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Protocol - Presence of Dental Fluorosis

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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.

Coronal Caries

Protocol Name from Source:

The Expert Review Panel has not reviewed this measure yet.

Availability:

Publicly available

Personnel and Training Required

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

Equipment Needs

Dental light and dental mirror

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training Yes
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Clinical Examination

Life Stage:

Child, Adolescent, Adult

Participants:

Participant ≥8 years old.

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.

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 FluorosisText 2966462 CDE Browser
Logical Observation Identifiers Names and Codes (LOINC) Oral dental fluorosis proto 62600-2 LOINC
Derived Variables

None

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_LL1B_Buccal_TSIF PX081201290100 The 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. 4 N/A
PX081201_Dental_Fluorosis_LL1B_Lingual_TSIF PX081201290200 The 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. 4 N/A
PX081201_Dental_Fluorosis_LL1B_Occlusal_TSIF PX081201290300 The 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. 4 N/A
PX081201_Dental_Fluorosis_LL1M_Buccal_TSIF PX081201270100 The 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. 4 N/A
PX081201_Dental_Fluorosis_LL1M_Lingual_TSIF PX081201270200 The 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. 4 N/A
PX081201_Dental_Fluorosis_LL1M_Occlusal_TSIF PX081201270300 The 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. 4 N/A
PX081201_Dental_Fluorosis_LL2B_Buccal_TSIF PX081201280100 The 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. 4 N/A
PX081201_Dental_Fluorosis_LL2B_Lingual_TSIF PX081201280200 The 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. 4 N/A
PX081201_Dental_Fluorosis_LL2B_Occlusal_TSIF PX081201280300 The 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. 4 N/A
PX081201_Dental_Fluorosis_LL2M_Buccal_TSIF PX081201260100 The 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. 4 N/A
PX081201_Dental_Fluorosis_LL2M_Lingual_TSIF PX081201260200 The 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. 4 N/A
PX081201_Dental_Fluorosis_LL2M_Occlusal_TSIF PX081201260300 The 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. 4 N/A
PX081201_Dental_Fluorosis_LL3M_Buccal_TSIF PX081201250100 The 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. 4 N/A
PX081201_Dental_Fluorosis_LL3M_Lingual_TSIF PX081201250200 The 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. 4 N/A
PX081201_Dental_Fluorosis_LL3M_Occlusal_TSIF PX081201250300 The 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. 4 N/A
PX081201_Dental_Fluorosis_LLCI_Labial_TSIF PX081201320100 The 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. 4 N/A
PX081201_Dental_Fluorosis_LLC_Labial_TSIF PX081201300100 The 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. 4 N/A
PX081201_Dental_Fluorosis_LLC_Lingual_TSIF PX081201300200 The 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. 4 N/A
PX081201_Dental_Fluorosis_LLLI_Labial_TSIF PX081201310100 The 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. 4 N/A
PX081201_Dental_Fluorosis_LLLI_Lingual_TSIF PX081201310200 The 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. 4 N/A
PX081201_Dental_Fluorosis_LR1B_Buccal_TSIF PX081201130100 The 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. 4 N/A
PX081201_Dental_Fluorosis_LR1B_Lingual_TSIF PX081201130200 The 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. 4 N/A
PX081201_Dental_Fluorosis_LR1B_Occlusal_TSIF PX081201130300 The 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. 4 N/A
PX081201_Dental_Fluorosis_LR1M_Buccal_TSIF PX081201110100 The 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. 4 N/A
PX081201_Dental_Fluorosis_LR1M_Lingual_TSIF PX081201110200 The 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. 4 N/A
PX081201_Dental_Fluorosis_LR1M_Occlusal_TSIF PX081201110300 The 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. 4 N/A
PX081201_Dental_Fluorosis_LR2B_Buccal_TSIF PX081201120100 The 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. 4 N/A
PX081201_Dental_Fluorosis_LR2B_Lingual_TSIF PX081201120200 The 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. 4 N/A
PX081201_Dental_Fluorosis_LR2B_Occlusal_TSIF PX081201120300 The 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. 4 N/A
PX081201_Dental_Fluorosis_LR2M_Buccal_TSIF PX081201100100 The 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. 4 N/A
PX081201_Dental_Fluorosis_LR2M_Lingual_TSIF PX081201100200 The 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. 4 N/A
PX081201_Dental_Fluorosis_LR2M_Occlusal_TSIF PX081201100300 The 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. 4 N/A
PX081201_Dental_Fluorosis_LR3M_Buccal_TSIF PX081201090100 The 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. 4 N/A
PX081201_Dental_Fluorosis_LR3M_Lingual_TSIF PX081201090200 The 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. 4 N/A
PX081201_Dental_Fluorosis_LR3M_Occlusal_TSIF PX081201090300 The 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. 4 N/A
PX081201_Dental_Fluorosis_LRCI_Labial_TSIF PX081201160100 The 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. 4 N/A
PX081201_Dental_Fluorosis_LRCI_Lingual_TSIF PX081201160200 The 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. 4 N/A
PX081201_Dental_Fluorosis_LRC_Labial_TSIF PX081201140100 The 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. 4 N/A
PX081201_Dental_Fluorosis_LRC_Lingual_TSIF PX081201140200 The 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. 4 N/A
PX081201_Dental_Fluorosis_LRLI_Labial_TSIF PX081201150100 The 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. 4 N/A
PX081201_Dental_Fluorosis_LRLI_Lingual_TSIF PX081201150200 The 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. 4 N/A
PX081201_Dental_Fluorosis_UL1B_Buccal_TSIF PX081201220100 The 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. 4 N/A
PX081201_Dental_Fluorosis_UL1B_Lingual_TSIF PX081201220200 The 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. 4 N/A
PX081201_Dental_Fluorosis_UL1B_Occlusal_TSIF PX081201220300 The 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. 4 N/A
PX081201_Dental_Fluorosis_UL1M_Buccal_TSIF PX081201200100 The 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. 4 N/A
PX081201_Dental_Fluorosis_UL1M_Lingual_TSIF PX081201200200 The 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. 4 N/A
PX081201_Dental_Fluorosis_UL1M_Occlusal_TSIF PX081201200300 The 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. 4 N/A
PX081201_Dental_Fluorosis_UL2B_Buccal_TSIF PX081201210100 The 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. 4 N/A
PX081201_Dental_Fluorosis_UL2B_Lingual_TSIF PX081201210200 The 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. 4 N/A
PX081201_Dental_Fluorosis_UL2B_Occlusal_TSIF PX081201210300 The 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. 4 N/A
PX081201_Dental_Fluorosis_UL2M_Buccal_TSIF PX081201180100 The 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. 4 N/A
PX081201_Dental_Fluorosis_UL2M_Lingual_TSIF PX081201190200 The 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. 4 N/A
PX081201_Dental_Fluorosis_UL2M_Occlusal_TSIF PX081201190300 The 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. 4 N/A
PX081201_Dental_Fluorosis_UL3M_Buccal_TSIF PX081201170100 The 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. 4 N/A
PX081201_Dental_Fluorosis_UL3M_Lingual_TSIF PX081201170200 The 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. 4 N/A
PX081201_Dental_Fluorosis_UL3M_Occlusal_TSIF PX081201180300 The 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. 4 N/A
PX081201_Dental_Fluorosis_ULCI_Labial_TSIF PX081201240100 The 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. 4 N/A
PX081201_Dental_Fluorosis_ULCI_Lingual_TSIF PX081201240200 The 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. 4 N/A
PX081201_Dental_Fluorosis_ULC_Labial_TSIF PX081201230100 The 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. 4 N/A
PX081201_Dental_Fluorosis_ULC_Lingual_TSIF PX081201230200 The 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. 4 N/A
PX081201_Dental_Fluorosis_ULLI_Labial_TSIF PX081201230300 The 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. 4 N/A
PX081201_Dental_Fluorosis_ULLI_Lingual_TSIF PX081201230400 The 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. 4 N/A
PX081201_Dental_Fluorosis_UR1B_Buccal_TSIF PX081201050100 The 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. 4 N/A
PX081201_Dental_Fluorosis_UR1B_Lingual_TSIF PX081201050200 The 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. 4 N/A
PX081201_Dental_Fluorosis_UR1B_Occlusal_TSIF PX081201050300 The 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. 4 N/A
PX081201_Dental_Fluorosis_UR1M_Buccal_TSIF PX081201030100 The 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. 4 N/A
PX081201_Dental_Fluorosis_UR1M_Lingual_TSIF PX081201030200 The 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. 4 N/A
PX081201_Dental_Fluorosis_UR1M_Occlusal_TSIF PX081201030300 The 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. 4 N/A
PX081201_Dental_Fluorosis_UR2B_Buccal_TSIF PX081201040100 The 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. 4 N/A
PX081201_Dental_Fluorosis_UR2B_Lingual_TSIF PX081201040200 The 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. 4 N/A
PX081201_Dental_Fluorosis_UR2B_Occlusal_TSIF PX081201040300 The 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. 4 N/A
PX081201_Dental_Fluorosis_UR2M_Buccal_TSIF PX081201020100 The 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. 4 N/A
PX081201_Dental_Fluorosis_UR2M_Lingual_TSIF PX081201020200 The 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. 4 N/A
PX081201_Dental_Fluorosis_UR2M_Occlusal_TSIF PX081201020300 The 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. 4 N/A
PX081201_Dental_Fluorosis_UR3M_Buccal_TSIF PX081201010100 The 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. 4 N/A
PX081201_Dental_Fluorosis_UR3M_Lingual_TSIF PX081201010200 The 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. 4 N/A
PX081201_Dental_Fluorosis_UR3M_Occlusal_TSIF PX081201010300 The 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. 4 N/A
PX081201_Dental_Fluorosis_URCI_Labial_TSIF PX081201080100 The 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. 4 N/A
PX081201_Dental_Fluorosis_URCI_Lingual_TSIF PX081201080200 The 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. 4 N/A
PX081201_Dental_Fluorosis_URC_Labial_TSIF PX081201060100 The 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. 4 N/A
PX081201_Dental_Fluorosis_URC_Lingual_TSIF PX081201060200 The 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. 4 N/A
PX081201_Dental_Fluorosis_URLI_Labial_TSIF PX081201070100 The 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. 4 N/A
PX081201_Dental_Fluorosis_URLI_Lingual_TSIF PX081201070200 The 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. 4 N/A
Research Domain Information
Measure Name:

Presence of Dental Fluorosis

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.

Keywords

Oral health, Fluorosis, Tooth Surface Index of Fluorosis, TSIF, Clinical Examination