Community Water Fluoridation Flashcards
Topical F
applied to tooth
Systemic F
taken into the body
Factors causing caries
host, agent (bacteria), time, environment (diet)
fluoridation
the adjustment of the F content of a community’s water supply for an optimal [c] for prevention of dental caries-one of the Ten Greatest Public Health Achievements during the 20th century
Colorado Brown Stain
ID’d in Colorado by Dr. F McKay that F was causing mottle enamel
Coined the term dental fluorosis and an index to classify its severity
Dr. H T. Dean-U.S. Public Health Service Worker
First community water fluoridation program was where
Grand Rapids MI
in 1962 it was determined that water F concentration should be based on ________ (think consumption)
region temperature-hotter=drink more water
U.S. Dept. HHS recommends a level of _____ mg/L or ppm for all community water? Before this what range was accepted
0.7; before it was 0.7-1.2ppm but above 1 starts causing dental fluorosis
in 2014 the HSH decided that all regions should have ____ppm F in water, because _____ did not change intake of F
0.7ppm
Temperature (did not matter)
Past thought mechanism of action of F
believed to be incorporated into the developing tooth enamel, a benefit to children’s health only
Dental caries more or less prevalent today?
Less among all ages (lower DMF scores)
fluorosis rates trend
increasing
Current mechanism of action of F (what we think now)
F works best to control caries when constantly present in low ambient levels in the oral cavity (minor pre-eruptive action), benefits people of all ages
Post-eruptive mech of action of F
inhibition of demin of sound enamel, enhancement of remin during repeated de/remin cycles, inhibit bacterial activity (less action production)
Pre-eruptive mechanism of action of F
NOT proven….. incorporated into the enamel, reduce solubility, more caries-resistant
How is F most effective
low concentrations over a long period of time
Surfaces on the tooth which get better protection from F
smooth surfaces (better than pits and fissures)-***KNOW THIS
____% reduction in caries when consuming F
30%
Diffused benefit of F
beverages and food products produced in F communities are exported to surrounding communities
Halo Effect
Diffuses benefit of F—beverages and food products produced in F communities are exported to surrounding communities
Dilution of F
Availability of F through multiple sources such as tooth pastes, mouth rinses, and professional application
benefits of F (who? cost? what it does?)
benefits all SES, race etc, cheap, overcomes other barriers and mass prevention
Economics of water F? How cost effective is it
shown to be the most effective prevention measure