Abstract
Results of the studies indicate that fluoride content in beverages may be highly variable and children can consume substantial amounts of fluoride with these products. Ingestion of excessive fluoride during infancy and early childhood may cause dental fluorosis of permanent maxillary central incisors–the most aesthetically important teeth. The aim of this study was to determine the fluoride content in Polish beverages designed for infants and young children nutrition. Forty-three brands of juices and juice-flavored drinks and 23 instant teas were evaluated. Analyses were performed with the use of ion-selective fluoride electrode (09-37 type) and a RAE 111 chloride-silver reference electrode (MARAT). Fluoride concentrations in most beverages did not exceed 0.3 ppm. However, in three beverages containing tea extract levels of fluoride were higher (0.35-1.14 ppm). Consumption of these beverages could significantly increase child’s fluoride exposure. Therefore, the need exists for continuous monitoring of fluoride levels in products intended for children. Listing fluoride content on beverages would be desirable. Knowledge about possible fluoride ingestion from dietary sources permits the clinician to recommend the safest schedule of fluoride treatment so as the optimal caries preventive effect can be obtained and the risk of dental fluorosis reduced.
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Associations between fluorosis of permanent incisors and fluoride intake from infant formula, other dietary sources and dentifrice during early childhood.
OBJECTIVES: The authors describe associations between dental fluorosis and fluoride intakes, with an emphasis on intake from fluoride in infant formula. METHODS: The authors administered periodic questionnaires to parents to assess children's early fluoride intake sources from beverages, selected foods, dentifrice and supplements. They later assessed relationships between fluorosis of the
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Breastfeeding is protective against dental fluorosis in a nonfluoridated rural area of Ontario, Canada
To determine the relationship between early infant feeding and dental fluorosis in a non-fluoridated area, 1367 children were examined for fluorosis and given a water sample vial and questionnaire. 752 families responded (55%). Breastfeeding was reported by 69% of respondents, with 53.6% breastfed < 6 months, 35.3% 6-12 months, and
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Comparison of recommended and actual mean intakes of fluoride by Canadians
The findings of two separate 1993 reports, one of the actual intake of fluoride by Canadians and the other on their recommended fluoride intake, are summarized and compared. Recent increases in very mild and mild dental fluorosis suggest that the gap between current fluoride intake and recommended intake is narrowing. The daily swallowing of fluoride dentifrice makes
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Etiological factors related to dental fluorosis among children in Poznan, Poland - a preliminary report.
The aim of this study was to make a preliminary assessment of etiological factors related to dental fluorosis of permanent teeth among children in Poznan, Poland. Included were 19 resident children, aged 8–17 with symmetrical diffuse enamel opacities, along with 19 matched controls. Possible etiological factors of dental fluorosis were
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Associations between Intakes of fluoride from beverages during infancy and dental fluorosis of primary teeth
OBJECTIVE: We describe associations between primary tooth fluorosis status and intakes of beverages and fluoride from these beverages during infancy. METHODS: Subjects (n = 677) are members of the Iowa Fluoride Study, a cohort of young children followed from birth. Food and nutrient intakes were obtained from 3-day diet records.
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Severe Dental Fluorosis: Perception and Psychological Impact
[caption id="attachment_8879" align="aligncenter" width="550"] Severe fluorosis - Photograph by David Kennedy, DDS[/caption] In its severe forms, dental fluorosis causes highly disfiguring brown and black staining of the teeth, which can cause chronic embarrassment and social anxiety for the impacted child. In 1984, a panel from the National Institute of Mental Health (NIMH) warned
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Dental Fluorosis in the U.S. 1950-2004
Before the widespread use of fluoride in dentistry, dental fluorosis was rarely found in western countries. Today, with virtually every toothpaste now containing fluoride, and most U.S. water supplies containing fluoride chemicals, dental fluorosis rates have reached unprecedented levels. In the 1950s, it was estimated that only 10% of children in
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Tea Intake Is a Risk Factor for Skeletal Fluorosis
A number of recent studies have found that heavy tea drinkers can develop skeletal fluorosis - a bone disease caused by excessive intake of fluoride.
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Racial Disparities in Dental Fluorosis
In 2005, the Centers for Disease Control published the results of a national survey of dental fluorosis conducted between 1999 and 2002. According to the CDC, black children in the United States have significantly higher rates of dental fluorosis than either white or Hispanic children. This was not the first time that black children were found to suffer higher rates of dental fluorosis. At least five other studies -- dating as far back as the 1960s -- have found black children in the United States are disproportionately impacted by dental fluorosis.
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Diagnostic Criteria for Dental Fluorosis: The TSIF ("Total Surface Index of Fluorosis")
The traditional criteria (the "Dean Index") for diagnosing dental fluorosis was developed in the first half of the 20th century by H. Trendley Dean. While the Dean Index is still widely used in surveys of fluorosis -- including the CDC's national surveys of fluorosis in the United States -- dental
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