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Topical use of fluorides for caries control
Monographs in Oral Science
|June 25, 2011
Summary
Fluoridated toothpastes, gels, varnishes, and rinses effectively prevent caries. Higher fluoride concentrations (1,000 ppm) are proven, while lower ones (450-550 ppm) require more research for caries control.
Area of Science:
- Dental Public Health
- Cariology
- Preventive Dentistry
Background:
- Fluoride in drinking water demonstrated early protective effects against caries.
- Extensive research has explored various fluoride delivery methods for caries prevention, safety, and cost-effectiveness.
Purpose of the Study:
- To review topical fluoride applications, focusing on clinical efficacy and potential side effects.
- To evaluate evidence for different fluoride delivery modalities in caries control.
Main Methods:
- Systematic reviews of professionally and self-applied topical fluoride treatments.
- Analysis of clinical efficacy data for dentifrices, gels, varnishes, and mouth rinses.
Main Results:
- Strong evidence supports fluoride dentifrices, gels, varnishes, and mouth rinses for caries progression control.
- Fluoride dentifrices (≥1,000 ppm) show clinical efficacy; evidence for 450-550 ppm is debated.
- Evidence on combined fluoride modalities is inconsistent, necessitating further methodologically sound studies.
Conclusions:
- Fluoridated dentifrices are recommended for all ages.
- Additional fluoride therapy should be targeted towards individuals at high risk for caries.
- Risk-benefit assessments are crucial for recommending specific fluoride concentrations.
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