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Percent agreement between dental and reference examiners in categorizing fluorosis . When DFI categories are collapsed into broader categories and fluorosis is defined as mild or greater severity, the examiner and reference agreed on 88.8% of cases in 1999-2004; agreement was 89.4% in 2011-2016. 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This bonding results in properties not normally attainable in reinforced PTFE. Fluorosint grades offer an excellent combination of low frictional properties and dimensional stability. Fluoride content ( Household) ≤ 1.0 ppm 61% 1.01 to 1.5 ppm 13% ≥1.5ppm 26%. 10. Causes Fluorosis is caused by excessive intake of fluorides from multiple sources such as in food, water, air (due to gaseous industrial waste), and excessive use of toothpaste. However, drinking water is the most significant source. 11. Dental fluorosis is an important aspect of oral health because: (i) scientific evidence has recently elevated dental fluorosis to prominence as the adverse outcome associated with fluoride use; (ii) public opinion on the safety of fluoride use now routinely includes dental fluorosis as a concern; and (iii) recommendations about the use of. 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