Dosage Recommendations for Dietary Fluoride Supplements

Driscoll, William S.; Horowitz, Herschel S.

doi:10.1001/archpedi.1979.02130070019001

Cited by 6 publications

(4 citation statements)

References 4 publications

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“…The data necessary to complete a risk-benefit assessment for a reducedfluoride dose are not available (27). Fluorosis data are often reported without any accompanying data on caries.…”

Section: Arguments Against Changing the Dosage Schedulementioning

confidence: 99%

“…Because of available treatment possibilities mildfluorosis is riot a problem. In 1978, the last time the Council on Dental Therapeutics changed the recommended dose for dietary fluoride supplements, neither mild nor very mild fluorosis were considered serious health or esthetic problems (27). Today, with the availability of new dental materials and techniques, for both the patient and the dentist, mild and very mild fluorosis are even less of a problem than they were in the past.…”

Section: Dieta Y Fluoride Supplements Alonementioning

confidence: 99%

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The Case for Retaining the Current Supplementation Schedule

Moss¹

1999

J Public Health Dent

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Following ingestion of dietary fluoride, microquantities of fluoride return to the mouth in saliva, but in quantities large enough to facilitate the maintenance and reparative functions of enamel. Dietary fluoride supplements alone are unlikely to be the cause of the reported increase in fluorosis. Compliance continues to be extremely poor and few children use supplements for more than a year and a half. The amount of background fluoride resulting from dietary fluoride supplements appears to be very small. Considering the almost ubiquitous presence of fluoride dentifrice and the strong possibility of additional unintentional fluoride ingestion from many sources, the present fluorosis data is too amorphous to use as a basis for making reasonable risk/benefit evaluations. Very mild and mild fluorosis is not a serious problem for either the clinician or the patient. By altering the present recommended dosage we may deprive children from receiving a proven effective dose. One cannot make a risk/benefit decision concerning an esthetic problem without involving the patient's perception as well as the caries score. The apparent severity of the milder forms of fluorosis lessens with age and a community fluorosis index should be used only on populations who are older than 15 years.

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“…The data necessary to complete a risk-benefit assessment for a reducedfluoride dose are not available (27). Fluorosis data are often reported without any accompanying data on caries.…”

Section: Arguments Against Changing the Dosage Schedulementioning

confidence: 99%

Section: Dieta Y Fluoride Supplements Alonementioning

confidence: 99%

The Case for Retaining the Current Supplementation Schedule

Moss¹

1999

J Public Health Dent

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“…Because the concentration of fluoride in breast milk is low, it has even been suggested (166) that fully breast-fed infants should receive supplementary fluoride, but evidence in favour of such a preventive measure during the period of breast feeding is not available. The risk of fluorosis in deciduous teeth in infancy is minimal (167).…”

Section: Reasons For Introduction Of Beikostmentioning

confidence: 99%

Guidelines on infant nutrition III. Recommendations for infant feeding

1982

Acta Paediatrica

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“…Con sequently, when discussing fluoride sup plement to children the fluoride intake from toothpaste and other fluoride pro ducts must be considered. This does not al ways seem to be the case when calculation for total fluoride intake in children has been made [Singer et al, 1980] or when new dosage schedules for fluoride supple mentation are recommended [Council on Dental Therapeutics, 1977;Driscoll and Horowitz, 1979; American Academy of Pe diatrics, 1979]. Little quantitative information is avail able on the kinetics of fluoride in small children after intake of defined doses of fluoride.…”

mentioning

confidence: 99%

Plasma Fluoride Concentrations in Pre-School Children after Ingestion of Fluoride Tablets and Toothpaste

1983

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Plasma fluoride (F) concentration and urinary F excretion were studied in 5 children, age 3–4 years, after intake of F tablets (0.5 mg) and 0.6 g of two NaF toothpastes containing 0.1 and 0.025% F – corresponding to 0.6 and 0.15 mg F, respectively. Mean baseline plasma F was 0.79 ± (SD) 0.10 μM. After intake of tablets or 0.1% F toothpaste the increase in plasma levels was almost identical in all children. The plasma peaks were registered at 30 min and were 4.47 ± 0.47 and 3.63 ± 0.45 μM F, respectively. The 0.025% F toothpaste only resulted in a modest increase: 1.5 ± 0.19 μM F. The F urinary output showed great interindividual variations which demonstrated the difficulties in obtaining reliable information on F intake from this parameter alone.

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Dosage Recommendations for Dietary Fluoride Supplements

Cited by 6 publications

References 4 publications

The Case for Retaining the Current Supplementation Schedule

The Case for Retaining the Current Supplementation Schedule

Guidelines on infant nutrition III. Recommendations for infant feeding

Plasma Fluoride Concentrations in Pre-School Children after Ingestion of Fluoride Tablets and Toothpaste

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