Dental Fluorosis
SUMMATION - Dental Fluorosis: (Click for more detail)
Excessive ingestion of fluoride during the early childhood years may damage the tooth-forming cells, leading to a defect in the enamel known as dental fluorosis.
Teeth impacted by fluorosis have visible discoloration, ranging from white spots to brown and black stains.
Teeth with fluorosis also have an increased porosity of the enamel. In the milder forms, the porosity is mostly limited to the sub-surface enamel, whereas in the more advanced forms, the porosity impacts the surface enamel as well, resulting in extensive pitting, chipping, fracturing, and decay of the teeth.
The discoloration induced by fluorosis - particularly in its advanced forms - can cause significant embarrassment and stress to the impacted child, resulting in adverse effects on esteem, emotional health, and career success.
According to the Centers for Disease Control, 32% of American children now have some form of dental fluorosis, with 2 to 4% of children having the moderate to severe stages (CDC 2005).
While proponents of water fluoridation dismiss dental fluorosis as being simply a "cosmetic effect," recent research indicates that the rate of bone fracture among children with fluorosis (even in the mild forms) is higher than the bone fracture rates among children with no fluorosis.
As noted by Dr. Hardy Limeback, Head of Preventive Dentistry at the University of Toronto, "it is illogical to assume that tooth enamel is the only tissue affected by low daily doses of fluoride ingestion."
PREVALENCE - Dental Fluorosis Rates are Increasing:
"A nine percentage point increase in the prevalence of very mild or greater fluorosis was observed among children and adolescents aged 6-19 years when data from 1999-2002 were compared with those from the NIDR 1986-1987 survey of school children (from 22.8% in 1986-1987 to 32% in 1999-2002)."
SOURCE: Centers for Disease Control and Prevention (CDC, 2005) Surveillance for dental caries, dental sealants, tooth retention, edentulism, and enamel fluorosis--United States, 1988-1994 and 1999-2002. Morbidity and Mortality Weekly Report Surveillance Summaries 54:1-43.
"The prevalence of fluorosis in permanent teeth in areas with fluoridated water has increased from about 10-15% in the 1940s to as high as 70% in recent studies..."
SOURCE: Marshall TA, et al. (2004). Associations between Intakes of Fluoride from Beverages during Infancy and Dental Fluorosis of Primary Teeth. Journal of the American College of Nutrition 23:108-16.
"There is compelling evidence that the prevalence of dental fluorosis has increased in the United States and Canada in recent years."
SOURCE: Warren JJ, Levy SM. (2003). Current and future role of fluoride in nutrition. Dental Clinics of North America47: 225-43.
"[T]he prevalence of dental fluorosis in the United States has increased during the last 30 years, both in communities with fluoridated water and in communities with nonfluoridated water."
SOURCE: Fomon SJ, Ekstrand J, Ziegler EE. (2000). Fluoride intake and prevalence of dental fluorosis: trends in fluoride intake with special attention to infants.Journal of Public Health Dentistry60:131-9.
"Current studies support the view that dental fluorosis has increased in both fluoridated and non-fluoridated communities. North American studies suggest rates of 20 to 75% in the former and 12 to 45% in the latter."
SOURCE: Locker, D. (1999). Benefits and Risks of Water Fluoridation. An Update of the 1996 Federal-Provincial Sub-committee Report. Prepared for Ontario Ministry of Health and Long Term Care.
"Systemic F-exposure to children has increased. Mild dental fluorosis is now more common than one would predict on the basis of Dean's findings in the late 1930s and early 1940s: in fluoridated and non-fluoridated communities. Several recent studies report prevalence rates in the 20 and 80 percent range in areas with fluoridated water."
SOURCE: Luke J. (1997). The Effect of Fluoride on the Physiology of the Pineal Gland. Ph.D. Thesis. University of Surrey, Guildford.
"[A] few cases of more severe fluorosis can be found now in some communities. Because the prevalence of fluorosis is now higher than 50 years ago, we can conclude that fluoride availability... has increased in North American children."
SOURCE: Rozier RG. (1999). The prevalence and severity of enamel fluorosis in North American children. Journal of Public Health Dentistry 59:239-46.
"There is a growing body of evidence which indicates that the prevalence and, in some cases, the severity of dental fluorosis is increasing in both fluoridated and non-fluoridated regions in the U.S... This trend is undesirable for several reasons: (1) It increases the risk of esthetically objectionable enamel defects; (2) in more severe cases, it increases the risk of harmful effects to dental function; (3) it places dental professionals at an increased risk of litigation; and (4) it jeopardizes the perception of the safety and, therefore, the public acceptance of the use of fluorides."
SOURCE: Whitford GM. (1990). The physiological and toxicological characteristics of fluoride. Journal of Dental Research69(Special Issue):539-49.
NOTABLE QUOTES - Dental Fluorosis - Just a "Cosmetic Effect"?
"it is illogical to assume that tooth enamel is the only tissue affected by low daily doses of fluoride ingestion."
SOURCE: Dr. Hardy Limeback, Head of Preventive Dentistry, University of Toronto. (2000). Why I am now Officially Opposed to Adding Fluoride to Drinking Water.
"Common sense should tell us that if a poison circulating in a child's body can damage the tooth-forming cells, then other harm also is likely."
SOURCE: Colquhoun J. (1997). Why I changed my mind about Fluoridation. Perspectives in Biology and Medicine 41:29-44.
"Like bones, a child's teeth are alive and growing. Flourosis is the result of fluoride rearranging the crystalline structure of a tooth's enamel as it is still growing. It is evidence of fluoride's potency and ability to cause physiologic changes within the body, and raises concerns about similar damage that may be occurring in the bones."
SOURCE: Environmental Working Group, "National Academy Calls for Lowering Fluoride Limits in Tap Water", March 22, 2006.
"It seems prudent at present to assume that the ameloblasts are not the only cells in the body whose function may be disturbed by the physiological concentrations of fluoride which result from drinking water containing 1 ppm"
SOURCE: Groth, E. (1973), Two Issues of Science and Public Policy: Air Pollution Control in the San Francisco Bay Area, and Fluoridation of Community Water Supplies. Ph.D. Dissertation, Department of Biological Sciences, Stanford University, May 1973.
"The safety of the use of fluorides ultimately rests on the assumption that the developing enamel organ is most sensitive to the toxic effects of fluoride. The results from this study suggest that the pinealocytes may be as susceptible to fluoride as the developing enamel organ."
SOURCE: Luke J. (1997). The Effect of Fluoride on the Physiology of the Pineal Gland. Ph.D. Thesis. University of Surrey, Guildford. p. 176.
"A linear correlation between the Dean index of dental fluorosis and the frequency of bone fractures was observed among both children and adults."
SOURCE: Alarcon-Herrera MT, et al. (2001). Well Water Fluoride, Dental fluorosis, Bone Fractures in the Guadiana Valley of Mexico. Fluoride 34(2): 139-149.
Click for text
NEW: Dental fluorosis on the rise according to new US survey - FAN Science Watch, August 25, 2005
Dental Fluorosis: A Cosmetic Effect? (Back to top)
"It is a toxic effect and a cosmetic effect. These are not mutually exclusive. It's toxic and it's cosmetic."
- Dr. Arvid Carlsson, Nobel Prize Laureate in Medicine/Physiology (2000).
"it is illogical to assume that tooth enamel is the only tissue affected by low daily doses of fluoride ingestion."
- Dr. Hardy Limeback, Head of Preventive Dentistry, University of Toronto. (2000). Why I am now Officially Opposed to Adding Fluoride to Drinking Water.
"Common sense should tell us that if a poison circulating in a child's body can damage the tooth-forming cells, then other harm also is likely."
- Colquhoun J. (1997). Why I changed my mind about Fluoridation. Perspectives in Biology and Medicine 41:29-44.
"Like bones, a child's teeth are alive and growing. Flourosis is the result of fluoride rearranging the crystalline structure of a tooth's enamel as it is still growing. It is evidence of fluoride's potency and ability to cause physiologic changes within the body, and raises concerns about similar damage that may be occurring in the bones."
- Environmental Working Group, "National Academy Calls for Lowering Fluoride Limits in Tap Water", March 22, 2006.
"It seems prudent at present to assume that the ameloblasts are not the only cells in the body whose function may be disturbed by the physiological concentrations of fluoride which result from drinking water containing 1 ppm"
- Groth, E. (1973), Two Issues of Science and Public Policy: Air Pollution Control in the San Francisco Bay Area, and Fluoridation of Community Water Supplies. Ph.D. Dissertation, Department of Biological Sciences, Stanford University, May 1973.
"The safety of the use of fluorides ultimately rests on the assumption that the developing enamel organ is most sensitive to the toxic effects of fluoride. The results from this study suggest that the pinealocytes may be as susceptible to fluoride as the developing enamel organ."
- Luke J. (1997). The Effect of Fluoride on the Physiology of the Pineal Gland. Ph.D. Thesis. University of Surrey, Guildford. p. 176.
"A linear correlation between the Dean index of dental fluorosis and the frequency of bone fractures was observed among both children and adults."
- Alarcon-Herrera MT, et al. (2001). Well Water Fluoride, Dental fluorosis, Bone Fractures in the Guadiana Valley of Mexico. Fluoride 34(2): 139-149.
Dental Fluorosis: What is it? (Back to top)
Dental fluorosis is an irreversible condition caused by excessive ingestion of fluoride during the tooth forming years. It is the first visible sign that a child has been overexposed to fluoride.
Fluoride causes dental fluorosis by damaging the enamel-forming cells, called ameloblasts. The damage to these cells results in a mineralization disorder of the teeth, whereby the porosity of the sub-surface enamel is increased.
While the dental profession claims that dental fluorosis is solely a 'cosmetic' effect, and not a health effect, this statement is an assumption and not a fact. Certainly, dental fluorosis represents a toxic effect on tooth cells. The question is whether tooth cells are the only cells in the body that are impacted.
As noted by former proponent of fluoridation, Dr. John Colquhoun, "Common sense should tell us that if a poison circulating in a child's body can damage the tooth-forming cells, then other harm also is likely."
As noted by Dr. Hardy Limeback, former President of the Canadian Association of Dental Research, "it is illogical to assume that tooth enamel is the only tissue affected by low daily doses of fluoride ingestion."
Over the past 50 years, the prevalence of dental fluorosis has increased quite dramatically in the United States and other fluoridated countries.
According to the Centers for Disease Control, dental fluorosis now impacts 32% of American children. (In the 1940s, dental fluorosis rates in fluoridated areas averaged 10%.)
Not only is the prevalence of fluorosis increasing, but so to is its severity. As noted by Dr. Gary Whitford:
"There is a growing body of evidence which indicates that the prevalence and, in some cases, the severity of dental fluorosis is increasing in both fluoridated and non-fluoridated regions in the U.S... This trend is undesirable for several reasons: (1) It increases the risk of esthetically objectionable enamel defects; (2) in more severe cases, it increases the risk of harmful effects to dental function; (3) it places dental professionals at an increased risk of litigation; and (4) it jeopardizes the perception of the safety and, therefore, the public acceptance of the use of fluorides."
According to recent estimates from the U.S. and British Governments, 2 to 12% of children living in fluoridated communities have dental fluorosis of "esthetic concern" (Griffin 2002; York Review 2000).
Dental fluorosis, of esthetic concern, is an expensive condition to treat. If left untreated, it can cause embarrassment for school-aged children, resulting in psychological stress and damaged self-esteem.
There is also mounting evidence that dental fluorosis in its more advanced stages can leave teeth more susceptible to cavities. As noted by pro-fluoridation dental researcher, Dr. Steven Levy, "With more severe forms of fluorosis, caries risk increases because of pitting and loss of the outer enamel" (Levy 2003).
Q & A on Dental Fluorosis:
"My child has dental fluorosis. What can we do to fix it?"
The damage that dental fluorosis causes to the internal matrix of the teeth is permanent. There is no way to reverse this damage.
However, there are ways to 'hide the damage' -- to treat the surface of the teeth so as to hide the discoloration.
Treatment options for fluorosis vary and will depend in part on the severity of the fluorosis and what you can afford (some of the treatments are very expensive). Some of the more common treatments include:
- Abrasion: Abrasion involves finely sanding off the outer layer of the enamel. It is a common approach when the fluorosis is mild. However, if the fluorosis is of a more advanced severity, abrasion is probably not a good idea as it can bring to the surface of the teeth a highly-porous enamel that will be prone to attrition.
- Composite bonding: Composite bonding first involves lightly roughening the area of the damaged enamel. After etching the enamel, a composite resin (with a color matching your teeth) is "glued" on to the exterior of the tooth.
- Porcelain veneers/laminates: Made out of porcelain, veneers form a ceramic shell over the surface of the tooth. Veneers may need to be replaced after several years, however, which can become quite expensive.
To determine which method of treating fluorosis will be best for you, contact your local dentist. If your dentist doesn't specialize in cosmetic dentistry, he/she should be able to refer you to a nearby dentist who does.
News Articles on Dental Fluorosis:
Further Information on Dental Fluorosis:
Letters from People Impacted by Dental Fluorosis
The following is a sampling of emails sent to the Fluoride Action Network (FAN) from people impacted by dental fluorosis.
------ Forwarded Message
From: [...]
Date: Tue, 19 Apr 2005 21:34:12 EDT
To: personal@fluoridealert.org
Subject: depressing fluorosis
My name is Jennifer and I have severe dental fluorosis. I am now 20 and have had this since I was very young. This has really affected my life to the fullest extent. In elementary, middle, and high school, I was teased really bad by the other kids. People did not understand what I was talking about when I tried to explain, they thought I just did not brush my teeth. I can't smile or even look people in the eye when I talk to them. It is completely devastating. Thank God I am finally getting it fixed. I am going in one month for a Composite Bonding. I wish more people knew how exactly this affects children. Especially when they grow older, everyone would like a nice smile, but this makes it so much worse, especially since it is permanent. To everyone else that has it, remember you are not the only ones!!
------ Forwarded Message
From: [...]
Date: Thu, 14 Apr 2005 10:39:16 +0100
Subject: Victim of Fluoride Tablets
Sir/ Madam
I have just come across your website and wondered whether you would be able to assist me.
When my older sister was born NHS staff advised my Mum to give her fluoride tablets to help make her teeth strong she took the advice and when I was born I was given the same tablet, until my older sisters second teeth started to show. It was then my mum realized that instead of making our teeth better these tablets had permanently mottled our teeth, mine more obvious than my sisters.
I have researched into bleaching and other cosmetic procedures to rectify this problem which has had an effect on my confidence and self-esteem, but because of the complex nature of the problem the only solution I can find would be to have porcelain veneers which cost a fortune.
Could you tell me if the NHS or any other responsible body was offering compensation for the ill advice they gave vulnerable mothers in the early eighties?
------ Forwarded Message
From: [...]
Date: Wed, 23 Feb 2005 19:10:10 EST
Subject: Fluoridosis
My son has been diagnosed with fluoridosis. I had followed the advice of his pediatrician and given him the fluoride drops, and now we're stuck with the problem. I realize there is nothing I can do about his teeth. Is there simply nothing that can be done at all through nutrition?
------ Forwarded Message
From: [...]
Date: Sat, 5 Feb 2005 08:37:18 -0800 (PST)
Subject: my child has FLUOROSIS
Dear Fluoride Action Network,
My adopted daughter has Fluorosis. Even the dentist didn't know why her teeth were mottled, but when I saw your web site I recognized it instantly. My daughter has big teeth, and unfortunately her teeth deter from her beautiful face. She's 9 years old right now. My question is, what can I DO for her cosmetically? Her teeth look dirty, even when they are not, and she has been getting teased at school. Thanks So Much,
------ Forwarded Message
From: [...]
Date: Mon, 17 Jan 2005 23:49:51 +0000
Subject: Thanks
I am so happy to view a website warning people about the dangers of too much fluoride. I am one of the unlucky people who has moderate to severe fluorosis - many of my teeth are pitted and discolored. I am writing this email to thank you because the knowledge provided here has taught me what is safe and not safe for the children that I hope to have some day. I would never want them to go through the embarrassment and humiliation that I have experienced. Also, I was wondering if you know about options that I have as far as getting my teeth fixed. I know that cosmetic dentistry is expensive, so I am looking for something affordable, if there is such a thing. Thanks.
------ Forwarded Message
From: [...]
Date: Sat, 15 Jan 2005 17:49:28 -0500
Subject: Flourosis
Hello. I have a mild case of flourosis and I hate the way my teeth look. It bothers me a lot, I avoid smiling as a result. I know that there's no way to reverse this... but I want to fix my teeth so that I don't see any more white spots. I particularly concerned with my two front teeth, what cosmetic procedure would you suggest I get?
------ Forwarded Message
From: [...]
Date: Wed, 12 Jan 2005 14:16:05 -0600
Subject: Question
Hello. I stumbled upon the National Treasury Employees Union report written by Dr. J. William Hirzy dated 05-01-99 a few months ago, through the Feingold Association’s website, and figured out immediately that THIS is what’s wrong with my son’s teeth. My problem, now, however is that I can’t seem to find any information on what to do about it. Can/should I get him tested for fluoride levels in his body? Do I have any recourse against the dentists who’ve prescribed the fluoride pills for him b/c we have well water? And, is there anything I can do to make his “funky teeth” normal again? Can you give me some direction?
------ Forwarded Message
From: [...]
Date: Tue, 14 Dec 2004 18:44:57 -0800 (PST)
Subject: Re: fluoride
Thanks for the reply. I VERY MUCH appreciate it. Do
you think it is possible to reverse some of the damage
I have already done? I read the worst time to
overdose on fluoride is 21-30 months for females (this
is when the enamel on those top incisors are forming)
and this is the EXACT time we overdosed her! I know
you said it's not too late, but can I reverse what I
have done so that her fluorosis won't be moderate or
severe? What if I give her extra calcium? Do you
know? (Can you tell I am very upset about this? ha ha)
------ Forwarded Message
From: [...]
Date: Thu, 2 Dec 2004 05:03:40 -0800 (PST)
Subject: dental fluorosis
Hello,
I'm 27 years old, and I noticed recently that I have some white spots on my front teeth. I was surprised because I went to the dentist 2 months ago, and he said that my teeth were fine and he didn't mention a thing about the white spots. I don't know whether that was because he didn't see them as cause for concern, or because they only recently appeared.
In any case, I've been reading about Dental Fluorosis on your site, and the pictures labeled "Mild fluorosis" seem to be pretty close to what my teeth look like.
Since this seems to be an irriversible process, is there anything at all that I can do prevent it from getting worse? Is it too late, and will my teeth eventually develop severe fluorosis?
I've started taking calcium supplements and limiting the foods that are high in fluoride (i.e. tea and fluoridated toothpaste). Is there anything else I can do?
thanks,
------ Forwarded Message
From: [...]
Date: Mon, 22 Nov 2004 23:52:10 -0500
Subject: Good news/bad news
I am not dealing with this whole fluoride thing well at all. Every time I look at J...'s teeth I have to hold back my tears. Every baby and toddler I saw at Disney reminded me that at that age I was giving her poison. Every time I look at her I wonder what other damage this poison may have done inside of her.
I know that dealing with distraught moms is probably outside your area of expertise and I appreciate your patience. You're my link to the people and information I need to help my daughter...
------ Forwarded Message
From: [...]
Date: Wed, 26 May 2004 21:59:43 +1000 (EST)
Subject: i need a cure
Hi, i have flurosis and i need to get it cured! I need help. I went to my local dentist and he had never seen or heard about flurosis. I was born and raised in Australia, not India were the drinking water contained chemicals. All i am asking for is a cure, i have enought info about the preventative measures and causes, but its too late, i've had it on my teeth for as long as i can remember. I am 18 and its my first yr at university, it is really embarrassing talking to people up close. Is there some way you can help me in finding a cost efficient permanent cure?
------ Forwarded Message
From: [...]
Date: Tue, 17 Feb 2004 14:20:06 -0800
Subject: help with fluorosis
What do you do about fixing this discoloration. The dentists say bleaching won't work and they recommend veneers!!!
Tens of thousands of dollars for grinding down great shaped teeth that are just discolored? Won't anything else work?
------ Forwarded Message
From: [...]
Date: Sat, 10 Jan 2004 02:14:30 EST
Subject: question
I think my 8 yr old son has fluorosis, so what do I do now? He has been using flouride toothpaste for years and a fluoride supplement his dentist prescribed AND rinses with ACT on occasion which has fluoride in it. He has some white spots on his two top front teeth which are still growing in and are his permanent teeth. He also has developemental delays, which makes me wonder. At this point, will this go away and should I stop using fluoride now to help it or is the harm already done if I can see white spots already? thanks for info
------ Forwarded Message
From: [...]
Date: Sun, 28 Dec 2003 00:47:59 -0500
Subject: No subject
Hi,
I can't seem to find any information on how to correct dental fluorosis. I am a 25 yr old aspiring t.v. reporter who just noticed a small white spot on my front tooth and I want to correct it. My career is partly based on my looks, so I'm a little paranoid about the spot. PLEASE let me know if there's any way to fix this!! THANK YOU!!
------ Forwarded Message
From: [...]
Date: Sat, 6 Dec 2003 19:25:03 -0800 (PST)
Subject: New to the fluoride issues
Hello,
I recently became aware of the dangers of fluoridated
water after the movie "Dr. Strangelove" prompted me to
look up information on fluoridation, which at first, I
thought was a big joke.
After reading the material on your and others sites, I
have taken some "first level" actions to find out more
about this situation.
I have contacted the ADA, the city health office of
Norfolk, VA as well as other government and civilian
agencies. I even wrote to the Brita water filtration
company asking why their filters are not advertised as
removing fluoride.
After studying the nature and physical symptoms of
Dental Fluorosis and am now dismayed to finally learn
that the white spots on my teeth are not degraded
tooth enamel, but mild DF. Can you recommend a good
non-fluoride toothpaste?
If you have a mailing list, please include me and I
hope to be in touch with you in the future.
Thank you,
------ Forwarded Message
From: [...]
Date: Sun, 21 Sep 2003 12:06:46 EDT
Subject: Daughter's recent diagnosis of fluorosis
My daughter recently went to a new dentist, who diagnosed fluorosis. We have changed toothpaste to an organic type w/no added fluoride, but I am concerned about the bottled water she consumes (a lot). How do I find a brand that does not use fluoride to purify? Is there a list online?
Thank you for your help!
------ Forwarded Message
From: [...]
Date: Wed, 10 Sep 2003 10:21:28 -0700 (PDT)
Subject: Dental Fluorosis
Hello. I have a question about Dental Fluorosis. I think I might have it. I have had white marks on my 2 front teeth as long as I can remember. I never knew what caused it. I had no idea it might be dental fluorosis. Is there any way to tell for sure? Have you ever heard of someone suing their municipality for causing dental fluorosis?
Thanks
------ Forwarded Message
From: [...]
Date: Tue, 29 Jul 2003 20:26:58 -0400
Subject: Question
I have a special needs child that does not know how to spit the toothpaste out. He is a toddler. His dr. said to use regular toothpaste with fluoride in it so I have been using kids sparkle fun flavor.
My concern is that his teeth are yellow and at the tips they are a grayish color. Even though I brush them 2x a day. They get that color not too long after brushing. He also takes nebulizer treatments for his breathing. I had read that they might could cause it. But his dr. said that he doesn't think that it would be causing it. He has been on it for months for the discoloring to start now. He thought it might be the well water but my son doesn't eat any foods that we cook and our area has high fluoride also but that would not be it either.
I wanted to see if anyone reading this email might have some insight on what I could try. Maybe I need to change the toothpaste or something like that. If you would email me back please.
Thanks
Concerned mom
------ Forwarded Message
From: [...]
Date: Tue, 29 Jul 2003 20:08:31 -0300
Subject: Fluorspar
To whom it may concern,
I am 39 years old and was exposed to Fluorspar in our drinking water when I was growing up. My upper teeth had to be removed by the age of 14 due to deterioration. My back lower teeth never came out, are still dormant according to my dentist. I had to have a partial put in.
My question: "Is it safe for me to have a child. Do I have a greater chance of having a Down Syndrome baby? or even bone deformities?" Can this be a hidden cause for my asthma and other aches and pains. If yes, what can I do... My clock is ticking...I'm finally with a loving man for a long time. If at all possible I would like to have a child.
Thanking you in advance for your time.
------ Forwarded Message
From: [...]
Date: Wed, 9 Jul 2003 12:55:13 +0100
Subject: dental flluorosis
my son has what looks like to me severe dental fluorosis, although our dentist has transfered us to see a dental specialist no one wants to say what is actually wrong with his teeth, how can we find out more.
------ Forwarded Message
From: [...]
Date: Wed, 19 Feb 2003 00:35:55 -0800
Subject: my daughter
My daughter is almost 6 yrs.old. She was born in Phoenix where we lived untill she was 1. We now live in southern Ca. When she was born I was very unsure about the care of children. I got some notion that my daughter needed aditional fluoride. Her doctor perscribed fluoride drops. I have no written record of the prescription or remember how long I gave it to her. Now her adult teeth are comming in and they are not as white as her baby teeth and one has a white spot on it. her dentist keeps telling me they are fine but I think maybe he has just never seen damage due to fluoride. I am also having a hard time accepting that I did this very large and important mistake to my child. What should I do? I am sure this is the problem, but I do want comformation and I am worried about her health, bones etc. I gave her the fluoride sometime before she was 1.
Very stressed mother
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