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Published on: March 29, 2018
Renal fluoride excretion in children following topical application of fluoride varnish
F García-Hoyos1, E Barbería, P García-Camba
1Department of Odontology, Faculty of Biomedical Sciences, European University of Madrid, Spain.
Insights
Dental fluoride varnish application in children significantly increases urinary fluoride excretion. This finding confirms the effectiveness of topical fluoride treatments in enhancing fluoride levels in the body.
Area of Science:
- Pediatric Dentistry
- Public Health
- Biochemistry
Background:
- Dental caries remains a significant public health concern in children.
- Topical fluoride application is a cornerstone of preventive dentistry.
- Understanding fluoride bioavailability and excretion is crucial for assessing treatment efficacy.
Purpose of the Study:
- To quantify the impact of dental fluoride varnish application on urinary fluoride excretion in children.
- To establish a direct correlation between topical fluoride varnish use and increased fluoride levels in urine.
- To validate the use of urinary fluoride as a biomarker for fluoride varnish efficacy.
Main Methods:
- A randomized study involving 42 children (5-8 years) from a non-fluoridated water community.
- Urinary samples collected pre- and 2-hours post-fluoride varnish application.
- Comparison with an age-matched control group (n=16) receiving no treatment.
- Analysis of urinary fluoride ion (F-) levels and fluoride/creatinine (F/Cr) ratios.
Main Results:
- The study group showed a significant increase in the mean F/Cr ratio from 0.42 to 1.38 mg/g post-treatment (p < .001).
- No significant changes in F/Cr ratios were observed in the control group (0.29 vs. 0.27, p = 0.426).
- Urinary fluoride levels demonstrated a clear elevation directly attributable to the fluoride varnish application.
Conclusions:
- Topical dental fluoride varnish application demonstrably increases urinary fluoride excretion in children.
- The observed increase in urinary fluoride is a direct consequence of the applied fluoride varnish.
- This study supports the efficacy of fluoride varnishes in delivering therapeutic levels of fluoride.
Aim:
To demonstrate that the application of dental fluoride varnishes in children increases urinary fluoride excretion.
Materials And Methods:
From a randomly assembled group of 42 children aged between 5 and 8 years, residing in a community with non-fluoridated water, spot urinary samples were taken before the topical application of dental fluoride varnish and 2 hours afterwards. In an age-matched control group of 16 children from the same community, who received no treatment, samples were taken the same way. The urinary excretion of fluoride was analysed by determining fluoride ion (F-) level and fluoride/creatinine (F/Cr) ratio in the urine.
Results:
In the study group, the average pre- and post-treatment F/Cr ratios were 0.42 and 1.38 mg/g, respectively (p < .001). No significant changes were observed in the control group, which received no treatment. The average 2 hours afterward F/Cr ratios were 0.29 and 0.27 respectively (p = 0.426).
Conclusion:
The topical application of dental fluoride varnish leads to a significant increase in urine F-, which is attributable to the application of the product.
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