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Toothpaste technique. Studies on fluoride delivery and caries prevention
1Department of Cariology, Faculty of Odontology, Göteborg University, Sweden.
Swedish Dental Journal. Supplement
|January 1, 1995
Summary
A modified fluoride (F) toothpaste technique, involving a slurry rinse after brushing, significantly enhanced fluoride levels in saliva and reduced cavities. This method proved 26% more effective in preventing approximal caries in children.
Area of Science:
- Dentistry
- Fluoride chemistry
- Caries prevention
Background:
- Fluoride toothpaste is a cornerstone of caries prevention.
- Standard brushing techniques may not optimize fluoride retention.
- Investigating modified techniques can enhance cariostatic effects.
Purpose of the Study:
- To evaluate the cariostatic effects of a modified fluoride toothpaste technique.
- To assess salivary fluoride concentration, plasma fluoride, and fluoride accumulation in plaque.
- To determine the impact on demineralized enamel and dentine.
Main Methods:
- A modified technique involved an active mouthrinse with toothpaste slurry and water post-brushing.
- Salivary and plasma fluoride levels were measured.
- Effects on demineralized enamel/dentine and plaque fluoride accumulation were studied.
- A 3-year clinical trial trained 4-year-old children in the technique.
Main Results:
- The modified technique, especially a slurry rinse, increased salivary fluoride concentration compared to water rinsing.
- Water rinsing and immediate eating after brushing reduced salivary fluoride.
- Fluoride absorption, plaque accumulation, and demineralization were linked to rinsing methods.
- The modified technique led to a 26% reduction in approximal caries.
Conclusions:
- A modified toothpaste technique with a slurry rinse after brushing enhances fluoride efficacy.
- This method offers improved cariostatic benefits compared to standard rinsing.
- Optimizing fluoride delivery through modified brushing techniques is crucial for caries prevention.