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氟化物添加的不为人知的故事:重新审视不断变化的观点。

The Untold Story of Fluoridation: Revisiting the Changing Perspectives.

作者信息

Unde Maitreyee P, Patil Raju Umaji, Dastoor Persis P

机构信息

Department of Pedodontics and Preventive Dentistry, STES Sinhgad Dental College and Hospital, Pune, Maharashtra, India.

出版信息

Indian J Occup Environ Med. 2018 Sep-Dec;22(3):121-127. doi: 10.4103/ijoem.IJOEM_124_18.

Abstract

The discovery of fluoride in dentistry has revolutionized treatment modalities with a new aspect of prevention and conservation of tooth structure coming into foreplay. Since then, there has been a lot of research on both topical and systemic fluoridation in an overzealous attempt to control the most debilitating dental problem of caries. Although topical fluoride is still being widely used as a preventive measure for dental caries, systemic administration of the same has gained major criticism worldwide due to the low margin of safety of fluoride and no control over the amount of individual intake when administered on a community level. This problem is more prevalent in countries with presence of natural fluoride belts that extend from Turkey to China and Japan through Iraq, Iran, and Afghanistan increasing the chances of both dental and skeletal fluorosis and hence increasing the focus toward defluoridation. This historical review highlights the distribution of fluoride worldwide and in India and also discusses about the various claims of the antifluoride lobby.

摘要

牙科领域中氟化物的发现彻底改变了治疗方式,预防和保护牙齿结构的新方法开始发挥作用。从那时起,人们对局部用氟和全身用氟进行了大量研究,试图过度控制最具破坏性的龋齿问题。尽管局部用氟仍被广泛用作预防龋齿的措施,但由于氟化物的安全边际较低,且在社区层面进行全身给药时无法控制个体摄入量,因此在全球范围内受到了主要批评。这个问题在存在天然氟带的国家更为普遍,这些氟带从土耳其延伸至中国和日本,途经伊拉克、伊朗和阿富汗,增加了牙齿和骨骼氟中毒的几率,从而使人们更加关注除氟问题。这篇历史综述突出了全球及印度氟化物的分布情况,还讨论了反氟游说团体的各种主张。

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