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Evidence-based clinical recommendations regarding fluoride intake from reconstituted infant formula and enamel fluorosis: a report of the American Dental Association Council on Scientific Affairs.

Overview
Title:
Evidence-based clinical recommendations regarding fluoride intake from reconstituted infant formula and enamel fluorosis: a report of the American Dental Association Council on Scientific Affairs.
Authors:
Berg J, Gerweck C, Hujoel PP, King R, Krol DM, Kumar J, Levy S, Pollick H, Whitford GM, Strock S, Aravamudhan K, Frantsve-Hawley J, Meyer DM
Journal:
J Am Dent Assoc
Publication date:
2011
Volume:
142
Issue:
1
First page:
79
Last page:
87
ISSN:
1943-4723
Link to pubmed:
http://www.ncbi.nlm.nih.gov/pubmed/21243832
Publication type:
Journal
Free text

Background. This article presents evidence-based clinical recommendationsregarding the intake of fluoride from reconstituted infant formulaand its potential association with enamel fluorosis. The recommendationswere developed by an expert panel convened by the American DentalAssociation (ADA) Council on Scientific Affairs (CSA). The paneladdressed the following question: Is consumption of infant formulareconstituted with water that contains various concentrationsof fluoride by infants from birth to age 12 months associatedwith an increased risk of developing enamel fluorosis in thepermanent dentition?Types of Studies Reviewed. A panel of experts convened by theADA CSA, in collaboration with staff of the ADA Center for Evidence-basedDentistry (CEBD), conducted a MEDLINE search to identify systematicreviews and clinical studies published since the systematicreviews were conducted that addressed the review question.Results. CEBD staff identified one systematic review and twoclinical studies. The panel reviewed this evidence to developrecommendations.Clinical Implications. The panel suggested that when dentistsadvise parents and caregivers of infants who consume powderedor liquid concentrate infant formula as the main source of nutrition,they can suggest the continued use of powdered or liquid concentrateinfant formulas reconstituted with optimally fluoridated drinkingwater while being cognizant of the potential risks of enamelfluorosis development. These recommendations are presented asa resource to be considered in the clinical decision-makingprocess. As part of the evidence-based approach to care, theseclinical recommendations should be integrated with the practitioner’sprofessional judgment and the patient’s needs and preferences.

Preview

Evidence-based clinical recommendations regarding fluoride intake from reconstituted infant formula and enamel fluorosis: a report of the American Dental Association Council on Scientific Affairs. Berg J, Gerweck C, Hujoel PP, King R, Krol DM, Kumar J et al. J Am Dent Assoc 2011; 142(1):79-87.

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