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fluoride in dentistry - usm

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TOXICITY OF FLUORIDE<br />

2. Chronic poison<strong>in</strong>g<br />

– Applies to long-term <strong>in</strong>gestion of <strong>fluoride</strong> <strong>in</strong><br />

amounts that exceed the approved therapeutic<br />

levels.<br />

– Cont<strong>in</strong>ued <strong>in</strong>gestion of high doses of naturally<br />

occurr<strong>in</strong>g <strong>fluoride</strong> will be reflected <strong>in</strong> changes<br />

<strong>in</strong> the teeth. Fluorosis of enamel is caused by<br />

defective matrix formation (hypoplasia)<br />

probably due to direct effect of <strong>fluoride</strong> on<br />

ameloblast matabolism. Lesion is usually<br />

conf<strong>in</strong>ed to outer third of the enamel giv<strong>in</strong>g<br />

opaque white flecks appearance <strong>in</strong> mild<br />

fluorosis

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