Enamel may appear yellow/ brown discolouration and/ or many pitted white-brown lesions that look like cavities and they are often described as “mottled teeth”, Mottling of teeth, Mottled enamel or Enamel fluorosis/Dental Fluorosis – Mottled Teeth Treatment in Delhi.

What is Mottling of Teeth/Dental Fluorosis?

What is mottling of teeth – Dental fluorosis (pronounced “floo-roh-sis”) is a common condition that can affect the appearance of children’s teeth due to the hypocalcification of tooth enamel. Hypocalcification means having less than normal amount of calcification in the teeth, leading to spots of softer enamel and discoloration

Most cases of fluorosis are mild and do not  cause pain. Adults aren’t affected by fluorosis.

How to Diagnosis Mottling of Teeth?

The adequate diagnosis of fluorosis can be diagnosed by visual clinical examination. This requires inspection of dry and clean tooth surfaces under a good lighting.There are individual variations in clinical fluorosis manifestation which are highly dependent on the duration, timing, and dosage of fluoride exposure.

There are different classifications to diagnose the severity based on the appearances. The clinical manifestation of mild dental fluorosis is mostly characterised a snow flaking appearance that lack a clear border, opaque, white spots, narrow white lines following the perikymata or patches as the opacities may coalesce with an intact, hard and smooth enamel surface on most of the teeth.

With increasing severity, the subsurface enamel, all along the tooth becomes more porous. Enamel may appear yellow/ brown discolouration and/or pitted white-brown lesions that look like cavities. They are often described as “mottled teeth”.

Fluorosis does not cause discolouration to the enamel directly, as upon eruption into the mouth, affected permanent teeth are not discoloured yet.  In dental  fluorosis, enamel has subsurface porosity or hypomineralization, which extend toward the dentin-enamel junction as the condition progresses and the affected teeth become more susceptible to staining. Due to diffusion of exogenous ions (e.g., iron and copper), stains develop into the increasingly and abnormally porous enamel.

Differential Diagnosis of Mottling of Teeth

The differential diagnosis for this condition includes:

• Turner’s hypoplasia (although this is usually more localized)
• Enamel defects caused by an undiagnosed and untreated celiac disease
• Some mild forms of amelogenesis imperfecta and enamel hypoplasia
• Enamel defects caused by infection of a primary tooth predecessor
• Dental caries
• Dental Trauma: Mechanical trauma to the primary tooth may cause disturbance to the maturation phase of enamel formation, which may result in enamel opacities on the permanent successors

Fluorosis Treatments for Mottling of Teeth – Fluorosis treatment Delhi 

Fluorosis treatment Delhi – In many cases, fluorosis is so mild that no treatment is needed. Or, it may only affect the back teeth where it can’t be seen.

The appearance of teeth affected by moderate-to-severe fluorosis can be significantly improved by a variety of techniques. Most of them are aimed at masking the stains.

Such techniques may include:

• Bonding, which coats the tooth with a hard resin that bonds to the enamel
• Crowns
• Veneers, which are custom-made shells that cover the front of the teeth to improve their appearance; these are used in cases of severe fluorosis.
• MI Paste , a calcium phosphate product that is sometimes combined with methods like microabrasion to minimize tooth discoloration.
• ICON Treatment

Depending upon the severity of the case, and patients expectation of the end result, the treatment plan is made. If you have mottling of teeth, call our award winning cosmetic dentist today at 9625 678 787