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The Use of Fluoride In Infants and Children
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"The use of fluoride in infants and
children
Nutrition Committee , Canadian Paediatric Society (CPS)
Paediatr Child Health 2002;7(8):569-72
Reference No. N02-01 (Formerly N95-02)
Revision in progress February 2009
Parent handout: Healthy teeth for children
Index of position statements from the Nutrition
and Gastroenterology Committee
The Canadian Paediatric Society
gives permission to print single copies of this document from our website.
Visit the index of position
statements to see which are available as pdf files. For permission to reprint or
reproduce multiple copies, please submit a detailed request to
info@cps.ca .
Contents
Fluorosis
Mechanism of Action of Fluoride
Toothpaste
Underlying considerations
Recommendations
Table 1: Levels of evidence of the mechanisms of action of fluoride in preventing tooth decay
Table 2: Recommended supplemental fluoride concentrations for children
The introduction of fluoride to drinking water in 1958
resulted in a dramatic reduction of dental caries (1). Subsequently, fluoride
supplements were advocated for children whose water was not fluoridated, and now
almost all toothpaste contains fluoride. The result is that multiple sources of
fluoride, such as fluoridated toothpastes, fluoride supplements (drops and
lozenges) and naturally occurring fluoride, have contributed to an increase in
the incidence of fluorosis. The challenge is to provide the right amount of
fluoride in a reliable and safe manner. Fluoride has been found to be effective
in preventing caries but there have been no controlled studies to evaluate the
optimal dose.
The recommendations on fluoride use in a 1995 statement by
the Canadian Paediatric Society (CPS) (2) differed substantially from those of
t"
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