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Updated: Dec 26, 2025

Systematic Approach to Identify Novel Antimicrobial and Antibiofilm Molecules from Plants' Extracts and Fractions to Prevent Dental Caries
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Topical Fluoride to Prevent Root Caries: Systematic Review with Network Meta-analysis.

J Zhang1, D Sardana1, K Y Li1

  • 1The University of Hong Kong, Hong Kong.

Journal of Dental Research
|March 7, 2020
PubMed
Summary
This summary is machine-generated.

Professionally applied 38% silver diamine fluoride (SDF) and self-applied 0.2% sodium fluoride (NaF) mouth rinse are most effective for preventing dental root caries. These topical fluorides significantly reduce caries increment compared to control groups.

Keywords:
ageddental cariesevidence-based dentistryfluoridespreventionsystematic review

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Area of Science:

  • Dentistry
  • Cariology
  • Preventive Dentistry

Background:

  • Dental root caries is a significant oral health concern, particularly in aging populations.
  • Effective preventive strategies are crucial for managing root caries progression.

Purpose of the Study:

  • To systematically review and network meta-analyze clinical evidence on professionally applied and self-applied topical fluorides for preventing dental root caries.
  • To identify the most effective fluoride agents and application methods.

Main Methods:

  • Systematic review and network meta-analysis of controlled clinical trials.
  • Searched major databases including MEDLINE, PubMed, Embase, Scopus, and Cochrane Library.
  • Included 9 trials with 4,030 participants, assessing 5 professionally applied and 7 self-applied topical fluoride agents.

Main Results:

  • Professionally applied 38% silver diamine fluoride (SDF), 5% sodium fluoride (NaF) varnish, and 1.2% acidulated phosphate fluoride reduced root caries increment by 0.59-0.85 mean decayed or filled root (DF-root) after 2 years.
  • Self-applied fluoride mouth rinse and toothpaste reduced root caries increment by 0.29-1.90 mean DF-root after 1 year.
  • Annual SDF application with oral health education and daily 0.2% NaF mouth rinse showed highest efficacy.

Conclusions:

  • Annual 38% silver diamine fluoride (SDF) solution combined with oral health education is the most effective professionally applied method for preventing dental root caries.
  • Daily use of 0.2% sodium fluoride (NaF) mouth rinse is the most effective self-applied method, followed by combined fluoride toothpaste and mouth rinse use.