Dental Care for Children – The Fluoride Controversy June 6, 2008
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What is Fluoride?
Fluoride is derived from fluorine and exists naturally in water
sources. It is the thirteenth most common element in the Earth’s crust.
Fluoride helps prevent and even reverse the early stages of tooth
decay. It strengthens tooth enamel, the outer layer of our teeth, so it
can better resist the acid formed by plaque. Fluoride also allows teeth
damaged by acid to remineralize (repair themselves). Fluoride is
especially critical to the health of developing teeth in children.
Why is Fluoride Controversial?
The addition of fluoride to the water supply is dangerous and damaging
and some advocacy groups publish reports on the hazards of
fluoridation. They point to toxicity warnings on toothpaste, concluding
that any substance needing such careful dosage must be dangerous.
In response to these claims, the National Institutes of Health (NIH)
reviewed research on dental cavities prevention and public policy. The
NIH agreed with anti-fluoride activists that many studies in this area
are of poor quality, however, the NIH panel concluded that the
unevenness of research does not invalidate the clear benefits of
fluoride. The NIH stated that the dramatic reductions in tooth decay in
the past 30 years are due to fluoridation of the water supply, and
parents and health professionals should continue to ensure that
children receive enough fluoride to prevent cavities.
How Much Fluoride Does My Child Need?
Those living in a non-fluoridated area should consult your dentist
about the potential need for fluoride drops, tablets, or vitamins after
your baby is 6 months old. The American Dental Association recommends
that children begin using toothpaste with fluoride around the age of
two or three. Prior to this, parents should clean their child’s teeth
with water, or with fluoride-free baby toothpaste, and a soft bristled
toothbrush.
Children should use only a pea-sized amount of toothpaste and spit out
as much as possible after brushing. Even a small amount of toothpaste
supplies enough fluoride to protect teeth but minimizes the chances of
side effects from too much fluoride.
What About Mouth Rinses Containing Fluoride?
Only mouth rinses clearly labeled "anticavity with fluoride" contain
fluoride. These are regulated by the U.S. Food and Drug Administration
(FDA) and are approved by the ADA. Mouth rinses should be used by
children ages 6 and older since those under 6 haven’t fully developed
their spitting abilities.
Ask your family dentist or pediatric dentist for information about your
child’s dental care and fluoride needs. A dentist can help you
understand more about how fluoride affects the teeth.
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