Pediatricians should be involved in oral health care

Pediatricians should be involved in oral health care

(HealthDay)—Pediatricians should perform oral health assessments and help maintain and restore oral health for the youngest children, according to a policy statement from the American Academy of Pediatrics (AAP) published online Nov. 24 in Pediatrics.

Dental caries is the most common chronic disease of childhood, and its prevalence has not decreased over the last decade for the youngest of children. With this in mind, David M. Krol, M.D., M.P.H., from the AAP's Section on Oral Health Executive Committee, and colleagues developed a on oral health.

The authors note that pediatricians often confront morbidity associated with dental caries. As pediatricians see the youngest children more often than dentists, they should be knowledgeable about dental caries progression, prevention of dental caries, and interventions for maintaining and restoring health. Suggestions for pediatricians include periodically administering an oral health risk assessment for all children; including anticipatory guidance for oral health as part of comprehensive patient counseling; advising parents and caregivers to reduce the frequency of exposure to sugar in foods and drinks; encouraging tooth brushing as soon as teeth erupt; advising parents and caregivers to monitor tooth brushing until age 8; and building and maintaining collaborative relationships with local dentists.

"Because is such a common and consequential disease process in the pediatric population, it is essential that pediatricians include in their daily practice of pediatrics," the authors write.

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Nov 25, 2014
Pediatricians need to also inform parents that too much fluoride from all sources can damage teeth. Dental fluorosis (discolored teeth) is a growing US epidemic because most dentists and physicians fail to tally any child's total fluoride intake from all sources before prescribing more and in higher concentrations

Formula mixed with fluoridated water is linked to dental fluorosis. Fluoride is in baby foods, beverages and formula. The USDA has created a fluoride in foods database to help parents. But they don't even know they should be counting fluoride sources.

Fluoride varnish has a hugely toxic 26,000 parts per million fluoride. Blood fluoride levels spike after application.

Pediatricians also need to familiarize themselves with the toxic dose of fluoride. See: http://fluorideal...acute01/

Parents need to know that fluoride is not a nutrient nor essential for healthy teeth. It is a drug with adverse side effects.

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