Among the measures to prevent tooth decay, fluoride has long been considered a key. However, its methods of administration are the subject of discussions between experts in all the experimental data, clinical and epidemiological data currently available. For these reasons, Afssaps undertook a new analysis of data to update the previous recommendations released in 2002.
7 The key points highlighted by the AFSSAPS
1. Tooth decay is a multifactorial disease involving factors matter in the oral flora and food.
2. The prevention of tooth decay by:
- Education for oral hygiene measures;
- Education for a healthy diet;
- Proper use of fluorides;
- Early consultation and regular dentist.
3. Fluorides have proved effective in preventing tooth decay. Their use, topical and / or systemic, must be adjusted according to the caries risk.
4. Whatever the level of caries risk of a child, the most effective prevention is a carious lesions at least twice daily brushing teeth with a fluoride toothpaste with fluoride content that is age. The brush must be performed or witnessed by an adult in children before age 6 or less autonomous.
5. Children at high caries risk should benefit from prevention and care by a specific dentist. Additional tools to brushing teeth should be proposed. In particular, supplementation with oral medication is recommended when the first teeth (around the age of 6 months).
6. Given the diversity of fluoride intake (water, salt, toothpaste ingested ...), any prescription drug fluoride (drops / tablets) must be preceded by an assessment of individual daily intake of fluoride.
7. To avoid the occurrence of dental fluorosis, it is necessary to monitor the administration of fluoride in
young children (before 6 years). This requires a review by conducting regular fluoride and restricting the use of systemic fluoride to a single source.