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Renal excretion of fluoride after fluoride mouth rinses in children
F García-Hoyos1, C Cardososilva2, E Barbería3
1Department of Odontology, Faculty of Biomedical Sciences, European University of Madrid, Spain.
Insights
Fluoride mouth rinses significantly increase urinary fluoride levels in children. This study confirms the effectiveness of fluoride rinses in boosting fluoride excretion post-use.
Area of Science:
- Pediatric Dentistry
- Public Health
- Biochemistry
Background:
- Fluoride mouth rinses are commonly used for caries prevention.
- Understanding fluoride absorption and excretion is crucial for safety and efficacy.
- Limited data exists on short-term urinary fluoride changes in children post-rinse.
Purpose of the Study:
- To assess the impact of fluoride mouth rinse use on urinary fluoride excretion in children.
- To quantify the increase in fluoride levels in urine after mouthwash application.
Main Methods:
- A randomized study involving 58 children (aged 5-8) from non-fluoridated areas.
- Urine samples collected before and 2 hours after fluoride mouthwash use.
- Control group (16 children) received no rinse; urinary fluoride/creatinine (F/Cr) ratio analyzed.
Main Results:
- The mean urinary F/Cr ratio increased from 0.26 mg/g to 1.58 mg/g post-rinse (p<.001).
- A statistically significant increase of 1.33 mg/g in F/Cr ratio was observed.
- The control group showed no significant changes in urinary F/Cr ratio (p=0.426).
Conclusions:
- Fluoride mouthwash use leads to a significant, measurable increase in urinary fluoride excretion in children.
- This finding supports the direct absorption and subsequent excretion of fluoride from mouth rinse application.
- The study validates the effectiveness of fluoride rinses in increasing fluoride levels.
Aim:
This study was conducted to determine if there was an increase in the urinary excretion of fluoride, after the use of fluoride mouth rinses in children.
Materials And Methods:
The sample consisted of 58 children aged 5-8 years, randomly selected, residents in non-fluoridated water areas. Urine samples were collected prior to mouthwash and also 2 hours after use. The control sample, which received no treatment, consisted of 16 children of equivalent age and from the same community. Urinary excretion of fluoride was analysed by determining the pH, creatinine, F- ion and fluoride (mg)/creatinine (g) (F/Cr) ratio in urine. Results In the studied sample, the mean F/Cr ratio before fluoride mouth rinse was 0.26 mg/g and it rose to 1.58 mg/g 2 hours after mouth rinse. This difference of 1.33 mg/g was statistically highly significant (p<.001). In the control group no significant changes occurred. The average 2 hours afterward F/Cr ratios were 0.29 and 0.27 respectively (p=0.426).
Conclusion:
After the use of a fluoride mouthwash, in children, there is a statistically significant increase of fluoride ion in urine, which can be attributed to the application of this product.
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