We found that approximately 2% of US schoolchildren may experience perceived esthetic problems which
could be attributed to the currently recommended levels of fluoride in drinking water. The findings further suggest that both estimates of fluorosis prevalence and risk of fluorosis attributable to fluoridation will be higher when calculated with an index applied to the entire dentition. Data were unavailable for fluoridated toothpaste and diluted formula consumption, thus the risk of fluorosis attributable to fluoridation may be overestimated if consumption was higher in fluoridated areas. TheMrisk of perceived esthetic problems attributable to fluoridation must be weighed against its lifetime benefits and the associated costs of alternative solutions such as educating parents about appropriate toothpaste use and lowering the fluoride content of children’s toothpaste.
Esthetically objectionable fluorosis attributable to water fluoridation.
Griffin SO , Beltrán ED, Lockwood SA, Barker LK.
Community Dent Oral Epidemiol. 2002 Jun;30(3):199-209.