Abstract
Caries incidence and prevalence have decreased significantly over the last few decades due to widespread use of fluoride. However, an increase in the prevalence of dental fluorosis has been reported in both fluoridated and non-fluoridated communities. Care must be taken to ensure that a balance between the optimal fluoride preventive effect at the individual and community level and minimal risk of dental fluorosis is maintained. This review describes the main sources of fluoride intake that have been identified: fluoridated drinking water, dietary fluoride supplement, and topical forms comprising toothpastes, rinses, gels and varnishes. The cited data were taken from meta-analytic studies and reports from Cochrane database systematic reviews up to December 2019. Efficiency, but safety, of topically applied fluorides in individual home care is dependent on the degree of compliance of individuals/parents and on the level of competence of providers of preventive counselling. The broad spectrum of these resources allows individualization of fluoride prevention based on risk analysis of caries attack and taking into consideration other preventive measures.
Highlights
For over 60 years, dental professionals have been attempting to control caries with fluoride and its various inorganic and organic compounds [1]
The broad spectrum of these resources allows individualization of fluoride prevention based on risk analysis of caries attack and taking into consideration other preventive measures
Children are advised to use them after the tooth brushing to prolong the increased amount of fluoride in oral cavity. They are not recommended in children below 6 years of age because of risk of swallowing what may lead to increased fluoride plasma levels and mild risk of dental fluorosis
Summary
For over 60 years, dental professionals have been attempting to control caries with fluoride and its various inorganic and organic compounds [1]. FLUORIDATED DRINKING WATER Community water fluoridation (CWF) was introduced over 70 years ago as a public health measure to prevent and control caries at a population level. The administration of fluoridated milk in children older than 3 years of age is regarded as the safe preventive method from the point of view of its ratio on total alimentary fluoride intake [26].
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