Inhibitory effect of fluoride on caries

Introduction

As part of extensive worldwide research has fluoride in the last 50 years repeatedly as a safe and effective means for the prevention of tooth decay proved. The scientific basis for the use of fluoride and its Unbedenklichtkeit are numerous scientific bodies, expert groups and government agencies have been recognized. The use of fluoride has a significant decrease in the incidence and prevalence of dental caries and thus improved quality of life for millions of people effected.



Inhibitory effect of fluoride on caries

The first studies on the importance of fluoride for dental caries was fighting its way to its natural resources and its concentration in the water attached. In addition, it was assumed, the effectiveness of fluoride based on its systematic effects in the form of strengthening the tooth enamel during its development phase. It is now clear that the most important factor in the fight against tooth decay, the maintenance of a constant fluoride levels in the oral cavity is the feeder lower levels of the substance of existing dental caries inhibits demineralisation, while promoting the remineralization of enamel. These findings are of fundamental importance for countries of fluoride in the prevention or treatment. In addition, they confirm that the maintenance of adequate fluoride levels in the oral cavity by local application or by any other measures of central importance to the caries prevention.



Possibilities of fluoride prophylaxis

Trinkwasserfluoridierung. The Trinkwasserfluoridierung is still the most effective public measure to prevent and treat tooth decay dar. The reason is that the human body needs water and the eat. Fluroid in the water comes from all walks of life benefit. The only prerequisite for the Trinkwasserfluoridierung is the existence of a central water supply system for the purpose of reliable control of water supplies. In determining the optimum fluoride level in drinking water in an area are also from other sources to identify quantities of fluoride, or to be taken into account. Recommendations concerning the optimal concentration is based primarily on the local water consumption, which may be climate effects. In addition, play and cultural dietary factors play a role.

Kochsalzfluoridierung. In areas to the Trinkwasserfluoridierung are inadequate, the Speisesalzfluoridierung a possible alternative. Studies have repeatedly shown that the effectiveness of this measure in the reduction of tooth decay is located. For control purposes, the production of fluoridated salt nationally or regionally centralized. To determine the optimal Fluoridkonzentratoin of salt play the local salt consumption, as well as from other sources fluoride quantities play a fundamental role. The packaging should indicate the fluoride content.

Milchfluoridierung. The fluoridation of milk is another, especially in young children as part of school prevention programs applied method of fluoride intake. A number of studies have shown the effectiveness of fluoridierter milk occupied. As a general public health measure, the Milchfluoridierung but no significant importance.

Fluoridated toothpaste. Of the currently available products fluoridated toothpaste is the most widely tested. In numerous controlled trials has been a massive reduction of dental caries and resulting in a significant improvement of oral health. Consequently, fluoridated toothpaste is one of the most important public health measures. Increased efforts should be commensurate with the nationwide use of toothpastes fluoridierten of the population. The swallowing of larger amounts of toothpaste can lead to increased prevalence of sugared form of fluorosis (Zahnschmelzeintrübung) for children. To this risk as low as possible, only small quantities should be swallowed. In some parts of the world fit for children are special toothpastes with low fluoride concentration (550 ppm) available. With regard to its effect kariessenkenden controversial views. It is recommended that each day the teeth with toothpaste at least twice to clean, low enough for rinsing water. The package must contain information on fluoride concentration and the warning that children under 6 years only a small (about pea-large) amount of toothpaste used and in addition to the brushing should be supervised.

Tablettenfluoridierung. Fluoride tablets are both for the individual risk-risk patients as well as for vulnerable groups everywhere recommended that where no other sources of fluoride are available. The effectiveness of fluoride tablets is less thoroughly documented than the other fluoridhaltiger products. Based on the recognized importance of local application of fluoride is recommended that fluoride tablets before swallowing either suck or chew. Improper use increases the risk of Zahnschmelzeintrübung / fluorosis. The optimum dosage must be based on other sources of local fluoride intake, including drinking water, directed. Where dosage requirements already exist, they should also be taken into account. National exist menhrere dosage tables with sometimes varying recommendations. The tables are in relation to other sources of fluoride carefully and regularly update it.

Fluoride mouthwashes. Fluoride mouthwashes are at risk vulnerable people and groups as an effective measure used. The application can be a day or time intervals, depending on local circumstances. Children under six years old should not have access to fluoridated mouthwashes have. In Mundspüllösungen commercially available for individual use have proven to be effective means proved, and its use should be in accordance with the specific needs of the user made.

Application fluoridhaltiger jellies. The dental application fluoridhaltiger jellies is particularly for those with caries risk index. Due to its high concentration of fluoride is the careful handling of these products is needed.

Fluoride varnishes. The Applikaton fluoridhaltiger coatings is in individuals with caries risk patients, or indexed, as a result of dental or medical treatment risk are at risk.

Fluoride from multiple sources. Fluorides are widely distributed throughout nature. They occur in varying concentrations in foods, in natural freshwater and marine water. Today, this substance in any quantities and can pass through the food, beverages, fluoridated drinking water, toothpaste, etc. Mundspüllösungen to be complementary. This plays in the prevention of tooth decay is a crucial factor. However, this also the risk of mild forms of Zahnschmelzeintrübung / fluorosis hand. Therefore, the additional intake of fluoride, a co-ordinated approach is based in the identification and consideration of all available sources of fluoride.



Assess the health risk

Extensive scientific results show that if properly administered fluoride in optimal doses of a safe and effective means for the prevention of dental caries. Excessive intake before tooth eruption may be Schmelzeintrübung / fluorosis lead. The prevention of tooth decay concentrations may be used in some rare cases, a hardly noticeable clouding cause of tooth enamel, the only aesthetic relevance. Recent studies have shown that such geringfügigie changes in the teeth of the fellows either not exercised or not be bothersome. Fluoride is considered the most important public health measure to preserve the oral health, provided that existing guidelines for the optimal dosage will be carefully followed. (Source: FDI opinion, in ÖZZ, 7 / 8 (2001), 24ff. - The FDI is a kind of "World Federation of Dentists" and the world's highest scientific authority in the field of dentistry)