Medical Forum / General / Dentistry / March 2006
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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