The Journal of the American Dental Association
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J Am Dent Assoc, Vol 133, No 5, 544.
© 2002 American Dental Association

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LETTERS

FLUOROSIS

How does one know that the clinical aberrations being called "fluorosis" by Dr. Eugenio Beltrán-Aguilar and colleagues in "Prevalence and Trends in Enamel Fluorosis in the United States from the 1930s to the 1980s" (February JADA) are being caused by exposure to fluoride? So many things could be doing it.

And if it is exposure to fluoride, how do we know it isn’t the kind of fluoride being eaten and imbibed and assimilated—natural vs. sodium vs. the kind in municipal water supplies?

How do we know it isn’t a combination of factors and fluoride is just one of the factors?



Jan Wade Gilbert, D.M.D.

Lawrence, N.Y.



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