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- Article] APPROPRIATE USES OF FLUORIDES FOR CHILDREN - GUIDELINES FROM THE CANADIAN WORKSHOP ON THE EVALUATION OF CURRENT RECOMMENDATIONS CONCERNING FLUORIDES
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DocNo of ILP: 8170
Doc. Type: Article
Title: APPROPRIATE USES OF FLUORIDES FOR CHILDREN - GUIDELINES FROM THE CANADIAN WORKSHOP ON THE EVALUATION OF CURRENT RECOMMENDATIONS CONCERNING FLUORIDES
Authors: CLARK, DC
Full Name of Authors: CLARK, DC
Keywords by Author:
Keywords Plus: DENTAL FLUOROSIS; BEVERAGE CONSUMPTION; SYSTEMIC FLUORIDE; ENAMEL FLUOROSIS; CARIES; PREVALENCE; WATER; SUPPLEMENTATION; EXPOSURE; DENTIFRICE
Abstract: Objective: To prevent fluorosis caused by excessive fluoride ingestion by revising recommendations for fluoride intake by children. Options: Limiting fluoride ingestion from fluoridated water, fluoride supplements and fluoride dentifrices. Outcomes: Reduction in the prevalence of dental fluorosis and continued prevention of den tal caries. Evidence: Before the workshop, experts prepared comprehensive literature reviews of fluoride therapies, fluoride ingestion and the prevalence and causes of dental fluorosis. The papers, which were peer-reviewed, revised and circulated to the workshop participants, formed the basis of the workshop discussions. Values: Recommendations to limit fluoride intake were vigorously debated before being adopted as the consensus opinion of the workshop group. Benefits, harms and costs: Decrease in the prevalence of dental fluorosis with continuing preventive effects of fluoride use. The only significant cost would be in preparing new, low-concentration fluoride products for distribution. Recommendations: Fluoride supplementation should be limited to children 3 years of age and older in areas where there is less than 0.3 ppm of fluoride in the water supply. Children in all areas should use only a ''pea-sized'' amount of fluoride dentifrice no more than twice daily under the supervision of an adult. Validation: These recommendations are almost identical to changes to recommendations for the use of fluoride supplements recently proposed by a group of European countries. Sponsors: The workshop was organized by Dr. D. Christopher Clark, of the University of British Columbia, and Drs. Hardy Limeback and Ralph C. Burgess, of the University of Toronto, and funded by Proctor and Gamble Inc., Toronto, the Medical Research Council of Canada and Health Canada (formerly the Department of National Health and Welfare). The recommendations were formally adopted by the Canadian Dental Association in April 1993.
Cate of OECD: Clinical medicine
Year of Publication: 1993
Business Area: gamble
Detail Business: gamble
Country: Canada
Study Area: promotion, welfare, industry, production, Evaluation, review, review, children
Name of Journal: CANADIAN MEDICAL ASSOCIATION JOURNAL
Language: English
Country of Authors:
Press Adress: CLARK, DC (reprint author), UNIV BRITISH COLUMBIA,FAC DENT,2199 WESBROOK MALL,VANCOUVER V6T 1Z3,BC,CANADA.
Email Address:
Citaion:
Funding:
Lists of Citation: ARMSTRONG VC, 1981, TAPWATER CONSUMPTION, P1; Bawden JW, 1992, J DENT RES, V71, P1212, DOI 10.1177/00220345920710051501; BELTRAN ED, 1988, J PUBLIC HEALTH DENT, V48, P233, DOI 10.1111/j.1752-7325.1988.tb03204.x; BURT BA, 1992, J DENT RES, V71, P1228, DOI 10.1177/00220345920710051601; CLARK DC, IN PRESS COMMUNITY D; Clarkson J, 1989, Adv Dent Res, V3, P104; CLARKSON J, 1992, BRIT DENT J, V172, P357; CLOVIS J, 1988, COMMUNITY DENT ORAL, V16, P11, DOI 10.1111/j.1600-0528.1988.tb00545.x; DELIEFDE B, 1985, COMMUNITY DENT ORAL, V13, P164; DRISCOLL WS, 1986, J AM DENT ASSOC, V113, P29; EVANS RW, 1991, J PUBLIC HEALTH DENT, V51, P251, DOI 10.1111/j.1752-7325.1991.tb02223.x; GRANATH L, 1985, COMMUNITY DENT ORAL, V13, P273, DOI 10.1111/j.1600-0528.1985.tb00452.x; Groeneveld A, 1990, J Dent Res, V69 Spec No, P751; HARGREAVES J A, 1988, Journal of Dental Research, V67, P231; HEIFETZ SB, 1988, J AM DENT ASSOC, V116, P490; HOLM AK, 1982, COMMUNITY DENT ORAL, V10, P335, DOI 10.1111/j.1600-0528.1982.tb00405.x; ISMAIL AI, IN PRESS COMMUNITY D; ISMAIL AI, 1990, CARIES RES, V24, P290; ISMAIL AI, 1993, COMMUNITY DENT ORAL, V21, P118, DOI 10.1111/j.1600-0528.1993.tb00734.x; JENKINS GN, 1969, ARCH ORAL BIOL, V14, P105, DOI 10.1016/0003-9969(69)90025-9; JOHNSTON DW, IN PRESS COMMUNITY D; KOCH G, 1982, SWED DENT J, V6, P233; KOCH G, 1990, CARIES RES, V24, P72; LAST JM, 1983, DICT EPIDEMIOLOGY, P31; LEVERETT D, 1986, J PUBLIC HEALTH DENT, V46, P184, DOI 10.1111/j.1752-7325.1986.tb03140.x; LEVY SM, IN PRESS COMMUNITY D; LEWIS DW, IN PRESS COMMUNITY D; LIMEBACK H, IN PRESS COMMUNITY D; NEWBRUN E, 1989, J PUBLIC HEALTH DENT, V49, P279, DOI 10.1111/j.1752-7325.1989.tb02086.x; OPHAUG RH, 1985, AM J CLIN NUTR, V42, P701; PANG DTY, 1992, J DENT RES, V71, P1382, DOI 10.1177/00220345920710070601; PENDRYS DG, 1989, AM J EPIDEMIOL, V130, P1199; RIORDAN PJ, 1991, J DENT RES, V70, P1022, DOI 10.1177/00220345910700070101; SEGRETO VA, 1984, J AM DENT ASSOC, V108, P56; STOOKEY GK, IN PRESS COMMUNITY D; SZPUNAR SM, 1988, J DENT RES, V67, P802, DOI 10.1177/00220345880670050101; Thylstrup A, 1990, J Dent Res, V69 Spec No, P742; WILLIAMS JE, 1990, J PUBLIC HEALTH DENT, V50, P276, DOI 10.1111/j.1752-7325.1990.tb02135.x; WINTER GB, 1989, INT DENT J, V39, P263; WOOLFOLK MW, 1989, J PUBLIC HEALTH DENT, V49, P78, DOI 10.1111/j.1752-7325.1989.tb02030.x; YOUNG FE, 1991, REV FLUORIDE BENEFIT, P134; 1991, EFFECTIVENESS WATER, P193; 1991, J PUBLIC HLTH DENT, V51, P20; 1987, J DENT RES, V66, P1055; 1990, J DENT RES S, V69, P505
Number of Citaion: 45
Publication: CANADIAN MEDICAL ASSOCIATION
City of Publication: OTTAWA
Address of Publication: 1867 ALTA VISTA DR, OTTAWA ON K1G 3Y6, CANADA
ISSN: 0820-3946
29-Character Source Abbreviation: CAN MED ASSOC J
ISO Source Abbreviation: Can. Med. Assoc. J.
Volume: 149
Version: 12
Start of File: 1787
End of File: 1793
DOI:
Number of Pages: 7
Web of Science Category: Medicine, General & Internal
Subject Category: General & Internal Medicine
Document Delivery Number: MM634
Unique Article Identifier: WOS:A1993MM63400022
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