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horas
Utilizao inadequada do flor
nusea
vmito
parada cardaca
morte
1 copinho 10 mL = 450 mg F
Dose em relao mg F / Kg
Medidas de precauo:
colocar pouco gel na moldeira
paciente na posio vertical
utilizar sugador
recomendar ao paciente cuspir exaustivamente
Tratamento de intoxicao aguda
At 5 mg F/ kg:
clcio via oral (leite) ou hidrxido de alumnio
observao
Acima de 5 mg F/ kg:
induzir vmito
hidrxido de alumnio via oral
clcio via oral (leite, gluconato de clcio)
internao hospitalar imediata, para observao
Intoxicao aguda pela Ingesto de Fluoreto. In: Emergncias Mdicas em
Odontologia, 2002, p. 131-
131-8.
Absoro X pH gstrico
ATF gel
[F]
plasma
Al(OH)3*
Fluorose
Utilizao inadequada do flor
Composio Esmalte
Inorgnica 95
Orgnica 2
gua 3
matriz proteica
matriz proteica (25% protenas)
(25% protenas)
Reabsoro
Proteica
F
mineralizao mineralizao deficiente
(95% Mineral Esmalte > Porosidade
<1% protenas)
OPACIDADE
Microscopia de luz polarizada
Esmalte normal
30 meses
Normal
10%
Questionvel
Muito leve
Leve
Moderada
Severa
77%
Community Dent Oral Epidemiol
Epidemiol.. 2004 Apr;
Apr;32 Suppl 1:9-18.
18.
A review of fluorosis in the European Union
Union:: prevalence
prevalence,, risk factors and
aesthetic issues.
Whelton HP, Ketley CE, McSweeney F, O'Mullane DM
DM..
Fluoride has played a key role in caries prevention for the past 50 years
but excessive ingestion of fluoride during tooth development may lead
to dental fluorosis. Throughout Europe many vehicles have been
been,, and are
currently, employed for optimal fluoride delivery including drinking water
currently, water,,
toothpaste,, fluoride supplements,
toothpaste supplements, salt and milk..
milk.. Overall the evidence would
appear to indicate,
indicate, however,
however, that diffuse enamel opacities are more prevalent in
fluoridated than in nonfluoridated communities and that their prevalence at the
very mild level may be increasing.
increasing. In addition to fluoridated drinking water
water,, risk
factors for fluorosis include inadvertent ingestion of fluoride toothpaste and
the inappropriate use of fluoride supplements
supplements.. The risk is of aesthetic concern
primarily during the period of enamel development of the permanent central
incisors,, although this largely appears to be a cosmetic rather than a public
incisors public--
health issue.
issue.
a importncia esttica da fluorose precisa
Furthermore,,
Furthermore
ser determinada em maiores detalhes em cada pas in
the light of each country's respective risk factors and dental
health policies.
policies.
Municpios ppm F
60
50
40
30
20
10
0
1- Diretamente
Flor da gua
Suplementos de flor
2- Indiretamente
Dentifrcio fluoretado
1- PR
PR--NATAL
No se justifica por no causar nenhum benefcio
2- PS
PS--NATAL
Sade Pblica : No recomendado
Individual : Prescrio Limitada
www.saude.sp.gov.br
Narvai et al. Uso de produtos fluorados conforme o riscode crie. Rev APCD
56(2), 2002
Temperatura x ingesto de H2O F x dose
Ibi (MG) 0,027 0,013 A,a 0,061 0,045 A,b 0,088 0,049 A
Piracicaba (SP) 0,040 0,009 B,a 0,052 0,019 A,b 0,090 0,022 A
15
Fluorose muito leve
Fluorose leve
12
% de crianas
Fluorose moderada
9 Fluorose severa
0
gua no fluoretada gua fluoretada
Cidades
Acta Odontol Scand.
Scand. 1999 Oct;
Oct;57(
57(5):247
247--56
"Risk periods" associated with the development of dental fluorosis in
maxillary permanent central incisors:
incisors: a meta
meta--analysis
analysis..
Bardsen A.
1,5
g F/g
0,6
gua destilada e 1
gua destilada e
0,4
deionizada deionizada
0,2 0,5
0 0
Broto Gro de Vencedor Broto Gro de Vencedor
TioJoo Prato Camil TioJoo Prato Camil
legal Campo legal Campo
Fino Fino
ARROZ
FEIJO
Casarin; Lima; Cury. Anais da SBPqO, 2002
Casarin; Lima; Cury. Anais da SBPqO, 2002
Refeio % absoro
Jejum 100
Caf da manh 71
Almoo 61
100%
Jejum
80% Caf manh
Almoo
60%
40%
20%
0%
1100 g F/g 550 g F/g
Dentifrcios
300.0
250.0
c
ASC [F] salivar
200.0
150.0
b b
100.0
50.0 a
0.0
500 g F/g 500 g F/g 1100 g F/g 1100 g F/g
com enxgue sem enxgue com enxgue sem enxgue
500 ppm
5.0
1100 ppm
4.0
3.0
2.0 *
1.0
0.0
-1.0
-2.0
-3.0
Crie-inativos Crie-ativos
100
% biodisponibilidade
80
60
40
20
0
Ingesto do dentifrcio Expectorao Enxgue por 1 min com 5
apenas, sem enxge mL de gua misturado
espuma e expectorao