What is the primary concern of dental fluorosis?

The primary concern of dental fluorosis is the discoloration of teeth. Dental fluorosis occurs when there is an excessive intake of fluoride during the early childhood years when teeth are still developing. This overexposure can lead to changes in the appearance of the enamel, resulting in white spots or streaks, and in more severe cases, can cause brown stains or pitting of the enamel.

The process of enamel formation is delicate, and fluoride plays a critical role in promoting stronger enamel when used appropriately. However, when fluoride levels are too high, it disrupts this process, leading to the aesthetic problems associated with dental fluorosis. The condition does not typically lead to an increase in tooth decay directly, nor does it affect gum health significantly; rather, the main issue is the cosmetic impact on the teeth, which can influence a person's self-esteem and confidence regarding their smile.