CDC Recommendations for Using Fluoride to Prevent and Control Dental Caries

Posted on: April 5, 2010

Bright Smiles from Birth is an ICAAP educational program that provides guidelines and support to Pediatricians and Family Physicians, Dentists, and families to make oral health a component of well child visits.

Recommendations for Using Fluoride to Prevent and Control Dental Caries in the United States

This report from the Centers for Disease Control and Prevention (CDC) provides in depth information on the role of fluoride in prevention and management of early childhood caries. The recommendations outlined in this report are designed to assist providers in using fluoride to achieve maximum protection against dental caries while using resources efficiently and reducing the likelihood of enamel fluorosis.

“Widespread use of fluoride has been a major factor in the decline in the prevalence and severity of dental caries (i.e., tooth decay) in the United States and other economically developed countries. When used appropriately, fluoride is both safe and effective in preventing and controlling dental caries. All U.S. residents are likely exposed to some degree to fluoride, which is available from multiple sources. Both health-care professionals and the public have sought guidance on selecting the best way to provide and receive fluoride. During the late 1990s, CDC convened a work group to develop recommendations for using fluoride to prevent and control dental caries in the United States. This report includes these recommendations, as well as a) critical analysis of the scientific evidence regarding the efficacy and effectiveness of fluoride modalities in preventing and controlling dental caries, b) ordinal grading of the quality of the evidence, and c) assessment of the strength of each recommendation.”

“Because frequent exposure to small amounts of fluoride each day will best reduce the risk for dental caries in all age groups, the work group recommends that all persons drink water with an optimal fluoride concentration and brush their teeth twice daily with fluoride toothpaste. For persons at high risk for dental caries, additional fluoride measures might be needed. Measured use of fluoride modalities is particularly appropriate during the time of anterior tooth enamel development (i.e., age <6 years).”


For more information about CDC’s statement on using fluoride to prevent and control dental cariesĀ  or Bright Smiles from Birth, please contact:

Jennie Pinkwater
Project Director
1400 W. Hubbard
Chicago, IL 60642
Phone: 312/733-1026, ext 213
Fax: 312/733-1791