For various reasons, the use of the more widely used fluoride vehicles-such as water, salt, and toothpastes-is not feasible in some communities. There is some theoretical and laboratory evidence to support the view that adding fluoride to sugar and sugar products has potential to reduce their cariogenic effect. However, the clinical evidence is minimal. The minimum concentration of fluoride in sugar which will bring about a caries-preventive effect needs to be determined. Logistical issues requiring investigation include the most efficient method of adding fluoride to sugar and the distribution and consumption patterns of sugar in target populations. The practical application of this knowledge to large populations is the priority focus of this investigation.
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