“…Criteria for classification of enamel opacities have, however, been much debated, in particular as a result of claimed difficul ties in differentiating between milder degrees of dental fluorosis according to Dean's clini cal diagnoses and enamel opacities of other origin [Young, 1973;Jackson et al, 1975;Al-Alousi et al" 1975;Small and Murray, 1978;Murray and Shaw, 1979], For this reason it has been suggested that all kinds of enamel defects be classified on the basis of arbitrary clinical criteria only [Anderson, 1942;Young, 1973;Jackson et al" 19751. More recent understanding of the patho genesis of dental fluorosis [Fejerskov et al, 1977;Thylstrup, 1979] justifies, however, a reconsideration of the suitability of this ap proach when evaluating the biological effect of fluoride upon enamel formation.…”