Abstract
In three quarters of a century of observation and research, the effects of fluoride on dental caries and on general bodily health have been well documented. An expanding data base has allowed a firming up of the guidance and standards for appropriate and safe levels of naturally occurring fluorides for human consumption. Over time, through specific recommendations, the maximum fluoride concentrations deemed appropriate have been altered, but by a process of considered adjustment. Although the Public Health Service has been responsible for the formalization of many of the recommended standards, those recommendations have been based on research from many fronts. In the most recent reconsideration of the standards for natural fluoride, the most exhaustive and thoroughly documented review to date was done, incorporating review by representatives from State, Federal, and private programs. Although the specific example of the development of standards for natural fluoride is used, it should be illustrative of similar processes that are constantly underway in regard to substances and factors with a potential impact on the public's health. Expansion of the data base through research and scientific inquiry will lay the foundation for future reconsideration of the standards for naturally occurring fluorides.
Full text
PDF



Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- ARNOLD F. A., Jr, DEAN H. T., JAY P., KNUTSON J. W. Effect of fluoridated public water supplies on dental caries prevalence. Public Health Rep. 1956 Jul;71(7):652–658. [PMC free article] [PubMed] [Google Scholar]
- ARNOLD F. A., Jr Grand Rapids fluoridation study; results pertaining to the eleventh year of fluoridation. Am J Public Health Nations Health. 1957 May;47(5):539–545. doi: 10.2105/ajph.47.5.539. [DOI] [PMC free article] [PubMed] [Google Scholar]
- AST D. B., SMITH D. J., WACHS B., CANTWELL K. T. Newburgh-Kingston caries-fluorine study. XIV. Combined clinical and roentgenographic dental findings after ten years of fluoride experience. J Am Dent Assoc. 1956 Mar;52(3):314–325. doi: 10.14219/jada.archive.1956.0042. [DOI] [PubMed] [Google Scholar]
- Akpata E. S., Jackson D. Mottled permanent incisors in 15-year-old Lagos children. Community Dent Oral Epidemiol. 1978 Jan;6(1):36–39. doi: 10.1111/j.1600-0528.1978.tb01116.x. [DOI] [PubMed] [Google Scholar]
- Dean H. T., Elvove E. Some Epidemiological Aspects of Chronic Endemic Dental Fluorosis. Am J Public Health Nations Health. 1936 Jun;26(6):567–575. doi: 10.2105/ajph.26.6.567. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dirks O. B. The relation between the fluoridation of water and dental caries experience. Int Dent J. 1967 Sep;17(3):582–605. [PubMed] [Google Scholar]
- GALAGAN D. J. Climate and controlled fluoridation. J Am Dent Assoc. 1953 Aug;47(2):159–170. doi: 10.14219/jada.archive.1953.0159. [DOI] [PubMed] [Google Scholar]
- GALAGAN D. J., VERMILLION J. R., NEVITT G. A., STADT Z. M., DART R. E. Climate and fluid intake. Public Health Rep. 1957 Jun;72(6):484–490. [PMC free article] [PubMed] [Google Scholar]
- Richards L. F., Westmoreland W. W., Tashiro M., McKay C. H., Morrison J. T. Determining optimum fluoride levels for community water supplies in relation to temperature. J Am Dent Assoc. 1967 Feb;74(3):389–397. doi: 10.14219/jada.archive.1967.0079. [DOI] [PubMed] [Google Scholar]
- SMITH F. A. Safety of water fluoridation. J Am Dent Assoc. 1962 Nov;65:598–602. doi: 10.14219/jada.archive.1962.0313. [DOI] [PubMed] [Google Scholar]
- WALLACE-DURBIN P. The metabolism of fluorine in the rat using F18 as a tracer. J Dent Res. 1954 Dec;33(6):789–800. doi: 10.1177/00220345540330060701. [DOI] [PubMed] [Google Scholar]