Feasibility of the Combined Use of Fluorides

König, Klaus

doi:10.1177/00220345900690s153

Cited by 7 publications

(6 citation statements)

References 12 publications

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“…It would be very undesirable if the use of fluorides for prevention of caries were to lead to a significant professionally perceived need for cosmetic treatment. Konig (1990) has differentiated between the subjectively perceived risk felt by persons who have or are at risk ofhaving fluorosis, and dental health professionals' objective perception of dental fluorosis, which they define as a non-problem in most communities. He cites examples of consumers r-eacting to (possibly sensationalized) information on dental fluorosis and risk factors by requiring the prOovisioli of fluoride to cease, regardless of the consequences for dental health.…”

Section: Discussionmentioning

confidence: 99%

Perceptions of Dental Fluorosis

Riordan

1993

J Dent Res

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Mild dental fluorosis has long been accepted as a side-effect of water fluoridation and, more recently, has been recognized as a consequence of the use of other fluoride-based caries-preventive strategies. Traditionally, dental health professionals have not seen this as being of public health importance, but members of the public have not been asked their opinion. The purpose of the present study was to gather the opinions of lay groups concerning the appearance of the teeth of children with various degrees of fluorosis. Twenty-eight children, born in 1978, who had earlier participated in a study of fluorosis in Perth (Western Australia), allowed 110 observers to look at their upper central incisors under good viewing conditions. Fluorosis in these teeth ranged from TF score 0 (no fluorosis) to TF score 3. The observers were university students, parents, public servants, or dentists. They responded to statement items about the appearance of the teeth. The results, based on just over 3000 responses, showed that lay and dental observers could distinguish between different fluorosis levels. In response to a statement that the teeth appeared pleasing, a large majority agreed when the TF score was 0, but agreement declined as the TF score increased; when the TF score was 3, most people disagreed. Similarly, observers felt that the appearance would increasingly embarrass the child as the TF score increased. Observers, except the dentists, tended to feel that higher TF scores indicated neglect on the part of the child.(ABSTRACT TRUNCATED AT 250 WORDS)

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Section: Discussionmentioning

confidence: 99%

Perceptions of Dental Fluorosis

Riordan

1993

J Dent Res

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“…Some reported that changes in sugar consumption are currently responsible for social inequalities in dental caries prevalence. Reduction of caries prevalence may be related to distinct dental health factors, such as use of fluoride dentifrice, frequency of toothbrushing, and access to dental care services (22,23). Others authors suggest that a sugary diet still represents a dominant caries risk factor (24) because fluoride use is not widespread among immigrant and ethnic groups whose dental knowledge is often poor.…”

Section: Discussionmentioning

confidence: 99%

Factors associated with prevalence of dental caries in Brazilian schoolchildren residing in Japan

2011

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Brazilian immigrants comprise the third largest ethnic group within the Japanese population. The aim of this cross-sectional study was to determine the factors associated with the prevalence of dental caries in Brazilian schoolchildren living in Japan. A total of 378 schoolchildren, aged between 6 and 14 years, attending Brazilian schools in Japan were included. Clinical data were collected according to World Health Organization criteria. Socioeconomic data, oral health behavior and diet information were collected through questionnaires. The correlation between associated factors and dental caries prevalence was analyzed using chi-square test and multiple logistic regression analysis. The percentage of cariesfree schoolchildren was 61.90% and the mean DMFT was 1.28 ± 2.22 (mean ± SD). The mother's educational level and previous access to dental care services in Brazil were strongly associated with caries experience (P < 0.05). This study indicated that these variables are risk factors associated with caries experience in a community of Brazilian schoolchildren residing in Japan. (J Oral Sci 53, 307-312, 2011)

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“…Patient perception about appearance is the critical issue in deciding on the degree of an esthetic problem (13). Without knowing how patients feel about the appearance of their teeth, we cannot judge how serious the esthetic problem is (14). Asking opinions of dentists, independent observers, or even parents about the esthetic appearance of a teenager's tooth begs the issue.…”

Section: Arguments Against Changing the Dosage Schedulementioning

confidence: 99%

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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Feasibility of the Combined Use of Fluorides

Cited by 7 publications

References 12 publications

Perceptions of Dental Fluorosis

Perceptions of Dental Fluorosis

Factors associated with prevalence of dental caries in Brazilian schoolchildren residing in Japan

The Case for Retaining the Current Supplementation Schedule

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