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Effect on caries in mentally handicapped children of addition of fluoride and bicarbonate‐phosphate to dietary sugar products
Author(s) -
LUOMA H.,
NYMAN A.,
TOIVONEN A.,
SÖDERHOLM S.,
NUUJA T.,
KANTERO RL.,
HASSINEN ML.,
JOKELA M.,
NUMMIKOSKI P.,
RANTA H.,
THESLEFF I.
Publication year - 1979
Publication title -
european journal of oral sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.802
H-Index - 93
eISSN - 1600-0722
pISSN - 0909-8836
DOI - 10.1111/j.1600-0722.1979.tb00673.x
Subject(s) - sugar , fluoride , bicarbonate , phosphate , chemistry , dentistry , food science , medicine , inorganic chemistry , biochemistry , organic chemistry
— Mentally handicapped children, aged 5–15 years and living in institutions, received fluoride supplement in several sugar products of their diet; in candies, marmalades, jams, fruit juices and in sweet desserts corresponding to 10 mg F as NaF per kg of the sugar (sucrose or glucose) of each product. To two of the four daily candies was also added a NaHCO 3 +KH 2 PO 4 mixture (mole ratio 9.8/1, resp.) to substitute for 2.5% of the sugar of the candy. The control children received the respective products without the additives. After stepwise exclusions of subjects for various reasons, e.g. for the absence of permanent teeth, low initial caries activity, strong medication, Down's syndrome, etc, the mean DMFS‐increment in the remaining 48 control subjects was 4.5 and in the 41 test subjects 2.6 lesions/100 surfaces at risk, i.e. 42% reduction. Caries arrestment had occurred in these test subjects after the first year, while in the respective controls it was cantinuously increasing. Among numerous oral and body parameters. studied, only surface enamel fluoride in primary teeth was increased by the fluoride supplements and urinary phosphate and calcium excretion decreased.