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December 1992, Vol 146, No. 12 >
Article | December 1992

Fluoride Supplementation: Title and subTitle BreakA Survey of Pediatricians and Pediatric Dentists FREE

Kenneth F. Jones, DDS; Joel H. Berg, DOS, MS
[+] Author Affiliations

Accepted for publication July 16, 1992.

Reprint requests to The University of Texas Health Science Center, 6516 John Freeman Ave, Houston, TX 77030 (Dr Jones).


Arch Pediatr Adolesc Med. 1992;146(12):1488-1491. doi:10.1001/archpedi.1992.02160240098030
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• Objective.  —To determine the protocol and use of prescriptions of fluoride supplementation by primary care pediatricians and pediatric dentists in the Houston (Tex) area.

Design.  —Survey mailed to all primary care pediatricians and pediatric dentists listed in the Yellow Pages of the Greater Houston telephone directory.

Participants.  —153 pediatricians and 47 pediatric dentists.

Main Results.  —Ninety-six percent of the participants prescribed fluoride supplements. Fifty-one percent of the pediatricians and 61 % of the dentists considered that the fluoride content of the water was important. Seventy percent of the pediatricians and 30% of the dentists discontinued the use of supplements by age 7 to 10 years.

Conclusions.  —Pediatricians and pediatric dentists should consider the need for water analysis prior to supplementation and should continue the use of fluoride supplements until 16 years of age.(AJDC. 1992;146:1488-1491)

REFERENCES

1 +
Siegel C, Gutgesell ME.  Fluoride supplementation in Harris County, Texas . AJDC . 1982;;136:61-63.
2 +
Gift HC, Hoerman KC.  Attitudes of dentists and physicians toward the use of dietary fluoride supplements . J Dent Child . 1985;;52:265-268.
3 +
Kuty RA, McTigue DJ.  Fluoride prescription practices of Ohio physicians . J Public Health Dent . 1987;;47:172-176.
4 +
Gift HC, Milton B, Walsh V.  Physicians and caries prevention . JAMA . 1984;;252:1447-1448.
5 +
Margolis FJ, Burt BA, Schork MA, Bashur RL, Whittaker BA, Burns TL.  Fluoride supplements for children . AJDC . 1980;;134:865-868.
6 +
Messimer S, Hickner J.  Oral fluoride supplementation: improving practitioner compliance by using a protocol . J Fam Pract . 1983;;17:821-825.
7 +
Heifetz SB, Driscoll WS, Horwitz HS, Kingman A.  Prevalence of dental fluorosis in areas with optimal and above optimal water fluoride concentrations: a 5-year follow-up survey . J Am Dent Assoc . 1988;;116: 490-505.
8 +
Pendrys DG, Stamm JW.  Relationship of total flouride intake to beneficial effects and enamel fluorosis . J Dent Res . 1990;;69:529-536.
9 +
Beltran ED, Szpunar SM.  Fluoride in toothpastes for children: suggestion for change . Pediatr Dent . 1988;;10:185-188.
10 +
Simard PL, Lachapelle D, Trahan L, Naccache H, Demers M, Brodeur J.  The ingestion of fluoride dentifrices by young children . J Dent Child . 1989;; 564:177-181.
11 +
McKnight-Hanes MC, Leverett DH, Adair SM, Shields CP.  Fluoride content of infant formulas: soy-based formulas as a potential factor in dental fluorosis . Pediatr Dent . 1988;;10:189-194.
12 +
Chan JT, Montgomery EH, Wyborny LE, Starcke EN. Fluoride level in tap-water of University of Texas Dental Branch—Houston: 1988-1991. J Tex Dent Assoc. In press.
13 +
American Academy of Pediatrics Committee on Nutrition.  Fluoride supplementation . Pediatrics . 1986;;77:758-761.
14 +
Crall JJ.  Fluoride: biological implications and dietary supplementation . In: Pediatric Dental Care: An Update for the 90s . Chicago, Ill: American Academy of Pediatric Dentistry; 1991;:25-27.
15 +
Thylstrup A.  Clinical evidence of the role of pre-eruptive fluoride in caries prevention . J Dent Res . 1990;;69(special issue):742-750.
16 +
Hargreaves JA.  Water fluoridation and fluoride supplementation: consideration for the future . J Dent Res . 1990;;69(special issue):765-770.
17 +
Chan JT, Stark C, Jeske AH.  Fluoride content of bottle waters in metropolitan Houston: implications for dietary fluoride supplementation . J Tex Dent Assoc . 1990;;107:17-21.
18 +
Smith F, Ekstrand J.  Fluoride in the environment and intake in man . In: Ekstrand J, Fejerskov O, Silverstone LM, eds. Fluoride in Dentistry . Copenhagen, Denmark: Munksgaard International Publishers Ltd; 1988;: 13-27.
19 +
Ekstrand J, Whitford GM.  Fluoride metabolism . In: Ekstrand J, Fejerskov O, Silverstone LM, eds. Fluoride in Dentistry . Copenhagen, Denmark: Munksgaard International Publishers Ltd; 1988;:150-170.

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1 +
Siegel C, Gutgesell ME.  Fluoride supplementation in Harris County, Texas . AJDC . 1982;;136:61-63.
2 +
Gift HC, Hoerman KC.  Attitudes of dentists and physicians toward the use of dietary fluoride supplements . J Dent Child . 1985;;52:265-268.
3 +
Kuty RA, McTigue DJ.  Fluoride prescription practices of Ohio physicians . J Public Health Dent . 1987;;47:172-176.
4 +
Gift HC, Milton B, Walsh V.  Physicians and caries prevention . JAMA . 1984;;252:1447-1448.
5 +
Margolis FJ, Burt BA, Schork MA, Bashur RL, Whittaker BA, Burns TL.  Fluoride supplements for children . AJDC . 1980;;134:865-868.
6 +
Messimer S, Hickner J.  Oral fluoride supplementation: improving practitioner compliance by using a protocol . J Fam Pract . 1983;;17:821-825.
7 +
Heifetz SB, Driscoll WS, Horwitz HS, Kingman A.  Prevalence of dental fluorosis in areas with optimal and above optimal water fluoride concentrations: a 5-year follow-up survey . J Am Dent Assoc . 1988;;116: 490-505.
8 +
Pendrys DG, Stamm JW.  Relationship of total flouride intake to beneficial effects and enamel fluorosis . J Dent Res . 1990;;69:529-536.
9 +
Beltran ED, Szpunar SM.  Fluoride in toothpastes for children: suggestion for change . Pediatr Dent . 1988;;10:185-188.
10 +
Simard PL, Lachapelle D, Trahan L, Naccache H, Demers M, Brodeur J.  The ingestion of fluoride dentifrices by young children . J Dent Child . 1989;; 564:177-181.
11 +
McKnight-Hanes MC, Leverett DH, Adair SM, Shields CP.  Fluoride content of infant formulas: soy-based formulas as a potential factor in dental fluorosis . Pediatr Dent . 1988;;10:189-194.
12 +
Chan JT, Montgomery EH, Wyborny LE, Starcke EN. Fluoride level in tap-water of University of Texas Dental Branch—Houston: 1988-1991. J Tex Dent Assoc. In press.
13 +
American Academy of Pediatrics Committee on Nutrition.  Fluoride supplementation . Pediatrics . 1986;;77:758-761.
14 +
Crall JJ.  Fluoride: biological implications and dietary supplementation . In: Pediatric Dental Care: An Update for the 90s . Chicago, Ill: American Academy of Pediatric Dentistry; 1991;:25-27.
15 +
Thylstrup A.  Clinical evidence of the role of pre-eruptive fluoride in caries prevention . J Dent Res . 1990;;69(special issue):742-750.
16 +
Hargreaves JA.  Water fluoridation and fluoride supplementation: consideration for the future . J Dent Res . 1990;;69(special issue):765-770.
17 +
Chan JT, Stark C, Jeske AH.  Fluoride content of bottle waters in metropolitan Houston: implications for dietary fluoride supplementation . J Tex Dent Assoc . 1990;;107:17-21.
18 +
Smith F, Ekstrand J.  Fluoride in the environment and intake in man . In: Ekstrand J, Fejerskov O, Silverstone LM, eds. Fluoride in Dentistry . Copenhagen, Denmark: Munksgaard International Publishers Ltd; 1988;: 13-27.
19 +
Ekstrand J, Whitford GM.  Fluoride metabolism . In: Ekstrand J, Fejerskov O, Silverstone LM, eds. Fluoride in Dentistry . Copenhagen, Denmark: Munksgaard International Publishers Ltd; 1988;:150-170.

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