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In soft waters with low ionic content, invertebrates and fishes may develop adverse effects from fluoride concentration as low as 0.5 mg/L. Negative effects are less in hard waters and seawaters, as the bioavailability of fluoride ions is reduced with increasing water hardness [33] Seawater contains fluoride at a concentration of 1.3 mg/L. [34]
The application of high-fluoride content toothpaste in adults twice daily improves the surface hardness of untreated root decay when compared to toothpaste with regular fluoride content. [37] [38] Fluoridated toothpaste is also available in the form of 0.454% stannous fluoride (SnF 2 with fluoride concentration
Fluoride-containing toothpaste can be classified into two types, namely low-fluoride and high-fluoride toothpaste. [12] Low-fluoride toothpaste, depending on brand, generally contains 0.22% to 0.31% fluoride. [12] These fluorides are often manufactured in the form of sodium fluoride, stannous fluoride, or sodium monofluorophosphate (MFP). [4]
Today, the U.S. Public Health Service recommends an optimal fluoride concentration of 0.7 milligrams per liter for public water systems. Fluoride has also been an ingredient in toothpaste ...
Dentists can also prescribe toothpaste with a higher amount of fluoride or apply a fluoride varnish or gel. People with gum disease or a dry mouth caused by health conditions or medications might ...
The World Health Organization also found that at higher levels, fluoride can cause negative effects like “tooth enamel and skeletal fluorosis following prolonged exposure to high concentrations ...
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