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Early Childhood Exposures to Fluorides and Cognitive Neurodevelopment: A Population-Based Longitudinal Study.
L G Do1, A Sawyer2, A John Spencer3
1School of Dentistry, Faculty of Health and Behavioural Sciences, The University of Queensland, Australia.
Early childhood fluoride exposure, crucial for preventing cavities, shows no adverse effects on cognitive neurodevelopment. This study confirms fluoride
Area of Science:
- Public Health
- Neuroscience
- Pediatric Dentistry
Background:
- Public confidence in fluoride's caries-preventive benefits is essential.
- Concerns exist regarding early-life fluoride exposure and cognitive neurodevelopment.
- High-quality evidence is needed to address the ongoing debate.
Purpose of the Study:
- To investigate the potential effects of early-life fluoride exposure on cognitive neurodevelopment.
- To assess intelligence quotient (IQ) using the Wechsler Adult Intelligence Scale 4th edition (WAIS-IV).
- To examine associations between lifetime exposure to fluoridated water and dental fluorosis with IQ scores.
Main Methods:
- Utilized data from the Australian National Child Oral Health Study (NCOHS).
- Estimated percentage lifetime exposure to fluoridated water (%LEFW) and assessed dental fluorosis.
- Administered the WAIS-IV to 357 participants aged 16-26 years in 2022-2023.
- Employed multivariable regression models controlling for confounding factors.
Main Results:
- Mean full-scale IQ (FSIQ) score was 109.2 (95% CI: 107.8-110.5).
- Regression models showed no significant adverse associations between %LEFW or dental fluorosis and FSIQ.
- Adjusted β for 100%LEFW vs 0%LEFW was 1.07 (95% CI: -2.86, 5.01).
- Adjusted β for dental fluorosis vs no fluorosis was 0.28 (95% CI: -3.00, 3.57).
- Noninferiority tests indicated equivalent FSIQ scores between exposed and nonexposed groups.
Conclusions:
- Early childhood exposure to fluoride does not negatively impact cognitive neurodevelopment.
- Findings support the continued use of fluoride in caries-preventive programs.
- This study provides robust evidence for the safety of fluoride exposure regarding cognitive function.
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