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    Fluoride  
     
  Fluoride occurs naturally on some water supplies in other areas it can be added to water supplies at water treatment plants.  The association between the presence of fluoride in public water supplies and reduced tooth decay has been demonstrated over 130 surveys in more than 20 countries including the UK.  
These surveys confirm that fluoride in the water at a concentration of about 1 part per million (1ppm) has been associated with a reduction of about half the decay experienced in non-fluoridated area.

The safety of fluoridated water is well documented. Numerous studies in both naturally and artificially fluoridated areas have failed to show any adverse effect on general health at the level of 1ppm

The benefits of water fluoridation can be assessed in several ways.  Most surveys have shown a reduction in tooth decay of 40-60 per cent.  A large fall in the number of teeth taken out and general anaesthetics administered to children has been reported.  

A 25 per cent increase in tooth decay was recorded five years after part of Scotland were de-fluoridated

 

Fluoride Supplements 
are available however parents should check with a dentist whether the child would benefit from supplements and the correct dosage appropriate for that child.
FLUORIDE TABLETS SHOULD BE KEPT OUT OF REACH OF CHILDREN

Flouride tablets & dropsAlthough it is safe to take fluoride supplements during pregnancy, there is no benefit to the unborn child in doing so

Fluoride Toothpaste         Toothpaste & tooth brush

Fluoride toothpaste which came int

Fluoride toothpastes are currently available in three concentrations ranges

low fluoride       600ppm
standard          1000 ppm
high                 1500 ppm

Low Fluoride toothpastes were introduced to meet concerns about young children swallowing toothpaste.  However recent evidence suggest that they are less affective than pastes containing 1000 ppm or more and their use should be limited to children with low risk of tooth decay or areas which are naturally fluoridated to high levels.

Toothpastes containing 1000 to 1500 ppm are more effective and should be used by all children over the age of six years of age.

Enamel Fluorosis
This shows as opaque areas in the tooth enamel surface associated with the intake of excessive fluoride during the periods of enamel formation.

For incisor teeth the period of greatest risk is between two and five years.  The more severe cosmetically unacceptable forms are uncommon in the UK but may result from the use of fluoride supplements being taken in areas where water fluoridation is high or from eating fluoride toothpaste in early childhood.

To reduce the risk of fluorosis parents should supervise tooth brushing of children under seven years of age and should place an amount of toothpaste no greater than the size of a small pea on the brush.
Brushing should be done no more than twice a day and the child should be encouraged to spit out afterwards, rather than rinse with water

Click here for more information on caring for young teeth

 


 

 

 

 
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 Wiltshire Primary Care Trust Dental Service, Savernake Hospital, Marlborough, Wiltshire SN8 3HL  telephone: 01672 517420