American Dental Association … Fluoride Information

August 31st, 2015 - By steve.mccormack

water.

American Dental Association … Fluoride Info

This web site has various information on fluoride.  It has the ADA’s  policies, position statement, recommendations, references, current news, and other resources.

Please use the “dentist version” for the most information available.

ADA Fluoridation Facts

[1] Infant Fluoride Recommendations

February 10th, 2015 - By steve.mccormack

infant formula

INFANT FORMULA & FLUORIDE
The U.S. Food and Drug Administration (FDA) in October 2006 announced that it will allow bottlers to claim that fluoridated water may reduce the risk of caries (tooth decay). The American Dental Association (ADA) agrees with the FDA that this health claim is not intended for use on bottled water marketed to infants, for whom lesser amounts of fluoride are appropriate. The right amount of fluoride is needed to help protect teeth and prevent caries. Fluoride intake above optimal amounts, however, creates a risk of developing enamel fluorosis in teeth during their development before they erupt through the gingiva (gums). Most cases of enamel fluorosis result in faint white lines or streaks on tooth enamel that are not readily apparent to the affected person or the casual observer.

OPTIMAL FLUORIDE LEVEL
The optimal fluoride level in drinking water is 0.7 to 1.0 parts per million, an amount that has been proven beneficial in reducing caries. In some areas, naturally occurring fluoride may be above or below these levels. The U.S. Environmental Protection Agency requires notification by the water supplier if the fluoride level exceeds 2 ppm.
People living in areas where naturally occurring fluoride levels in drinking water exceed 2 ppm should consider an alternative water source or home water treatments to reduce the risk of fluorosis in young children.

RECONSTITUTED INFANT FORMULA
The ADA offers these recommendations to reduce fluoride intake from reconstituted infant formula. Breast milk is widely acknowledged as the most complete form of nutrition for infants. The American Academy of Pediatrics recommends human milk for all infants (except for the few for whom breast-feeding is determined to be harmful).

For infants who get most of their nutrition from formula during their first 12 months, ready-to-feed formula is preferred to help ensure that their fluoride intake does not exceed the optimal amount.   If liquid concentrate or powdered infant formula is the primary source of nutrition, it can be mixed with water that is fluoride-free or contains low levels of fluoride to reduce the risk of fluorosis. These include water labeled as purified, demineralized, deionized or distilled, as well as reverse osmosis filtered water. Many stores sell these types of drinking water for less than $1 per gallon.

Parents and caregivers should consult with their dentist, pediatrician or family physician regarding the most appropriate water to use in their area to reconstitute infant formula. Ask your pediatrician or family physician whether water used in infant formula should be sterilized first (sterilization, however, will not remove fluoride).

toothbrush

TOOTHPASTE & MOUTHRINSE

Unless advised to do so by a dentist or other health care professional, parents should not use fluoride toothpaste in children younger than 2 years, because they may inadvertently swallow the toothpaste.  Children 2 years and older should use an appropriate-sized toothbrush with a small brushing surface and only a pea-sized amount of fluoride toothpaste at each brushing. They should always be supervised while brushing and taught to spit out, rather than swallow, toothpaste.

Fluoride mouth rinses have been shown to help prevent caries in both children and adults. Unless the child’s dentist advises otherwise, the ADA does not recommend the use of fluoride mouth rinses in children younger than 6 years, because they may be more likely to inadvertently swallow the mouth rinse. Fluoride supplements are not recommended for children younger than 6 months. Children should receive only dietary supplemental fluoride tablets or drops as prescribed by their dentist or physician based on the supplement schedule approved by the ADA, the American Academy of Pediatrics and the American Academy of Pediatric Dentistry
(visit “www.ada.org”).

[2] The Importance of Fluoride

December 15th, 2014 - By admin

fluoridated water

 

The American Dental Association position on Community Water Fluoridation

• All water, including lakes, rivers and the ocean, contains naturally occurring amounts of fluoride.   If the natural level of fluoride in water is very low, public water systems may adjust it to an optimal level proven to help prevent tooth decay–approximately 1 part of fluoride dissolved in a million parts of water. This process is called community water fluoridation.
• Based on the weight of scientific evidence, which indicates that community water fluoridation can help prevent up to 40 percent of tooth decay, the American Dental Association remains a strong advocate for community water fluoridation.    The World Health Organization, the American Medical Association, the Centers for Disease Control and Prevention as well as the ADA and many other health organizations acknowledge that water fluoridation is a public health measure that has contributed to a significant decline in dental decay over the past 70 years.

2011 Press Release

January 31st, 2011 - By steve.mccormack

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HHS and EPA announce new scientific assessments

and actions on fluoride

Agencies working together to maintain benefits of preventing tooth decay
while preventing excessive exposure 

 

Press Release January 2011 …

WASHINGTONThe U.S. Department of Health and Human Services (HHS) and the U.S. Environmental Protection Agency (EPA) today are announcing important steps to ensure that standards and guidelines on fluoride in drinking water continue to provide the maximum protection to the American people to support good dental health, especially in children. HHS is proposing that the recommended level of fluoride in drinking water can be set at the lowest end of the current optimal range to prevent tooth decay, and EPA is initiating review of the maximum amount of fluoride allowed in drinking water.

These actions will maximize the health benefits of water fluoridation, an important tool in the prevention of tooth decay while reducing the possibility of children receiving too much fluoride. The Centers for Disease Control and Prevention named the fluoridation of drinking water one of the ten great public health achievements of the 20th century.

“One of water fluoridation’s biggest advantages is that it benefits all residents of a community—at home, work, school, or play,” said HHS Assistant Secretary for Health Howard K. Koh, MD, MPH. “Today’s announcement is part of our ongoing support of appropriate fluoridation for community water systems, and its effectiveness in preventing tooth decay throughout one’s lifetime.”

“Today both HHS and EPA are making announcements on fluoride based on the most up to date scientific data,” said EPA Assistant Administrator for the Office of Water, Peter Silva.

There are several reasons for the changes seen over time, including that Americans have access to more sources of fluoride than they did when water fluoridation was first introduced in the United States in the 1940s. Water is now one of several sources of fluoride. Other common sources include dental products such as toothpaste and mouth rinses, prescription fluoride supplements, and fluoride applied by dental professionals. Water fluoridation and fluoride toothpaste are largely responsible for the significant decline in tooth decay in the U.S. over the past several decades.

HHS’ proposed recommendation of 0.7 milligrams of fluoride per liter of water replaces the current recommended range of 0.7 to 1.2 milligrams. This updated recommendation is based on recent EPA and HHS scientific assessments to balance the benefits of preventing tooth decay while limiting any unwanted health effects.

The new EPA assessments of fluoride were undertaken in response to findings of the National Academies of Science (NAS).  At EPA’s request, in 2006 NAS reviewed new data on fluoride and issued a report recommending that EPA update its health and exposure assessments to take into account bone and dental effects and to consider all sources of fluoride.    In addition to EPA’s new assessments and the NAS report, HHS also considered current levels of tooth decay and dental fluorosis and fluid consumption across the United States.

 Click on these Government Sites:

Health & Human Services Community Water Fluoridation Information

CDC Fluoride Information