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. 2013 Jan;4(1):138-44.
doi: 10.4103/0976-9668.107278.

Reversal of dental fluorosis: A clinical study

Dhaval N Mehta  1 , Jigna Shah
Affiliations

Reversal of dental fluorosis: A clinical study

Dhaval N Mehta et al. J Nat Sci Biol Med. 2013 Jan.

Abstract

Aim: This study was conducted to evaluate the clinical reversal of dental fluorosis with various combinations of calcium, vitamin D3, and ascorbic acid, along with changes in levels of certain biochemical parameters concerned with dental fluorosis. The role of fluoride level of drinking water in the etiology of dental fluorosis and the prevalence of dental fluorosis in both dentitions and teeth were also assessed.

Materials and methods: A total number of 50 patients with clinical features of dental fluorosis without trauma and any adverse habits were selected. Of these, in 30 co-operative patients, estimation of water fluoride level and pretreatment and post-treatment serum and urine fluoride levels were done with ion selective electrode method. The selected 30 patients were divided into three groups, that is, group A, group B, and group C, and were given various combinations of medications like calcium with vitamin D3 supplements, ascorbic acid with vitamin D3 supplements, and chlorhexidine mouthwash (placebo) for three months, respectively. These 30 patients were assessed for any change in the clinical grading of dental fluorosis.

Results: No change in clinical grading of dental fluorosis was noted. Considerable reduction in serum and urine fluoride levels was noted in both group A and group B patients. Dental fluorosis was noted in permanent teeth more commonly than deciduous teeth, and permanent maxillary central incisors had the highest prevalence rate.

Conclusion: This study comprises only 30 patients with three months of follow-up. So, this sample of patients and duration of follow-up period are conclusive to observe changes in biochemical parameters but not sufficient to observe changes in clinical grading.

Keywords: Ascorbic acid; calcium; dental fluorosis; fluorosis.

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Conflict of interest statement

Conflict of Interest: None declared

Figures

Figure 1
Figure 1
Fluoride estimation by ion selective electrode method
Figure 2
Figure 2
Fluoride level in drinking water of patients
Figure 3
Figure 3
Correlative analysis of pretreatment and post-treatment serum fluoride level in patients of different treatment groups
Figure 4
Figure 4
Correlative analysis of pretreatment and post treatment urine fluoride level in patients of different treatment groups
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