Why shouldn't 2-year-old children receive fluoride application?

Dec 09, 2022 Source: Cainiu Health
Dr. Ma Yan
Introduction
Applying fluoride can increase the teeth's resistance to acid and help reduce the risk of developing cavities. Fluoride application is generally not recommended for 2-year-old children, primarily because their young age often results in poor cooperation, increasing the risk of accidentally swallowing fluoride. Additionally, a 2-year-old's teeth may not have fully erupted; it is advisable to wait until the teeth have fully emerged before applying fluoride, thereby minimizing repeated procedures inside the mouth.

Children under 2 years old are generally not recommended for fluoride application, usually due to their inability to cooperate and the incomplete eruption of teeth in the mouth.

Fluoride is an organic compound beneficial for tooth development and bone growth. When applied to the teeth, it converts hydroxyapatite on the tooth surface into fluorapatite, which is more resistant to dissolution. This helps increase the acid resistance of enamel and strengthens teeth against cavities, thereby reducing the risk of tooth decay. However, fluoride treatment is typically not advised for 2-year-old children mainly because they often lack cooperation. If a child cannot remain still during the procedure, there's a risk of accidentally swallowing fluoride. Additionally, at age 2, a child’s teeth may not have fully erupted yet. It is therefore advisable to wait until around age 2 or later, when most primary teeth have come in, before applying fluoride, to minimize repeated dental procedures.

Although fluoride application helps protect teeth, individuals should still maintain good oral hygiene by brushing teeth morning and night and rinsing after meals. This helps prevent poor oral conditions, bacterial overgrowth, and subsequent oral diseases that could affect daily life.