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(MOTTLED ENAMEL)

H. TRENDLEY DEAN, D.D.S.

J Am Med Assoc. 1936;107(16):1269-1273.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The endemic hypoplasia of the permanent teeth known as chronic endemic dental fluorosis, or mottled enamel, is a water borne disease associated with the ingestion of toxic amounts of fluorides in the water used for cooking and drinking during the period of calcification of the affected teeth. The permanent teeth in particular are affected, although in areas of medium to marked severity the signs of mottled enamel are at times observable on certain of the deciduous teeth.

The causative factor of mottled enamel is operative during the period of tooth development. Hence the affected teeth erupt, showing the characteristic markings of the hypoplasia. Normally calcified teeth erupt showing a smooth, glossy, translucent structure, usually of a pale creamy white color. Teeth affected with mottled enamel, on the contrary, erupt showing a dull, chalky white appearance which in many instances later take on a characteristic brown stain, the frequency of brown . . . [Full Text PDF of this Article]

Author Affiliations
Dental Surgeon, United States Public Health Service WASHINGTON, D. C.

Footnotes
Read before the Section on Preventive and Industrial Medicine and Public Health at the Eighty-Seventh Annual Session of the American Medical Association, Kansas City, Mo., May 15, 1936.

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