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Published on: March 29, 2018
Stannous Fluoride Effects on Enamel: A Systematic Review.
Luca Fiorillo1,2, Gabriele Cervino1, Alan Scott Herford3
1Department of Biomedical and Dental Sciences, Morphological and Functional Images, University of Messina, Policlinico G. Martino, Via Consolare Valeria, 98100 Messina, Italy.
Stannous fluoride (SnF2) in toothpaste shows no significant health risks and offers benefits for enamel health and stain removal. Clinical trials indicate its effectiveness in reducing enamel loss, supporting its use in oral hygiene products.
Area of Science:
- Oral Health
- Dental Materials Science
- Fluoride Chemistry
Background:
- Stannous fluoride (SnF2) is a compound used in some toothpastes, but its safety and efficacy are debated.
- Concerns exist regarding potential negative health effects of stannous fluoride.
- Dosage of stannous fluoride in toothpastes is typically measured in parts per million (ppm).
Purpose of the Study:
- To systematically review randomized clinical trials on stannous fluoride over the past decade.
- To clarify the function and safety of stannous fluoride in dental applications.
- To provide evidence-based conclusions on the use of stannous fluoride in toothpaste.
Main Methods:
- Systematic literature review of randomized clinical trials published within the last 10 years.
- Initial search yielded over 800 results, narrowed down to 26 relevant manuscripts after applying inclusion/exclusion criteria.
- Manual analysis of selected studies was performed, including a Mann-Whitney U Test for statistical comparison.
Main Results:
- Stannous fluoride (SnF2) does not present significant contraindications beyond those generally associated with fluoride.
- A meta-analysis on enamel loss demonstrated that products containing stannous fluoride yielded superior results (p < 0.05).
Conclusions:
- Stannous fluoride shows promise in promoting enamel erosion resistance and recalcification.
- The compound may positively impact biofilm formation and reduce gingival inflammation.
- Stannous fluoride could be beneficial for tooth stain removal and combating halitosis.
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