Flouride in prevention of dental caries in children

Flouride in Prevention of Dental Caries in Children Odonto-stomatology... Bacteria Carbo-hydrates Tooth CARIE Time DENTAL CARIES... Bacteria hydrates Carbo-Tooth Reduce Dietary Challenge

Flouride in Prevention of Dental

Caries in Children

Odonto-stomatology

DENTAL CARIES

 Chronic infectious

diseases.

 Transmissible

 Bacterial by-products

(acids) dissolve the

enamel of teeth.

Bacteria

Carbo-hydrates

Tooth

CARIE

Time

DENTAL CARIES

Bacteria hydrates

Carbo-Tooth

Reduce Dietary Challenge

Better oral

hygiene

Better

use of

Flouride

Nutrition

FLOURIDES and DENTAL CARIES

 Fluoride is the ionic form of the element fluorine.

 It is negatively charged and will not remain as a free

element.

 Fluoride has a high affinity for calcium.

 very compatible with teeth and bone.

 Fluoride has been available in the United States since the mid-1940’s.

 In 2008, 64.3% of the population served by public water systems received optimally fluoridated water.

 There is strong evidence that community water

fluoridation is effective in preventing dental caries.

 Prevents demineralization.

 Enhances remineralization.

 Alters the action of plaque bacteria.

Systemic Sources of Fluoride

 Drinking water

 Foods

 Toothpaste

 Fluoride supplements

Topical Sources of Fluoride

 Toothpaste

 Fluoride mouthrinses

 Fluoride gels

 Fluoride varnish

 All sources of fluoride must be considered.

 Supplementation:

 children at high risk of developing caries

 when fluoride access is limited.

 Not supplementation:

 children younger than 6 months and older than 16 years.

 adequate fluoridated community water.

1 American Academy of Pediatric Dentistry Guideline on Infant Oral Health Care

Council on Clinical Affairs Reference Manual 2011 33(6): 124-128

2 American Academy of Pediatric Dentistry Policy on Early Childhood Caries (ECC): Classifications, Consequences, and Preventive Strategies Pediatr Dent 2011, 33(6): 47-49

3 American Dental Association Council on Scientific Affairs Professionally applied

topical fluoride Evidence-based clinical recommendations JADA August 1, 2006

137(8): 1151-1159

4 Berg J, Gerweck C, Hujoel PP, et al Evidence-Based Clinical Recommendations

Regarding Fluoride Intake from Reconstituted Infant Formula and Enamel Fluorosis A Report of the American Dental Association Council on Scientific Affairs JAMA January

2011 vol 142(1): 79-87

5 Centers for Disease Control and Prevention Recommendations for using fluoride to prevent and control dental caries in the United States MMWR 2001; 50(RR-14): 1-42 Available online at: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5014a1.htm Accessed November 20, 2006

References, continued

6 Centers for Disease Control and Prevention Surveillance for Dental caries, Dental sealants, Tooth Retention, Edentulism, and Enamel Fluorosis-United States, 1988-1994 and 1999-2002 MMWR Surveillance Summaries 2005 54(03);1-44 Available online at: http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm Accessed November

20, 2006

7 Centers for Disease Control and Prevention Using Fluoride to Prevent and Control Tooth Decay in the United States Fact Sheet, updated Jan 2011

www.cdc.gov/fluoridation/fact_sheets/fl_caries.htm

8 Department of Health and Human Services HHS Recommendation for Fluoride

Concentration in Drinking Water for Prevention of Dental Caries Federal Register Vol 76(9): January 13, 2011

9 Krol DM Dental caries, oral health, and pediatricians Curr Probl Pediatr Adolesc Health Care 2003; 33(8):253-270

10 Lewis CW, Milgrom P Fluoride Pediatr Rev 2003; 24(10):327-336

11 Lewis DW, Ismail AI Periodic health examination: 1995 update: 2 Prevention of dental caries The Canadian Task Force on the Periodic Health Examination Can Med Assoc J 1995; 152(6): 836-46

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