The pre- and posteruptive effects of fluoride in the caries decline.


:The widespread availability of fluoride from many sources is accepted as a major reason for the caries decline among children in developed countries. There is still controversy, however, about its principal mode of action. This article reviews the evidence on fluoride's preeruptive and posteruptive effects, and suggests reasons for its continuing role in the caries decline. Early fluoridation studies accepted that fluoride acted preruptively through incorporation into developing enamel; but further research could not explain why fluoride levels were not clearly higher in enamel exposed to fluoride, nor why there were no clear correlations between caries experience and enamel fluoride concentration. Instead, considerable evidence suggests that fluoride acts mainly, though not entirely, through posteruptive remineralization of demineralized enamel. Caries experience has declined in nonfluoridated as well as in fluoridated areas, though DMF scores are still consistently lower in fluoridated areas. Posteruptive remineralization effects are seen from fluoridated drinking water as well as with fluoride from other sources. The continuing caries decline, beyond the level suggested by early fluoridation field trials, can be attributed either to more efficient remineralization or to long-term, intraoral ecological change, or to both.


J Public Health Dent


Beltran ED,Burt BA




Has Abstract


1988-10-01 00:00:00












  • Theoretical considerations in applying benefit-cost and cost-effectiveness analyses to preventive dental programs.

    abstract::Benefit-cost analysis and cost-effectiveness analysis can be used to evaluate preventive regimens and aid policy-makers in making resource-allocation decisions. This paper demonstrates the application of benefit-cost and cost-effectiveness analyses to preventive dental programs. The two analyses are defined and descri...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Niessen LC,Douglass CW

    更新日期:1984-10-01 00:00:00

  • The oral health status of America's rural children: An opportunity for policy change.

    abstract:OBJECTIVES:The purpose of our study was to examine the association between rurality and select oral health care metrics: teeth condition, decay, and access measures such as preventive dental care among children in the United States. METHODS:We conducted a cross-sectional study with a sample of 20,842 respondents from ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Crouch E,Nelson J,Merrell MA,Martin A

    更新日期:2021-01-27 00:00:00

  • Glass ionomer as fissure sealant--a critical review.

    abstract::This paper presents a review of the literature on glass ionomer cements used as fissure sealants. An objective assessment of the presently available scientific literature on the use of glass ionomer materials as pit and fissure sealants is not encouraging in terms of retention, but appears somewhat more positive for c...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章,评审


    authors: Simonsen RJ

    更新日期:1996-01-01 00:00:00

  • Examiner reliability of fluorosis scoring: a comparison of photographic and clinical examination findings.

    abstract:OBJECTIVE:To assess and compare examiner reliability of clinical and photographic fluorosis examinations using the Fluorosis Risk Index (FRI) among children in the Iowa Fluoride Study (IFS). METHODS:The IFS examined 538 children for fluorosis and dental caries at age 13 and obtained intraoral photographs from nearly a...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Cruz-Orcutt N,Warren JJ,Broffitt B,Levy SM,Weber-Gasparoni K

    更新日期:2012-04-01 00:00:00

  • Proportional changes in caries patterns from early to late primary dentition.

    abstract::A tooth-oriented caries measure has limitations in depicting the caries experience in the primary dentition for a population. Caries patterns based on the child have been presented previously and quantified. The purpose of this study was to explore proportional changes in caries patterns of the primary dentition in tw...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Johnsen DC,Schechner TG,Gerstenmaier JH

    更新日期:1987-01-01 00:00:00

  • Assessing oral cancer early detection: clarifying dentists' practices.

    abstract:OBJECTIVE:This study explores new methods for assessing in greater detail what dentists do when they perform oral cancer early detection examinations. It clarifies practice behaviors and opens opportunities to identify factors that facilitate thorough early detection examinations by clinicians and to assess the relativ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: LeHew CW,Epstein JB,Kaste LM,Choi YK

    更新日期:2010-04-01 00:00:00

  • Perceived safety and benefit of community water fluoridation: 2009 HealthStyles survey.

    abstract:OBJECTIVES:To describe perceived benefits and safety of community water fluoridation (CWF) and investigate factors associated with those perceptions of CWF among respondents to a proprietary survey in the United States. METHODS:We obtained data from the 2009 HealthStyles survey, a convenience sample of 4,556 responden...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Mork N,Griffin S

    更新日期:2015-10-01 00:00:00

  • Perceived professional roles and implications for clinical decision-making.

    abstract:OBJECTIVES:This study aims to (a) investigate the relationship between dentists' perceived professional role (PPR), defined as the belief that they are health care professionals versus business people, and treatment intensity, determined by the aggressiveness of clinical approaches, such as in number or scope, and (b) ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Yu B,Ghoneim A,Lawrence H,Glogauer M,Quiñonez C

    更新日期:2020-01-01 00:00:00

  • US drinking water: fluoridation knowledge level of water plant operators.

    abstract:OBJECTIVES:We determined the knowledge level of water plant operators who fluoridate drinking water, and we compared small and large water plants. METHODS:A pretested survey was sent to 2,381 water plant operators in 12 states that adjust the fluoride concentration of drinking water. A z-test for proportion was used t...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Lalumandier JA,Hernandez LC,Locci AB,Reeves TG

    更新日期:2001-04-01 00:00:00

  • Statistical analysis for identifying mediating variables in public health dentistry interventions.

    abstract:OBJECTIVE:This article provides an overview of statistical mediation analysis methods in the evaluation of public health dentistry interventions. METHODS AND RESULTS:First, reasons for conducting mediation analysis are outlined, followed by a discussion of the link between the mediation model and theoretical bases of ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: MacKinnon DP,Luecken LJ

    更新日期:2011-01-01 00:00:00

  • Government spending on dental care: is it a public priority?

    abstract:OBJECTIVES:The majority of Canadians believe that the government should play some role in providing dental care within Canada's health care system. However, it is unclear whether Canadians consider this as a top public priority. This study determines whether dental care is a public priority among Canadian adults relati...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Ramji S,Quiñonez C

    更新日期:2012-07-01 00:00:00

  • Use of dental care by elderly Chinese immigrants in Canada.

    abstract:OBJECTIVES:This study examines the predictors for elderly Chinese immigrants' use of dental care services. METHODS:In 2003, a study entitled "Health and Well Being of Older Chinese in Canada" collected data from seven cities in which 2,272 Chinese Canadians aged 55 years and older were surveyed. Data from 1,537 of the...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Lai DW,Hui NT

    更新日期:2007-01-01 00:00:00

  • Lack of oral care policies in Toronto daycares.

    abstract:OBJECTIVES:Currently, there is a deficit of information on policies regarding oral hygiene practices in Toronto daycares. It is unknown if any tooth-brushing programs are in existence and if children are permitted to follow professional advice on oral hygiene. The main objectives of this investigation were to a) determ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Gartsbein E,Lawrence HP,Leake JL,Stewart H,Kulkarni G

    更新日期:2009-07-01 00:00:00

  • Dental care satisfaction: the reliability and validity of the DSQ in a low-income population.

    abstract:OBJECTIVES:Studies examining satisfaction with dental health care among the poor are quite rare. This study was done to confirm the internal structure and reliability of the Dental Satisfaction Questionnaire (DSQ), a measure of dental care satisfaction, among a low-income population, and provide normative data regardin...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Golletz D,Milgrom P,Mancl L

    更新日期:1995-10-01 00:00:00

  • Delivery of oral health care through the Ryan White CARE Act to people infected with HIV.

    abstract::The Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990 was passed by Congress "to improve the quality and availability of care for individuals and families with HIV disease." The act targets those individuals infected with HIV who lack financial resources to pay for care. While provision of oral heal...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Schneider DA,Hardwick KS,Marconi KM,Niemcryk SJ,Bowen GS

    更新日期:1993-10-01 00:00:00

  • Do root lesions tend to develop in the same people who develop coronal lesions?

    abstract:OBJECTIVES:The three purposes of this study are to: (1) describe the relationship between the prevalence of coronal caries and root caries; (2) describe the relationship between the three-year incidence of coronal caries and root caries; and (3) if the two conditions are associated, develop a multiple regression model ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Beck JD,Drake CW

    更新日期:1997-04-01 00:00:00

  • Using electronic dental records to establish a surveillance system for dental decay in rural Western Alaska.

    abstract:OBJECTIVES:Previous surveys have demonstrated high rates of early childhood caries (ECC) in the Alaska Native (AN) population of western Alaska. There are many challenges to providing dental care in this road-less Yukon-Kuskokwim Delta region. The regional Tribal Health Organization implemented an electronic dental rec...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Thomas TK,Lenaker D,Day GM,Wilson JC,Holck P,Newman J,Bruden D,Hennessy TW

    更新日期:2020-12-06 00:00:00

  • Time of development of occlusal and proximal lesions: implications for fissure sealants.

    abstract::Analysis of surface and tooth-specific data from NHANES I and HHANES shows that the pattern of dental caries differs greatly from tooth to tooth and surface to surface. Occlusal caries precedes all other types, and increases most rapidly and to the highest levels in the molars. Caries on the proximal surfaces comes la...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Eklund SA,Ismail AI

    更新日期:1986-04-01 00:00:00

  • Factors influencing the appropriateness of restorative dental treatment: an epidemiologic perspective.

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    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Grembowski D,Fiset L,Milgrom P,Forrester K,Spadafora A

    更新日期:1997-01-01 00:00:00

  • MORE Care: an evaluation of an interprofessional oral health quality improvement initiative.

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    pub_type: 杂志文章


    authors: Kanan C,Ohrenberger K,Bayham M,Raskin SE,Tranby EP,Boynes S

    更新日期:2020-09-01 00:00:00

  • At the crossroads of oral health inequities and precision public health.

    abstract:OBJECTIVES:This paper reviews the precision public health literature pertaining to oral health, identifies possible threats that could inadvertently increase health inequities, and proposes potential opportunities that precision public health could utilize to reduce oral health inequities. METHODS:The health sciences ...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章,评审


    authors: Gansky SA,Shafik S

    更新日期:2020-03-01 00:00:00

  • Does dentistry as we know it have a future?

    abstract::The American Dental Association's Strategic Plan for the Future of Dentistry is primarily a self-serving document in that it attempts to protect the dentist regardless of the changing oral health needs of the population. Marketing, even if initially successful, will not increase the absolute demand for dental services...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Schoen MH

    更新日期:1985-07-01 00:00:00

  • The virtual dental home: a critique.

    abstract::The Virtual Dental Home is a concept of the Pacific Center for Special Care of the Arthur A. Dugoni School of Dentistry in San Francisco. It is designed to improve access to dental care for underserved populations, specifically children and institutionalized adults. This article describes the development and implement...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Friedman JW,Nash DA,Mathu-Muju KR

    更新日期:2017-09-01 00:00:00

  • Dental caries in African preschool children: social factors as disease markers.

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    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Khan MN,Cleaton-Jones PE

    更新日期:1998-01-01 00:00:00

  • Sensory and motor deficits in the elderly: impact on oral health.

    abstract::Hearing, vision, orthopedic, and speech disorders are the most common impairments in the elderly. Older adults experience other sensory impairments such as olfactory and gustatory dysfunction, as well as oral motor problems including difficulty with mastication, speech, and swallowing. These disorders can directly aff...

    journal_title:Journal of public health dentistry

    pub_type: 杂志文章,评审


    authors: Chávez EM,Ship JA

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  • A survey of preschool oral health education programs.

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    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Levy GF

    更新日期:1984-01-01 00:00:00

  • Oral health of children of migrant farm workers in northwest Michigan.

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    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Woolfolk M,Hamard M,Bagramian RA,Sgan-Cohen H

    更新日期:1984-07-01 00:00:00

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    journal_title:Journal of public health dentistry

    pub_type: 杂志文章


    authors: Cannick GF,Horowitz AM,Reed SG,Drury TF,Day TA

    更新日期:2006-01-01 00:00:00

  • Development of functional oral health literacy assessment instruments: application of literacy and cognitive theories.

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    authors: Bridges SM,Parthasarathy DS,Au TK,Wong HM,Yiu CK,McGrath CP

    更新日期:2014-04-01 00:00:00

  • Dentists' stated restorative treatment thresholds and their restorative and caries depth decisions.

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    pub_type: 杂志文章


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    更新日期:1996-07-01 00:00:00