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[Caries prevention through a nutritional vehicle].

A Villa1, S Guerrero, P Cisternas

  • 1Instituto de Nutrición y Tecnología de los Alimentos (INTA), Universidad de Chile, Santiago.

Archivos Latinoamericanos De Nutricion
|June 1, 1990
PubMed
Summary

Fluoridated milk is a viable cariostatic nutritional product. Milk fluoridation is a cost-effective alternative to water fluoridation, especially for developing countries.

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Area of Science:

  • Public Health
  • Nutritional Science
  • Dental Health

Background:

  • Dental caries remains a significant public health issue, particularly in developing nations.
  • Fluoride (F) is a well-established cariostatic agent, but its delivery method is crucial for efficacy and accessibility.
  • Traditional water fluoridation may not be feasible or cost-effective in all regions.

Purpose of the Study:

  • To evaluate the efficacy of fluoridated milk as a cariostatic nutritional product.
  • To assess the biological and technical feasibility of adding monofluorophosphate (MFP) to milk.
  • To conduct a preliminary cost-benefit analysis of milk fluoridation compared to water fluoridation.

Main Methods:

  • Estimated fluoride (F) ingestion in preschool children via polls and chemical analyses.
  • Determined the bioavailability of F from various dietary sources, including milk, tea, and fish.
  • Compared the cost-effectiveness of milk fluoridation versus water fluoridation in the Chilean context.

Main Results:

  • Estimated daily F ingestion for target populations ranged from 0.15-0.30 mg/day.
  • Fluoride (F) absorption from milk (using MFP) was found to be as high as from sodium fluoride (NaF) in water.
  • Milk fluoridation was estimated to be over 1,000 times more economical than water fluoridation in Chile.

Conclusions:

  • Milk fluoridation presents an economically viable and effective strategy for caries prevention.
  • This approach offers a practical alternative for less developed countries seeking to improve oral health outcomes.
  • Further research into MFP bioavailability and optimal delivery in milk is warranted.

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