Child lives in an area with water fluoridation if 0.2 ppm. What is the most appropriate management:
- A. give daily oral tablets 0.5 mg…
- B. give daily oral tablets 1 mg...
- C. give daily fluoride mouthwash
- D. perform pits and fissure sealants.
Due to the child's age and the low fluoride level in the water, the most appropriate management option is D. perform pits and fissure sealants.
Here's the reasoning behind each option:
A. Give daily oral tablets 0.5 mg:
This would potentially increase fluoride intake above the recommended daily intake for children based on their age, leading to a risk of dental fluorosis.
B. Give daily oral tablets 1 mg:
Similar to option A, this would significantly exceed the recommended daily intake, increasing the risk of dental fluorosis.
C. Give daily fluoride mouthwash:
While this can provide some protection, it's not as effective as sealants in preventing cavities in pits and fissures, which are the most vulnerable areas for tooth decay in children. Additionally, young children may not be able to rinse properly or swallow too much of the mouthwash, leading to additional concerns.
D. Perform pits and fissure sealants:
This is the most effective option for this scenario. Sealants offer long-lasting protection against cavities in pits and fissures, regardless of the water's fluoride level. They are painless, quick to apply, and can last for several years.
Therefore, based on the available information, performing pits and fissure sealants is the most appropriate management option for the child.
