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World Health Organization : Technical Report Series, No. 846: Fluorides and Oral Health

By Yde Paiva Buischi

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Book Id: WPLBN0000226740
Format Type: PDF eBook
File Size: 2.1 MB
Reproduction Date: 2005
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Title: World Health Organization : Technical Report Series, No. 846: Fluorides and Oral Health  
Author: Yde Paiva Buischi
Language: English
Subject: Health., Public health, Wellness programs
Collections: Medical Library Collection, World Health Collection
Publication Date:
Publisher: World Health Organization


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Buischi, Y. P. (n.d.). World Health Organization : Technical Report Series, No. 846. Retrieved from

Medical Reference Publication

The WHO Expert Committee on Oral Health Status and Fluoride Use met in Geneva from 22 to 28 November 1993. Dr N.P. Napalkov, Assistant Director-General, opened the meeting on behalf of the Director-General. Laboratory research suggests that fluoride is most effective in caries prevention when a low level of fluoride is constantly maintained in the oral cavity. An important reservoir of this fluoride is in plaque, though some is also found in saliva, on the surfaces of the oral soft tissue, and in loosely bound form on the enamel surfaces. Strategies aimed at regular, low-level exposure to fluoride in the community are superior, in terms of caries prevention, to professional applications, notably to highconcentration fluoride gels. The latter are most appropriate for selective use on individuals who are susceptible to caries. In public health, they are less cost-effective and logistically more difficult to target to the needy members of the community, can be a health hazard, and need to be applied at regular intervals to be optimally effective (thus adding to expense).

Table of Contents
I. Introduction 2. Fluorides in the environment 2.1 Fluorides in the lithosphere 2.2 Fluorides in water 2.3 Fluorides in air 2.4 Fluorides and pollution 2.5 Fluorides in foods and beverages 2.6 Desalination and household water treatment plants 2.7 Conclusions 3. Fluoride metabolism and excretion 3.1 Fluoride absorption 3.2 Fluoride in plasma 3.3 Tissue distribution 3.4 Fluoride excretion 3.5 Conclusions 4. Fluoride in teeth and bone 4.1 Fluoride in teeth 4.2 Fluoride in bone 4.3 Fluoride and osteoporosis 4.4 Fluoride and hip fractures 4.5 Fluoride and skeletal fluorosis 4.6 Fluoride and osteosarcoma 4.7 Conclusions 5. Biomarkers of fluoride exposure 5.1 Contemporary markers: urine, plasma, saliva 5.2 Recent markers: nails and hair 5.3 Historic markers: bone and teeth 5.4 Fluorosis as a biomarker 5.5 Conclusions 6. Caries prevention and dental fluorosis 6.1 Conclusions 7. Fluoride in drinking-water 7.1 Impact on a population, limitations, and implementation 7.2 Economics, health, and safety 7.3 Legal aspects and public acceptance 7.4 Appropriate levels of fluoride in drinking-water 7.5 Partial defluoridation 7.6 Water fluoridation and root-surface caries 7.7 Requirements for application 7.8 Conclusions 8. Fluoridated salt 8.7 Caries inhibition 8.2 Impact on a population, limitations, and implementation 8.3 Economics, health, and safety


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