What Can Be Done to Reduce the Risk of Enamel Fluorosis?
The proper amount of fluoride helps prevent and control tooth decay. An excessive amount consumed during tooth development in infancy and childhood can also result in a range of changes in the enamel surface of the tooth. These changes have been broadly termed enamel fluorosis. Ingestion of fluoride toothpaste and inadvertent use of fluoride tablets in fluoridated areas have been associated with an increased risk for enamel fluorosis. Here are some simple ways to reduce the risk of enamel fluorosis: • Know the fluoride concentration in the source of drinking water. Water containing 1 mg/L is considered optimum for caries prevention. There is no need for fluoride supplements if the fluoride level in water is greater than 0.6 mg/L. • Counsel parents and caregivers on the use of fluoride toothpaste by young children, especially those younger than 2 years to avoid ingestion of too much toothpaste because it has high concentration of fluoride (approximately 1000 parts per million). Children
