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Fluoridation methods

Water fluoridationMilk fluoridationSalt fluoridation
FoundationFirst implemented in 1945 in USA ().Emerged in the early 1950s and was first investigated in Switzerland, the USA, and Japan ().Initiated in Switzerland in 1955 ().
Supporting bodiesRecommended by the WHO ().Supported by the WHO and FAO ().Supported by community trials, WHO, FDI Worl d Dental Federation recommendations and others ().
AccessibilityMore than 435 million people worldwide have access to either naturally or artificially fluoridated water ().More than one and a half million children worldwide currently consume fluoridated milk ().Presently, 300 million people worldwide use fluoridated salt ().
BenefitsSubstantially reduces the prevalence and incidence of dental caries in primary and permanent teeth ().Effective in caries prevention in primary and permanent teeth (,).Inhibits dental caries (); however, the effectiveness of fluoridated sa lt is uncertain since no randomized clinical trials were conducted to prove its efficacy ().
DosageFluoride concentration in natural water ranges from 0.01 to 100 ppm ().Daily dosage varies from 0.50 mg to 0.85 mg fluoride/child with children drinking around 200 mL of fluoridated milk/d for about 200 days per year ().Fluoride concentration ranges from 250~300 mg/kg of table salt ().
FeasibilityLess than 10% of the worlds population is able to have access to fluoridated water ().It is a simple process and the cost of fluoridated milk is usually the same as non-fluoridated milk ().During operation, the estimated cost is 10 to 100 times lower than that associated with water fluoridation programs (
EfficiencyConsidered more efficient than milk fluoridation ().Fluoride added to milk forms insoluble complexes that make fluoride absorption difficult and less efficient compared with water fluoridation ().In some circumstances salt fluoridation was a more cost-effective caries preventive for children than either fluoridated items such as water, milk or mouth rinses ().
Health ConsiderationsTo minimize fluoride toxicity, the fluoride concentration in drinking water in the US has been controlled with a recommended level of 0.8~1.0 ppm ().It is suggested that children begin to drink fluoridated milk preferably before the age of 4 years ().In order to achieve a meaningful effect on caries control, the minimal acceptable level of fluoride is attained at a concentration of 200 mg/kg ().No side effects or significantly mottled enamel were shown in groups using salt containing 200, 250, or 350 mg of fluoride/kg in comparison with groups not consuming fluoridated salt ().
A contraindication of promoting salt fluoridation may be due to the risk of hypertension linked to high salt consumption.
The upper tolerable limit for fluoride intake has been estimated to be 0.12 mg/kg/d, which is equivalent to about 5 mg/d for 9 to 14-year-old children and 7 mg/d for 15-year-old and older people, including pregnant and lactating women ().
No adverse impact has been identified when combining iodide and fluoride in salt ().

WHO, World Health Organization; FAO, Food and Agriculture Organization; FDI, Fdration Dentaire Internationale.


teal version
Any word ending in -ontic means to do with the teeth. The term prosthodontics is an amalgamation of prothesis and ondontics.
A prosthesis is an artificial device used to replace or improve a body part. Someone brought the 2 words together to create prosthodontics; a term first recorded in 1945-50. Maybe they were replacing a lot more teeth after the Second World War.
Date City County Population Detail
Oct 17, 2017 Walden Orange 6,978 Village Board voted 4-2 to end fluoridation
(See update on 2-14-18)
Feb 4, 2016 Cortland Cortland 19,000 Refused state grant of $50,000 to determine engineering needs for fluoridation
May 5, 2015 Oneida Madison 21,147
Oneida Water District
Nov 2012 Pulaski Oswego 2,367 Quit after 7 years
Nov 2012 Romulus Seneca 400
Oct 2012 Cassadaga Chautauqua 631 Proposal defeated
Oct 2012 Lily Dale Chautauqua Year-round pop = 275
* * * * * * * *
Visitors per year = 22,000
Proposal defeat in Cassadaga affected Lily Dale
May 2011 Naples Village Ontario 1,070
Dec 2009 Beacon Dutchess 15,000
Nov 2008 Corning Steuben 10,551 Proposal defeated
June 2008 Elba Genesee 2,370 Ended fluoridation
Feb 2008 Poughkeepsie Dutchess 29,654 Quit after 56 years
Aug 2007 Cobleskill Schoharie 4,536 Quit after 54 years
Nov 2006 Central Bridge Water System Schoharie
Nov 2005 Homer Cortland 3,248 Quit after 26 years
Feb 2003 Canton St. Lawrence 6,077 Quit after 27 years
Aug 2002 Oneida Madison 10,723 Proposal defeated
Nov 2000 Ithaca Tompkins 29,974 Proposal defeated
Nov 1999 Johnstown Fulton 8,438 Proposal defeated
May 1997 Amsterdam Montgomery 17,533 Proposal defeated
Nov 1997 Western Nassau County Nassau 28,000 Quit after 23 years
Feb 1996 Carle Place Nassau 5,130 Quit after 44 years
Dec 1994 Albany Albany 93,963 Proposal defeated
Aug 1991 Suffolk County Suffolk 1,512,224 Suffolk County Legislature rejected its Health Commissioners fluoridation plan.  Suffolk County, as a whole, was never fluoridated.
1983 Levittown Nassau 51,880 Quit after 29 years
1962 Riverhead Suffolk
May 13, 1958 Manhasset-Lakeville Water District Nassau Voters Turn Out in Record Numbers to Defeat By Four To One Proposal to Fluoridate Public water Supply, Manhasset Mail.

The government is lowering the recommended amount of fluoride added to drinking water for the first time in more than 50 years.

As with fluoridated water, there has been some concern about the simultaneous combination of fluoride ingested from both salt and toothpaste. Available data suggest that this combination has not resulted in objectionable enamel fluorosis levels. However, observations of increased mild dental fluorosis were seen in children who consumed fluoride tablets and fluoridated salt.



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