Received. 14Marc 011
The knowledge of background alimentary fluoride intake in preschool children is of utmost importance for introducing optimal and safe caries preventive measures for both individuals and communities.
Daily alimentary fluoride intake was measured in a number of 36 children with an average age of 75 years and an average weight of 2069 kg at baseline, by means of a double plate method. Pooled samples of food and beverages were weighed and solid food samples were homogenized. An attempt was made to calculate the daily intake of fluoride from food and swallowed toothpaste. Parents recorded their child’s diet making an attempt to maximize the benefit of fluoride in caries prevention and to minimize its risk, these results showed that in preschool children caution may be exercised when giving advice on the fluoride containing components of child’s diet or prescribing fluoride supplements. Just keep reading! In the children studied, observed daily fluoride intake reached the threshold for safe fluoride intake.
Over the last 15 years, there was a couple of studies of alimentary fluoride intake in younger pre school children. The range of the optimal fluoride intake was revised, repeatedly with regard to the possible total quantity of fluoride intake from food and swallowed toothpaste. The authors referred to the initial estimate that the optimum fluoride intake in children ranged from 05 to 07 mg/kg of child’s weight/day. Fluoride intake has usually been calculated indirectly, on the basis of the records of food and drinks consumed any day and to the known fluoride content of the most frequently consumed kinds of food types and beverages. The reason why pre school age children was selected for the study of fluoride intake is that at this age an early secretory stage of development of the permanent anterior teeth enamel takes place and is very sensitive to increased fluoride intake. Fluoride supplementation in areas with low fluoride content in drinking water can be planned at appropriate doses because Alimentary fluoride intake was studied in children from 6 months to 10 years in ‘cross sectional’ and longitudinal studies with intention to determine basal fluoride intake from food sources.
More recent studies have shown that opacities of the permanent anterior teeth might develop even when increased intake of fluoride occurred in children percentage of food and beverages received by a child throughout the day and analysing the resulting homogenate to determine the fluoride content directly. Increased prevalence of opacities in permanent teeth, observed in the and Australia, including areas with low fluoride content in drinking water, is attributed to the inappropriately high intake of fluoride supplements and has led to the decision that the original optimal range of daily intake was set at the upper limit. It’s a well the method of indirect calculation of fluoride intake depending on diets and table values of fluoride content in the essential components of child’s diet became unsatisfactory and it was replaced by a ‘socalled’ doubleplate method.
In children aged 3 to 4 years, daily fluoride intake had been found to be in the range from 05 to 31 mg with an average of 15 ± 06 mg, calculated to 008 ± 0003 mg/kg bw/day. The study of the alimentary fluoride intake in children in the Czech Republic has focused so far on determination of fluoride content in instant milk products, and bottled water. Bottled water for infants is very popular, even in families of preschoolers, for its low content of nitrates, nitrites and sulphates. Among bottled spring water there’s one brand with 6 ppm There is also a bottled table mineral water with a fluoride content exceeding 7 ppm, that must be obligatorily labelled as not suitable for children up to 7 years, still bottled Czech water usually contains ‘0412’ ppm F. Let me tell you something. Sea food, blackish tea and similar food sources higher in fluoride are rare in the current diet of Czech preschool children.
There’s no fluoridation of drinking water in the Czech Republic, fluoridated toothpastes for children are available country wide and fluoride tablets are administered rarely and no detailed data are available, as to other sources of fluorides.
The prevalence of dental fluorosis was monitored until 1989 when water fluoridation was stopped and since consequently no data are available. The longitudinal study of tooth decay increment, fluoride intake and parental behaviour and attitude regarding oral health of preschool children is conducted with following baseline data.
The aim of this study was to assess the daily alimentary fluoride intake analyzing duplicate samples of food and beverages in a smaller group of individuals recruited from the aforementioned larger children’s group. The daily alimentary fluoride intake in duplicate samples of food and beverages was assessed in this study. Generally, an attempt was made to calculate the daily intake of fluoride from food and swallowed toothpaste.
The Ethics Committees of the 1st Faculty of Medicine in Prague and the Faculty of Medicine in Hradec Kralove approved the study and the parents of children involved in the study signed the appropriate consent form.
The parents also collected equal portions of food and beverages consumed by the child. The study involved 36 children and their parents from a wider group of children who were identical brand containing 500 fluoride ppm and parents were instructed to put only a small pea size of toothpaste on toothbrush. Now please pay attention. The average age of the children at baseline was 75 years. So, the parents were advised, via the study protocol, as to what dietary components of were to be described as liquids or solids and were asked to estimate quantity of food and beverages their child actually received as precisely as possible. While as indicated by local Czech dietary habits, from the forms used in the Iowa fluoride intake study, when they’ve been in the apartments all day with their child/children, parents recorded their child’s the weight and the volume of food and beverages their children consumed over the course of 24 hours on prepared forms modified. None of these children had taken fluoride supplements throughout the study or before. Liquids directly measurable potentiometrically for the fluoride content and solid or semiliquid food not directly measurable for fluoride content were collected separately.
The contents of containers with liquids and solid or semisolid food were weighted and homogenized in a kitchen blender and the fluoride content was measured subsequently from aliquot sample volumes. In samples of liquid components TISAB II solution was added for the pH adjustment. Fluoride content was measured directly by potentiometric method using fluoride ion selective electrodes described below.
Aliquot samples of solid and semi solid food components with an added known volume of deionised water were also homogenized and processed by the quantitative extraction of fluoride by a micro diffusion method in accordance with Taves with a detection limit of 02 fluoride ppm per pH meter InoLab pH/ION 735P whilst stirring continuously in an electromagnetic stirrer. In every sample, the measurement was performed in triplicate. Values in mV were read after stabilization of measured potential. The concentration of fluoride in mg/l was calculated depending on calibration values of sodium fluoride solutions at concentrations of 02, 05, 1, 2, 5, 0, 5 and 0 mg/fluoride per litre.
Whenever at baseline and later again after a six month interval, determination of daily fluoride intake in children was conducted twice. Now look, the following factors were taken into account, when calculating the daily fluoride intake. In every sample, the measurement of fluoride content was conducted in triplicate and the average values were calculated from the results. Fluoride content was expressed in mg per 1 consumed kg food and beverages and in the calculations of daily intake in mg/kg bw/day.
Such conclusion corresponds to the results obtained by the authors of this method and modifications of this method, Baby formula Sunar Complex Premium Validation studies of the fluoride extraction method used in the current study showed that in the expected range of the fluoride content in duplicate food samples, 2 to 4percent loss of fluoride in the extraction was acceptable.
Other authors who used the extraction method also took the potential fluoride loss into account.