The table below lists 110 oral health state reports and studies. Many of these reports were funded in part by the Oral Health Division of the Centers for Disease Control & Prevention (CDC). It is this division that actively promotes the fluoridation of community drinking water.
Over-exposure to fluoride damages teeth as the following photos of the various stages of dental fluorosis, also known as enamel fluorosis, show (see more photos):
Photographs of Dental Fluorosis by Dr. Hardy Limeback and Dr. Iain Pretty, et al.
Up to 1985-86, dental fluorosis was termed a health effect. But that definition changed to “cosmetic effect” for political considerations (see Grossman…). It wasn’t until the report by the National Research Council of the National Academies in 2006 that severe dental fluorosis was termed an adverse health effect. This is what the report states:
Enamel fluorosis is a dose-related mottling of enamel that can range from mild discoloration of the tooth surface to severe staining and pitting. The condition is permanent after it develops in children during tooth formation, a period ranging from birth until about the age of 8. Whether to consider enamel fluorosis, particularly the moderate to severe forms, to be an adverse health effect or a cosmetic effect has been the subject of debate for decades…
Severe enamel fluorosis is characterized by dark yellow to brown staining and discrete and confluent pitting, which constitutes enamel loss… Severe enamel fluorosis compromises that health-protective function by causing structural damage to the tooth. The damage to teeth caused by severe enamel fluorosis is a toxic effect that is consistent with prevailing risk assessment definitions of adverse health effects…
Severe enamel fluorosis occurs at an appreciable frequency, approximately 10% on average, among children in U.S. communities with water fluoride concentrations at or near the current MCLG [maximum contaminant level goal] of 4 mg/L. Thus, the MCLG is not adequately protective against this condition…
The committee finds that it is reasonable to assume that some individuals will find moderate enamel fluorosis on front teeth to be detrimental to their appearance and that it could affect their overall sense of well-being. However, the available data are not adequate to categorize moderate enamel fluorosis as an adverse health effect on the basis of structural or psychological effects.
Since 1993, there have been no new studies of enamel fluorosis in U.S. communities with fluoride at 2 mg/L in drinking water. Earlier studies indicated that the prevalence of moderate enamel fluorosis at that concentration could be as high as 15%…
98 of the 110 reports listed below do not mention fluorosis, even after severe dental fluorosis has been found to be an adverse health effect in 2006. This lack of information has deprived legislators, health professionals, and the public in their decision making on whether to continue fluoridation at the expense of the most vulnerable, or at minimum, to effectively warn parents and caregivers in minority communities of their greater vulnerability. There are many states with high naturally-occurring levels of fluoride making people even more vulnerable. Why is no-one at the federal or the state level communicating with the public that severe dental fluorosis is considered an adverse health effect? Is there any federal agency charged with the responsibility for informing minorities of issues like this? Who is the intended target for the oral health reports? Is it not necessary to educate this target audience? Or are these reports merely some kind of accounting format to demonstrate how monies are used for oral health?
For the remaining 12 reports: 7 mention dental or enamel fluorosis and 5 mention “white spot” (which can be fluorosis, caused by over-exposure to fluoride). Of the most disturbing is the mention of “white spot” rates in Head Start Children. A 2011 report from Washington state reports 20.5% white spot lesions in Head Start/ECAP preschoolers, with African Americans having the highest percent (Table 8 of report). The Georgia 2007 report states that 20% of 2-5 year olds have white spots but it doesn’t give the rates by race. Nor do we know if these “white spots” on their teeth are fluorosis. Warren et al. (1999) state that “primary-tooth fluororsis does occur in areas with optimal or suboptimal water fluoride concentrations” but it is “often more difficult to identify than fluorosis in permanent teeth.”
State |
Report |
| Alabama |
|
| Alabama |
2012. The Oral Health of Alabama’s Children, 2010-2012. NO MENTION OF DENTAL FLUOROSIS. |
| Alabama |
2013. The Oral Health of Alabama’s Kindergarten and Third Grade Children Compared to the General U.S. Population and Healthy People 2020 Targets. Alabama Department of Public Health Data Brief February 2013.
NO MENTION OF DENTAL FLUOROSIS.
|
| Alaska |
Undated. 13. Oral Health. Healthy Alaskans 2010 – Volume I. Dental fluorosis is described. No mention of the number of children, or the level of severity, that exists in Alaska. |
| Alaska |
2007. Alaska Oral Health Plan: 2008-2012. By BJ Whistler. Women’s, Children’s and Family Health, Division of Public Health, Alaska Department of Health and Social Services. “WHITE SPOT LESIONS” IS MENTIONED ON PAGE 12. No mention of the number of children, or the level of severity, that exists in Alaska. |
| Alaska |
2012. Alaska Oral Health Plan 2012-2016. Alaska Department of Health and Social Services. July. “WHITE SPOT LESIONS” IS MENTIONED ON PAGE 35. No mention of the number of children, or the level of severity, that exists in Alaska. |
| Alaska |
2013. Alaska Oral Health Surveillance System. Oral Health Program, Department of Health and Social Services. NovemberSupported by a cooperative agreement with the U.S. Centers for Disease Control and Prevention. Dental fluorosis mentioned once: “Rates of dental fluorosis, a cosmetic condition in tooth enamel, may increase if fluoride levels in the drinking water are chronically in excess of optimal fluoride levels.” (page 12) |
| Arizona | 2005. The Oral Health of Arizona’s Children. Current status, trends, and disparities. Arizona Department of Health Services – Office of Oral Health. November.
Dental fluorosis only mentioned once on page 18. No statitstics were given on dental fluorosis even though “More than 13,000 children received dental screenings.” and “each tooth surface was scored for decay, restorations, sealants, fluorosis, trauma, premature loss, and eruption status…” |
| Arkansas |
2002. Too Few Visits to the Dentist? The Impact on Children’s Health. A Special Report from Arkansas Advocates for Children & Families. February. NO MENTION OF DENTAL FLUOROSIS. |
| Arkansas |
Undated. Alaska Oral Health Assessment. Summary Report 2004-2005. By the State of Alaska, Department of Health and Social Services, Division of Public Health, Oral Health Program. NO MENTION OF DENTAL FLUOROSIS. |
| Arkansas |
2007. Oral Health in Arkansas. By Mouden LD, Phillips MM, Sledge R, Evans V. Office of Oral Health. August. NO MENTION OF DENTAL FLUOROSIS. |
| Arkansas |
2012. Arkansas Oral Health Plan 2012-2015. Arkansas Department of Health, Office of Oral Health. NO MENTION OF DENTAL FLUOROSIS. |
| Arkansas |
2013. Office of Oral Health Surveillance Plan. Prepared by Abby Holt and Brian Whitaker. Arkansas Department of Health. NO MENTION OF DENTAL FLUOROSIS. |
| California |
2006. “Mommy, it hurts to chew.” The California Smile Survey An Oral Health Assessment of California’s Kindergarten and 3rd Grade Children. Dental Health Foundation. February.
NO MENTION OF DENTAL FLUOROSIS.
|
| California |
2009. Research and public policy: dental caries and fluoridation. UCSF Dental Public Health Seminar: Part 1. By Howard Pollick. October 6. There is a discussion on dental flurosis and rates are given for “High Schools” 1993-94. It’s difficult to read the small chart in the report for the percent of severity of dental fluorosis. Percent of dental fluorosis given for 10th graders teeth 1993-94: |
| California |
2009. Dental Health Fact Sheet 2009. By the Santa Clara Public Health Department. NO MENTION OF DENTAL FLUOROSIS. |
| California |
2014. Sonoma County Smile Survey. An Oral Health Assessment of Sonoma County’s Kindergarten and Third Grade Children. Prepared by Jenny Mercado MPH, Epidemiologist, Sonoma County Department of Health Services. November. NO MENTION OF DENTAL FLUOROSIS. |
| Colorado |
2000. Addressing the crisis of oral health access for Colorado’s children. Colorado Commission Children’s Dental Health. A Report to the Honorable Bill Owens Governor, State of Colorado. December 2. NO MENTION OF DENTAL FLUOROSIS. |
| Colorado |
2005. Smart Mouths, Healthy Bodies: An Action Plan to Improve the Oral Health of Coloradans. Prepared for Oral Health Awareness Colorado by the Colorado Department of Public Health and Environment, Oral Health Program. Fall. NO MENTION OF DENTAL FLUOROSIS. |
| Colorado |
2008. The Colorado Health Report Card. The Colorado Health Foundation. NO MENTION OF DENTAL FLUOROSIS. |
| Colorado |
2011-2015 Colorado Oral Health Surveillance System Plan. NO MENTION OF DENTAL FLUOROSIS. |
| Colorado |
2012. Colorado Oral Health Plan. Developed by Oral Health Colorado. NO MENTION OF DENTAL FLUOROSIS. |
| Connecticut |
2007. Oral Health in Connecticut. Connecticut Department of Public Health. A definition of dental fluorosis was given. Aside from that, no other mention. |
| Connecticut |
2012. The Oral Health of Connecticut’s Children. Connecticut Department of Public Health, Office of Oral Health. October. Key findings: NO MENTION OF DENTAL FLUOROSIS. |
| Connecticut |
2013. Oral Health Improvement Plan for Connecticut 2013-2018. Connecticut Coalition for Oral Health. NO MENTION OF DENTAL FLUOROSIS. |
| Delaware |
2002. Delaware Oral Health Assessment of Third Grade Children. Delaware Health and Social Services, Division of Public Health. May. NO MENTION OF DENTAL FLUOROSIS. |
| Delaware |
2013. KIDS COUNT in Delaware Issue Brief. Oral Health. By the Center for Community Research, University of Delaware (Newark DE). Spring. NO MENTION OF DENTAL FLUOROSIS. |
| Delaware |
2013-b. Delaware Smiles. The Oral Health of Delaware’s Children. Delaware Health and Social Services, Bureau of Oral Health and Dental Services. August. NO MENTION OF DENTAL FLUOROSIS. |
| Delaware |
2014. Delaware Oral Health Plan 2014. Goals and Objectives. Delaware Health and Social Services, Bureau of Oral Health and Dental Services. June 5.
NO MENTION OF DENTAL FLUOROSIS.
|
| District of Columbia |
2006. Behavioral Risk Factor Surveillance System (BRFSS) 2006 Annual Report. Government of the District of Columbia, Department of Health, Center for Policy, Planning and Epidemiology. NO MENTION OF DENTAL FLUOROSIS. |
| District of Columbia | 2007. Issue Brief: Oral Health is Critical to the School Readiness of Children in Washington, DC.
By Altarum Institute and funded by Maternal and Child Health Bureau, Health Resources and Services Administration, U.S. Department of Health and Human Services.
NO MENTION OF DENTAL FLUOROSIS.
|
| Florida | 2013. Florida Oral Health Metrics. A Florida Public Health Institute Report.
Report prepared by the Urban Health Solutions Research and Writing Team (Bello L, Dye M, Garces A, Rovira I, McCabe B). Funded by the DentaQuest Foundation.
NO MENTION OF DENTAL FLUOROSIS.
|
| Florida |
Undated (after 2012). Statewide Oral Health Surveillance Program: The Third Grade Basic Screening Survey. By D. Solovan-Gleason, Florida Department of Health. NO MENTION OF DENTAL FLUOROSIS. |
| Georgia |
2006. Oral Health of Georgia’s Children. Results from the 2005 Third Grade Oral Health Survey. By the Georgia Department of Human Resources. April. NO MENTION OF DENTAL FLUOROSIS. |
| Georgia |
2007. Status of Oral Health in Georgia, 2007. Summary of Oral Health Data Collected in Georgia. Georgia Department of Human Resources.
No reference to dental fluorosis, instead it was termed: “White Spot Lesions (WSL) – Considers only the six maxillary anterior (upper front) teeth and is defined as white spots found only at the cervical 1/3 of the tooth, with or without a break in the enamel surface, and with or without brown staining. The presence of WSL identifies a child as being “at risk for Early Childhood Caries (ECC)”
WHITE SPOT LESIONS MENTIONED: “20% of 2 to 5 year old Georgia Head Start children surveyed have white spot lesions.” |
| Georgia |
2012. Georgia’s Oral Heath Plan. Georgia Oral Health Coalition. NO MENTION OF DENTAL FLUOROSIS. |
| Hawaii |
2001. Oral Health 2001: A strategic Plan for Oral Health in Hawai’i. Produced by Hawai‘i Primary Care Association. NO MENTION OF DENTAL FLUOROSIS. |
| Hawaii |
Undated. Hawaii Community Focus Groups Determine Priorities for Oral Health Research. By Harrigan R, DeCambra H, Easa D, Strauss R, Greer M, Beck J. Acknowledgments: This investigation/manuscript/etc. was supported by a NIDCR R-21 award (DE15020-01) “A Study of Oral Health Disparities in Adult Asian & Pacific Islanders” and a Research Centers in Minority Institutions (NCRR) award, P20 RR11091, from the National Institutes of Health. NO MENTION OF DENTAL FLUOROSIS. Note from Fluoride Action Network: Hawaii is a series of volcanic islands. On the Big Island volcanic smog (VOG) is a major issue. Off-gassing chemicals of greatest concern include hyrdrogen fluoride, a source for exposure to dental fluorosis. |
| Hawaii |
2014. Oral Health Surveillance in Hawaii, 2014. Presented by Donald Hayes, MD, MPH, CDC Assigned Epideniologist, Hawaii Department of Health, Family Services Division. October 2. NO MENTION OF DENTAL FLUOROSIS. |
| Idaho |
2008. Idaho Oral Health Plan 2008-2013. The Idaho Department of Health and Welfare. NO MENTION OF DENTAL FLUOROSIS. |
| Idaho |
2014. Idaho Smile Survey. 2013 Report. Prepared by Ward Ballard, Research Analyst, Principal. Idaho Department of Health & Welfare. FLUOROSIS is mentioned on pages 2, 12, 13, 20 • The rate for severe fluorosis (teeth show brown spots or pitting) was 0.1 percent for
2013 for all third-grade students
• Percent of Idaho Third-Grade Students with Fluorosis, 2001-2013:
2001: 8.7 % 2005: 11.4% 2009: 7.8%2013: 5.8% |
| Illinois |
NO MENTION OF DENTAL FLUOROSIS. |
| Illinois |
NO MENTION OF DENTAL FLUOROSIS.
|
| Illinois |
2007. Oral Health Care in Illinois. The Illinois Oral Health Plan II. Spring. A compendium of information presented to the Illinois public by IFLOSS. NO MENTION OF DENTAL FLUOROSIS. |
| Illinois |
2007. Illinois Oral Health Surveillance System (IOHSS). By Sangeeta Wadhavan, BDS, MPH, Oral Health Epidemiologist, Illinois Department of Public Health. NOHC 2007.
NO MENTION OF DENTAL FLUOROSIS.
|
| Indiana |
2009. Indiana Strategic Oral Health Initiative (SOHI). Project Report. 2009. Center for Health Policy (09-C43) School of Public and Environmental Affairs Indiana University–Purdue University Indianapolis; and the Indiana State Department of Health.
NO MENTION OF DENTAL FLUOROSIS. |
| Indiana |
2013. The Oral Health of Indiana’s Third Grade Children Compared to the General U.S. Third Grade Population. Indiana State Department of Health Data Brief. December.
NO MENTION OF DENTAL FLUOROSIS.
|
| Iowa |
2006. Oral Health Survey Report:FY06. Report prepared by Tracy Rogers and Xia Chen. Iowa Department of Public Health, Oral Health Bureau. NO MENTION OF DENTAL FLUOROSIS. |
| Iowa |
2009. Third Grade Open Mouth Survey Report. Iowa Department of Public Health, Oral Health Bureau. NO MENTION OF DENTAL FLUOROSIS. |
| Kansas |
2004. The Oral Health of Kansas Children 2004. By Kimminau KS and Huang CC of the Kansas Health Institute; and McGlasson D and Kim J. of the Kansas Department of Health and the Environment. NO MENTION OF DENTAL FLUOROSIS. |
| Kansas |
2011. Kansas Oral Health Plan 2011-2014. Kansas Department of Health and Environment. January. NO MENTION OF DENTAL FLUOROSIS. |
| Kentucky |
2006. Statewide Oral Health Strategic Plan – 2006. The Commonwealth of Kentucky. NO MENTION OF DENTAL FLUOROSIS. |
| Kentucky |
2007. Kentucky’s Oral Health Poses Challenges. By Michael T. Childress and Michal Smith-Mello. Foresight, No. 50. NO MENTION OF DENTAL FLUOROSIS. |
| Kentucky |
2008. Using Cartograms to Illustrate Disparities in Oral Health in Kentucky. By Saman DM, Arevalo O, Johnson AO. University of Kentucky. NO MENTION OF DENTAL FLUOROSIS. |
| Louisiana |
2006. Oral Health Survey Report:FY06. Report prepared by Tracy Rogers and Xia Chen. Iowa Department of Public Health, Oral Health Bureau. NO MENTION OF DENTAL FLUOROSIS. |
| Louisiana |
Undated. Louisiana Statewide Oral Health Coalition. State Plan for 2010-2013. By the Louisiana Statewide Oral Health Coalition. NO MENTION OF DENTAL FLUOROSIS. |
| Louisiana |
2010. Oral Health in Louisiana. A document on the oral health status of Louisiana’s population. By Rishu Garg, Oral Health Program Epidemiologist/Evaluator. Department of Health and Hospitals, Oral Health Program. July. ENAMEL FLUOROSIS MENTIONED: Fluoride supplements (page 34): “It is recommended that the risk of tooth decay should be weighted before issuing a prescription for these supplements in children younger than 6 years of age because these supplements also increase the risk of enamel fluorosis.” Fluoride mouth rinse (page 34)”Children under 6 years old are not recommended to use it without the prescription of a dentist because of the risk of enamel fluorosis as they tend to swallow it more often than adults.” Fluoride gel and foam (page 34): “These are usually applied in dental offices and pose less of a threat for fluorosis in children younger than six because of the big intervals in between the applications… Fluoride varnish has a fluoride concentration of 22,600ppm..” |
| Louisiana |
2011. Bright Smiles for Bright Futures. Basic Screening Survey. By Rishu Garg, MD, MPH, A Report of the Oral Health Status of Louisiana’s Third Grade Chldren. NO MENTION OF DENTAL FLUOROSIS. |
| Maine |
2007. Maine Oral Health Improvement Plan. Published by the Maine Dental Access Coalition. November. NO MENTION OF DENTAL FLUOROSIS. |
| Maine |
2013. Oral Health in Maine. By Feinstein J, Gradie MI, Huston S, Mervis C, Ghouri, F, Nazare S, et al. The Maine Center for Disease Control and Prevention, an office of the Department of Health and Human Service. January. NO MENTION OF DENTAL FLUOROSIS. |
| Maryland |
2007. Survey of the oral health status of Maryland school children 2005-2006. Authors: Richard J. Manski RJ, Chen H, Chenette RR, Coller S. University of Maryland Dental School. NO MENTION OF DENTAL FLUOROSIS. |
| Maryland | 2011. Maryland Oral Health Plan 2011-2015. Holt K., ed. Maryland Dental Action Coalition.
This publication was made possible with support from the DentaQuest Foundation and the Division of Oral Health, Centers for Disease Control and Prevention, U.S. Department of Health and Human Services.
NO MENTION OF DENTAL FLUOROSIS.
|
| Maryland |
NO MENTION OF DENTAL FLUOROSIS. |
| Maryland |
2013. Oral Health Survey of Maryland School Children, 2011-2012. By Macek MD, Coller S, Chen H, Manski RJ, Manz M, Altema-Johnson D, Goodman HS. University of Maryland School of Dentistry. NO MENTION OF DENTAL FLUOROSIS. |
| Massachusetts |
2008. The Oral Health of Massachusetts’ Children. By White BA, Monopoli MP, Souza BS. Catalyst Institute. January. ONLY MENTION OF DENTAL FLUOROSIS IS ONE REFERENCE CITATION. |
| Massachusetts |
2010. Oral Health Plan for Massachusetts 2010-2015. Better Oral Health for Massachusetts Coalition. NO MENTION OF DENTAL FLUOROSIS. |
| Michigan |
2006. Michigan Oral Health Plan. Michigan Department of Community Health; Michigan Oral Health Coalition. September. NO MENTION OF DENTAL FLUOROSIS. |
| Minnesota |
2006. Minnesota Oral Health Data Book. Children and Youth. By the Minnesota Department of Health, Community and Family Health Division. October. ONLY MENTION OF DENTAL FLUOROSIS IS ONE REFERENCE CITATION. |
| Minnesota |
2013. The Status of Oral Health in Minnesota. By Khan B, Adeniyi A, Thoele MJ. Minnesota Department of Health, Oral Health Program. September. Funding sources: CDC Division of Oral Health Cooperative Agreement funding, DP08-802. Health Resources and Services Administration grants to states to support oral health workforce activities, T12HP14659. NO MENTION OF DENTAL FLUOROSIS. |
| Mississippi |
2006. State of Mississippi Oral Health Plan 2006-2010. By the Mississippi Department of Health. NO MENTION OF DENTAL FLUOROSIS. |
| Mississippi |
Undated. Every Smile Counts. The Oral Health of Mississippi’s Third Grade Children 2009-2010 School Year. By the Mississippi State Department of Health, Office of Oral Health. NO MENTION OF DENTAL FLUOROSIS. |
| Missouri |
2005. The Oral Health of Missouri’s Children. Executive Summary. Missouri Department of Health and Senior Services, Oral Health Program. NO MENTION OF DENTAL FLUOROSIS. |
| Missouri |
NO MENTION OF DENTAL FLUOROSIS. |
| Montana |
2006. Montana Oral Health Plan. Montana’s response to “A National Call to Action to Promote Oral Health, Healthy People 2010, and the Future of Dentistry”. Montana Department of Public Health and Human Services. NO MENTION OF DENTAL FLUOROSIS. |
| Montana |
2007. Montana 2005-2006 Study of Oral Health Needs: 3rd Graders and Head Start Children. By Rosina Everitte, MPH. June 22. NO MENTION OF DENTAL FLUOROSIS. |
| Nebraska |
2005. Open Mouth Survey of Third Graders Nebraska 2005. Nebraska Department of Health and Human Services Regulation and Licensure. NO MENTION OF DENTAL FLUOROSIS. |
| Nevada |
2008 Nevada State Oral Health Plan. Department of Health and Human Services, Nevada State Health Division, Bureau of Family Health Services. April. ONE MENTION OF FLUOROSIS ON PAGE 15. |
| Nevada |
2009. Third Grade Oral Health Survey 2008-2009. Department of Health and Human Services, Nevada State Health Division, Oral Health Program. NO MENTION OF DENTAL FLUOROSIS. |
| Nevada |
2011. Nevada Oral Health Surveiilance Plan. By Pool C, Hansen AC, Cofano L.January. Department of Health and Human Resources. This is a draft, there is no final available. NO MENTION OF DENTAL FLUOROSIS. |
| Nevada |
2012-2013 Head Start Oral Health Survey. Nevada. Department of Health and Human Services, Nevada State Health Division, Oral Health Program. February 2013. NO MENTION OF DENTAL FLUOROSIS. |
| New Hampshire |
2003. New Hampshire Oral Health Plan: A Framework for Action. Coalition for New Hampshire Oral Health Action. NO MENTION OF DENTAL FLUOROSIS. |
| New Hampshire | 2010. New Hampshire 2008-09 Third Grade Healthy Smiles – Healthy Growth Survey. Oral Health and Body Mass Index Assessment of New Hampshire 3rd Grade Students. By the N.H. Department of Health and Human Services. July.
Funded by: HNH foundation, Northeast Delta Dental Foundation, New Hampshire Department of Health and Human Services.
NO MENTION OF DENTAL FLUOROSIS.
|
| New Hampshire |
2010. New Hampshire Oral Health Data 2010. By the New Hampshire Department of Health and Human Services, Oral Health Program. March. NO MENTION OF DENTAL FLUOROSIS. |
| New Jersey |
2009. Pediatric Oral Health Action Plan for New Jersey’s Children Aged 0-6. Funded by New Jersey Head Start-State Collaboration Grant and The Association of State and Territorial Dental Directors. April 2009. NO MENTION OF DENTAL FLUOROSIS. |
| New Mexico |
2006. New Mexico Oral Health Surveillance System. NMORSS Special Report on Children 2006. Office of Oral Health, Health Systems Bureau, New Mexico Department of Health. NO MENTION OF DENTAL FLUOROSIS. |
| New Mexico |
2006. New Mexico Oral Health Surveillance System. NMOHSS Special Report on the Border Counties 2006. Office of Oral Health, Health Systems Bureau, New Mexico Department of Health. Dental fluorosis is mentioned on page 5. |
| New York |
2005. Oral Health Plan for New York State. By the New York State Department of Health. August. NO MENTION OF DENTAL FLUOROSIS. |
| New York |
2005. Oral Health Status of Third Grade Children. By Kumar JV, Altshul DL, Cooke TL, Green EL. New York State Oral Health Surveillance System. December 15. NO MENTION OF DENTAL FLUOROSIS. |
| New York |
2005. Children’s Oral Health. By the Schuyler Center for Analysis and Advocacy (Albany NY). NO MENTION OF DENTAL FLUOROSIS. |
| New York |
2014. Oral Health Plan for New York State. December 2014. By the New York State Department of Health. December. NO MENTION OF DENTAL FLUOROSIS. |
| New York |
2012. Oral Health in New York City. A data report from the New York City Department of Health. NYC Vital Signs, Volume 11, No. 5, June 2012. NO MENTION OF DENTAL FLUOROSIS. |
| North Carolina |
2013. North Carolina Oral Health Section. Kindergarten and Fifth Grade Oral Health Status. County Level Summary 2012-2013. North Carolina Division of Public Health, Dental Health Section. NO MENTION OF DENTAL FLUOROSIS. |
| North Carolina |
2014. Revised Statewide Oral Health Strategic Plan: Collaboration for Integrated and Comprehensive Oral Health. North Carolina Department of Health and Human Services. February 1. “WHITE SPOT LESIONS’ mentioned on page 22. No other mention of dental fluorosis. |
| North Dakota |
2005. North Dakota Oral Health Survey 2004-2005 School Year. Prepared by Kathy Phipps, DrPH, ASTDD Data Coordinator, Morrow Bay, CA. NO MENTION OF DENTAL FLUOROSIS. |
| North Dakota |
2012. Oral Health in North Dakota. Burden of Disease and Plan for the Future 2012-2017. North Dakota Oral Health Department, North Dakota Department of Health. NO MENTION OF DENTAL FLUOROSIS. |
| Ohio |
2013. Oral Health Section 2013 Plan. Ohio Department of Health. NO MENTION OF DENTAL FLUOROSIS. |
| Ohio |
2014. Ohio Oral Health Surveillance Plan, 2014-2018. Ohio Department of Health. February 1. NO MENTION OF DENTAL FLUOROSIS. |
| Oklahoma |
2009. Governors Task Force on Children and Oral Health. August. NO MENTION OF DENTAL FLUOROSIS. |
| Oklahoma |
2013. Oklahoma Oral Health Needs Assessment 2013. Third Grade Children. By the Oklahoma State Department of Health, Dental Health Service. NO MENTION OF DENTAL FLUOROSIS. |
| Oregon |
2014. Oregon Oral Health Surveillance System 2002-2014. By the Oregon Health Authority, Public Health Division, Oral Health Program. NO MENTION OF DENTAL FLUOROSIS. |
| Oregon |
2014. Strategic Plan for Oral Health in Oregon:2014-2020. Oregon Oral Health Coalition, Oregon Health Authority, Oregon Health Funders Collaborative. NO MENTION OF DENTAL FLUOROSIS. |
| Pennsylvania |
2002. Oral Health Strategic Plan for Pennsylvania. Commonwealth of Pennsylvania Department of Health. November 2002. NO MENTION OF DENTAL FLUOROSIS. |
| Rhode island |
2011. Rhode Island Oral Health Plan, 2011-2016. Rhode Island Oral Health Commission, Rhode Island Department of Health. January. NO MENTION OF DENTAL FLUOROSIS. |
| Rhode island |
2012. Oral Health of Rhode Island’s Children. By the Rhode Island Department of Health, Oral Health Program. February. NO MENTION OF DENTAL FLUOROSIS. |
| South Carolina |
2008. South Carolina State Oral Health Plan. Update May 26, 2008. NO MENTION OF DENTAL FLUOROSIS. |
| South Dakota |
2014. The Oral Health of South Dakota’s Third Grade Children Compared to the General U.S. Third Grade Population. South Dakota Department of Health Data Brief June 2014. NO MENTION OF DENTAL FLUOROSIS. |
| South Dakota |
2015. Oral Health Plan for South Dakota, 2015-2020. South Dakota Oral Health Coalition. Spring. NO MENTION OF DENTAL FLUOROSIS. |
| Tennessee |
2010. Tennessee Smiles: The UT Grassroots Oral Health Outreach Initiative. By Lewis MW, Wasson W, Scarbecz M, Aubertin MA, Woods M, Himel VT. Journal of the Tennessee Dental Association. 91-4. NO MENTION OF DENTAL FLUOROSIS. |
| Texas |
2008. Oral Health in Texas 2008. By the Texas Department of State Health Service, the Centers for Disease Control and Prevention, and the U.S. Department of Health and Human Services. NO MENTION OF DENTAL FLUOROSIS. |
| Utah |
2012. Utah’s Plan of Action to Promote Oral Health. A Public-Private Partnership, Utah Oral Health Coalition. NO MENTION OF DENTAL FLUOROSIS. |
| Vermont |
2014. Vermont Oral Health Plan 2014. By the Vermont Department of Health. NO MENTION OF DENTAL FLUOROSIS. |
| Virginia |
2011. Oral Health in Northern Virginia. A report commissioned by the Northern Virginia Health Foundation. September 2011. NO MENTION OF DENTAL FLUOROSIS. |
| Washington | 2011. Smile Survey 2010. The Oral Health of Washington’s Children. By the Washington State Department of Health; Delta Dental Washington Dental Service Foundation; Washington State Department of Early Learning. March.
WHITE SPOT LESIONS in Head Start/ECEAP Preschoolers is 20.5%WHITE SPOT: Head Start/ECEAP Preschoolers by race:
|
| West Virginia |
2010. West Virginia Oral Health Plan 2010-2015. By the West Virginia Department of Health & Human Resources. March 2010. NO MENTION OF DENTAL FLUOROSIS. |
| Wisconsin |
2012. The Health of Dane County. The Oral Health Crisis. Produced by the Public Health Madison & Dane County and the Oral Health Coalition of Dane County. May 2012. NO MENTION OF DENTAL FLUOROSIS. |
| Wisconsin |
2013 – Healthy Smiles / Healthy Growth. Wisconsin’s Third Grade Students. By Olson M, Chaffin J, Chudy N, Yang A. The publication was made possible in part by funding from two grants from the Centers for Disease Control and Prevention. The Division of Oral Health, Cooperative Agreement DP08-802 and the Division of Nutrition, Physical Activity and Obesity Cooperative Agreement 5U58DP001494-05. NO MENTION OF DENTAL FLUOROSIS. |
| Wyoming |
2010. Oral Health in Wyoming. Final Report. Wyoming Department of Health. NO MENTION OF DENTAL FLUOROSIS. |
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