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Non-fluoride anticaries agents

G C Forward1

  • 1SmithKline Beecham Research and Technical Services Centre, Weybridge, Surrey, UK.

Advances in Dental Research
|July 1, 1994
PubMed
Summary
This summary is machine-generated.

Researchers reviewed non-fluoride anticaries agents, finding that those modifying plaque acid production, like phosphates, show promise. Some agents, such as calcium glycerophosphate, enhance fluoride

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Area of Science:

  • Dental Research
  • Cariology
  • Preventive Dentistry

Background:

  • Numerous anticaries agents beyond fluoride have been identified through laboratory, animal, and human studies.
  • This review focuses on agents demonstrating significant efficacy in preclinical or clinical anticaries models.

Purpose of the Study:

  • To review and categorize non-fluoride anticaries agents.
  • To assess the potential of these agents for human application and combination therapies.

Main Methods:

  • Systematic review of literature on anticaries agents.
  • Categorization of agents into phosphorus-containing, calcium-containing, antimicrobials/antibiotics, metals, and miscellaneous groups.
  • Evaluation of evidence from animal caries models, in situ models, and human clinical trials.

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Main Results:

  • Many agents show promise in laboratory and animal models, but few advance to human trials.
  • Chlorhexidine is a notable exception with demonstrated clinical efficacy.
  • Agents like calcium glycerophosphate can enhance fluoride's anticaries effect.
  • Phosphates show promise as dietary additives for caries prevention.

Conclusions:

  • Non-fluoride agents that modify plaque acid production (antimicrobially or biochemically) are most promising for topical use.
  • Combined therapies, particularly with fluoride, may offer enhanced anticaries benefits.
  • Further research into non-fluoride agents, especially phosphates, is warranted for caries prevention strategies.