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Fluorides in the new millennium.

O Padilla1, M J Davis

  • 1Columbia University School of Dental and Oral Surgery, USA.

The New York State Dental Journal
|March 31, 2001
PubMed
Summary
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Water fluoridation remains a highly effective public health strategy, with daily low-dose fluoride exposure crucial for preventing tooth decay by promoting remineralization over demineralization.

Area of Science:

  • Public Health
  • Dentistry
  • Biochemistry

Background:

  • Water fluoridation is recognized as a cornerstone of 20th-century public health achievements.
  • The benefits of water fluoridation continue to be observed decades after its widespread implementation.
  • Understanding fluoride's mechanism of action is key to appreciating its role in oral health.

Purpose of the Study:

  • To highlight the significance of daily low-dose fluoride exposure in dental health.
  • To explain the dynamic process of demineralization and remineralization and fluoride's role.
  • To address the ongoing debate surrounding fluoride use and supplementation.

Main Methods:

  • Review of existing scientific literature on fluoride's mechanisms and benefits.
  • Analysis of the balance between demineralization and remineralization in oral health.

Related Experiment Videos

  • Discussion of various fluoride delivery systems and their efficacy.
  • Main Results:

    • The primary benefit of fluoride in caries prevention stems from daily low-dose topical exposure.
    • Fluoride actively promotes remineralization, counteracting demineralization, which is a continuous oral process.
    • Different forms of fluoride are available for caries management, despite some opposition to its use.

    Conclusions:

    • The benefits of fluoride for preventing dental caries are scientifically undisputed.
    • Daily low-dose fluoride exposure is more critical than pre-eruptive incorporation for caries control.
    • Fluoride supplementation should be supported, considering the patient's total fluoride intake from all sources.