Dental Fluorosis - Dean's Index

Dean's Index

H.T. Dean's fluorosis index was first published in 1934. The index underwent two changes, appearing in its final form in 1942. This form became the most universally accepted classification system for dental fluorosis. An individual's fluorosis score is based on the most severe form of fluorosis found on two or more teeth.

Dean's Index
Classification Criteria – description of enamel
Normal Smooth, glossy, pale creamy-white translucent surface
Questionable A few white flecks or white spots
Very Mild Small opaque, paper white areas covering less than 25% of the tooth surface
Mild Opaque white areas covering less than 50% of the tooth surface
Moderate All tooth surfaces affected; marked wear on biting surfaces; brown stain may be present
Severe All tooth surfaces affected; discrete or confluent pitting; brown stain present

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