Healthy teeth should be a creamy white with no signs of deviation in color, roughness, or other irregularities.
If the clinician cannot determine whether an abnormality in the tooth surface is a defect versus an early cavity, this will not alter management.
Any child with enamel abnormalities is at high risk for caries and should be referred to a dentist for further evaluation.
Application of topical fluoride varnish may prevent dental caries.