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Guidelines
Paediatrics

CWEC 1993

Canadian Workshop on the Evaluation of Current Recommendations Concerning Fluorides

Appropriate uses of fluorides for children: guidelines from the Canadian Workshop on the Evaluation of Current Recommendations Concerning Fluorides

1993NationalCMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne

Canada

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Abstract
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Abstract

To prevent fluorosis caused by excessive fluoride ingestion by revising recommendations for fluoride intake by children.

Limiting fluoride ingestion from fluoridated water, fluoride supplements and fluoride dentifrices.

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Reduction in the prevalence of dental fluorosis and continued prevention of dental caries.

Before the workshop, experts prepared comprehensive literature reviews of fluoride therapies, fluoride ingestion and the prevalence and causes of dental fluorosis. The papers, which were peer-reviewed, revised and circulated to the workshop participants, formed the basis of the workshop discussions.

Recommendations to limit fluoride intake were vigorously debated before being adopted as the consensus opinion of the workshop group.

Decrease in the prevalence of dental fluorosis with continuing preventive effects of fluoride use. The only significant cost would be in preparing new, low-concentration fluoride products for distribution.

Fluoride supplementation should be limited to children 3 years of age and older in areas where there is less than 0.3 ppm of fluoride in the water supply. Children in all areas should use only a "pea-sized" amount of fluoride dentifrice no more than twice daily under the supervision of an adult.

These recommendations are almost identical to changes to recommendations for the use of fluoride supplements recently proposed by a group of European countries.

The workshop was organized by Dr. D. Christopher Clark, of the University of British Columbia, and Drs. Hardy Limeback and Ralph C. Burgess, of the University of Toronto, and funded by Proctor and Gamble Inc., Toronto, the Medical Research Council of Canada and Health Canada (formerly the Department of National Health and Welfare). The recommendations were formally adopted by the Canadian Dental Association in April 1993.

Source and rights

Published by CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 1993. The PDF is shown as published and remains the work of its authors and publisher; the original is at the source linked here. Rights holders can ask us to remove a file at info@prognia.nl.

pmc.ncbi.nlm.nih.gov/articles/PMC1485754/

Prognia summarises this guideline for reference and education. It is not medical advice. Always check the official guideline and current local protocols before acting on it.

At a glance

Organisation: Canadian Workshop on the Evaluation of Current Recommendations Concerning Fluorides
Published: 1993
Applies to: 🇨🇦 Canada
Scope: National
Journal: CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne
PubMed: 8261348
PubMed Central: PMC1485754
Added to Prognia: 24 July 2026

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