Re: Kids may get excess fluoride from beverages
- From: "nyscof" <nyscof@xxxxxxxxx>
- Date: 31 Mar 2006 03:49:56 -0800
While there have been occasional reports of dental fluorosis in primary
teeth, they are reported to my knowledge in places with exceptionally
high fluoride levels in the water.
Steve you are wrong. Even the CDC concedes that from 1/3 to 1/2 of all
schoolchildren have dental fluorosis.
The Iowa Fluoride Study, which the original poster is actually
referring to, was done in children from so-called optimally fluoridated
areas. By the way, they also found no difference in decay rates
between children living in fluoridated vs non-fluoridated areas
I have never in 30 years in practice
seen what I consider clinical fluorosis in primary teeth (and the mild
cases I've seen are on the primary molars).
I'm sure you realize your results are anecdotal. And, if you don't
accept Mediciad patients, you are probably excluding a subset of the
population which not only have the most cavities; but the most
fluorosis.
While fluorosis is quite common in secondary teeth, if you see white
spots on primary teeth it is almost certainly either incipient caries or
some genetic or acquired hypocalcification. Your dentist can confirm
this on exam. Topical fluoride applications are appropriate in these
cases and can significantly inhibit progress of decay.
How do you know when a white spot is a beginning cavity or a dental
fluosis spot? From what I've read the beginning of baby bottle tooth
decay are white lines at the based on the tooth meeting the gumline
which quickly turns into rampant tooth decay .
NYSCOF
.
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