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Dental fluorosis in perspective.
1Department of Behavioral Sciences and Community Health, University of Connecticut, School of Dental Medicine, Farmington 06030.
Journal of the American Dental Association (1939)
|September 1, 1991
Summary
The long-established link between drinking water fluoride and reduced tooth decay is well-known. However, other fluoride sources may increase fluorosis risk and require careful monitoring.
Area of Science:
- Dental Public Health
- Environmental Health
Background:
- The caries-preventive benefits of optimally fluoridated drinking water were recognized decades ago.
- Established scientific consensus links water fluoride levels to reduced dental caries prevalence.
Purpose of the Study:
- To evaluate the potential risks of additional fluoride sources beyond drinking water.
- To assess whether supplementary fluoride intake maintains the low risk profile for dental fluorosis.
Main Methods:
- Review of existing epidemiological data on fluoride intake from various sources.
- Analysis of fluoride exposure-response relationships for caries and fluorosis.
Main Results:
- While water fluoridation is associated with significant caries reduction, additional fluoride sources may not offer the same safety margin.
- Increased risk for dental fluorosis is a potential concern with combined or excessive fluoride exposures.
Conclusions:
- The benefits of fluoride for caries prevention are undeniable.
- Careful monitoring of all fluoride sources is crucial to mitigate the risk of dental fluorosis, particularly with widespread supplementary fluoride use.