Fluoride availability from natural resources in The Gambia--implications for oral health care.
BACKGROUND
Changing food patterns in combination with ineffective oral hygiene measures and insufficient bioavailability of fluoride from drinking water and other sources seem to impair the dental health status in developing countries, especially in the younger population. Therefore, preventive programmes in controlling dental caries progression should be based on local conditions.


METHODS
For mapping the drinking water fluoride content throughout The Gambia, samples of water from rural community wells, public water taps, commercial mineral water, and from the Gambia-River were measured. Additionally, fluoride concentrations of locally extracted table salt and green tea were determined.


RESULTS
Showed the need for supplementary fluoride intake, because natural dietary fluoride availability is very low.


CONCLUSIONS
Age-related recommendations for oral health care and for additional fluoride bioavailability are given, taking into account local socio-economic conditions in the Republic of The Gambia and similar developing countries.
Jordan
Rainer A
RA
Department of Conservative Dentistry, Faculty of Dental Medicine, University of Witten/Herdecke, Germany. andreas.jordan@uni-wh.de
Markovic
Ljubisa
L
Gaengler
Peter
P
D000293:Adolescent; D000328:Adult; D005260:Female; D005459:Fluorides / Q000032:analysis*; D005714:Gambia; D006801:Humans; D008297:Male; D017673:Sodium Chloride, Dietary / Q000032:analysis*; D013662:Tea / Q000737:chemistry; D014881:Water Supply / Q000032:analysis*; D055815:Young Adult
D017673:Sodium Chloride, Dietary; D013662:Tea; D005459:Fluorides