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Protocol - Presence of Dental Fluorosis

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Protocol Name from Source:

The Expert Review Panel has not reviewed this measure yet.

Availability:

Publicly available

Description:

The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface.

Protocol:

To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. Two scores are assigned to the anterior teeth from the labial and lingual aspects, and three scores are assigned to the posterior teeth from the buccal, lingual, occlusal aspects. The tooth surfaces are not dried before the examination. The thought is that teeth should be assessed in their natural state and that those opacities that are visible only after drying should not be included in the definition of fluorosis (Rozier, 1994).

If more than one category of fluorosis exists on a tooth surface, for example, discrete pitting and staining (Score = 6) and confluent pitting (Score = 7), the highest numerical score is assigned to that surface.

The TSIF is not an interval scale, so the scores are not averaged. For the TSIF, there are a maximum of 72 scores per subject.

Clinical Criteria and Scoring System for the Tooth Surface Index of Fluorosis

(Score = 0)
Enamel shows no evidence of fluorosis.

(Score = 1)
Enamel shows definite evidence of fluorosis, namely areas with parchment-white color that total less than one-third of the visible enamel surface. This category includes fluorosis confined only to incisal edges of anterior teeth and cusp tips of posterior teeth ("snowcapping").

(Score = 2)
Parchment-white fluorosis totals at least one-third of the visible surface, but less than two-thirds.

(Score = 3)
Parchment-white fluorosis totals at least two-thirds of the visible surface.

(Score = 4)
Enamel shows staining in conjunction with any of the preceding levels of fluorosis. Staining is defined as an area of definite discoloration that may range from light to very dark brown.

(Score = 5)
Discrete pitting of the enamel exists, unaccompanied by evidence of staining of intact enamel. A pit is defined as a definite physical defect in the enamel surface with a rough floor that is surrounded by a wall of intact enamel. The pitted area is usually stained or differs in color from the surrounding enamel.

(Score = 6)
Both discrete pitting and staining of the intact enamel exist.

(Score = 7)
Confluent pitting of the enamel surface exists. Large areas of enamel may be missing and the anatomy of the tooth may be altered. Dark-brown stain is usually present.

[img[fluorosis_image001.jpg|Coronal Caries]]

Personnel and Training Required

A trained dental professional, either a dentist or dental hygienist.

Equipment Needs

Dental light and dental mirror

Requirements

Requirement CategoryRequired
Average time of greater than 15 minutes in an unaffected individualNo
Major equipmentNo
Specialized requirements for biospecimen collectionNo
Specialized trainingYes

Mode of Administration

Self-administered

Life Stage:

Child, Adolescent, Adult

Specific Instructions:

Obtaining the Tooth Surface Index of Fluorosis (TSIF) requires a clinical examination by a trained dental professional, either a dentist or dental hygienist.

Note from PhenX Oral Health Working Group (WG): There are laptop programs that can be used with this protocol, and the Oral Health WG recommends such a system as it does notify the recorder of correctable errors. An example of a paper data recording form is included as part of this protocol so that the user can see the format of such a data entry system. It also is advisable to have paper forms on hand in case of an electrical failure or some other problem that prohibits use of the electronic data entry system.

The WG also recommends that when interested in the visible buccal/facial surfaces of the anterior teeth only, the lingual surfaces should not be scored.

Research Domain Information

Release Date:

December 30, 2009

Definition

A measure to assess the prevalence and severity of dental fluorosis.

Purpose

Exposure to excessive fluoride during tooth development is known to cause changes in the tooth structure.

Selection Rationale

The Tooth Surface Index of Fluorosis (TSIF) is widely used and accepted as the measure of dental fluorosis.

Language

English

Standards

StandardNameIDSource
Common Data Elements (CDE)Person Dental FluorosisText2966462CDE Browser
Logical Observation Identifiers Names and Codes (LOINC)Oral dental fluorosis proto62600-2LOINC

Process and Review

The Expert Review Panel has not reviewed this measure yet.

Source

National Institutes of Health (NIH), National Institute of Dental and Craniofacial Research (NIDCR), Archive of Procedures and Methods Used in Oral Health Surveys. Tooth Surface Index of Fluorosis (TSIF).

General References

Rozier, R. G.(1994). Epidemiologic indices for measuring the clinical manifestations of dental fluorosis: Overview and critique. Advances in Dental Research, 8, 39–55.

Burt, B. A., & Eklund, S. A. (1999). Dentistry, dental practice, and the community (5th ed.). Philadelphia: W. G. Saunders Company.

Protocol ID:

81201

Variables:

Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX081201_Dental_Fluorosis_LR2B_Buccal_TSIFPX081201120100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Right 2B from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_LR2B_Lingual_TSIFPX081201120200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Right 2B from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_LR2B_Occlusal_TSIFPX081201120300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Right 2B from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_LR1B_Buccal_TSIFPX081201130100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Right 1B from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_LR1B_Lingual_TSIFPX081201130200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Right 1B from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_LR1B_Occlusal_TSIFPX081201130300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Right 1B from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_LRC_Labial_TSIFPX081201140100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Lower Right C from the labial aspect.4N/A
PX081201_Dental_Fluorosis_LRC_Lingual_TSIFPX081201140200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Lower Right C from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_LRLI_Labial_TSIFPX081201150100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Lower Right LI from the labial aspect.4N/A
PX081201_Dental_Fluorosis_LRLI_Lingual_TSIFPX081201150200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Lower Right LI from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_LRCI_Labial_TSIFPX081201160100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Lower Right CI from the labial aspect.4N/A
PX081201_Dental_Fluorosis_LRCI_Lingual_TSIFPX081201160200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Lower Right CI from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_UL3M_Buccal_TSIFPX081201170100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Left 3M from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_UL3M_Lingual_TSIFPX081201170200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Left 3M from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_UL2M_Buccal_TSIFPX081201180100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Left 2M from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_UL3M_Occlusal_TSIFPX081201180300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Left 3M from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_UL2M_Lingual_TSIFPX081201190200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Left 2M from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_UL2M_Occlusal_TSIFPX081201190300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Left 2M from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_UL1M_Buccal_TSIFPX081201200100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Left 1M from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_UL1M_Lingual_TSIFPX081201200200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Left 1M from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_UL1M_Occlusal_TSIFPX081201200300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Left 1M from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_UL2B_Buccal_TSIFPX081201210100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Left 2B from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_UL2B_Lingual_TSIFPX081201210200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Left 2B from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_UL2B_Occlusal_TSIFPX081201210300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Left 2B from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_UL1B_Buccal_TSIFPX081201220100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Left 1B from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_UL1B_Lingual_TSIFPX081201220200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Left 1B from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_UL1B_Occlusal_TSIFPX081201220300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Left 1B from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_ULC_Labial_TSIFPX081201230100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Upper Left C from the labial aspect.4N/A
PX081201_Dental_Fluorosis_ULC_Lingual_TSIFPX081201230200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Upper Left C from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_ULLI_Labial_TSIFPX081201230300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Upper Left LI from the labial aspect.4N/A
PX081201_Dental_Fluorosis_ULLI_Lingual_TSIFPX081201230400The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Upper Left LI from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_ULCI_Labial_TSIFPX081201240100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Upper Left CI from the labial aspect.4N/A
PX081201_Dental_Fluorosis_ULCI_Lingual_TSIFPX081201240200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Upper Left CI from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_LL3M_Buccal_TSIFPX081201250100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Left 3M from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_LL3M_Lingual_TSIFPX081201250200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Left 3M from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_LL3M_Occlusal_TSIFPX081201250300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Left 3M from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_LL2M_Buccal_TSIFPX081201260100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Left 2M from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_LL2M_Lingual_TSIFPX081201260200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Left 2M from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_LL2M_Occlusal_TSIFPX081201260300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Left 2M from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_LL1M_Buccal_TSIFPX081201270100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Left 1M from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_LL1M_Lingual_TSIFPX081201270200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Left 1M from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_LL1M_Occlusal_TSIFPX081201270300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Left 1M from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_LL2B_Buccal_TSIFPX081201280100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Left 2B from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_LL2B_Lingual_TSIFPX081201280200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Left 2B from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_LL2B_Occlusal_TSIFPX081201280300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Left 2B from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_LL1B_Buccal_TSIFPX081201290100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Left 1B from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_LL1B_Lingual_TSIFPX081201290200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Left 1B from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_LL1B_Occlusal_TSIFPX081201290300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Left 1B from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_LLC_Labial_TSIFPX081201300100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Lower Left C from the labial aspect.4N/A
PX081201_Dental_Fluorosis_LLC_Lingual_TSIFPX081201300200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Lower Left C from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_LLLI_Labial_TSIFPX081201310100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Lower Left LI from the labial aspect.4N/A
PX081201_Dental_Fluorosis_LLLI_Lingual_TSIFPX081201310200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Lower Left LI from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_LLCI_Labial_TSIFPX081201320100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Lower Left CI from the labial aspect.4N/A
PX081201_Dental_Fluorosis_UR3M_Buccal_TSIFPX081201010100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Right 3M from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_UR3M_Lingual_TSIFPX081201010200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Right 3M from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_UR3M_Occlusal_TSIFPX081201010300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Right 3M from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_UR2M_Buccal_TSIFPX081201020100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Right 2M from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_UR2M_Lingual_TSIFPX081201020200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Right 2M from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_UR2M_Occlusal_TSIFPX081201020300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Right 2M from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_UR1M_Buccal_TSIFPX081201030100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Right 1M from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_UR1M_Lingual_TSIFPX081201030200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Right 1M from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_UR1M_Occlusal_TSIFPX081201030300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Right 1M from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_UR2B_Buccal_TSIFPX081201040100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Right 2B from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_UR2B_Lingual_TSIFPX081201040200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Right 2B from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_UR2B_Occlusal_TSIFPX081201040300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Right 2B from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_UR1B_Buccal_TSIFPX081201050100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Right 1B from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_UR1B_Lingual_TSIFPX081201050200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Right 1B from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_UR1B_Occlusal_TSIFPX081201050300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Upper Right 1B from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_URC_Labial_TSIFPX081201060100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Upper Right C from the labial aspect.4N/A
PX081201_Dental_Fluorosis_URC_Lingual_TSIFPX081201060200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Upper Right C from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_URLI_Labial_TSIFPX081201070100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Upper Right LI from the labial aspect.4N/A
PX081201_Dental_Fluorosis_URLI_Lingual_TSIFPX081201070200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Upper Right LI from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_URCI_Labial_TSIFPX081201080100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Upper Right CI from the labial aspect.4N/A
PX081201_Dental_Fluorosis_URCI_Lingual_TSIFPX081201080200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the anterior tooth Upper Right CI from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_LR3M_Buccal_TSIFPX081201090100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Right 3M from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_LR3M_Lingual_TSIFPX081201090200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Right 3M from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_LR3M_Occlusal_TSIFPX081201090300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Right 3M from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_LR2M_Buccal_TSIFPX081201100100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Right 2M from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_LR2M_Lingual_TSIFPX081201100200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Right 2M from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_LR2M_Occlusal_TSIFPX081201100300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Right 2M from the occlusal aspect.4N/A
PX081201_Dental_Fluorosis_LR1M_Buccal_TSIFPX081201110100The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Right 1M from the buccal aspect.4N/A
PX081201_Dental_Fluorosis_LR1M_Lingual_TSIFPX081201110200The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Right 1M from the lingual aspect.4N/A
PX081201_Dental_Fluorosis_LR1M_Occlusal_TSIFPX081201110300The Tooth Surface Index of Fluorosis (TSIF) assesses dental fluorosis for each tooth surface. To obtain the Tooth Surface Index of Fluorosis (TSIF), each fully erupted, unrestored tooth surface is examined and assigned a score on a 0 to 7 scale noted below. This score is assigned to the posterior tooth Lower Right 1M from the occlusal aspect.4N/A