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By Dr. Charles Bohle & Bohle Family Dentistry
April 28, 2015
Category: Oral Health
Tags: fluoride   paducah ky dentist   cavities   brushing   water  

New Flouride Levels

new fluoride recomendationsThe US Department of Health and Human Services (HHS) has made a new recommendation for community water fluoride levels.The previous recommended level was 0.7 to 1.2 milligrams per liter and the new recommendation is now 0.7 milligrams per liter.  Is there something wrong with fluoride or is it unsafe?  Don't worry, that is not the case.  Adding fluoride to the water started in the early 1960's when there were few other sources of fluoride beside the water.  Now there are more sources.  You can get fluoride in toothpaste, fluoride prescriptions, mouth rinses varnish and gels.  With all the other available sources it is possible to get too much fluoride and cause a change in color to your teeth.  These changes usually show up first as small white spots.  The HHS and the American Dental Association decided to make the fluoride recommendation at the lower effective level in case someone was using these other sources.  If you were there is a small chance of causing those color changes.  An abudance of safety caused the change.

So what does fluoride do?  It works by stopping the tooth decay process by hardening the tooth structure.  It keeps the tooth strong and hard and prevents cavities from starting or making the cavity less severe.  That is a good thing.  With flouridated water you will have fewer cavities, less need for fillings or extractions and need less dental treatment. 

The water fluoridation program is "one of the ten most important public health measures of the 20th century" says the American Dental Association.  It has saved more teeth and made people dentally more healthy than anything else ever done.

If you or your child is drinking fluoridated water and brushing with a fluoride toothpaste, then you are receiving the correct amount of fluoride to protect your teeth and not risk causing any damage to your teeth with over fluoridation.  Keep up the good work.  If you don't have both of these, then see your dentist about what to do.  Trust me on one thing.  There is no denying the beneficial effects of fluoride so make sure you take advantage of them.

To make an appointment with Bohle Family Dentistry, call 270-442-0256 or click here.  Visit our Google+ and YouTube pages.  #paducahkydentist

By Dr. Charles Bohle, Bohle Family Dentistry
November 12, 2013
Category: Oral Health
Tags: fluoride  
BeAwareofYourFamilysFluorideIntaketoAvoidStaining

It’s indisputable that fluoride has revolutionized dental care. Decades of research have overwhelming shown this natural, enamel-strengthening chemical has decreased tooth decay.

Too much fluoride, though, can cause enamel fluorosis, a permanent staining of tooth enamel. In its mildest form, the teeth develop faint whitish streaks; in more severe cases, the staining is noticeably darker and the teeth appear pitted. The teeth themselves aren’t damaged, but the unsightly staining could require cosmetic treatment. Children under age 9 (when permanent teeth enamel matures) are especially at risk of fluorosis due to over-fluoridation.

Because of fluoride’s prevalence in hygiene products and many drinking water supplies, it’s not always easy to know if your child is receiving too much. There are two areas, though, that bear watching.

First, you should limit the serving quantity of fluoride hygiene products, particularly toothpaste. Children tend to swallow rather than spit out toothpaste after brushing, so they ingest more fluoride. We recommend a small “smear” of toothpaste on the brush for children under two, and a pea-sized amount for children two to four.

The other concern is your drinking water. Three-quarters of America’s water systems add fluoride, usually to a recommended level of 0.70 PPM (parts per million). To know if your water supply adds fluoride and at what levels, you can contact your local water utility or health department, or check the Center for Disease Control’s website for their “My Water’s Fluoride” program (http://apps.nccd.cdc.gov/MWF/Index.asp). This site will have information if your water system participates in the program.

If your area exceeds recommended levels or is at high risk for fluorosis, we recommend reducing the use of tap water in infant formula. Besides breast-feeding (human breast milk is low in fluoride), you can use either ready-to-feed formula, or mix powdered formula with water specifically labeled “de-ionized,” “purified,” “de-mineralized,” or “distilled.”

One thing you should not do is eliminate your use of products containing fluoride — this may increase your child’s risk of tooth decay. The consequences of decay can be serious and have a life-long effect — and far outweigh the risks of fluorosis staining.

If you would like more information on fluoride and your infant, please contact us or schedule an appointment for a consultation. You can also learn more about this topic by reading the Dear Doctor magazine article “Tooth Development and Infant Formula.”