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Old 03.02.2015, 11:24
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Swiss Salt with Fluoride added

Oh boy, I am one sad Dental Hygienist!

Two daughters of friends came in for their annual cleaning and check up this week and I was shocked to see FLUOROSIS. The girls were my patients as small children, but switched to the Schulzahnarzt ( School Dental) clinic once they were school age, so I lost track of them.

Now, they've come back to me at ages 10 and 13, and I wanted to cry. Their new adult teeth are extra white, with irregular color and chalky texture, so I asked their mother about their ingestion of fluoride. Their pediatrician ( medical doctor, not dentist) had recommended the Swiss salt with added fluoride.

Since the mother had a lifetime of dental problems, she took this suggestion seriously, and used this salt exclusively, resulting in fluorosis. Naturally, I said nothing to the mother, though I felt quite frustrated by this situation.

For this reason, I would like orhers to be aware of this problem.

I suggest you inform yourself about fluoride; systemic and topical. Be moderate in all cases.

Perhaps, we'll get lucky and Captain Greybeard shall help us out! Calling for the Captain!
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Old 03.02.2015, 11:25
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Re: Swiss Salt with Fluoride added

The package of salt:
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Old 03.02.2015, 11:39
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Re: Swiss Salt with Fluoride added

Here is an earlier thread about water fluoridation in Switzerland.

I grew up in a region with naturally occuring fluoride in well water. It often had to be removed to make the water safe or it would cause Colorado Brown Stain.
http://en.m.wikipedia.org/wiki/Histo...r_fluoridation

Yet, in professional school, we learnt there were optimal concentrations which could benefit dental health. The recommended amount was between 2-4 ppm ( parts per million). Clearly, over the years, I have seen the benefits of fluoride, when the amount is regulated, but I just can't get my head around the salt distribution method.

However, in recent years, fluoride is more prevalent, especially in our dental products, which are applied topically to the teeth.

One must question when it is the amount just too much? If our teeth become too hard, what happens to our skeletal system?

Please understand, I am not PRO or AGAINST, but I am very sad about the results of parents taking professional advice resulting in fluorosis. This should not have happened.

Last edited by Susan57; 03.02.2015 at 11:44. Reason: Typo
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Old 03.02.2015, 11:40
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Re: Swiss Salt with Fluoride added

Interesting, we were discussing this the other night and what to use for our kids (5 & 8) trying to get low or no fluride toothpase here is difficult. We are still using the 0 to 6yo toothpaste which has lower fluoride I think. What do you recommend? Do you have any balanced links about this? It seems that both the for and against fluoride camps both take extreme positions, abit like the vacination for kids groups.
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Old 03.02.2015, 11:48
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Re: Swiss Salt with Fluoride added

Hmmm... my thought, and this is just my thought...

Find a reputable dentist, that you trust, and discuss it with this expert.

The Internet can be full of total crap, like Fluoride as a mind control drug.

Sometimes you can't replace true expert advice.
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Old 03.02.2015, 12:03
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Re: Swiss Salt with Fluoride added

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Interesting, we were discussing this the other night and what to use for our kids (5 & 8) trying to get low or no fluride toothpase here is difficult. We are still using the 0 to 6yo toothpaste which has lower fluoride I think. What do you recommend? Do you have any balanced links about this? It seems that both the for and against fluoride camps both take extreme positions, abit like the vacination for kids groups.

This is so true! The longer I practice my profession, the more questions I do have! Although I would love to give my fellow EFers the perfect recipe and perfect combination, I hesitate to make such a bold statement on an open forum.

However, I can tell you about my experiences. patients from different countries and regions do have different incidences of dental caries. If this is related to fluoride, genetics, diet or personal habits, or a combination, is the big question.

I don't have much time just now, but I suggest you google Fluoride recommendations for 2014-2015. I'll report back later today.
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Old 03.02.2015, 12:07
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Re: Swiss Salt with Fluoride added

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Hmmm... my thought, and this is just my thought...

Find a reputable dentist, that you trust, and discuss it with this expert.

The Internet can be full of total crap, like Fluoride as a mind control drug.

Sometimes you can't replace true expert advice.

Good advice, but please know even reputable dentists are not experts in this area. We are all products of our education. I have worked in five countries for innumerable dentists, as a professional Dental Hygienist. This thread is not meant to create alarm, but awareness.

Last edited by Susan57; 03.02.2015 at 12:07. Reason: Typo
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Old 03.02.2015, 12:07
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Re: Swiss Salt with Fluoride added

I haven't heard of this before. So do they put lots of salt in the cooking or clean their teeth with it?
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Old 03.02.2015, 12:19
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Re: Swiss Salt with Fluoride added

From what I have gathered, fluorosis is chiefly a cosmetic issue. Whereas fluoride therapy is very beneficial against cavities.

For me I would err on the side of avoiding cavities, but obviously that doesn't mean go wild on fluoride intake!
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Old 03.02.2015, 12:29
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Re: Swiss Salt with Fluoride added

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Good advice, but please know even reputable dentists are not experts in this area. We are all products of our education. I have worked in five countries for innumerable dentists, as a professional Dental Hygienist. This thread is not meant to create alarm, but awareness.
True, but I've found that reputable "experts" will, in the interest of protecting their reputation, defer when they don't have the specific knowledge you seek, and instead refer you to a colleague who is knowledgeable about the subject. IME, a good place to start your search, in this case.
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Old 03.02.2015, 13:12
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Re: Swiss Salt with Fluoride added

My children's ped and our dentist recommend using the Swiss salt with added fluoride, as well as using age-adapted tooth-paste as soon as the first teeth are out.

Before fluoride was added to salt in CH, there were many cases of cretinism and goitres, which have now practically disappeared.

In France, it's common to supplement babies with Vitamin D (like here) and fluoride drops.
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Old 03.02.2015, 13:26
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Re: Swiss Salt with Fluoride added

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Before fluoride was added to salt in CH, there were many cases of cretinism and goitres, which have now practically disappeared.

.
I think that's more to do with the added iodine than the fluoride.
You can buy the iodinated salt without the added fluoride.

Last edited by Belgianmum; 03.02.2015 at 14:04.
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Old 03.02.2015, 13:33
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Re: Swiss Salt with Fluoride added

There still seems to be plenty of cretins around, too.
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Old 03.02.2015, 13:39
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Re: Swiss Salt with Fluoride added

I was always told that lack of iodine was responsible for goitres and cretinism and we had that in salt or used sea salt. It just goes to show how different places have different theories.
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Old 03.02.2015, 13:51
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Re: Swiss Salt with Fluoride added

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I was always told that lack of iodine was responsible for goitres and cretinism and we had that in salt or used sea salt. It just goes to show how different places have different theories.
That is absolutely correct. Let's not confuse Flouride with Iodide here.
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Old 03.02.2015, 13:54
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Re: Swiss Salt with Fluoride added

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Before fluoride was added to salt in CH, there were many cases of cretinism and goitres, which have now practically disappeared.
Nothing to do with fluoride. Thats is/was due to the low content of iodine which is now added to salt.

PS: there are three types of salt:

Plain or only anti cacking agent added (Most sea salts are of this type).
Name:  Salz.jpg
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Size:  21.0 KB

Only iodine added. (Also some sea salts are of this type)
Name:  SalzJod.jpg
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http://www.jurasel.ch/Images/media/s...n/SPZ1545E.pdf

Iodine and fluoride added. (A very few sea salts are of this type)
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This one contains 250mg Fluoride/kg salt.
http://www.jurasel.ch/Images/media/s...n/SPZ2143E.pdf

The level of floride is defined in:
Art. 5 of Verordnung des EDI über den Zusatz essenzieller oder physiologisch nützlicher Stoffe zu Lebensmitteln
http://www.admin.ch/opc/de/classifie.../index.html#a5

based on WHO (World Health Organization): Fluorides and Oral Health. WHO Technical Report Series 846, Geneva (1994) http://whqlibdoc.who.int/trs/WHO_TRS_846.pdf

Does it work?
Efficacy of salt fluoridation, Evidence-Based Dentistry (2011) 12, 17–18. doi:10.1038/sj.ebd.6400776 http://www.nature.com/ebd/journal/v1.../6400776a.html

Sure, you will find contraticting statements (w/o comment or endoresment)
http://fluoridealert.org/studies/caries01/

As Switzerland is one of the contry with the highest usage of fluoride added salt you will find lot of articels on the topic in the Schweiz. Monatsschr. Zahnmed.

www.google.ch/search?q=fluoride+site:sso.ch

On the topic of fluorisis:
http://www.sso.ch/doc/doc_download.c...CER_AUTOLINK&&

Quote:
In summary, the prevalences of FOP are at a very low level in
Switzerland. The most plausible explanation for this is the widespread
use of low fl uoride toothpastes (250 ppm F) by children
under six. This view is supported by HOLT et al. (1994) and
RIORDAN (2002). The existing low FOP prevalence cannot be
considered a serious cosmetic and even less a public health
problem. This view is supported by the responses of the parents
of 900 children from Volketswil. Parents of only 50 children found
the stains on their children’s teeth unaesthetic. It is noteworthy
that in only six of these cases, the examiners had detected FOP.
@Susan57:
Did you determine and quantize all other sources of fluoride in your client (tap water, bottled water, fluoride content of tothpaste, fluoride drops or tablets etc.) ? How do they compare to the fluoride from the salt?

I know, as a Dental Hygienist your focus is more toward aesthetic and and look.
I for my self think look is not so important, rather a bit darker teethe than to have caries all over.
Waiting for the view and input from Captain Greybeard on this topic.
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Old 03.02.2015, 14:12
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Re: Swiss Salt with Fluoride added

Susan, I've never seen a case of dental fluorosis due to normal usage of flouridized salt. There must be other factors involved, like eating fluoridized tooth paste. Natural sources for fluorosis are very rare in Switzerland. That's why fluoridation was introduced.

Besides that, enamel mottling can have causes other than fluorosis.

Belgianmum, you are right, goiter is a result of an iodine deficiency. In Switzerland, adding iodine compounds to salt was started before adding fluoride; for decades fluoride tablets were distributed in schools.

TiMow, intellectual deficiencies needn't be a result of cretinism.
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Old 03.02.2015, 14:31
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Re: Swiss Salt with Fluoride added

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The package of salt:
Wait...

They brush their teeth with it or it is due to over eating it?

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Old 03.02.2015, 15:45
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Re: Swiss Salt with Fluoride added

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That is absolutely correct. Let's not confuse Flouride with Iodide here.
Yes, my bad. All of you who corrected me are absolutely right.

Fluoride was added to help prevent cavities in kids. In France, where cooking salt isn't normally supplemented with fluoride (no idea about iodine), babies take daily drops of fluoride.

I exclusively cook with the Swiss salt supplemented with iodine and fluoride, and all our teeth look perfectly normal! But then, I don't oversalt our food!
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