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A World/Transcultural View

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 Foetal hypothyroidism, which can cause cretinism, has disappeared from the US and Europe thanks to iodine administration campaigns

 However, cretinism still exists in remote rural areas of many countries, and it is estimated that the condition affects 2 million children annually

 The belief that iodine deficiency disorders are hereditary tends to be prevalent in societies where familial goitre is common and where the rate of endogamy is high; this situation makes prophylactic dietary interventions seem useless and wasteful

 Water fluoridation, in regions where it is technically feasible and culturally acceptable, yields proven benefits in terms of public health, including preventing caries; however, it has been suggested that water fluoridation could cause hypothyroidism as fluoride and iodine have an antagonistic relationship

A Practical Approach to Special Care in Dentistry

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