“…Black and McKay (1916) first described dental fluorosis induced by exposure to ingested fluoride as a mottling of the enamel. Pathological changes in the enamel organ have been reported in response to various agents, such as fluoride (Neiman & Eisenmann, 1975;, cobalt, strontium (Neiman & Eisenmann, 1975), cadmium (Katsuta et al, 1996), phosphonoformic and phosphonoacetic acids (Caracatsanis et al, 1989) A (Harris & Navia, 1980), vitamin D (Berdal et al, 1989), tetracyclin e (Kallenbach, 1980;Westergaard, 1980), and vinblastin (Moe & Mikkelsen, 1977). Dental fluoritic lesions may range from slight horizontal striation in the enamel (hypomineralization -mottling), moderate or marked mottling or striation, chalkiness with discoloration to hypoplasia (including small tooth size), pitting, and/or thinning and erosion of the enamel (Shupe et al, 1987).…”