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NBDE Dental Boards Pedo 21 18

This document provides guidelines for systemic fluoride supplementation based on age and water fluoride levels. It recommends no supplementation for children under 6 months or over drinking water with more than 0.6 ppm fluoride. The recommended levels of fluoride supplementation range from 0 to 1 mg based on age and water fluoride content. The document also lists facts about fluoride, types of fluoride supplements, toxicity levels, symptoms of toxicity, and fluorosis.

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59 views1 page

NBDE Dental Boards Pedo 21 18

This document provides guidelines for systemic fluoride supplementation based on age and water fluoride levels. It recommends no supplementation for children under 6 months or over drinking water with more than 0.6 ppm fluoride. The recommended levels of fluoride supplementation range from 0 to 1 mg based on age and water fluoride content. The document also lists facts about fluoride, types of fluoride supplements, toxicity levels, symptoms of toxicity, and fluorosis.

Uploaded by

Notopros
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Systemic Fluoride Supplementation

Age
birth-6 months
6 months-3 yrs
3-6 yrs
6-16 yrs

<0.3ppm
0
0.25mg
0.5mg
1 mg

0.3-0.6ppm
0
0
0.25mg
0.5mg

>0.6ppm
0
0
0
0

-Rule of 6s:
a) if fluoride water level is over 0.6ppm, no supplementation
b) if child is under 6 months, no supplementation
c) if child is over 16 yrs, no supplementation
Fluoride Facts
1) Food and Nutrition Board recommends public water supplies be fluoridated when levels are significantly below
0.7 mg/L
2) Fluoride intake of 20-40 mg/day can inhibit enzyme phosphatase
-phosphatase needed for calcium utilization in tissues (bones and teeth)
3) Fluoride intake of 40-70 mg/day can cause heartburn and pain in extremities
4) Fluoride can displace calcium in body, as well as calcium displacing fluoride (calcium treats fluoride toxicity)
5) Topical fluoride does not cause fluorosis, only systemic
6) School water fluoridation is 4.5x city water
7) Greatest conc. of fluoride at outermost enamel layer
8) Proximal and smooth surfaces benefit most from fluoride
9) Fluoride excreted by kidney
10) Toothpaste contains 1100 ppm fluoride (1% F-)
Types of Fluoride
1) 2% Sodium fluoride (NaF): neutral pH (~9), acceptable taste, no adverse effects on restorations
2) 8% stannous fluoride (SnF2): nonstable, bad taste, stains restoration margins
-pH of 2 (acidic)
3) 1.23% acidulated phosphate fluoride (APF): acceptable taste, can cause etching of porcelain and composites
-pH of 3 (acidic)
Fluoride Toxicity (Lethal Doses)
1) Adults: 4-5g
2) Children: 15 mg/kg
Symptoms of Fluoride Toxicity
1) Nausea/vomiting
2) Hypersalivation
3) Abdominal pain
4) Diarrhea
5) Cardiac failure and resp. paralysis
6) Fluorosis
Fluorosis (Mottling)
-enamel hypoplasia char. by chalky white spots or brown staining and pitting of teeth from increased fluoride levels
affecting enamel matrix formation and calcification
-excessive fluoride impairs ameloblastic fxn
-severity increases w/ increasing amt of fluoride (low-dose, long-term excess)
-children living in temp. zones where water supply contains higher content of fluoride are most affected
-is irreversible condition

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