Čes. stomatol. Prakt. zub. lék. (Czech Dental Journal) 2008; 108(4): 87-90

Fluoride Content in Instant Milk Formulas available in the Czech Republic

E. Oganessian1, Z. Broukal1,*, E. Lenčová1, R. Ivančaková2, J. Dušková1
1 Výzkumný ústav stomatologický 1. LF UK a VFN, Praha
2 Stomatologická klinika LF UK a FN, Hradec Králové

The aim of the study was to estimate the contribution of instant milk formulas (IMFs) manufactured by Nutricia, Nestlé and Hero available at local food market to the fluoride intake of infants in the Czech Republic. Fluoride content in IMFs dissolved in recommended bottled waters for infants has been determined in order to estimate the background fluoride intake when recommending fluoride supplementation. Totally 8 IMFs brands for children aged 1-3 months, 8 for 4-10 months and 6 for >10-months were involved. Formulae were dissolved either in deionised water or in three brands of bottled waters for infants containing 0.06, 0.15 and 0.56 ppm of fluoride. Fluoride content in dissolved IMFs was determined after HMDS-facilitated diffusion, using a fluoride ion specific electrode ELIT 8221 (Nico, USA) and an ionometer InoLab pH/ION 735P (WTW, Germany). During preparation stage of this study it was found that the employed microdiffusion sample processing [25] gave more than 97 % fluoride recovery among samples.

Results: Fluoride concentrations ranged in IMFs: < 0.02 to 0.66 ppm when dissolved in deionised water, 0.04-0.34, 0.08 to 0.48 and 0.38 to 1.05 ppm when dissolved in infant bottled waters with 0.06, 0.15 and 0.56 ppm F, respectively. One brand of IMF, Sunar Complex Premium (Hero), was supplemented by fluoride (0.50 mg F/100 g of pulver). Its fluoride content after dissolution in deionised water and bottled waters with 0.06, 0.15 and 0.56 ppm F amounted to 0.87, 0.86, 1.04 nd 1.28 ppm, respectively. It is thus recommended to use low fluoride water for the reconstitution of that fluoride-supplemented brand of IMF.

Keywords: instant milk; formulas; fluorides

Published: December 1, 2008  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Oganessian E, Broukal Z, Lenčová E, Ivančaková R, Dušková J. Fluoride Content in Instant Milk Formulas available in the Czech Republic. Čes. stomatol. Prakt. zub. lék. 2008;108(4):87-90.
Download citation

References

  1. Ataç, A., Altay, N., Olmez, S.: Fluoride content of infant formulas and market milk in Turkey. Turk. J. Pediatr., 43, 2001, 2, s. 102-104.
  2. Broukal, Z.: Kritická perioda vývoje skloviny stálých zubů: Příspěvek k racionální a bezpečné fluoridové suplementaci v prevenci zubního kazu u dětí předškolního věku (Critical period of the permanent teeth enamel development: Contribution to the racional and safe fluoride supplementation in pre-school age). Prakt. zub. Lék., 48, 2000, 2, s. 35-38.
  3. Broukal, Z., Dušková, J., Bártová, L.: Obsah fluoridu v produktech kojenecké mléčné výživy (Fluoride content in instant milk formulas). Č. S. Pediatrie, 55, 2000, s. 505-507.
  4. Browne, D., Whelton, H., O'Mullane, D.: Fluoride metabolism and fluorosis. J. Dent., 33, 2005, 3, s. 177-186. Go to original source... Go to PubMed...
  5. Burt, B. A.: The changing pattern of systemic fluoride intake. J. Dent. Res., 71, 1992, Spec. Iss., s. 1228-1237. Go to original source... Go to PubMed...
  6. Buzalaf, M. A., Granjeiro, J. M., Damante, C. A., de Ornelas, F.: Fluoride content of infant formulas prepared with deionized, bottled mineral and fluoridated drinking water. ASDC J. Dent. Child., 68, 2001, 1, s. 37-41.
  7. Buzalaf, M. A., Damante, C. A., Trevizani, L. M., Granjeiro, J. M.: Risk of fluorosis associated with infant formulas prepared with bottled water. J. Dent. Child (Chic)., 71, 2004, 2, s. 110-113.
  8. de Almeida, B. S., da Silva Cardovo, V. E., Buzalaf, M. A.: Fluoride ingestion from toothpaste and diet in 1- to 3-year-old Brazilian children. Community Dent. Oral Epidemiol., 35, 2007, 1, s. 53-63. Go to original source... Go to PubMed...
  9. Evans, W. R., Stamm, J. W.: An epidemiological estimate of the critical period during which human maxillary central incisors are most susceptible to fluorosis. J. Publ. Health Dent., 51,1991, s. 251-259. Go to original source... Go to PubMed...
  10. Johnson, J. Jr., Bawden, J. W.: The fluoride content in infant formulas available in 1985 Pediatric Dent., 9, 1987, s. 33-37.
  11. Koparal, E., Ertugrul, F., Oztekin, K.: Fluoride levels in breast milk and infant foods. J. Clin. Pediatr. Dent., 24, 2000, 4, s. 299-302. Go to original source... Go to PubMed...
  12. Kratzer, K., Kožíšek, F.: Zpráva o kvalitě pitné vody v ČR v roce 2006. ISBN 978-80-7071-285-6; http://www.szu.cz/chzp/voda/pdf/monit/voda_06.pdf.
  13. Levy, S. M., Hillis, S. L., Warren, J. J., Broffitt, B. A., Mahbubul Islam, A. K., Wefel, J. S., Kanellis, M. J.: Primary tooth fluorosis and fluoride intake during the first year of life. Community Dent. Oral Epidemiol., 30, 2002, 4, s. 286-295. Go to original source... Go to PubMed...
  14. Levy, S. M., Warren, J. J., Broffitt, B.: Patterns of fluoride intake from 36 to 72 months of age. J. Public. Health Dent., 63, 2003, 4, s. 211-220. Go to original source... Go to PubMed...
  15. Marshall, T.A., Levy, S. M., Warren, J. J., Broffitt, B., Eichenberger-Gilmore, J. M., Tumbo, P. J.: Associations between intakes of fluoride from beverages during infancy and dental fluorosis of primary teeth. J. Am. Coll. Nutr., 23, 2004, 2, s. 108-116. Go to original source... Go to PubMed...
  16. Nevoral, J., Frühauf, P., Handzel, J., Broukal, Z., Lukešová, I., Brázda, O., Čechová, M., Rokytová, K.: Fluor v prevenci zubního kazu. Česko-slovenská pediatrie, 51, 1996, s. 363-365
  17. Oganessian, E., Ivančáková, R., Koštířová, M., Broukal Z.: Obsah fluoridu v balených kojeneckých, pramenitých a přírodních minerálních vodách; Čes. Stomat., 107, 2007, s. 32-35.
  18. Oganessian, E., Koštířová, M., Lenčová, E., Broukal, Z.: Fluoride content in instant milk formulas available in the Czech Republic. Caries Res., 41, 2007, 275, Abstr. č. 22.
  19. O'Mullane, D. M., Ketley, C. E., Cochran, J. A., Whelton, H. P., Holbrook, W. P., van Loveren, C., Fernandes, B., Seppä, L., Athanassouli, T.: Fluoride ingestion from toothpaste: conclusions of European Union-funded multicentre project. Community Dent. Oral Epidemiol., 32, 2004, Suppl 1, s. 74-76. Go to original source... Go to PubMed...
  20. Riordan, P. J.: Dental fluorosis decline after changes to supplement and toothpaste regimens. Community Dent. Oral Epidemiol., 30, 2002, 3, s. 233-240. Go to original source... Go to PubMed...
  21. Rahul, P., Hegde, A. M., Munshi, A. K.: Estimation of the fluoride concentrations in human breast milk, cow's milk and infant formulae. J. Clin. Pediatr. Dent., 27, 2003, 3, s. 257-260.
  22. Silva, M., Reynolds, E. C.: Fluoride content of infant formulae in Australia. Aust. Dent. J., 41,1996, s. 37-42. Go to original source... Go to PubMed...
  23. Sunar Komplex Premium - produktové informace: http://www.hero.cz/SUNAR/Produkty/845.
  24. Vyhláška MZ ČR č. 275/2004 Sb. O požadavcích na jakost a zdravotní nezávadnost balených vod a o způsobu jejich úpravy; Sbírka zákonů, částka 88, 5791-5807, 2004.
  25. van Staden, J. F., van Rensburg, S. D.: Improvement on the microdiffusion technique for the determination of ionic and ionizable fluoride in cows' milk. Analyst, 116, 1991, s. 807-810. Go to original source... Go to PubMed...
  26. van Loveren, C., Ketley, C. E., Cochran, J. A., Duckworth, R. M., O'Mullane, D. M.: Fluoride ingestion from toothpaste: fluoride recovered from the toothbrush, the expectorate and the after-brush rinses. Community Dent. Oral Epidemiol., 32, 2004, Suppl 1, s. 54-61. Go to original source... Go to PubMed...

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (CC BY-NC 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.