FOCUS:
Effectiveness

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1. Analysis of the J American Dental Association cover story, July 2000 PDF (65K)
Ingested fluoride does not reduce tooth decay. Even when the outer enamel has fluoride levels of 1000 ppm, it does not withstand acid-induced dissolution any better than enamel containing normal levels of 20 to 100 ppm.

2. Topical vs. systemic: an overview of the literature PDF (129K)

3. Letter to the Centers for Disease Control regarding fluoride supplements PDF (194K)
New Jersey Assemblyman asks how the CDC can promote prescription fluoride supplements for children when these drugs have never been FDA approved.

4. Fluoride supplements for children: an analysis of the literature PDF (387K)
Current criticisms of the early studies reporting supplements’ benefits are serious, and none would be published today due to methodological and other shortcomings.

5. New Drug Application for fluoride/vitamin combinations is withdrawn PDF (65K)
The FDA determined there was no substantial evidence of drug effectiveness as prescribed, recommended, or suggested in its labeling.

6. Dental sealants, not fluoride, protect the grooves of molars from decay PDF (581K)
Fluoride is claimed to protect the smooth surfaces of teeth rather than the pit and fissure surfaces, the site of 83% of tooth decay in U.S. children in 1986-87.

7. Pit and fissure tooth decay and fluoridation PDF (129K)
Six quotations from the dental literature confirm fluoridation’s lack of benefit for pit and fissure tooth decay, where "83%" or "90%" of decay occurs.

8. Editorial from J American Dental Association, March 1984 PDF (387K)
Complete text of one of the above quotations which lauds the benefits of sealants, rather than fluoride, for prevention of pit and fissure tooth decay.

9. Excerpts from Dental Cosmos, August 1929 PDF (387K)
95% of the dental cavities of 187 children in three states were found to be in the pits and fissures of the molars.

10. J Public Health Dentistry, 1993. The Neglected Epidemic PDF (65K)
50 percent of Head Start children, defined as low income children, have had baby bottle tooth decay (BBTD).

11. Photographs of baby bottle tooth decay from four published studies PDF (710K)
The rampant decay pattern of baby bottle tooth decay begins with the upper four middle teeth, progresses to the molars, and then the permanent teeth as they erupt.

12. References to 16 studies on baby bottle tooth decay PDF (129K)
Regardless of fluoride exposure, inappropriate and/or prolonged use of the nursing bottle is a high risk factor for tooth decay in toddlers and poor children.

13. Failure of intense preventive efforts to arrest early childhood and rampant caries: three case reports. PDF (452K)
Daily brushing with fluoride gel containing 2666 ppm fluoride failed to arrest early childhood caries development.

14. Splash of iodine prevents early childhood cavities. (PDF 65K)
After swabbing the teeth and gums of infants with diluted iodine every other month for 1 year, 91% were free of cavities after 12 months compared with only 54% in the control group.

15. A 'New and Improved' Cavity-Fighting Paste (PDF 65K)
Children who brushed with the bacteria-fighting CaviStat had 96 percent fewer cavities than those who used a common fluoride paste.

16. Dentist fulfills the needs of poor children in fluoridated New York City PDF (516K)
Although decay rates have increased in most fluoridated poor neighborhoods, this traveling dentist singlehandedly lowers decay rates in 10,000 children per year.

17. Independent Review of the California Oral Health Needs Assessment PDF (258K)
The primary conclusion of the study, namely that increased fluoridation of California is warranted, is not supported by the data. Nor did the authors control for BBTD.

18. To Reduce Tooth Decay, Cease Water Fluoridation? PDF (129K)
Six studies report the effect that fluoridation cessation had on dental decay rates.

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