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Defective dental restorations; Tooth decay. White-spot decalcification may be highlighted and become more noticeable directly following a whitening process, but with further applications the other parts of the teeth usually become more white and the spots less noticeable. Active periapical pathology; Untreated periodontal disease
Relatively high ingestion of fluoride by babies and children may result in white marks on the teeth known as fluorosis. [4] Excessive ingestion by babies and children can result in severe dental fluorosis, indicated by a brown or yellow coloring, weakening and brittleness of the teeth, or in severe cases, acute toxicity.
Dental cavity, also known as tooth decay, [a] is the breakdown of teeth due to acids produced by bacteria. [6] The resulting cavities may be a number of different colors, from yellow to black. [ 1 ] Symptoms may include pain and difficulty eating.
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Discoloration of the front teeth is one of the most common reasons people seek dental care. [10] However, many people with teeth of normal shade ask for them to be whitened. [10] Management of tooth discoloration depends on the cause. Most discoloration is harmless and may or may not be of cosmetic concern to the individual.
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Fluoride is commonly found in toothpastes. Fluoride can be delivered to many parts of the oral cavity during brushing, including the tooth surface, saliva, soft tissues and remaining plaque biofilm. [4] Some remineralization methods may work for "white spot lesions" but not necessarily "intact tooth surfaces". [19]
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. [7]