European Journal of General Dentistry Year : 2013 | Volume : 2 | Issue : 1 | Page : 20-24
Is fluoride still a pivot of preventive dentistry?
Poonam Mahajan1, KL Veersha2, Ajay Mahajan3
1 Department of Community Dentistry, HPGDC, Shimla, Himachal Pradesh, India
2 Department of Community Dentistry, Dental College, Mullana, Ambala, India
3 Department of Periodontics, HPGDC, Shimla, Himachal Pradesh, India
Abstract
Fluoride is considered the corner stone of the preventive dentistry. Fluoride has both beneficial and detrimental effects on human health. In terms of dental health, the prevalence of dental caries is inversely related to the concentration of fluoride in drinking water; while there is a dose-response relationship between the concentration of fluoride in drinking water and the prevalence of dental fluorosis. Fluoride has a statistically significant association with a wide range of adverse effects like increased risk of bone fractures, decreased thyroid function, and lowered intelligent quotient, arthritic-like condition, early puberty and possibly, osteosarcoma. The aim of the present review is to discuss the current status of fluorides in dentistry in view of its benefits and adverse effects.
Conclusion
Fluoride because of its anti-caries action was considered pivot of preventive dentistry. It was considered as double edge sword as the excess amount was responsible for dental as well as skeletal fluorosis, which is incurable. But its benefits as anti-caries element were so much endorsed that it over shadowed its serious side effects. But with changing scenario attention is now being drawn on potentially permanent damaging effect of fluoride. This review of literature on fluoride research reveals a situation where people in fluoridated communities are required to ingest a harmful and ineffective medication with uncontrolled dose. The medication actually doesn’t need to be swallowed, since it acts directly on tooth surfaces. The benefit of fluoridation is at best a reduction in tooth decay in only a fraction of one tooth surface per child. It is time for advanced nations and fluoridating countries to recognize that fluoridation is outdated and has serious risks that far outweigh any minor benefits, violates sound medical ethics and denies freedom of choice. With the advancement of recent methods for caries prevention role of fluoride in preventive dentistry needs to be readdressed. READ PAPER
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