Fluoride prescribing patterns among primary care physicians

Fluoride supplement prescribing habits of US Air Force primary care physicians were studied. A questionnaire was sent to all active duty Air Force obstetricians, family physicians, and pediatricians assigned within the continental United States. Few obstetricians and family physicians in the Air Force currently prescribe prenatal fluoride supplements. The majority of respondents are skeptical of its efficacy or state that local water contains adequate amounts. Only 2.5 percent of all physicians question prenatal fluoride's safety. Fluoride supplements for breast-feeding infants are correctly prescribed by 80 percent of pediatricians and 54 percent of family physicians (P = .0002). Pediatricians more often know the local concentration of fluoridated water and more readily prescribe fluoride for children of all ages. Primary care physicians, especially family physicians, are in an excellent position to practice caries prevention. The survey results indicate a need for more physician education on the current issues and proper use of fluoride supplements.