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[Dental caries, fluoride tablets and enamel opacities]
J P Van Nieuwenhuysen1, W D'Hoore
1Département de Médecine Dentaire et Stomatologie, Université Catholique de Louvain, Bruxelles, Belgique.
Summary
Fluoride supplements effectively prevent tooth decay in children. While higher fluoride intake increases mottling risk, the cosmetic effects are minor, suggesting current dosage is optimal for dental caries prevention.
Area of Science:
- Dental Public Health
- Preventive Dentistry
- Fluoride Research
Context:
- Dental caries remains a significant public health issue globally.
- Fluoridation is a cornerstone of caries prevention, but concerns about fluorosis exist.
- Understanding the balance between caries prevention and fluorosis risk is crucial.
Purpose:
- To evaluate the effectiveness of fluoride supplementation on dental caries.
- To assess the prevalence and severity of dental fluorosis in children receiving fluoride.
- To determine the optimal fluoride dosage for caries prevention while minimizing fluorosis.
Summary:
- A study examined 2,003 children aged 5-21 regarding fluoride intake, caries, and fluorosis.
- Children regularly ingesting the recommended 1.0 mg F- dose showed 43.2% less tooth decay.
- Despite increased mottling (9.58x more frequent), clinical fluorosis was minor and esthetically insignificant.
Impact:
- The findings support the current fluoride dosage recommendations for effective caries prevention.
- This research indicates that the established fluoride regimen does not require modification to mitigate fluorosis risk.
- The study provides evidence for public health policies on fluoride use in dental care.