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Micro-dissection of Enamel Organ from Mandibular Incisor of Rats Exposed to Environmental Toxicants
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The AADOCR Position Statement on Topical Fluoride
P R Arany1, M Charles-Ayinde2, M Fontana3
1School of Dental Medicine, University at Buffalo, Buffalo, NY, USA.
Journal of Dental Research
|October 18, 2025
Summary
Topical fluorides are essential for preventing and managing dental caries. Recommendations include daily use of fluoride toothpaste, with specific amounts for children to prevent fluorosis.
Area of Science:
- Dental Research
- Public Health
- Fluoride Chemistry
Background:
- Topical fluorides are crucial for dental caries prevention and management.
- Understanding fluorapatite's acid resistance and fluoride's antimicrobial effects solidifies its role in caries control.
Purpose of the Study:
- To summarize current evidence-based recommendations for topical fluoride use in caries management.
- To provide guidance on appropriate fluoride concentrations and application methods for different age groups and risk levels.
Main Methods:
- Review of current scientific evidence and clinical guidelines.
- Analysis of recommendations from the American Association for Dental, Oral, and Craniofacial Research (AADOCR).
Main Results:
- AADOCR recommends 1,000-1,500 ppm fluoride toothpaste twice daily.
- For young children, a rice-grain-sized smear minimizes fluorosis risk.
- High-risk patients may benefit from professional applications and adjunct therapies.
Conclusions:
- Topical fluoride use is a cornerstone of evidence-based oral health.
- Guidelines emphasize individualized risk assessment and appropriate fluoride modalities.
- Continued research is vital for refining topical fluoride recommendations.
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