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All
infants and children who drink fluoridated
water benefit from systemic ingestion
by incorporating fluoride into their
developing teeth, as well as from
important topical effects.
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Water fluoridation is one of the best
examples of a public health preventive intervention
at the community level. All infants and children who
drink fluoridated water benefit from systemic ingestion
by incorporating fluoride into their developing teeth,
as well as from important topical effects. Today,
many families still do not have fluoridated water
supplies, and many use multiple or alternative sources
of water (e.g., bottled or processed water), complicating
the delivery of fluoride to children.
Fluoride supplements are recommended only for infants and children ages 6 months or older at high risk for developing dental caries. For infants and children at low risk for developing caries, dietary fluoride supplements are not recommended, and other sources of fluoride should be considered as a caries-prevention intervention.[5] Risk-assessment forms from the American Academy of Pediatric Dentistry and the American Dental Association (from birth to age age 6 and over age 6) can help clinicians determine risk.
The following table provides fluoride dosage schedules as recommended by the American Dental Association.

Table 1. Systemic Fluoride Supplements: Recommended
Dosage
Adapted with permission from Rozier GR, Adair S, Graham S, Iafolla T, Kingman A, Kohn W, Krol D, Levy S, Pollick H, Whitford G, Strock S, Frantsve-Hawley J, Aravamudhan K, Meyer DM. 2010. Evidence-based clinical recommendations on the prescription of dietary fluoride supplements for caries prevention: A report of the American Dental Association Council on Scientific Affairs. Journal of the American Dental Association 141(12):1480–1489. Table 3 on p. 1485. Available at http://jada.ada.org/content/141/12/1480.full.
©2010 American
Dental Association. All rights reserved. Reproduced by permission.
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