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Salt fluoridation and general health

K E Bergmann1, R L Bergmann

  • 1Department of Pediatrics, Virchow-Klinikum Humboldt University, Berlin, Germany.

Advances in Dental Research
|July 1, 1995
PubMed
Summary

Fluoridated table salt offers a practical method for systemic fluoride supplementation in areas with low fluoride in drinking water. This approach ensures consistent intake without daily compliance issues, making it a viable public health strategy.

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Area of Science:

  • Public Health
  • Dental Health
  • Nutrition

Background:

  • German drinking water typically has low fluoride concentrations, leading to suboptimal fluoride intake.
  • Current fluoride intake in German children and adults is below recommended levels for optimal dental health.
  • A significant portion of salt intake comes from commercially prepared foods, limiting individual control over supplementary fluoride intake.

Purpose of the Study:

  • To evaluate the potential of salt fluoridation as a systemic fluoride supplementation method in Germany.
  • To determine optimal fluoride concentrations in table salt to achieve adequate intake while avoiding excessive levels.
  • To assess the feasibility and safety of salt fluoridation compared to other supplementation methods.

Main Methods:

  • Analysis of current salt and fluoride intake in the German population.
  • Modeling of fluoride intake based on different table salt fluoridation levels.
  • Review of existing recommendations and potential risks associated with systemic fluoride supplementation.

Main Results:

  • A table salt fluoride concentration of approximately 500 micrograms/g could increase fluoride intake by at least 500 micrograms/day.
  • A salt fluoride concentration of 250 micrograms/g is considered safe and does not pose a risk of dental fluorosis.
  • Fluoridated table salt can provide systemic fluoride supplementation comparable to water fluoridation in low-fluoride areas.

Conclusions:

  • Salt fluoridation presents a promising and convenient strategy for increasing fluoride intake in populations with low fluoride in drinking water.
  • Clear guidelines are needed to navigate the simultaneous availability of multiple fluoride supplementation options.
  • Alternative fluoride supplementation methods should be considered for individuals at risk for hypertension due to salt consumption.

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