Question 1
3-year-old boy is seen for a health supervision visit. His mother notes that some of his teeth have developed areas that are whiter than others, similar to those shown in Item Q1 and asks what the cause is. He does not complain of any pain. He eats a healthy diet, drinking 24 ounces of whole cow milk per day in addition to tap water. His mother strictly limits his sugar intake. He does not engage in non-nutritive sucking. He has not yet seen a dentist and he brushes his teeth twice a week with a pea-sized amount of toothpaste. He takes no other medications or supplements. His medical history is unremarkable as is his family history with no history of dental problems. On physical examination, his vital signs and growth parameters are within normal limits. His examination findings are normal, with the exception of the dental findings.
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