Demand for water fluoridation across England to fight tooth decay in children | dentists
Fluoride should be added to water supplies across England to help curb the increasing number of children hospitalized with tooth decay, dental surgeons say.
Almost 26,000 such children between the ages of five and nine were admitted in 2013/14. This makes it the main reason for inclusion in the age group and represents an increase of 14% in three years.
About 10% of England’s water supplies contain natural or man-made fluoride that is optimal for dental health. But in a report on the state of children’s oral health released Tuesday, the Faculty of Dental Surgery at the Royal College of Surgeons (RCS) says this is not good enough.
Faculty Dean Prof. Nigel Hunt said, “One of the biggest problems raised in the document is the inequality in oral health across the country and the provision of water fluoridation is one way to overcome this. We know it is of proven benefit. “
He cited a 2014 report by Public Health England that found 45% fewer children aged one to four were hospitalized for tooth decay in fluoridation areas.
Despite the support of the British Dental Association, the addition of one part per million fluoride to reduce tooth decay has proven to be a controversial issue.
In Hampshire, plans to add fluoride to its water supply have been abandoned amid opposition from local authorities and the public. Opponents claim that it can be unsafe and violent drugs. But the PHE report that Hunt was referring to looked at the comparative rates of hip fractures, kidney stones, cancer, Down syndrome births, and all-cause mortality and found no difference.
In addition to fluoridating water, the RCS would like the government to invest in a national oral health program similar to Childsmile in Scotland. The £ 1.8 million Scottish program, which includes supervised brushing for children in elementary schools and kindergartens in deprived areas, saved more than £ 6 million in dental costs between 2001 and 2010. The RCS, which represents around 4,500 specialist dentists, also wants awareness of the effects of sugar on tooth decay and that the government ensures that all children with advanced tooth decay have timely access to specialized pediatric services.
“We’re talking about a relatively small amount of money that will bring lifelong benefits,” said Hunt. “If oral health is not addressed as a child, there is increasing evidence that there will be problems later in life.”
Barry Cockcroft, chief dental officer, said dental health has improved dramatically over the past 10 years. Caries can be almost completely avoided through a balanced diet and good oral hygiene. “
A spokesman for the National Pure Water Association said: “The Royal College’s otherwise good report is spoiled by its flawed recommendation to increase fluoridation levels in the UK.
“There’s good evidence to support oral health initiatives like the Scottish Childsmile program, which in England costs less than fluoridation and covers more people. After nearly 70 years of fluoridation, there is no high quality scientific study (an individual, randomized, controlled trial) that shows that fluoridation is effective or safe. “
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