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.
Abstract

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