Topical fluoride for caries prevention

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.

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Topical fluoride for caries prevention

11 2013
By Weyant, Robert J. ; Tracy, Sharon L. ; Anselmo, Theresa (Tracy) ; ...
Source: J Am Dent Assoc. 144(11):1279-1291

[PDF-762.70 KB]

English

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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. ; ... More +

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. Less -
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 Young Adult
Keywords:

[+]

Caries Caries Prevention 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:

Journal Article
Funding:

CC999999/Intramural CDC HHSUnited States/
Volume:

144
Issue:

11
Collection(s):

CDC Public Access
Main Document Checksum:

[+]

urn:sha256:e006e8d036b28f647a28797be1c6d6ac713e0e08808cf9d00edfbc5246f5fc02
Download URL:

https://stacks.cdc.gov/view/cdc/34589/cdc_34589_DS1.pdf
File Type:

	nihms-719256-f0001.gif	gif
	nihms-719256-f0001.jpg	jpeg
	nihms-719256.nxml	xml

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