Abstract
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 recorded by a detailed interview with the parents. Short-duration breastfeeding and the use of tap water for reconstitution of infant formula significantly increased the risk of developing fluoride (F) opacities (p = 0.02). There was no statistically significant difference in the distribution of medical problems that have been reported to cause enamel opacities in the study group and the control group.
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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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Dietary fluoride intake for fully formula-fed infants in New Zealand: impact of formula and water fluoride.
OBJECTIVE: A survey of the fluoride content of infant and toddler formulae available on the New Zealand market was conducted. Results were used to estimate the dietary fluoride intake for a fully formula-fed infant. METHODS: Infant and toddler formulae were prepared according to manufacturers' instructions with fluoride-free water and analyzed
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Dietary fluoride intake from infant and toddler formulas in Poland.
Risk of enamel fluorosis associated with excessive fluoride intake during infancy and early childhood has been widely reported in literature. Results of several studies indicate that infant formula consumption, especially in the form of powdered concentrate, may appreciably increase children's fluoride exposure in optimally fluoridated communities. The aim of the
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Endemic fluorosis in San Luis Potosi, Mexico. I. Identification of risk factors associated with human exposure to fluoride.
In order to identify risk factors associated with human exposure to fluoride in San Luis Potosi (SLP), Mexico, a biochemical and epidemiological study was carried out in 1992. Results from the analysis of fluoride sources showed that 61% of tap water samples had fluoride levels above the optimal level of
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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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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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Community Fluorosis Index (CFI)
The current Community Fluorosis Index for U.S. adolescents as a whole (from both fluoridated and non-fluoridated areas) is roughly 5 times higher than the CFI health authorities predicted for fluoridated areas when fluoridation first began. It is also higher than the CFI that the NIDR found in fluoridated areas back in the 1980s. It is readily apparent, therefore, that children are ingesting far more fluoride than was the case in the 1950s, and even as recently as the 1980s.
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Moderate/Severe Dental Fluorosis
In its "moderate" and severe forms, fluoride causes a marked increase in the porosity of the enamel. After eruption into mouth, the porous enamel of moderate to severe fluorosis readily takes up stain, creating permanent brown and black discolorations of the teeth. In addition to extensive staining, teeth with moderate to severe fluorosis are more prone to attrition and wear - leading to pitting, chipping, and decay.
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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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Kidney Patients Are at Increased Risk of Fluoride Poisoning
It is well established that individuals with kidney disease are susceptible to suffering bone damage and other ill effects from low levels of fluoride exposure. Kidney patients are at elevated risk because when kidneys are damaged they are unable to efficiently excrete fluoride from the body. As a result, kidney patients
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