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Published on: January 11, 2020
Urinary Fluoride Excretion after a Single Application of Fluoride Varnish in Preschool Children
Insights
Topical fluoride varnish did not significantly increase urinary fluoride excretion in preschool children using fluoride toothpaste. This study found no significant difference compared to placebo, indicating minimal systemic absorption from a single application.
Area of Science:
- Pediatric Dentistry
- Preventive Dentistry
- Fluoride Toxicology
Background:
- Fluoride varnishes are widely used for caries prevention in children.
- Assessing systemic fluoride absorption is crucial for understanding safety profiles.
Purpose of the Study:
- To evaluate urinary fluoride excretion following a single topical application of a commercial fluoride varnish in preschool children.
- To compare fluoride excretion between active varnish and placebo.
Main Methods:
- A placebo-controlled, cross-over trial involving 12 healthy preschool children (2.5-6.0 years).
- Urine samples collected at baseline and for 6 hours post-application of 7,700 ppm F varnish or placebo.
- Fluoride levels measured using an ion-sensitive electrode, with concurrent use of fluoride toothpaste supervised.
Main Results:
- One participant was excluded due to non-compliance.
- Mean urinary fluoride levels were slightly higher after active varnish but not statistically significant compared to placebo.
- No significant differences in fluoride excretion were observed compared to baseline for either varnish.
Conclusions:
- A single topical application of the tested fluoride varnish did not significantly increase urinary fluoride excretion in preschool children using fluoride toothpaste.
- The findings suggest minimal systemic fluoride absorption from this specific varnish under the study conditions.
Purpose:
To assess urinary fluoride excretion after topical application of a commercial fluoride varnish in preschool children.
Materials And Methods:
Twelve healthy children, 2.5-6.0 years of age, were enrolled in a placebo-controlled cross-over trial. After a 5-day run-in period, the morning urine was collected as baseline. One hour after breakfast, 0.1 ml of the active (Fluor Protector S; 7,700 ppm F) or the placebo varnish was applied with a microbrush on the buccal surfaces of the primary teeth. Thereafter, a 6-h urine sample was collected and the fluoride content was determined with an ion-sensitive electrode. The parents supervised toothbrushing with a small-fingernail amount of fluoride toothpaste (1000 ppm) twice daily during the entire experiment.
Results:
One boy failed to comply with the urinary samplings and was excluded. The mean fluoride concentration in the 6-h urine samples was slightly higher after the active varnish compared with the placebo varnish, but the difference was not statistically significant. Likewise, no statistically significant differences were obtained when the post-treatment concentrations were compared with baseline for the two varnishes. No side-effects or adverse events were reported.
Conclusion:
A single topical treatment with the investigated varnish did not significantly increase the urinary fluoride excretion compared with placebo in preschool children with parallel use of fluoride toothpaste.
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