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Results for “FLUORIDES, TOPICAL”

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At least 433 records · Page 24Linked to original sources
PubMed2006

Early childhood caries (ECC): a preventive-conservative treatment mode during a 12-month period.

PURPOSE: To evaluate a preventive treatment mode for early childhood caries (ECC). POPULATION AND METHODS: The population to be studied included 30 children who, over a 12-month period, presented with ECC to a private dental clinic. Parents preferred non-invasive, preventive treatment over restorations. Parents were given hygiene and proper feeding instructions. Mesial slicing was performed where proximal caries was observed. Children were examined once every two months. They received supervised professional topical fluoride treatment. Plaque level, brushing, stopping the bottle, eating sweets, appearance of new lesions or exacerbation of existing condition were observed and recorded. RESULTS: In the vast majority of patients, the progression of ECC was arrested after the preventive regimen. Three children required restorations. They had failed to limit sugar consumption and to comply with brushing instruction. General improvement was observed in plaque control, brushing habits and sweets consumption. CONCLUSION: Preventive measures may successfully arrest ECC and thereby avoid invasive procedures as well as the need of anesthesia.

Bottle Feeding↗
PubMed1979

Cost-effectiveness considerations in planning a preventive dental programme for British Columbia.

The Government of British Columbia, Canada, with organized dentistry, in 1974, sponsored research towards the introduction of a comprehensive children's dental programme. Dental care was at that time primarily provided by private practitioners on a personal fee-for-service basis, which system was working close to capacity. Educational and preventive dental programmes in school and health centres were sponsored by governments. Utilization of treatment services by children was estimated at a maximum of 60 per cent per annum. For the improvement of overall dental health, it was adjudged this should be at least 90 per cent. Approximately 45 per cent of children's treatment was related to dental caries. Four possible dental care delivery systems were costed. It was essential that the comprehensive programmed include proven anti-cariogenic measures and that they be the most effective in cost and in the utilization of professional personnel. Techniques for measurement of effectiveness were reviewed. Using a modified Davies cost-benefit ratio, four professionally applied and four self-administered topical fluoride systems were compared. The Knutson-Szwejda technique scored highest when used by community dental health programmes. In a private practice system or in large paediatric clinics the annual application of acidulated phosphate fluoride would be preferable. In British Columbia, experience has indicated problems with continuing school cooperation in mouth rinse programmes. Statistical proof of the effectiveness of "brush-in" programmes was adjudged as inconclusive but hopeful.

Adolescent↗
PubMedDate not supplied

Economic implications of evidence-based caries prevention in pediatric dental practice: a model-based approach.

OBJECTIVES: This paper presents an economic model which can be used to assess the potential implications of evidence-based caries prevention in pediatric dental practice. METHODS: Assessment of the evidence indicated that most children in the United States were likely to experience dental caries, though the severity of the disease would be minimal in most of them. Based on the evidence, it was concluded that annual recall examination and topical fluoride application would suffice as the norm for caries prevention. A model was developed to estimate the extent and cost of caries prevention in a traditional and an evidence-based pediatric dental practice. RESULTS: The model showed that evidence-based caries prevention resulted in a one-third decline in the number of recall examination visits provided, while the ensuing patient revenues from recall appointments declined by two-thirds in a calendar year. CONCLUSIONS: Evidence-based caries prevention will likely result in a significant decline in preventive services revenues and create additional capacity in pediatric dental practices. This economic impact will likely be absorbed by the current undersupply of pediatric dentists and by the reformulation of practice revenue streams.

Appointments and Schedules↗
PubMed1992

Preventive actions for enhancing oral health.

Preventive regimens that have proven efficacy for older adults include topical fluoride rinses, brush-on gels, and antiplaque agents. The efficacy of patient education for both dental office and institutional patients is documented in this article. The use of a preventive and oral health maintenance plan for each patient can improve his or her quality of life even in the face of multiple chronic conditions.

Aged↗
PubMed2006

Incorporating caries prevention into the well-child visit in a family medicine residency.

BACKGROUND: The Centers for Disease Control and Prevention reports that topical fluoride application may prevent early childhood caries in high-risk populations. Yet, there are few published descriptions of caries prevention curricula for primary care residents. METHODS: In 2003, the New Hampshire-Dartmouth Family Practice Residency hired a dentist and a hygienist to develop and implement a didactic and practical oral health curriculum. RESULTS: Over 2 years, faculty and residents competent with oral health screening and fluoride varnish application rose from 0% to 69% to 100%. In the same period, the percentage of well-child visits (ages 6 months to 3 years) with documented oral health screening and fluoride varnish application rose from 0% to 80% to 91%. CONCLUSIONS: Our successful model of teaching early childhood caries prevention services within the well-child visit could be replicated by other residency programs. Programs may need start-up funding for initial training by dental professionals.

Cariostatic Agents↗
PubMed1990

The influence of frequent ingestion of acids in the diet on treatment for dentin sensitivity.

For many patients with severe and persistent pain from dentin sensitivity, therapeutic interventions often produce unsatisfactory results. Eighteen patients with persistent dentin sensitivity following a two-month clinical trial of a desensitizing dentifrice and a two-week treatment of four applications of a topical fluoride varnish participated in post-hoc evaluation of the association between the frequency of acid ingestions in the diet and the persistence of pain. A specific food frequency assessment was performed and tested for association against longitudinal, clinical and subjective patient assessments. There was a negative association (r = 0.49) between the frequency of ingestion of specific acid foods and beverages and the persistence of dentin sensitivity. Findings suggest that nutritional counselling should be part of the treatment offered for patients with these problems.

Acids↗
PubMedDate not supplied

[Orodental care before and after radiotherapy affecting the oral cavity].

This article shows that once topical fluoride applications have been prescribed, oral rehabilitations should be adapted to each patient. Post radiotherapy maintenance is also essential to maintain a good dental equilibrium. This adequate dental condition is the best preventive measure against late osteoradionecrosis of dental origin.

Fluorides, Topical↗
PubMedDate not supplied

[Dental caries].

Recent studies on the etiology and prevention of dental caries are synthetized. Caries is an infectious disease produced by the bacterial plaque where microorganisms act upon hydrocarbon substrate producing acids (lactic, pyruvic, acetic, etc.). These acids decalcify the enamel surface producing the carious cavity. The three types of caries are mentioned: 1. The sucrose-dependent caries on the free surfaces of the tooth with the Streptococcus mutans predominance. 2. The pits and fissures caries with Lactobacillus acidophilus predominance. 3. The root caries with Acinomyces viscosus predominance. Caries prevention points out to three aspects. 1. Increasing tooth resistance through the use of ingested fluoride and/or topical fluorides and pits and fissure sealants. 2. A profuse and promising research work on control of microbial plaque is being done. Meanwhile, the correct and periodically controlled toothbrushing is still the most efficient preventive measure. 3. Diet control. Being carbohydrates a deep rooted habit of our modern culture, its control has to be carefully evaluated. A judicious and reduced strategic consumption of carbohydrates and the use of substitutes are useful ways of achieving the preventive aims.

Dental Caries↗
PubMed1994

[Implementation of an orodental prevention program in Auvergne: report after 1 year].

A pilot program in preventive dentistry has been carried out since 1992 in Auvergne (France). In this program, children of artisans and shopkeepers from 4 to 15 year-old have an annual dental consultation with the dentist of their choice. Dental care when related to dental caries prevention and treatment is free of charge. From September 1992 to September 1993, 48% of the 4 and 5 year-old children (n = 1040) to whom the program had been addressed went to the dentist for this consultation. Preventive dental treatments such as sealants and professional topical fluoride applications were rarely performed. However, a fluoride support was prescribed to 70% of the participants. Moreover, 75% of the children displaying caries at the time of the first consultation received appropriate curative dental treatments.

Adolescent↗
PubMed1998

The use of liners under amalgam restorations: an in vitro study on marginal leakage.

OBJECTIVE: Marginal leakage of amalgam restorations may lead to secondary caries and pulpal damage. The purpose of this study was to determine the effect various cavity liners might have on microleakage. METHOD AND MATERIALS: Mesio-occlusodistal amalgam restorations with margins on enamel and dentin were treated with different liner materials (an adhesive system, a topical fluoride gel, a cavity varnish, and a glass-ionomer cement) in vitro. Following restoration, the teeth were submitted to thermocycling in a stained solution and sectioned to allow assessment of microleakage. RESULTS: On enamel, the control group (no liner) and the glass-ionomer-lined group had equivalent leakage scores and were superior to every other group. On dentin, only the glass-ionomer specimens had superior performance. The cavity varnish and fluoride-lined specimens exhibited the highest leakage scores. CONCLUSION: The use of liners does not reduce microleakage on amalgam restorations when the cavity margins remain on enamel. On dentin margins, a glass-ionomer liner can reduce microleakage.

Adhesives↗
PubMed2004

Increased fluoride uptake and acid resistance by CO2 laser-irradiation through topically applied fluoride on human enamel in vitro.

OBJECTIVES: The aim of the current in vitro study was to evaluate the effect of CO(2)-laser treatment immediately after applying amine fluoride solution on enamel. It was hypothesized that such a treatment would increase enamel fluoride uptake, and reduce dissolution rate and thermal surface alterations. METHODS: Fluoride uptake was determined in 40 human enamel sections randomly assigned to four groups (n=10), which were either left untreated (1), exposed to a 1% amine fluoride solution for 15s without irradiation (2), irradiated for 15s with a continuous-wave carbon dioxide laser (3), or laser-treated for 15s through the amine fluoride solution applied immediately beforehand (4). Fluoride uptake was determined with an ion selective electrode after acid dissolution of the specimens (surface and subsurface layers). For the determination of acid resistance, another 40 enamel sections were treated according to the above protocol. Acid resistance was determined in surface and subsurface layers by measuring eluted calcium upon 3% lactic acid exposure with atomic absorption spectrometry. Enamel surface alterations after laser irradiation were monitored using scanning electron microscopy. RESULTS: Laser irradiation through the fluoride solution led to significantly higher fluoride contents in the surface enamel layer compared to fluoride treatment alone or laser treatment alone (p=0.002). Laser treatment with or without fluoride resulted in an increased acid resistance of enamel specimens. Fewer surface alterations were observed upon SEM examination of specimens irradiated through the amine fluoride solution compared to counterparts treated with laser only. CONCLUSIONS: CO(2) laser light application through an amine fluoride solution may be useful and effective in the prevention of caries.

Acids↗
PubMedDate not supplied

Improving utilization of preventive dental services by Medicaids-enrolled children: focus on the parents.

The Access to Baby and Child Dentistry (ABCD) program was implemented in Washington State in 1995 to increase utilization of dental services for children enrolled in Medicaid. The program has increased utilization of services; nevertheless, only 54 percent of Medicaid-enrolled children in ABCD who received care were given a topical fluoride treatment. To gain a better understanding of why children may not be receiving topical fluoride treatment, we interviewed parents. Focus group research found strong parental support for preventive services. Parents were willing to take their children to regular dental visits, but lack of knowledge of benefits was common. This lack of knowledge translated into a failure to fully utilize the topical fluoride benefits. We recommend that the program continue to encourage participation of dentists, regularly update information about program benefits for both dentists and parents, and enhance the visibility of the program in the community.

Adult↗
PubMed1990

Fluoride exposure in Michigan schoolchildren.

Recent trends in the prevalence of dental caries in children, as well as a possible increase in the prevalence of dental fluorosis, have prompted some researchers to suggest the reassessment of water fluoride concentration standards. Instead of reducing water fluoride concentrations, an alternative approach would be to limit the use of, or reduce the fluoride concentration of, dentifrices, mouthrinses, and supplements. Information about the use of these other sources of fluoride, however, is scarce. Using data from a 1987 survey of Michigan schoolchildren, exposure to selected fluoride sources as well as toothbrushing habits are described. Responses from questionnaires revealed that, overall, 98.5 percent of the children have used fluoride dentifrices, 27 percent have used topical fluoride rinses, 72.5 percent have had at least one exposure to professionally applied topical fluoride, and 27 percent have used dietary fluoride supplements. Although the use of fluoride dietary supplements was appropriate for most children residing in fluoride-deficient Cadillac, the percentages of children in the other communities who have ingested these supplements suggest that these products are being prescribed improperly. Given the almost universal use of fluoride dentifrices at an early age, it may be time to investigate the use of reduced fluoride dentifrices for children. In addition, continuing efforts to decrease inappropriate dietary fluoride supplementation are required.

Age Factors↗
PubMed2003

Diagnostic and preventive service trends in private general practice: 1983-1984 to 1998-1999.

BACKGROUND: Aggregate trends have indicated increases in the provision of diagnostic and preventive services but there have been few reports based on their component sub-categories. The aims of this study were to investigate time trends in the provision of sub-categories of diagnostic an preventive services across a 15-year period. METHODS: A random sample of Australian dentists was surveyed by mailed questionnaire in 1983-1984, 1988-1989, 1993-1994 and 1998-1999 (response rates 71-75 per cent). Data were weighted to provide representative estimates for the age by sex distribution of private general practitioners in 1983, 1988, 1993 and 1998. RESULTS: Rates per visit were higher, Poisson regression, P<0.05, in 1998-1999 compared to baseline for examinations, radiographs, prophylaxis and topical fluoride. Diagnostic and preventive service rates varied by age of patient: compared to patients aged 65+ years, examinations were higher among children aged <5 years to adults aged 25-44 years, radiographs were lower among children <5 years and 5-11 years but higher among adults aged from 18-24 years to 45-64 years, prophylaxis services were lower among children <5 years but higher among adolescents 12-17 years to adults aged 45-64 years, while topical fluoride was higher among children 5-11 years and adolescents 12-17 years. CONCLUSIONS: Examination, radiograph, prophylaxis, and topical fluoride rates increased over the study period. While examination rates increased for both children and adults, and prophylaxis rates increased for adolescents and adults, rates for radiographs and topical fluoride only increased for adults. Age-specific changes in service rates over time indicate the effect of changing oral health status and population demographics on service provision.

Adolescent↗
PubMed1991

Caries prevention--fluoride.

A clear understanding of the mechanism of action of fluoride and its pharmacokinetics would ensure appropriate clinical use of fluoride and fluoride-containing modalities. Convincing evidence exists that fluoride has a major effect on the demineralization and remineralization of dental hard tissues, and that it interferes with the acid production from "cariogenic" bacteria. However, it has also been shown to be physiologically harmful if fluoride concentrations and/or exposure periods are inappropriate. In order to establish appropriate clinical concentrations and exposure periods for fluoride administration, this review is concentrated on the theme that fluoride controls but does not prevent caries. The review is organized along classical lines, with a discussion of the role of systemic vs. topical fluoride. Discussion of the systemic effects of fluoride includes ingestion through water fluoridation, fluoride supplements, topical fluoride applications, and dentifrices. The benefits and problems associated with the systemic route of fluoride administration are discussed with special reference to caries control and fluoride's mechanism of action and its toxic effect. The same discussions are focused on the role of the topical effects of fluoride, with particular emphasis placed upon: low vs. high fluoride concentrations; calcium fluoride vs. fluorhydroxyapatite; and fluoride distribution, in both the mouth and in the teeth.

Dental Caries↗
PubMed1990

Dental hygienists' knowledge and opinions about fluorides and fluoridation.

This article reports results of a study of 563 practicing Minnesota and Wisconsin dental hygienists' knowledge and opinions about fluorides and water fluoridation. Two independent samples were selected randomly from the populations of licensed dental hygienists residing in the two states. Data were collected using a pretested, 42-item, mailed questionnaire. An 84 percent response was achieved with two followup reminders. These data provide baseline information about the caries prevention knowledge and attitudes of practicing dental hygienists in two states. Respondents from both states held similar levels of knowledge about fluorides and opinions about decision making on fluoridation. Fluoride topics, especially water fluoridation, were not receiving high priority in patient education, although nearly all believed that dental hygienists should promote water fluoridation actively. Two-thirds of respondents from both states believed fluoridation decisions should be made by health authorities, rather than by elected officials or through public vote. Greater attention to patient education about fluoride and community water fluoridation is needed by dental hygienists.

Adult↗