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Medical Forum / General / General / February 2005

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Dental psychology: how fluoride prevents caries

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Matt - 23 Feb 2005 04:00 GMT
I've come up with the bright idea that dental fluorosis (not just
fluoride) prevents cavities.

Some Colorado town had naturally high fluoride in its water, and
drinking the water turned a lot of people's teeth brown, mottled, and
crumbly.  Not knowing that those symptoms were caused by excessive
fluoride in the water, they looked around to find a way to prevent the
symptoms.  They tried the simplest, cheapest, and most obvious remedy:
improved technique and increased frequency of brushing.

If you listen intently, you can hear the echoes of mothers and dentists
saying, "Jimmy, did you brush your teeth well?  You don't want them to
get worse," and "Mary, you don't want your teeth to turn brown like the
Smith kids---so brush!"

The result is a correlation between a high frequency of dental fluorosis
and a low frequency of dental caries.

Does anyone know that this hypothesis has been proposed previously?  If
so please provide a reference.
Tony Bad - 23 Feb 2005 04:19 GMT
> I've come up with the bright idea that dental fluorosis (not just
> fluoride) prevents cavities.
[quoted text clipped - 16 lines]
> Does anyone know that this hypothesis has been proposed previously?  If
> so please provide a reference.

What do you think?

T
Matt - 23 Feb 2005 04:40 GMT
>>I've come up with the bright idea that dental fluorosis (not just
>>fluoride) prevents cavities.
[quoted text clipped - 18 lines]
>
> What do you think?

My guess is that it has been proposed.  What do you think?
NYSCOF - 23 Feb 2005 12:02 GMT
> I've come up with the bright idea that dental fluorosis (not just
> fluoride) prevents cavities.
[quoted text clipped - 16 lines]
> Does anyone know that this hypothesis has been proposed previously?  If
> so please provide a reference.

Well to start off, the premise already is incorrect because those
Colorado people with fluorosis did not have little tooth decay:

Only 28.5% of 12- to 14-year-olds were cavity-free in Colorado Springs,
Colorado, with 2.6 ppm naturally fluoridated water, but 75% had
fluorosis, according to a 1948 study ("Fluorine in Drinking Water Its
Effect on Dental Caries," by Francis A. Arnold).

Also, Hereford, Texas, was touted as the "town without a toothache"
because high levels of natural water fluoride discolored the townfolk's
teeth but, we were told, they didn't have any or few cavities. However,
12 to 14-year-olds living in Hereford, Texas, where the water was
naturally fluoridated at 3.1 ppm, 100% had dental fluorosis; but only
38% were caries free.
Joel M. Eichen - 23 Feb 2005 12:15 GMT
>Only 28.5% of 12- to 14-year-olds were cavity-free in Colorado Springs,
>Colorado, with 2.6 ppm naturally fluoridated water, but 75% had
>fluorosis, according to a 1948 study ("Fluorine in Drinking Water Its
>Effect on Dental Caries," by Francis A. Arnold).

ONLY???
Matt - 23 Feb 2005 12:42 GMT
>>Only 28.5% of 12- to 14-year-olds were cavity-free in Colorado Springs,
>>Colorado, with 2.6 ppm naturally fluoridated water, but 75% had
>>fluorosis, according to a 1948 study ("Fluorine in Drinking Water Its
>>Effect on Dental Caries," by Francis A. Arnold).
>
> ONLY???

Joel, I guess you are saying that that rate was very good.  Could you or
somebody describe in more detail how that rate compares with today's
rates and maybe how it compares with rates of the 1940's? and maybe
point to some statistical study(s) somewhere?
Joel M. Eichen - 23 Feb 2005 14:07 GMT
>>>Only 28.5% of 12- to 14-year-olds were cavity-free in Colorado Springs,
>>>Colorado, with 2.6 ppm naturally fluoridated water, but 75% had
[quoted text clipped - 7 lines]
>rates and maybe how it compares with rates of the 1940's? and maybe
>point to some statistical study(s) somewhere?

Good questions!

I do not have the numbers, although I confess our job would be easier
if we did. Suffice to say in the 1960s, people showed up with so many
rotted teeth that dentures were endemic.

At dental school we restored everything possible, even if it were an
impossible job. Yet my first full upper/full lower denture case (no
teeth left) was an 18-year old girl who was still in high school.

Our oral surgery department extracted all.

Could you imagine that happenign today?

No way.

Joel

Joel M. Eichen DDS
NYSCOF - 24 Feb 2005 12:56 GMT
> >>Only 28.5% of 12- to 14-year-olds were cavity-free in Colorado Springs,
> >>Colorado, with 2.6 ppm naturally fluoridated water, but 75% had
[quoted text clipped - 7 lines]
> rates and maybe how it compares with rates of the 1940's? and maybe
> point to some statistical study(s) somewhere?

According to statistics put out by the U.S. Centers for Disease
Control, 72.2% of third graders in Arkansas experienced dental decay,
69.4% in Oklahoma, 67.1% in Nevada.  The statistics from the 1940's
were in 12 - 14 year olds.

And after 60 years of water fluoridation, 50 years of fluoridated tooth
paste and a virtually 100% fluoridated food and beverage supply along
with dental fluoride treamtents and fluoride supplements dispensed in
non-fluoridated areas , 65% of America's 14-year-olds have experienced
tooth decay. But since cavity rates in 2 - 4 year olds are increasing,
and the CDC admits fluoridated water has no beneficial effect on them,
expect negative dental health statistics on 14 year olds to go even
higher in future surveys.

See how badly fluoridation works in New York State

http://www.suite101.com/article.cfm/11749/113458
Joel M. Eichen - 24 Feb 2005 13:23 GMT
>According to statistics put out by the U.S. Centers for Disease
>Control, 72.2% of third graders in Arkansas experienced dental decay,
>69.4% in Oklahoma, 67.1% in Nevada.  The statistics from the 1940's
>were in 12 - 14 year olds.

I guess that shows that plenty of Americans cannot AFFORD to visit the
dentist regularly. Thank God for fluoride!

Joel
Joel M. Eichen - 24 Feb 2005 13:28 GMT
R  E  P  L  Y

Thanks for the humorous link. Anytime anyone starts off with
"ORGANIZED DENTISTRY" like its some Mafiosi plot, I start chuckling!

Fluroide "INJECTED" into the water supply.

INJECT def. Force or drive (a fluid or gas) into by piercing

Joel

YOUR LINK:

Organized dentistry is oblivious that their 1950’s concept,
fluoridation, fails modern America as they continue to misrepresent
fluoridation’s value. Since fluoridation began, dentists got richer
and the poor were left behind. Take New York State, for instance:
Almost three fourths of New Yorkers have consumed tap water injected
with fluoride for decades. Yet, New York State’s fluoridated counties
and cities suffer worse dental health than those without
fluoride-laced water supplies.

***

>> >>Only 28.5% of 12- to 14-year-olds were cavity-free in Colorado
>Springs,
[quoted text clipped - 28 lines]
>
>http://www.suite101.com/article.cfm/11749/113458
Steven Fawks - 24 Feb 2005 14:23 GMT
Fluoridation cannot overcome soft drink consumption.

Fawks

>>>>Only 28.5% of 12- to 14-year-olds were cavity-free in Colorado
>
[quoted text clipped - 34 lines]
>
> http://www.suite101.com/article.cfm/11749/113458
Joel M. Eichen - 24 Feb 2005 15:34 GMT
>Fluoridation cannot overcome soft drink consumption.
>
>Fawks

Specifically ..... "Pepsi!"

Joel

>>>>>Only 28.5% of 12- to 14-year-olds were cavity-free in Colorado
>>
[quoted text clipped - 34 lines]
>>
>> http://www.suite101.com/article.cfm/11749/113458
David Wright - 25 Feb 2005 04:43 GMT
>> >>Only 28.5% of 12- to 14-year-olds were cavity-free in Colorado
>Springs,
[quoted text clipped - 21 lines]
>non-fluoridated areas , 65% of America's 14-year-olds have experienced
>tooth decay.

As presented, these statistics are meaningless.  HOW MUCH DECAY?  Do
the children of today have the same average number of fillings as the
children of the 1940s?  More?  Fewer?

 -- David Wright :: alphabeta at prodigy.net
    These are my opinions only, but they're almost always correct.
      "If I have not seen as far as others, it is because giants
          were standing on my shoulders."  (Hal Abelson, MIT)
NYSCOF - 25 Feb 2005 10:36 GMT
> >> >>Only 28.5% of 12- to 14-year-olds were cavity-free in Colorado
> >Springs,
[quoted text clipped - 27 lines]
>
>   -- David Wright :: alphabeta at prodigy.net

And, what else may affect any decrease in cavities. How has diet
changed.  Around the same time water fuoridation began, foods were
fotified with vitamin D to protect against rickets. One symptom of
rickets is tooth decay.

Lots of things have changed since the 1940's that have to be factored
in before fluoridation can be credited with any possible drop in tooth
decay.

One way to discern that is to look at statistics from countries who
never fluoridated their water and you'll see that tooth decay rates
have declined globally - whether water was fluoridated or not.
Joe Blow - 25 Feb 2005 15:37 GMT
>>>>>>Only 28.5% of 12- to 14-year-olds were cavity-free in Colorado
>>>
[quoted text clipped - 69 lines]
> never fluoridated their water and you'll see that tooth decay rates
> have declined globally - whether water was fluoridated or not.

OK, where is the data to support your claim?
NYSCOF - 26 Feb 2005 11:56 GMT
http://www.fluoridealert.org/who-dmft.htm
Joe Blow - 28 Feb 2005 16:34 GMT
> http://www.fluoridealert.org/who-dmft.htm

That doesn't explain much.  For example, is whatever Austria
and Greece did midway throught the time scale, just done earlier
by the other countries?

Joe
Knowledge Seeker - 26 Feb 2005 09:52 GMT
If only we could get soft drinks manufacturers to put fluoride in their
drinks! Can you think of an easier delivery method??

SK

>>>>>Only 28.5% of 12- to 14-year-olds were cavity-free in Colorado
>>
[quoted text clipped - 36 lines]
>        "If I have not seen as far as others, it is because giants
>            were standing on my shoulders."  (Hal Abelson, MIT)
NYSCOF - 26 Feb 2005 11:54 GMT
Soft drinks already have fluoride in them. Check out research by Levy
et al or do a fluoride in foods internet search.

Soft drinks are made with unfiltered tap water. So any beverage (or
food for that matter) made in a fluoridated area contains fluoride.

On the other hand, the bottled water put out by Coke (Aquapure, I think
it's called) uses water that has the fluoride taken out by reverse
osmosis.

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

> If only we could get soft drinks manufacturers to put fluoride in their
> drinks! Can you think of an easier delivery method??
[quoted text clipped - 41 lines]
> >        "If I have not seen as far as others, it is because giants
> >            were standing on my shoulders."  (Hal Abelson, MIT)
Joel M. Eichen - 26 Feb 2005 12:22 GMT
>Soft drinks already have fluoride in them. Check out research by Levy
>et al or do a fluoride in foods internet search.

True, its too hard to remove the fluoride put into the water!

Joel

>Soft drinks are made with unfiltered tap water. So any beverage (or
>food for that matter) made in a fluoridated area contains fluoride.

Yup.

>On the other hand, the bottled water put out by Coke (Aquapure, I think
>it's called) uses water that has the fluoride taken out by reverse
>osmosis.

Yeah? Cool.

>New York State Coalition Opposed to Fluoridation
>http://www.orgsites.com/ny/nyscof
[quoted text clipped - 56 lines]
>> >        "If I have not seen as far as others, it is because giants
>> >            were standing on my shoulders."  (Hal Abelson, MIT)
 
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