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Contemporary Fluoride Use in Oral Health

Background and Foundation

Learning Objectives  

This is part I of a four-part series about fluoride on THE NEXT DDS. After hearing this podcast, the listener should:
  • Understand the role of fluoride in preventing caries and preserving oral health
  • Understand the concept of water fluoridation
The decline of dental caries in the United States can logically be attributed to the widespread use of fluoride. Moreover, fluoride is safe when used appropriately, and may be of most benefit to those at highest risk of dental decay. The Centers for Disease Control and Prevention has issued recommendations for fluoride use that highlight the need for fluoride throughout one’s life span. Although some controversy surrounds fluoride application, the preponderance of evidence shows that fluoride usage can be a boon to oral health.
For Part II of this series about fluoride, visit this link: Fluoride Use for Prevention
Related Reading:
  1. Centers for Disease Control and Prevention.  Recommendations for using fluoride to prevent and control dental caries in the United States. MMWR 2001;50 (RR-14):1-42.
  1. Wilkins E. Clinical practice of the Dental Hygienist, 8th ed. Philadelphia,PA. Lippincott, Williams & Wilkins, 1999:456.
  1. Rolla G, Ekstrand J. Fluoride in Dentistry. 2nd ed. Copenhagen, Munksgaard, 1996:215-229.
  1. Stooky G, Schemehorn B, Drook C. The effect of rinsing with water immediately after a professional fluoride gel application on fluoride uptake in demineralized enamel. Pediatr Dent 1986;8:153.
  1. American Academy of Periodontology. The pathogenesis of periodontal diseases. J Periodontol 1999;70:457-470.
  1. Rethman J.  Trends in preventive care:  caries risk assessment and indications for sealants.  JADA 2000: 131 (supple): 8-12s.
  1. Caries diagnosis and risk assessment. A review of preventive strategies and management. JADA 1995;126(suppl):8S-12S.
  1. Niessen LC, Despain B. Clinical strategies for prevention of oral diseases. J Esthet Dent 1996:8(1):3-11.
  1. American Academy of Periodontology. World Workshop in Clinical Periodontics 1996;1(1):2340241.
  1. Mazza J, Newman M, Sims T. Clinical and antimicrobial effect of stannous fluoride on periodontitis. J Clin Periodontol 1981;8:203-212.
  1. Wieder S, Newman H, Strahan J. Stannous fluoride and subgingival chlorhexidine irrigation in the control of plaque and chronic periodontitis. J Clin Periodontol 1983;10:172-181.
  1. Yoits W. The action of sodium fluoride on suspected periodontopathogens. J Periodont Res 1988;23:340-344.
  1. Ravald N, Birkhed D, Hamp S. Root caries susceptibility in periodontally treated patients. J Clin Periodontol 1993;20:124-129.
  1. Kaste LM, Selwitz RH, Oldakowski RJ, et al. Coronal caries in the primary and permnent dentition of children and adolescents 1-17 years of age: United States, 1988-1991. J Dent Res 1996;75(Spec No):631-641.
  1. Limeback H. A re-examination of the pre-eruptive and post-eruptive mechanism of the anti-caries effects of fluoride: is there any anti-caries benefit from swallowing fluoride? Community Dentistry and Oral Epidemiology 1999;27:62-71.
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