PubMed · 4514171
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C F Bouschor, H L Dorman. 1973. Bleaching fluoride stained teeth.. https://pubmed.ncbi.nlm.nih.gov/4514171/
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OBJECTIVE: To explore the attitude of the public to the psychosocial effects of fluorosis through investigating the public in different areas. METHODS: Twenty typical fluorosis photos were selected and evaluated by the public in Xingtai, Beijing and Guangzhou, which included 101 dentists, 118 dental students, 103 college students in non-dental schools, 102 clerks and 92 leaders. Each evaluator was required to answer seven five-point questions according to each photo. RESULTS: The mean of the public evaluation was going up with the increase of Dean's Index (DI) score, ranging from 2.21 to 4.74, meanwhile, the prevalence of reporting that fluorosis would affect their psychosocial status also ascended. Less than 25% people reported that very mild fluorosis (DI < or = 1) would affect the psychosocial status of patients, and mild fluorosis (DI = 2) would affect 25% - 56%, while the prevalence would increase to 48% - 97% in severe fluorosis group (DI > or = 3). "Bivariate Correlation Analysis" showed that significant correlation existed in the evaluation of the public and the degree of fluorosis. The scores of dentists were significantly lower than those of dental students, college students in non-dental schools and clerks. The evaluation scores of the public in Xingtai were generally higher than those in Beijing and Guangzhou. CONCLUSIONS: Mild or less fluorosis could lead to little psychosocial effects.
The decline in prevalence and incidence of dental caries in developed countries over the last two decades is considered to be due mainly to the widespread use of fluoride in different forms, but simultaneously with decline in caries, an increase in dental fluorosis has been reported. The aim of this study was to compare the Conventional Sealant Technique (CST) and Enameloplasty Sealant Technique (EST) using a flowable resin as sealant in molars affected by dental fluorosis. A total of 40 extracted third molars affected by dental fluorosis were divided at random into two groups of 20 teeth each, and Tetric Flow resin was used as sealant. All teeth were studied for lateral adaptation and resin penetration by direct and indirect techniques; all samples were replicated in epoxy resin and were evaluated with Scanning Electron Microscopy (SEM). The results demonstrated that EST allowed a deeper sealant penetration and a superior sealant adaptation than CST, both in direct and indirect evaluations by SEM. The most important variables being penetration-interface and penetration depth both being statistically significant (p<0.05). The CST did not flow into the bottom of the fissures, leaving spaces that can favor the fracture of the material and initiate the process of dental caries. We conclude that a flowable ceromer is an excellent material alternative to be used as sealant and that EST is quite necessary in molars affected by dental fluorosis, the combination of both being a reliable method to be used as primary prevention approach of dental caries in endemic areas of dental fluorosis.