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Caries prevention with fluoride toothpaste in children: an update.
1Department of Cariology and Endodontics, Faculty of Health Sciences, University of Copenhagen, Copenhagen N, Denmark. stw@odont.ku.dk
Summary
Daily use of fluoride toothpaste significantly prevents cavities in children, reducing decay by 24%. Supervised brushing and higher fluoride concentrations further enhance this protective effect.
Area of Science:
- Pediatric Dentistry
- Preventive Dentistry
- Dental Public Health
Background:
- Dental caries remains a significant public health issue in children.
- Fluoride toothpaste is widely recommended for caries prevention.
- Evidence on optimal usage and specific populations requires ongoing review.
Purpose of the Study:
- To review the recent scientific literature on the caries-preventive effects of fluoride toothpaste in children.
- To assess the efficacy of fluoride toothpaste based on controlled studies.
- To identify gaps in current research regarding fluoride toothpaste use.
Main Methods:
- Systematic literature search of PubMed and Cochrane Library (2002-2008).
- Inclusion of prospective controlled studies reporting caries data.
- Critical appraisal of study design, methodology, and performance.
Main Results:
- Strong evidence supports daily fluoride toothpaste use, preventing 24% of caries compared to placebo.
- Supervised brushing, twice-daily frequency, and 1,500 ppm fluoride concentration enhance prevention.
- Limited high-quality data exists for primary dentition, optimal initiation age, and post-brushing behaviors.
Conclusions:
- Fluoride toothpaste is a highly effective caries preventive measure for children.
- Further research is needed on early use and behavioral aspects.
- The role of fluoride toothpaste in caries prevention is well-established.
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