoride on you want and not worry about getting jacked up grey teeth? Just trying to clarify.

EDIT:
HA HA. DID I SPELL IT WRONG? SORRY. TOO FAST OF A TYPER!
 
unlvdmd said:
I was told by a part time attending that this is a manifestation of only systemic fluoride, not topical. So you can put all the topical fluoride on you want and not worry about getting jacked up grey teeth? Just trying to clarify.
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first of all, i could be very wrong, i am under the impression that fluoride only affects developing/maturing/mineralizing enamel. so topical F- (extensive), theoretically, should only bring fluorsis to those who still have developing dentitions.i also remembering reading from a paper that systemic F- has greater affects on teeth than topical F-. having said that..lots of stanous F-, again from memory, can stain ur 1000+ porcelain crowns..

thats my 2 cents worth, hope it helps....comments?
 
ajex said:
first of all, i could be very wrong, i am under the impression that fluoride only affects developing/maturing/mineralizing enamel. so topical F- (extensive), theoretically, should only bring fluorsis to those who still have developing dentitions.i also remembering reading from a paper that systemic F- has greater affects on teeth than topical F-. having said that..lots of stanous F-, again from memory, can stain ur 1000+ porcelain crowns..

thats my 2 cents worth, hope it helps....comments?
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typo..my apologies..should read...

..i also remember reading from a paper that systemic F- can affect teeth more than topical F-. having said that..
 
I was in a seminar where the main factor was that the enamel was still developing. They didn't mention the systematic/topical difference (it actually was a digression from the topic), but I believe I have heard that somewhere. Didn't it have a reputation for being prominent in the rural midwest because many people still relied on well water, which was sometimes packed with F-? Does it still happen with more people drinking municipal water?
 
I'mFillingFine said:
Does it still happen with more people drinking municipal water?
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i guess it depends whether f- is actually added thel water too (and this varies from city to city). assuming it is, for the sake of our discussion, i think recent epi studies are suggesting an increased incidence in the dx of fluorsis.
 
I don't think there is enough fluoride in topical things to induce fluorosis. Fluorosis usually occurs from physicians wrongfully prescribing supplements, and well water in certain parts of the country. a child can develop fluorosis if they are drinking well water containing greater than 1.2 parts per million of fluoride.
 
Great info. Thanks for the replies. So theoretically, pts of high caries risk like those with crowns, xerostomia, etc should be using as much topical fluroide as possible to prevent recurrent decay? If that were the case, you would think that attendings would be loading these people up but instead just tend to "suggest" it as a byproduct along with good OH. Should it be standard of care to load these types of pts up on it since they ARE beyond development and obviously need the benefits?
 
unlvdmd said:
Great info. Thanks for the replies. So theoretically, pts of high caries risk like those with crowns, xerostomia, etc should be using as much topical fluroide as possible to prevent recurrent decay? If that were the case, you would think that attendings would be loading these people up but instead just tend to "suggest" it as a byproduct along with good OH. Should it be standard of care to load these types of pts up on it since they ARE beyond development and obviously need the benefits?
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yes and no
 
ajex said:
yes and no
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i think our generation of dentistry will be seeing more "F- bomb" purely of prescribing too much F- without correcting underlying etiological factors (Venn's Diagram).
 
what do you mean by "attendings" ? physicians? physicians should leave oral health up to the dentists cuz they don't know anything.

just proper OH with fluoride toothpaste and should be enough to remineralize any demineralized enamel. As long as they brush as they should and floss, they should be ok. if they don't do that, then no amount of topical treatment will help them, cuz they obviously wont stick with it.
 
ajex said:
i think our generation of dentistry will be seeing more "F- bomb" purely of prescribing too much F- without correcting underlying etiological factors (Venn's Diagram).
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Most cases of fluorosis come from either children eating to much toothpaste or physicians prescribing supplements without knowing they get enough from their water. physicians should be educated on this matter and remember to check the water levels of where their patients live.
 
Lidopaine82 said:
Most cases of fluorosis come from either children eating to much toothpaste or physicians prescribing supplements without knowing they get enough from their water. physicians should be educated on this matter and remember to check the water levels of where their patients live.
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may i also add tetracycline...
 
Lidopaine82 said:
it appears he does that A LOT
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to correct some of the mistakes..and sometimes i hit the enter key before the post is actually done..therefore quote to continue on ..apologise for the confusion..

didnt know that..thx..new to here..
 
ajex said:
to correct some of the mistakes..and sometimes i hit the enter key before the post is actually done..therefore quote to continue on ..apologise for the confusion..
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you can edit your post without creating a new one... not that i care, im just saying
 
Lidopaine82 said:
I don't think there is enough fluoride in topical things to induce fluorosis. Fluorosis usually occurs from physicians wrongfully prescribing supplements, and well water in certain parts of the country. a child can develop fluorosis if they are drinking well water containing greater than 1.2 parts per million of fluoride.
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This is more what I meant about the rural kids getting it. Municipal water in those cases would actually be a better idea, because even though it has F- in it, it's in more researched, controlled amounts than if water was collecting in a well and getting concentrated.

So fluoridated water can prevent fluorosis 🙂
 
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