Dr. Elaine Martinez Pediatric Dentistry

Does my child need fluoride?

Fluoride is an important element that is been proven to be beneficial to the developing teeth. In the adult dentition, fluoride is been proven to reduce sensitivity and remineralize the enamel.

Lack of fluoride will not strengthen the teeth to help them resist decay. On the other hand, excessive amounts of fluoride during the first three years of life can be detrimental to the developing teeth. It will cause dental fluorosis, which is a chalky white to brown discoloration of the permanent teeth. The most critical time for avoiding fluorosis of the permanent anterior teeth is age 22 to 26 months with a continued risk for up to 36 months. Fluorosis is not a concern after seven years of age. Fluoride supplementation should be cautiously prescribed. Multiple sources of fluoride must be considered prior to fluoride supplementation such as the fluoride content of the water at daycare or school, formula, juices, soft drinks and toothpaste consumption. Toothpaste containing fluoride is not recommended for children under 2 because children may not be able to expectorate. The water must be tested for fluoride levels before supplementation.

Fluoride drops, tablets and vitamins should not be given to infants younger than 6 months of age. After that time, fluoride supplements should only be given to children after all sources of ingested fluoride have accounted for.

To decrease the risks of fluorosis follow these simple steps

  • Use baby tooth cleanser in children under 2.
  • Use a pea-sized drop of toothpaste.
  • Test the water and account for all fluoride sources before supplementation.
  • Avoid supplements to infants until 6 months.

Keep those pearly white shinning!

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