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CDC fluoride guidelines. (Healthbeat).



The Centers for Disease Control and Prevention Centers for Disease Control and Prevention (CDC), agency of the U.S. Public Health Service since 1973, with headquarters in Atlanta; it was established in 1946 as the Communicable Disease Center.  (CDC See Control Data, century date change and Back Orifice.

CDC - Control Data Corporation
) have issued new recommendations for fluoride use in the current day environment of widespread use of bottled waters and availability of a host of fluoride containing products.

Recommendations for Using Fluoride to Prevent and Control Dental Caries caries
 or tooth decay

Localized disease that causes decay and cavities in teeth. It begins at the tooth's surface and may penetrate the dentin and the pulp cavity.
 in the United States United States, officially United States of America, republic (2005 est. pop. 295,734,000), 3,539,227 sq mi (9,166,598 sq km), North America. The United States is the world's third largest country in population and the fourth largest country in area.  provides guidance to dental and health care providers, and the general public on the best practices in using fluoride to prevent tooth decay Tooth Decay Definition

Tooth decay, which is also called dental cavities or dental caries, is the destruction of the outer surface (enamel) of a tooth.
. A work group of fluoride experts evaluated the scientific evidence for the various fluoride products used in the United States. Key recommendations for fluoride use include the following:

* Continue and expand fluoridation fluoridation (flr'ĭdā`shən), process of adding a fluoride to the water supply of a community to preserve the teeth of the inhabitants.  of community drinking water drinking water

supply of water available to animals for drinking supplied via nipples, in troughs, dams, ponds and larger natural water sources; an insufficient supply leads to dehydration; it can be the source of infection, e.g. leptospirosis, salmonellosis, or of poisoning, e.g.
. Water fluoridation in the proper amounts (0.7-1.2 parts per million parts per million

mg/kg or ml/l; see ppm.
) has been accepted as a safe, effective, and inexpensive method of preventing tooth decay. Adding fluoride to municipal drinking water also is an efficient strategy to reduce the inequalities in dental disease among Americans of all social strata. All persons should know whether or not their primary source of drinking water has an optimal level of fluoride. Approximately 100 million Americans currently do not receive the benefit of fluoridation.

* Frequent use of small amounts of fluoride. Daily and frequent exposure to small amounts of fluoride will best reduce the risk of tooth decay for all age groups. The recommendations strongly support drinking water with optimal levels of fluoride and following self-care practices such as brushing at least twice a day with fluoridated toothpaste.

* Use supplements and high concentration fluoride products judiciously. Fluoride supplements for children may best be prescribed for those who are at high risk for decay and who live in communities that have a low fluoride concentration in their drinking water. High concentration products such as professionally applied gels, foams and varnishes also may best benefit children who are at high risk of decay.

* Parents should monitor the fluoride intake of children younger than six years old. The first six years of life are an important period for tooth development. Overuse overuse Health care The common use of a particular intervention even when the benefits of the intervention don't justify the potential harm or cost–eg, prescribing antibiotics for a probable viral URI. Cf Misuse, Underuse.  of fluoride during this period can result in enamel fluorosis fluorosis /flu·o·ro·sis/ (fldbobr-ro´sis)
1. a condition due to ingestion of excessive amounts of fluorine.

2.
, a condition that may appear as white lines or spots on the teeth. Monitoring fluoride sources by parents can reduce the occurrence of white spots while preventing early tooth decay. Children under age six should use only a pea sized amount of fluoride toothpaste; parents should consult their child's dentist concerning use of fluoride toothpaste for children under age two.

* Label bottled water with the fluoride concentration. Increased labeling of bottled waters on a voluntary basis will allow consumers to make informed decisions on their fluoride intake.

* Educating health professionals and the public. Collaborative efforts by professional organizations, public agencies and suppliers of oral care products are needed to encourage behavior change to facilitate improved, coordinated use of fluoride products and regimens currently available.

* Further Research. Additional studies are needed to learn more about fluoride use and evaluate the current cost-effectiveness of fluoride modalities (i.e. toothpastes, mouth rinses, supplements, gels and varnishes).

"With multiple sources of fluoride available to us, we want to ensure that every family member gets fluoride in the right amount, in the right place and at the right time," stated Dr. William R. Maas, director of CDC's Division of Oral Health. "These new recommendations will provide the framework for effective and efficient fluoride use in today's environment of multiple sources of fluoride."

The complete report is available at the CDC web site:

www2.cdc.gov/mmwr/

For more information visit the DOH web site:

http://www.cdc.gov/nccdphp/oh/
COPYRIGHT 2003 American Dental Assistants Association
No portion of this article can be reproduced without the express written permission from the copyright holder.
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Title Annotation:Centers for Disease Control and Prevention
Publication:The Dental Assistant
Date:Jan 1, 2003
Words:588
Previous Article:Mammography. (Healthbeat).
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