Fluoride or no Fluoride

Is the widespread usage of fluoride beneficial or does it cause more harm than good?

Fluoride a non-essential nutrient has been the subject of controversy. The reason for the debate is because fluoride has been found to be beneficial in prevention of tooth decay while having possible side effects. Because caries "tooth decay" is a common problem all over the world many believe that fluoride can help reduce or even eliminate the disease.

Even though there are benefits to fluoride use there could be also be some risks.

Studies have been done that show a positive correlation between fluoride and health issues. The main one that is commonly seen today is dental fluorosis. It is characterized by brownish shaded teeth with a chalky feel. Some other ones that are less common may include:

Skeletal fluorosis- fluoride is incorporated into the bones and weakens them.

Osteoporosis

Decreased sperm count

Early onset of puberty

and others that we don't know about

Many in the dental community feel that the benefit of fluoride outweighs the potential risk. However, because of the growing health concerns the issue will need to be addressed.

How do we deal with tooth decay without involving fluoride? Three entities are needed to cause tooth decay. The host (teeth), bacteria, and sugar. Eliminating one of these will stop the progression of caries.

1. Good oral hygiene, which includes flossing and brushing regularly.

2. Eliminating or decreasing sugar intake, especially processed sugar found in candy, soda drinks and consumption of more unprocessed sugar found in it's natural form as in fruits and vegetables.

My recommendation on fluoride:

1. Limit fluoridated water consumption. Drinking bottled water without added fluoride.

2. Eliminate consumption of systemic fluoride on a regular basis.

2. Topical fluoride application can be helpful. Every 3-6 months at the dental or pediatrician's office, starting after eruption of first teeth or during regular check up times. For individuals who are prone to getting cavities rinsing with over the counter fluoride rinse like ACT can also be beneficial.

3. Brushing at least twice per day and flossing on a regular basis.

4. Supplemental topical fluoride at home in a form of a rinse or paste for highly susceptible patients:

-patients with a high caries rate

-patients with decreased saliva production

-patients receiving radiation treatment for cancer

-patient with a condition that makes them more susceptible to tooth decay.

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