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There is also no published evidence yet that indicates that professionally applied fluoride varnish is a risk factor for enamel fluorosis.
Children in those communities are at risk of developing severe tooth enamel fluorosis, a condition that can cause tooth enamel loss and pitting.
The study said overexposure to fluoride put children at risk of developing severe enamel fluorosis, characterized by enamel loss on teeth, pitting and discoloration, which occurs before teeth erupt in the mouth.