Dental fluorosis in children residing in communities with different water fluoride levels: 33-month follow-up

Richard D. Jackson, Sue A. Kelly, Barry Katz, Edward Brizendine, George K. Stookey

Research output: Contribution to journalArticlepeer-review

19 Scopus citations


Purpose: The purpose of these examinations was to monitor changes, in the prevalence of dental fluorosis. Methods: In February 1992 and December 1994, children who were residents of one of three communities with varying levels of fluoride in their communal water supply were examined for dental fluorosis. Since some children were available at both examination periods, it was also possible to determine changes in the incidence of dental fluorosis. Results: The prevalence of fluorosis increased by approximately 14%, 20%, and 6% in the negligibly, optimally, and 4X optimally fluoridated communities, respectively. In the negligibly and optimally fluoridated communities, the incidence of dental fluorosis increased by 12% and 7%, respectively. In the 4X optimally-fluoridated community, all the children examined had evidence of fluorosis at both examinations. Conclusion: Fluoride continues to be the primary therapeutic agent for the prevention of dental caries in adults and children. With the downward adjustment in the fluoride supplement schedule, continued monitoring of the prevalence of dental fluorosis in young children is needed to determine if any additional steps are even necessary to restrict fluoride intake during the years that enamel formation is occurring. (Pediatr Dent 21:249-255, 1999).

Original languageEnglish (US)
Pages (from-to)249-255
Number of pages7
JournalPediatric dentistry
Issue number4
StatePublished - Jul 1999

ASJC Scopus subject areas

  • Dentistry(all)

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