Pathology · single question

Which of the following is TRUE regarding Dental Fluorosis?

  1. It originates in the Cap Stage of tooth development
  2. Opaque areas can become more prominent with brown/black stains appearing more prominently along with the enamel
  3. A 15-year-old patient can DEVELOP fluorosis
  4. Fluorosis can be reversed
Show answer and explanation

Correct answer: B. Opaque areas can become more prominent with brown/black stains appearing more prominently along with the enamel

Opaque areas can become more prominent over time with brown/black staining (B) is TRUE. In mild-to-moderate fluorosis, white opaque spots are visible; in severe fluorosis, the porous hypomineralized outer enamel stains over time from extrinsic sources, producing brown and eventually black discoloration. The enamel is structurally intact but porous.

• Option A is FALSE: Fluorosis originates during the maturation stage of amelogenesis, not the cap stage. The cap stage involves enamel organ morphology.
• Option C is FALSE: Fluorosis can only develop while teeth are still forming (typically up to age 8 for permanent teeth). A 15-year-old's permanent teeth are already fully formed.
• Option D is FALSE: Fluorosis is irreversible once it occurs. Management is cosmetic only (microabrasion, veneers, bleaching).

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