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We were delighted to see Lucina highlighted positive data on Community Water Fluoridation (CWF)  Has Luciana seen the latest American Academy of Paediatrics (AAP) guideline on the issue?  They state that the AAP Standard of Care is Fluoride Varnish. However we have asked them why CWF isn’t the standard of care given the only objection they give for it is that it is a “controversial and highly emotional issue”. In the same paper they make suggestions including that paediatricians should:
1) Apply fluoride varnish
2) Know how to determine the concentration of fluoride in a child’s primary drinking water and determine the need for systemic supplements.
3) Advocate for water fluoridation in their local community.
UK paediatricians cannot apply fluoride varnish. UK paediatricians can identify concentrations of fluoride in the local drinking water using www.onepartpermillion.co.uk. They can prescribe fluoride supplements where there is need.
Until CWF is implemented does Lucina agree that these measures need promoting amongst UK Paediatricians?
1. Highlights from the literature Archives of Disease in Childhood 2020;105:1236.
2. Clark MB, Slayton RL for American Academy of Pediatrics Section on Oral Health. Pediatrics 146 (6):e2020034637