Topical fluoride for caries prevention

Details

• Alternative Title:
  J Am Dent Assoc
• Personal Author:
  Weyant, Robert J. ; Tracy, Sharon L. ; Anselmo, Theresa (Tracy) ; Beltrán-Aguilar, Eugenio D. ; Donly, Kevin J. ; Frese, William A. ; Hujoel, Philippe P. ; Iafolla, Timothy ; Kohn, William ; Kumar, Jayanth ; Levy, Steven M. ; Tinanoff, Norman ; Wright, J. Timothy ; Zero, Domenick ; Aravamudhan, Krishna ; Frantsve-Hawley, Julie ; Meyer, Daniel M.
  More +
• Corporate Authors:
  American Dental Association Council on Scientific Affairs Expert Panel on Topical Fluoride Caries Preventive Agents
• Description:
  Background ; A panel of experts convened by the American Dental Association (ADA) Council on Scientific Affairs presents evidence-based clinical recommendations regarding professionally applied and prescription-strength, home-use topical fluoride agents for caries prevention. These recommendations are an update of the 2006 ADA recommendations regarding professionally applied topical fluoride and were developed by using a new process that includes conducting a systematic review of primary studies. ; Types of Studies Reviewed ; The authors conducted a search of MEDLINE and the Cochrane Library for clinical trials of professionally applied and prescription-strength topical fluoride agents-including mouthrinses, varnishes, gels, foams and pastes-with caries increment outcomes published in English through October 2012. ; Results ; The panel included 71 trials from 82 articles in its review and assessed the efficacy of various topical fluoride caries-preventive agents. The panel makes recommendations for further research. ; Practical Implications ; The panel recommends the following for people at risk of developing dental caries: 2.26 percent fluoride varnish or 1.23 percent fluoride (acidulated phosphate fluoride) gel, or a prescription-strength, home-use 0.5 percent fluoride gel or paste or 0.09 percent fluoride mouthrinse for patients 6 years or older. Only 2.26 percent fluoride varnish is recommended for children younger than 6 years. The strengths of the recommendations for the recommended products varied from "in favor" to "expert opinion for." As part of the evidence-based approach to care, these clinical recommendations should be integrated with the practitioner's professional judgment and the patient's needs and preferences.
• Subjects:
  • Adolescent
  • Adult
  • Age Factors
  • Cariostatic Agents
  • Child
  • Child, Preschool
  • Dental Caries
  • Fluorides, Topical
  • Humans
  • Mouthwashes
  More +
• Keywords:
  • Caries prevention
  • caries
  • evidence-based dentistry
  • fluoride
  • practice guidelines
  • preventive dentistry
• Source:
  J Am Dent Assoc. 144(11):1279-1291
• Pubmed ID:
  24177407
• Pubmed Central ID:
  PMC4581720
• Document Type:
  Text
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Genre:
  Journal Article
• Volume:
  144
• Issue:
  11
• Download URL:
  https://stacks.cdc.gov/view/cdc/34589/cdc_34589_DS1.pdf
• File Type:
  [PDF - 762.70 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:d24cd163e5cfaff5b86858a40c11f80846f374aa2a1947ef35bd150cfc03bb6c7ebc946807ea69f410117ec3c7cddc699ae33827cec557ce0e756b35e816c34b