skip over navigation links
Maternal and Child Health Bureau logoA Health Professionals Guide to Pediatric Oral Health Management
HomeModuleModule 1: An Introduction to Infants' and Young Children's Oral HealthModule 2: Managing Infants' and Young Children's Oral HealthModule 3: Oral Conditions and AbnormalitiesModule 4: Prevention of Oral DiseaseModule 5: Non-Nutritive Sucking HabitsModule 6: Oral InjuryModule 7: Infants and Young Children with Special Health Care NeedsContentsGlossaryEvaluationHelp
Module 4: Prevention of Oral Disease
Module Contents
Overview
4.1 Oral Hygiene
4.2 Fluoride
Systemic Fluoride (current page)
Topical Fluoride
4.3 Nutrition
The Role of Food in
Oral Health
Anticipatory Guidance
Key Points
Post-Test
References
Additional Resources



4.2 Fluoride, continued

Systemic Fluoride

FACT
exclamation point graphicAll 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.

 

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.

Systemic Fluoride Supplements: Recommended Dosage

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.


previous pagenext page
logo: U.S. Dept. of Health and Human Services, Health Resources and Services Administration, Maternal and Child Health Bureau