Fluoride Recommendations Overview of Fluoride Fluoride is a mineral that helps prevent tooth decay or cavities. Fluoride naturally occurs in water sources, but not all water sources contain a level of fluoride required to improve dental outcomes. Fluoride makes tooth enamel more resistant to the effects of acid that cause cavities. Tooth decay was once a fact of life; over the last several years, tooth decay has been greatly reduced due to adding fluoride to water and toothpaste. People who drink water from a public water source at home, work, or school are drinking water that has added fluoride. People who drink well water can have their well water tested to determine the fluoride content. Having low levels of fluoride in your well water is an important piece of information your dentist needs to make an informed decision so that they can recommend the proper fluoride supplement if required. »» Fluoride testing kits are available from the IHTC Dental Hygienist without charge. »» The results of fluoride testing should be discussed with your dentist. Your dentist should be your first source to determine if you or your child would benefit from fluoride supplements. »» If you do not receive this information from your dentist or require clarification, please contact the IHTC dental hygienist. Topical fluoride products are applied directly to the surface of your teeth and also help prevent tooth decay or cavities. Over-the-counter fluoride rinses and gels are safe for adults and children over 6 years of age. When using topical fluoride, you need to rinse your mouth with the product for one minute and then spit it out. Avoid swallowing the topical fluoride. For children under age 6 that do not have the ability to spit out the solution completely, your dentist may recommend fluoride tablets or drops until the child is able to rinse and spit. General Fluoride Considerations »» If you drink bottled water, you could be missing the naturally occurring fluoride in your water. »» If you have a home water treatment system, check with the manufacturer to see if the system filters out fluoride. »» Adults and children over age 2 years should use a toothpaste containing fluoride. Use only a pea-sized amount of toothpaste when brushing your child’s teeth. »» Fluoride gels and rinses can be used daily for adults and children over the age of 6. Follow the product instructions listed on the label. Fluoride rinses are not recommended for children under the age of 6 as they may swallow the product. Swallowing fluoride products can cause stomach upset. »» Always follow your dentist’s recommendations. Excessive fluoride intake during enamel development can cause fluorosis which is characterized by discolored and mottled tooth enamel. Daily fluoride exposure through water supplies and monitored use of fluoride toothpaste or topical fluoride is effective in reducing dental decay. Rev 5/13
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