Methods currently used to diagnose Dental fluorosis rely on subjective measurements based on epidemiological indices. This has resulted in absence of diagnostic sensitivity, specificity and has led to inconsistencies in data summary and report. The proposed investigation Aims at developing objective and quantitative methods for fluorosis diagnosis using imaging technology (Quantitative Light Fluorescence [QLF] and digital intraoral photography) and visual examination. Validation of results will be provided by direct microanalysis of fluoride content, histological examination and 3-d quantification of mineral content of fluoride-related hypomineralizations. Both extracted teeth and children ages 7 to 13 will be examined as part of the study. Identification of selected surfaces as fluorosis cases, caries lesions or sound/non-fluorosis cases will be performed visually and will be recorded with QLF and digital intraoral photographs. Quantification of QLF images will be conducted. Methods to quantify photographic images using image analysis software will be developed. A method to quantify fluoride-related hypomineralizations using micro CT will be also developed. Sensitivity, specificity and repeatability of each method will be assessed. The development of objective methods for Dental fluorosis diagnosis will improve Dental fluorosis and fluoride research. The proposed investigation will provide the opportunity to identify such methods for the assessment of Dental fluorosis. It will provide the methodological framework to resolve discrepancies that currently make it difficult to compare results of studies dealing with the epidemiology, and the biological and esthetic effects of Dental fluorosis. ? ? ?
| Cuevas-Espinosa, D M; Martinez-Mier, E A; Ando, M et al. (2017) In vitro Validation of Quantitative Light-Induced Fluorescence for the Diagnosis of Enamel Fluorosis in Permanent Teeth. Caries Res 51:515-526 |
| Martinez-Mier, Esperanza A; Shone, Devin B; Buckley, Christine M et al. (2016) Relationship between enamel fluorosis severity and fluoride content. J Dent 46:42-6 |
