Expansion of the proper use of systemic fluoride supplements

Systemic fluoride supplements, such as tablets and drops, are recommended as alternatives to community and school water fluoridation. Assay of patients' drinking water should be used to determine the water fluoride content. Supplements should be used only when the water fluoride level is found to be deficient. In this way, the appropriate dosage supplement can be determined and prescribed, and unnecessary risks of fluorosis can be avoided. Research has shown that many practitioners prescribe fluoride supplements, although relatively few practitioners assay patients' water supplies. Increased use of water assay and fluoride supplements is warranted if the dental profession is to continue its emphasis on prevention. This increase should be in conjunction with water fluoridation, topical fluorides, and pit and fissure sealants.