PubMed Health⌕ Search

SEARCH · PubMed Health

Results for “FLUORIDES, TOPICAL”

Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 703 records · Page 39Linked to original sources
PubMed1995

[Use of fluorides and dental visits in elementary school students of the Rems-Murr district and conclusions for dental health--results of a parent survey (1993)].

After a dental examination at school a representative sample of 1244 schoolchildren in the Rems-Murr district received a questionnaire which had to be answered by their parents at home. The questions dealt with the use of fluorides and dental consultation of the children. Forty-nine per cent of the questionnaires were returned. The survey shows that fluoride supplementation by tablets enjoys an acceptance of more than 90% in early childhood, but loses much of its importance in later years. Eighty-eight per cent of the pupils brush teeth with a fluoridated dentifrice and ca. 39% of the households use fluorinated salt. Fluorides are frequently combined in an inappropriate way. This indicates that parents do not always know exactly how to use the products or simply confuse them with others. Dentists do not reserve topical fluoride applications for selected caries risk groups, as is fixed by law, but offer them to all their patients. More than 90% of the children see a dentist at least once and about 70% at least twice a year. Many children with untreated deciduous teeth had visited their dentist only a few weeks or months previous to the examination at school. Probably many dentists reject treatment of deciduous teeth for economic reasons. Consumers have to be instructed more intensively about the use of fluorides and should receive more specific advice adapted to their individual caries risk. To improve treatment of deciduous teeth modifications in the sickness insurance refund tariff system are necessary.

Child↗
PubMed1993

Mouthrinses: recent clinical findings and implications for use.

Fluoride mouthrinses have been used extensively for the past 15 years to prevent dental caries in children. It has been demonstrated to reduce the incidence of dental caries in children by an average of 30 per cent. For individual patients, dentists should continue to recommend fluoride mouthrinsing at home, based upon the individual's caries activity or risk. This is true whether or not the patient is also receiving the benefits of community water fluoridation. School-based fluoride mouthrinsing programmes are recommended only in fluoride-deficient communities. Its effectiveness will be determined by the caries activity of the participants and the cost to reduce the disease level to an anticipated 30 per cent. Among all the topical fluoride agents, fluoride mouthrinses remain a safe and effective means of controlling dental decay in children and adolescents.

Dental Caries↗
PubMed1992

Fluoride intake from beverage consumption in a sample of North Carolina children.

Since the 1940's, the prevalence of dental fluorosis has increased in the US, concomitant with a reduction in dental decay. These changes have been attributed in part to the widespread use of systemic and topical fluorides. Various sources of increased systemic fluoride exposure have been investigated. However, little is known regarding fluoride intake from beverages in a sample of children of ages susceptible to dental fluorosis. The purpose of this study was to estimate the amount of fluoride ingested from beverages by a sample of North Carolina (NC) children of ages 2-10 years. Data on beverage consumption were collected by means of a diary format. A questionnaire was included so that demographic information and self-assessment on the accuracy of the diaries could be obtained. Beverages reported in the diaries were purchased, and their fluoride content was assayed. Daily total fluid intake ranged from 970 to 1240 mL, and daily beverage consumption ranged from 585 to 756 mL. The estimated mean daily fluoride intakes from beverages for children 2-3, 4-6, and 7-10 years of age were 0.36, 0.54, and 0.60 mg, respectively.

Age Factors↗
PubMed2004

Fluorides for the prevention of white spots on teeth during fixed brace treatment.

BACKGROUND: White spots can appear on teeth during fixed brace treatment because of early decay around the brace attachments. Fluoride is effective at reducing decay in susceptible individuals and is routinely prescribed in various different forms to patients during orthodontic treatment. OBJECTIVES: To evaluate the effectiveness of fluoride in preventing white spots during orthodontic treatment and to compare the different modes of delivery of fluoride. SEARCH STRATEGY: We searched the Cochrane Oral Health Group's Trials Register (to 22 August 2002); CENTRAL (The Cochrane Library Issue 3, 2002); MEDLINE (January 1966 to July 2003); EMBASE (January 1980 to week July 2003). Authors of trials were contacted for further data. SELECTION CRITERIA: Trials were selected if they met the following criteria: a randomised or quasi-randomised clinical trial, involving the use of a fluoride-containing product compared with no use or use of a non-fluoride control and enamel demineralisation was assessed during or after orthodontic treatment. DATA COLLECTION AND ANALYSIS: Six reviewers independently, in duplicate, extracted data. The primary outcome was the difference in the presence or absence of white spots between experimental and control patients for parallel design studies, and between experimental and control quadrants, for split-mouth design studies. Potential sources of heterogeneity were examined. Sensitivity analyses were undertaken for the items assessed for quality and publication bias. MAIN RESULTS: The primary outcome of the review was the presence or absence of white spots by patient at the end of treatment. Secondary outcomes included any quantitative assessment of enamel mineral loss or lesion depth. Other outcomes such as differences in size and severity of white spots, any patient based outcomes, such as perception of white spots could not be included because there were insufficient data. Fifteen trials, with 723 participants, provided data for this review. None of the studies fulfilled all of the methodological quality assessment criteria. There is some evidence that a daily sodium fluoride mouthrinse reduces the severity of enamel decay surrounding a fixed brace (weighted mean difference for lesion depth -70.0; 95% CI -118.2 to -21.8) and that use of a glass ionomer cement for bracket bonding reduces the prevalence (Peto OR 0.35; 95% CI 0.15 to 0.84) and severity of white spots (weighted mean difference for mineral loss -645 vol%.microm; 95% CI -915 to -375) compared with composite resins. REVIEWERS' CONCLUSIONS: There is some evidence that the use of topical fluoride or fluoride-containing bonding materials during orthodontic treatment reduces the occurrence and severity of white spot lesions, however there is little evidence as to which method or combination of methods to deliver the fluoride is the most effective. Based on current best practice in other areas of dentistry, for which there is evidence, we recommend that patients with fixed braces rinse daily with a 0.05% sodium fluoride mouthrinse. More high quality, clinical research is required into the different modes of delivering fluoride to the orthodontic patient.

Dental Caries↗
PubMed2007

Increased fluoride uptake in human dental specimens treated with diode laser.

The hypothesis of this study was the fact that diode lasers can increase the fluoride uptake in dental structures. The main objectives were: (1) to evaluate the effect of diode laser-NaF varnish combination on binding fluoride to dental enamel in an in vitro model and (2) to analyse outer enamel surface changes produced by the laser energy. After NaF enamel varnish and laser irradiation at different levels of energy, specimen surfaces were examined by environmental scanning electron microscopy. The incorporation of F(-) ion into the dental structure was quantitatively determined by using a fluoride ion-selective electrode. Results showed that the laser treatment significantly increased the binding of fluoride to the enamel surface without damaging it. The amount of F(-) estimated was 37 +/- 7 mg/l to the power of 5 W and 58 +/- 12 mg/l to the power of 7 W. These increases were significantly greater than the ones achieved by conventional topical fluoridation. The results were analysed and compared by Kruskal-Wallis and Dunn's multiple comparison tests, and significant statistical differences were found. These suggest that the NaF varnish-diode laser combination may be a useful option for the effective fluoridation of teeth.

Adult↗
PubMedDate not supplied

In vitro interactions between the surfaces of enamel white spots and calcifying solutions.

The treatment of white spot enamel lesions with a saturated DCPD solution followed by a high fluoride topical application appeared to produce a surface coating consisting mainly of spherical particles that filled in the honeycombed-etched surface of the untreated enamel white spot. The conditions used in these pilot studies were not ideal to take advantage of the DCPD and fluoride reaction to form FAP. Additional study is warranted on the solution composition and application time along with identification of the reaction products formed.

Calcium↗
PubMed1990

The Capitation Study. 2. Does capitation encourage more prevention?

The results of a 3-year parallel, controlled clinical trial comparing a capitation system of payment for the dental care of children with fee-for-service, showed that capitation offered dentists more clinical freedom. Dentists in capitation used this to provide more preventive care, particularly advice to parents on the control of dental disease in their children. In contrast, few fissure sealants were placed and few topical fluoride applications were made under either system. However, parents in both systems were satisfied with the preventive service their children received and were confident of their ability to control their children's dental disease. The effect of this increased preventive activity was not yet apparent within the period of the study.

Adolescent↗
PubMed1986

Dentistry's commitment to Head Start: an evaluation of selected programs.

The effectiveness of seven randomly selected dental Head Start programs in meeting national and regional standards is evaluated. The dental health education component, topical fluoride application, and classroom oral hygiene aspects, except for in one program, were being conducted in an outstanding manner.

Child Day Care Centers↗
PubMed2003

Evaluation and characteristics of "dropouts" in a longitudinal clinical study.

This paper attempts to identify characteristics of a longitudinal clinical study's "dropout" population (1974-1996) of patients using overdentures. This study included 395 subjects. Dropouts were identified as persons who did not respond to letters or telephone calls after participating in the study for up to 2 years, could not be located, or did not wish to return to the study. Participants (N=273) and Dropouts (N=84) were compared by evaluating a series of factors: sociodemographic, medical, health, and some oral health behaviors. The population was divided into two very similar cohorts for analysis based on years of recruitment: Group I (1974-1984) and Group II (1985-1993). Significant differences were found between them, including vision problems and risk of oral soft tissue problems related to medical diagnosis. Dropouts were significantly younger than Participants, had fewer hearing and vision problems, tended to brush their teeth more often and were more likely to use daily topical fluoride in their overdentures. The differences between the Dropouts and the Participants may be that younger persons are more mobile and have fewer vision and hearing problems, but this does not help predict their commitment to a study. Health behaviors such as brushing overdenture abutments or fluoride use may be more predictable but are harder to assess until persons have been study participants for some time.

Adolescent↗
PubMed2003

An audit of the implementation of guidelines in relation to the prevention of dental caries.

AIM: To determine the implementation of national clinical guidelines in relation to the targeted prevention of dental caries in the permanent teeth of 6-16-year-olds presenting for dental care amongst training grade staff working within the Hospital Dental Service. METHODS: Patient records were reviewed prospectively with regard to caries risk assessment, behaviour modification and tooth protection. Following dissemination of the results and reinforcement of fundamental points from the guideline, a second audit was conducted one month later. The results were assessed by chi2 (chi2) analysis. RESULTS: One hundred patient records were reviewed in both Audit One (M:52; F:48) and Audit Two (M:61; F:39). Caries risk assessment was poorly recorded in both Audits One and Two (13% and 17%, respectively). There was an improvement in radiographic reporting between the first and second audit, from 53% to 80% (chi2 = 16.36, P = 0.001). Dietary advice and toothbrushing instruction were recorded in 36% and 41% of records in Audit One, whilst in Audit Two this had improved to 68% and 92%, respectively (chi2 = 20.51, P = 0.001 and chi2 = 58.38, P = 0.001). There was a statistically significant improvement in the prescription of fissure sealants in Audit Two (chi2 = 38.97, P = 0.001), although not in the prescription of topical fluoride application (chi2 = 1.71, P = 0.192). CONCLUSION: Amongst training grade staff, there appears to be failure of implementation of certain aspects of SIGN guidelines for caries prevention. Clinical audit, however, would appear to improve guideline implementation.

Adolescent↗