ORIGINAL ARTICLE Oral Health-related Quality of Life, Esthetic Perceptions, and Concerns about Dental Fluorosis among 8–12-year-old Schoolchildren in Faridabad District of Haryana Yashi Andley 1 , Bhavna G Saraf 2 , Neha Sheoran 3 , Sunny Mavi 4 , Gazalla Altaf 5 A BSTRACT Background: Esthetics of fuorosis afected compromised maxillary incisors may infuence the psychological well-being of an emotionally and physically developing child. Aim and objective: To evaluate the oral health-related quality of life (OHRQoL), esthetic perceptions and concerns of children due to fuorosis afected permanent maxillary central incisors. Design: A convenient sample of 65 children, 8–12 years were included in the study. The clinical records of the child’s fuorosis perception were collected by Social Impact of Dental Disease Questionnaire and Dental Impact on Daily performance (DIDP) questionnaire that are OHRQoL indicators and examined for fuorosis using the WHO, 2013 Criteria and were scored. Overall OHRQoL scores were calculated by summing all the responses in the questionnaire. Results: Mild fuorosis and a more acceptable appearance with satisfed OHRQoL were signifcant factors for children’s perception of good oral health. The diference in child perception was signifcant in the group with fuorosis experience. Conclusion: Esthetic consideration is vital in fuorosed maxillary incisors in early mixed dentition. Keywords: Dental fuorosis, Oral health-related quality of life, Perception, Quality of life. Journal of Oral Health and Community Dentistry (2020): 10.5005/jp-journals-10062-0072 I NTRODUCTION Dental fuorosis is a highly prevalent developmental enamel defect of teeth caused by the ingestion of an excess of fuoride ions during tooth enamel formation, early maturation, and developmental stages resulting in the formation of subsurface enamel porosity. It has caused esthetic displeasure, psychological and behavioral complications in afected individuals. Clinically, appear as barely discernable white marks, in mild fuorosis, to confuent pitting and discoloration of afected teeth in severe forms. Still, it can have a signifcant psychological impact on patients particularly middle school children resulting in an impact on self-esteem with long- lasting efects on an individual’s mental and emotional health. Although fuoride provides a protective beneft against dental caries, therefore reduce the negative impact of dental caries on oral health-related quality of life (OHRQoL) but if consumed in greater amounts in early childhood can have the adverse efect of causing dental fuorosis and increases negative impacts of fuorosis on OHRQoL. As teeth develop at diferent times, the period of susceptibility to fuorosis is diferent for diferent teeth and zones. The present study aimed to evaluate and assess the perception, concerns, and the impact of dental fuorosis on the OHRQoL among 8–12-year-old school children and to establish reliable baseline data for the development of plans to form national and regional defuoridation programs. M ATERIALS AND M ETHODS This cross-sectional epidemiological observational study was conducted in the Department of Pedodontics and Preventive Dentistry in Faridabad district. A random sample of 65 children, 8–12 years, with fully erupted maxillary anterior teeth was examined and scored for the presence of dental fuorosis on maxillary anterior teeth and measured the perceptions, concerns, impact of fuorosis on their quality of life. Permission to examine the child was taken from parents and ethical clearance was obtained from the ethical committee of the institution. Inclusion Criteria • Children with fully erupted maxillary anterior teeth. • Children residing and brought up in Faridabad. Exclusion Criteria • Children with missing maxillary anterior teeth. • Children undergoing any type of orthodontic treatment. • Children with any type of restorations on anteriors. • Children with decayed anterior teeth. 1–5 Department of Pedodontics and Preventive Dentistry, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India Corresponding Author: Bhavna G Saraf, Department of Pedodontics and Preventive Dentistry, Sudha Rustagi College of Dental Sciences and Research, Faridabad, Haryana, India, Phone: +91 9899124779, e-mail: guptabhavna2000@yahoo.com How to cite this article: Andley Y, Saraf BG, Sheoran N, et al. Oral Health- related Quality of Life, Esthetic Perceptions, and Concerns about Dental Fluorosis among 8–12-year-old Schoolchildren in Faridabad District of Haryana. J Oral Health Comm Dent 2020;14(2):48–53. Source of support: Nil Confict of interest: None © The Author(s). 2020 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (https://creativecommons. org/licenses/by-nc/4.0/), which permits unrestricted use, distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.