Caitlin, a 7-year-old girl, has always been very careful to take good care of her teeth. She and her parents are upset that she has developed small, white spots in her teeth, and consult their dentist about what they can do to remove them. Why did Caitlin develop these spots, and what could she have done to prevent them?
Caitlin (or her parents) may have been a bit too aggressive in trying to prevent tooth decay, as she is likely suffering from fluorosis, or fluoride toxicity. Of particular importance, in order for her to have developed these spots, she would have been exposed to the high levels of fluoride during the first three years of her life, as these spots are only seen when the teeth are developing. Being more careful with her fluoride levels now would have no impact on these spots now.?
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