Oral Hygiene And Prevention
FLUORIDE
Use of fluorides for the prevention and control of caries is documented to be both safe and highly effective.
Fluoride has several caries-protective mechanisms of action, including enamel remineralization and altering bacterial metabolism to help prevent caries. Optimizing fluoride levels in water supplies is an ideal public health measure because it is effective and inexpensive and does not require conscious daily cooperation from individuals. Daily fluoride exposure through water supplies and monitored use of fluoride toothpaste can be effective preventive procedures.
Determination of dietary sources of fluoride before prescribing supplements can help reduce intake of excess fluoride. Sources of dietary fluoride may include drinking water from home, day care, and school; beverages such as soda, juice, and infant formula; prepared food; and toothpaste. Infant formulas (powdered or liquid) and water bottled specifically for infants have varying concentrations of fluoride. Fluorosis has been associated with cumulative fluoride intake during enamel development, with the severity dependant on the dose, duration, and timing of intake.
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