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Medical Forum / General / Dentistry / March 2006

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Kids may get excess fluoride from beverages

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Roman Bystrianyk - 14 Mar 2006 00:01 GMT
Charnicia Huggins, "Kids may get excess fluoride from beverages",
Reuters UK, March 13, 2006,
Link:
http://today.reuters.co.uk/news/newsArticle.aspx?type=healthNews&storyID=2006-03
-13T202852Z_01_COL373665_RTRIDST_0_HEALTH-EXCESS-FLUORIDE-DC.XML&archived=False


While fluoride protects against cavities, some children may be getting
too much of it via fluoridated beverages, and have the telltale white
streaks on their teeth to prove it.

A study of 408 Iowa children found that more than one in three showed
such signs of dental fluorosis. Their fluoride sources included
different types of beverages, such as infant formula and 100 percent
fruit juice.

In light of the findings, parents should "beware of the potential for
the risk of fluorosis," study author Dr. Teresa A. Marshall, an
assistant professor at the University of Iowa's College of Dentistry,
told Reuters Health.

Combining the fluoride in such beverages with the fluoride in
toothpaste, supplements, and other sources may, in some cases, lead to
mild fluorosis, such as that seen in the current study.

"Parents should be educated as to how much toothpaste their children
are using and whether (fluoride) supplements are necessary," Marshall
said.

Marshall, a registered dietitian at the college, and her team conducted
the study to examine associations between dental fluorosis of the
permanent incisor teeth and children's beverage consumption during
infancy and early childhood.

The 10- to 13-year-old participants were followed from birth as part of
the Iowa Fluoride Study. The researchers reviewed parents' three-day
diaries of the children's beverage consumption at 6, 9 and 12 months
and every four months later up to 3 years of age. They also analyzed
the fluoride concentration of well waters and various purchased drinks.
The children had their teeth examined by a dentist when they were 7 to
12 years old.

The findings were presented during the annual meeting of the American
Association of Dental Research.

Overall, nearly 36 percent of the children had white streaks on their
teeth or other signs of mostly mild dental fluorosis. These children
consumed more 100 percent juice at 16 months and less milk at 9 months
than did those without fluorosis, the researchers note.

Children with fluorosis also consumed more fluoride from various
beverage sources, including infant formulas at 6 and 9 months and 100
percent juice at 12, 16, and 20 months than did those without any signs
of fluorosis.

Thus, "fluoride intakes from beverages during infancy and early
childhood contribute to fluorosis of the permanent incisors," the
researchers conclude.

Yet, Marshall stops short of recommending that parents make specific
dietary changes. She instead advises that they follow recommendations
by the American Academy of Pediatrics, including limiting their child's
juice consumption to four ounces daily, and says that adults should
"have (their) water tested for fluoride prior to getting supplements,"
as is recommended by most dental professionals.

"There's not one recommendation that's blanket for everyone because
there's so many different sources of fluoride," Marshall said.
kvteeth - 14 Mar 2006 01:06 GMT
Roman Bystrianyk Wrote:
> Charnicia Huggins, "Kids may get excess fluoride from beverages"
> Reuters UK, March 13, 2006
[quoted text clipped - 62 lines]
> "There's not one recommendation that's blanket for everyone becaus
> there's so many different sources of fluoride," Marshall said.
Its about time that enamel fluorosis prevention is publically addresed

Thanks for posting this

--
kvteet
nyscof - 14 Mar 2006 01:14 GMT
> Charnicia Huggins, "Kids may get excess fluoride from beverages",
> Reuters UK, March 13, 2006,
[quoted text clipped - 9 lines]
> different types of beverages, such as infant formula and 100 percent
> fruit juice.

The same research team, working on the same Iowa Fluoride Study, found
that children living in fluoridated communities have more fluorosis but
no less tooth decay than children living in suboptimally fluoridated
areas.  However, that study didn't come with a news release.  So we
suspect no media will report it.  So we will

                                           New Studies:  Fluoride Not
Preventing Tooth Decay

New York - March 9 -- Fluoride is not stopping cavities and is
causing discolored teeth, is reported in several new studies to be
presented at the American Association for Dental Research's annual
meeting from March 8 - 11, 2006, in Orlando, Florida, reports the New
York State Coalition Opposed to Fluoridation (NYSCOF).

For example:

-- Researchers following children from  birth, starting in 1991- 1995
(Iowa Fluoride Study), found almost double the dental fluorosis in
early erupting permanent teeth of 9 year-olds drinking optimally
fluoridated water compared to children drinking sub-optimally
fluoridated water (41% vs. 21%); but no less tooth decay.(1)

-- Researchers found no significant relationship between fluoride
exposure and cavities in permanent teeth of 6 to 9-year-olds in
Campeche, Mexico(2). Previously, it was reported that 56% of this group
has dental fluorosis.(3)

-- A U.S. national study reports cavity prevalence increased by 15% in
2 to 5-year-olds,  in surveys taken between 1988-1994 and 1999-2002,(4)
despite 60 years of water fluoridation reaching 2/3 of Americans on
public water supplies and virtually 100% via the food supply. However,
the Centers for Disease Control report that 1/3 to 1/2 of U.S.
schoolchildren display dental fluorosis.(4a)

-- Another U.S. study shows that breastfed children have less cavities
than non-breastfed.(5) even though breast milk has 100 times less
fluoride than dentists claim is optimal to reduce cavities.
Breastfeeding is also protective against fluorosis.(5a)

-- Although New York City fluoridated in 1965, NYC children of Chinese
descent suffer a much higher prevalence and severity of tooth decay
than the national average (63% vs 38%). (6)

-- About half of 7 to14-year-old children from fluoridated Rochester,
NY, have cavities. Latino children had significantly higher caries
experience than African-American and Caucasian children, thus
indicating that disparities exist among different ethnic groups even
when the water is fluoridated.(7)

--  In fluoridated Detroit, 91% of African American low-income
children, 5 years and younger, have tooth decay.(8)

"Today, fluoridation puts American children at risk of dental
fluorosis without any benefit of less tooth decay," says Paul Beeber,
NYSCOF President and General Counsel. "And growing evidence links
fluoride to hypersensitivities, bone damage, thyroid problems and
more," says Beeber.

These studies add to a growing body of evidence pointing to fluoride's
ineffectiveness and lack of safety:  See:
http://www.fluoridealert.org/health/teeth/caries/fluoridation.html#top

www.orgsites.com/ny/nyscof

www.FluorideAction.Net

SOURCE:  NYS Coalition Opposed to Fluoridation, Inc

PO Box 263

Old Bethpage, NY  11804

References:

(1) AADR 35th Annual Meeting in Orlando:
Abstract # 0153 - Dental caries and fluorosis in relation to water
fluoride levels, I Hong, SM Levy, J Warren, B Broffitt
http://snipurl.com/n8hg

(2) AADR 35th Annual Meeting in Orlando:

Abstract # 1995 - Cross-Sectional analysis of dental caries in children
with mixed dentition, AA Vallejos-Sanchez, CE Mendina-Solis, JF
Casanova-Rosado, G Maupome, AJ Casanova-Rosado, M Minaya-Sanchez
http://snipurl.com/n8i9

(3)  Prevalence of dental fluorosis and additional sources of exposure
to fluoride as risk factors to dental fluorosis in schoolchildren of
Campeche, Mexico, PR Beltran-Valladares, H Cocom-Tun, JF
Casanova-Rosado, AA Vallejos-Sanchez, CE Medina-Solis, G Maupome, Rev
Invest Clin. 2005 Uly-Aug;57(4):532-9

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstra
ct&list_uids=16315637&query_hl=1&itool=pubmed_docsum


(4) AADR 35th Annual Meeting in Orlando:

Abstract # 0458 - Trends in Dental Caries of Primary Teeth, United
States, 1988-2002, F Jaramillo, E Beltran, L Barker, S Griffin, Centers
for Disease Control and Prevention  http://snipurl.com/n8jq

(4a) Beltrán-Aguilar et al. Surveillance for Dental Caries, Dental
Sealants, Tooth Retention, Edentulism and Enamel Fluorosis - United
States, 1988-1994 and 1999-2002. MMWR. CDC August 26, 2005

http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5403a1.htm

(5) AADR 35th Annual Meeting in Orlando:

Abstract # 0881 -  No association between breastfeeding and early
childhood caries: NHANES 1999-2002, H Iida, P Auinger, M Weitzman, RJ
Billings   http://snipurl.com/n8jw

(5a) Breastfeeding is Protective Against Dental Fluorosis in a
Nonfluoridated Rural Area of Ontario, Canada, D Brothwell, H Limeback,
Journal of Human Lactation, Vol. 19, No. 4, 386-390 (2003)
http://jhl.sagepub.com/cgi/content/abstract/19/4/386

(6) AADR 35th Annual Meeting in Orlando:

Abstract # 0l50 - Caries Experience among Chinese-American Children and
Adolescents in Lower Manhattan, CH Chinn  http://snipurl.com/n8k9

(7) AADR 35th Annual Meeting in Orlando:

Abstract # 0478 - Dental Caries in Latino Elementary School Children, S
Gajendra     http://snipurl.com/n8lz

(8) AADR 35th Annual Meeting in Orlando:

Abstract # 1992 - Severity of Dental Caries Among African American
Children in Detroit, AI Ismail, M Tellez  http://snipurl.com/n8m2





Fluoridation News Releases
http://tinyurl.com/6kqtu
Joel344 - 14 Mar 2006 05:09 GMT
Yup they may .....

--
Joel34
One_Voice - 30 Mar 2006 18:46 GMT
My awareness of the dangers of fluoride is very new. Four days ago
came across this topic entirely by accident. It has consumed me since
As a mother I try to educate myself in order to provide better care fo
my children.
Like most people, I believed fluoride was good for us. So, naturally,
provided fluoride toothpaste and rinse for my children. I don't allo
softdrinks, and only occasional sweets (ice cream, homemade cookies
NOT candy). My middle child has what I now know to be moderate denta
fluorisis. My reaction to his condition will always cause me shame.
encouraged more brushing, and more frequent use of the rinse \"ACT\"
Little did I know, this stuff is already present in our environment
food, and drinks.
In my research I found that I am not alone in my \"educated\" treatmen
of my childs condition
The fallowing is a very disturbing quote from the 'California Denta
Association - Early Childhood Caries
(http://www.cda.org/articles/babybottle.htm)fact sheet
> To inspect for early decay, parents should “lift the lip” to chec
> for white spots on the teeth. These white spots are the signs of earl
> decay and, if seen on your child’s teeth, are indications that you
> child should be seen by a dentist. The dentist may want to apply
> fluoride coating to your baby’s teeth every few months to provid
> extra protection to these “damaged” areas of tooth enamel.
It would seem that this publication by a respected resource fo
dentists in encouraging the treatment of dental fluorosis in babie
with topical application of fluoride. This was very discouraging
I was relieved to see that there are some dentists addressing thi
issue. I can not thank you enough for your awareness
I have started a site with the goal of educating and mobilzing th
masses to end water fluoridation for good
It is still in it's infant stages, but I have high hopes, and devotion
This must stop!
'One_Voice' (http://groups.msn.com/UnitedVoice
Please stop by, any suggestions for flyers, actions, etc. would b
helpful. We will need as many people as we can get, with dentists
doctors and public officials being especially helpful in raising th
credibility and strength of our group, as well as helping to guide ou
steps to make this an effective campaign.

Again, thank you. Your awareness is encouragement I desperately neede
in my time of sad disillusionment

--
One_Voic
nyscof - 30 Mar 2006 22:49 GMT
Check out what the Environmental Working Group  says about fluoride.
It's their top story

http://www.ewg.org/

Also check out the science presented by second look at

http://www.slweb.org/fluoridation.html

You can access the scientific journal, Fluoride, here:

http://www.fluorideresearch.org

I know our name scares people; but if you look at our news releases,
you'll see they are evidenced-based.

New York State Coalition Opposed to Fluoridation, Inc.
http://www.orgsites.com/ny/nyscof

Fluoridation News Releases
http://tinyurl.com/6kqtu

Fluoride News Tracker
http://www.fluoridenews.blogspot.com/

Fluoride Action Network
http://www.FluorideAction.Net

> My awareness of the dangers of fluoride is very new. Four days ago I
> came across this topic entirely by accident. It has consumed me since.
[quoted text clipped - 43 lines]
> One_Voice's Profile: http://dentalcom.net/forum/member.php?userid=1074
> View this thread: http://dentalcom.net/forum/showthread.php?t=3998
Steven Bornfeld - 30 Mar 2006 23:08 GMT
> My awareness of the dangers of fluoride is very new. Four days ago I
> came across this topic entirely by accident. It has consumed me since.
[quoted text clipped - 20 lines]
>>fluoride coating to your baby’s teeth every few months to provide
>>extra protection to these “damaged” areas of tooth enamel.

    While there have been occasional reports of dental fluorosis in primary
teeth, they are reported to my knowledge in places with exceptionally
high fluoride levels in the water.  I have never in 30 years in practice
seen what I consider clinical fluorosis in primary teeth (and the mild
cases I've seen are on the primary molars).
    While fluorosis is quite common in secondary teeth, if you see white
spots on primary teeth it is almost certainly either incipient caries or
some genetic or acquired hypocalcification.  Your dentist can confirm
this on exam.  Topical fluoride applications are appropriate in these
cases and can significantly inhibit progress of decay.

Steve

> It would seem that this publication by a respected resource for
> dentists in encouraging the treatment of dental fluorosis in babies
[quoted text clipped - 14 lines]
> Again, thank you. Your awareness is encouragement I desperately needed
> in my time of sad disillusionment.
nyscof - 31 Mar 2006 12:49 GMT
>     While there have been occasional reports of dental fluorosis in primary
> teeth, they are reported to my knowledge in places with exceptionally
> high fluoride levels in the water.

Steve you are wrong.  Even the CDC concedes that from 1/3 to 1/2 of all
schoolchildren have dental fluorosis.

The Iowa Fluoride Study, which the original poster is actually
referring to, was done in children from so-called optimally fluoridated
areas.  By the way, they also found no difference in decay rates
between children living in fluoridated vs non-fluoridated areas

I have never in 30 years in practice
> seen what I consider clinical fluorosis in primary teeth (and the mild
> cases I've seen are on the primary molars).

I'm sure you realize your results are anecdotal.  And, if you don't
accept Mediciad patients, you are probably excluding a subset of the
population  which not only have the most cavities; but the most
fluorosis.

>     While fluorosis is quite common in secondary teeth, if you see white
> spots on primary teeth it is almost certainly either incipient caries or
> some genetic or acquired hypocalcification.  Your dentist can confirm
> this on exam.  Topical fluoride applications are appropriate in these
> cases and can significantly inhibit progress of decay.

How do you know when a white spot is a beginning cavity or a dental
fluosis spot? From what I've read the beginning of baby bottle tooth
decay are white lines at the based on the tooth meeting the gumline
which quickly turns into rampant tooth decay .

NYSCOF
Steven Bornfeld - 31 Mar 2006 17:40 GMT
>>    While there have been occasional reports of dental fluorosis in primary
>>teeth, they are reported to my knowledge in places with exceptionally
>>high fluoride levels in the water.
>
> Steve you are wrong.  Even the CDC concedes that from 1/3 to 1/2 of all
> schoolchildren have dental fluorosis.

    If you can point me to evidence that this incidence of fluorosis is
seen in the PRIMARY teeth of schoolchildren, I would be interested in
seeing it.

Thanks,
Steve

> The Iowa Fluoride Study, which the original poster is actually
> referring to, was done in children from so-called optimally fluoridated
[quoted text clipped - 23 lines]
>
> NYSCOF
nyscof - 31 Mar 2006 18:12 GMT
> >>    While there have been occasional reports of dental fluorosis in primary
> >>teeth, they are reported to my knowledge in places with exceptionally
[quoted text clipped - 6 lines]
> seen in the PRIMARY teeth of schoolchildren, I would be interested in
> seeing it.

You can easily find these studies by doing a medline search on pub med

Here's an interesting fact I just came across today:

(Federal Register, May 13, 1985) that moderate and severe fluorosis
have occurred in the USA at levels as low as 0.7 mg/L, not 4 mg/L as
stated by this report.
 
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