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At least 19 recordsLinked to original sources
PubMed2006

Brushing abrasion of eroded bovine enamel pretreated with topical fluorides.

Topical fluorides have been proposed for the prevention of erosive dental wear. This study evaluated the in vitro effect of a single professional application of 4% titanium tetrafluoride (TiF4), 1% amine fluoride (AmF) and 0.1% difluorosilane varnish (FV) in preventing wear due to combined erosion and brushing abrasion. One hundred and eight bovine enamel samples were used. Control groups were not pretreated with any product (C), pretreated with a fluoride-free varnish (FV-bl) or pretreated with fluoride varnish and subsequently submitted to varnish removal (FV-r). Wear was modeled by submitting the fluoride-treated and control groups to 3 cycles of the following regimens: erosion/remineralization (er/remin), abrasion/remineralization (abr/remin) or erosion/abrasion/remineralization (er/abr/remin). Erosion was simulated by immersion of the samples for 10 min in citric acid 50 mM (pH 3). Abrasion was carried out for 1 min (200 strokes, load 150 g) in a wear device. Remineralization (2 h artificial saliva) took place between the cycles. Two-way ANOVA showed that there was a significant interaction (p<or=0.001) between the fluoride treatments and the wear regimens. Under er/remin a significant wear protective effect was found for the FV, FV-r and FV-bl groups. Abr/remin resulted in some enamel loss for the TiF4 and AmF groups, but the amounts lost were not statistically significant (p=0.185 and p=1.000, respectively). Under er/abr/remin all products showed a significant protective effect, except for TiF4. It was concluded that FV and AmF protected bovine enamel against erosion followed by brushing abrasion in vitro.

Analysis of Variance↗
PubMed1992

Current regulations and recommendations concerning water fluoridation, fluoride supplements, and topical fluoride agents.

In recent years, an increase in the prevalence of dental fluorosis, mostly of the very mild to mild category, has been seen in the United States. This paper therefore discusses the safety of dental fluoride products, primarily with respect to the risk of dental fluorosis due to chronic ingestion of these products by pre-school children. No change is indicated in the optimal fluoride level (0.7 to 1.2 ppm) for water fluoridation. A reduction in the dosage of fluoride supplements is recommended for children aged from three to six years (14.5 to 22 kg body weight) residing in communities with less than 0.7 ppm F. Physicians, pharmacists, and dentists need to be better educated in correctly prescribing fluoride supplements; such prescriptions should be based on the fluoride concentration of the domestic water supply and the child's weight/height/age. No change is recommended in the concentration of fluoride used in dentifrices and mouthrinses. The US Food and Drug Administration should require more explicit labeling of fluoride products with regard to avoidance of ingestion, use of small amounts, and need for supervised use by pre-school children. The efficacy of water fluoridation, fluoride supplements, and topical fluoride agents has been amply documented elsewhere.

Child↗
PubMed2004

Combinations of topical fluoride (toothpastes, mouthrinses, gels, varnishes) versus single topical fluoride for preventing dental caries in children and adolescents.

BACKGROUND: Topical fluoride therapy (TFT) in the form of toothpastes, mouthrinses, varnishes and gels are effective caries preventive measures. However, there is uncertainty about the relative value of these interventions when used together. OBJECTIVES: To compare the effectiveness of two TFT modalities combined with one of them alone (mainly toothpaste) when used for the prevention of dental caries in children. SEARCH STRATEGY: We searched the Cochrane Oral Health Group's Trials Register (May 2000), the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library Issue 2, 2000), MEDLINE (1966 to January 2000), plus several other databases. We handsearched journals, reference lists of articles and contacted selected authors and manufacturers. SELECTION CRITERIA: Randomized or quasi-randomized controlled trials with blind outcome assessment, comparing fluoride varnish, gel, mouthrinse, or toothpaste in combination with each other in children up to 16 years during at least 1 year. The main outcome was caries increment measured by the change in decayed, missing and filled tooth surfaces (D(M)FS). DATA COLLECTION AND ANALYSIS: Inclusion decisions, quality assessment and data extraction were duplicated in a random sample of one third of studies, and consensus achieved by discussion or a third party. Authors were contacted for missing data. The primary measure of effect was the prevented fraction (PF) that is the difference in mean caries increments between the 'treatment' and 'control' groups expressed as a percentage of the mean increment in the control group. Random effects meta-analyses were performed where data could be pooled. MAIN RESULTS: Eleven of the 12 included studies contributed data for the meta-analyses. For the nine trials that provided data for the main meta-analysis on the effect of fluoride mouthrinses, gels or varnishes used in combination with toothpaste (involving 4026 children) the D(M)FS pooled PF was 10% (95% CI, 2% to 17%; p = 0.01) in favour of the combined regimens. Heterogeneity was not substantial in these results (I square = 32%). The separate meta-analyses of fluoride gel or mouthrinse combined with toothpaste versus toothpaste alone favour the combined regimens, but differences were not statistically significant; the significant difference in favour of the combined use of fluoride varnish and toothpaste accrues from a very small trial and appears likely to be a spurious result. Not all other combinations of possible practical value were tested in the included studies. The only other statistically significant result was in favour of the combined use of fluoride gel and mouthrinse in comparison to gel alone (pooled DMFS PF 23%; 95% CI, 4% to 43%; p = 0.02), based on two trials. No other combinations of TFT were consistently superior to a single TFT. REVIEWER'S CONCLUSIONS: Topical fluorides (mouthrinses, gels, or varnishes) used in addition to fluoride toothpaste achieve a modest reduction in caries compared to toothpaste used alone. No conclusions about any adverse effects could be reached, because data were scarcely reported in the trials.

Adolescent↗
PubMed1982

A review on fluoride varnishes: an alternative topical fluoride treatment.

The in vitro, in vivo and clinical research on topical fluoride varnishes in surveyed. The probable mechanisms of action for fluoride varnishes is discussed and this effect demonstrated from the results of in vitro and in vivo research. Findings from clinical studies are summarized and selected results are used to estimate expected preventive effects from the treatment. The practical advantages and limitations of fluoride varnishes are also reviewed and indications for the future used of these preventive agents are considered.

Adult↗
PubMed1981

Blood and urine fluoride concentrations associated with topical fluoride applications on dog gingiva.

The circulatory uptake and urinary excretion of topical fluoride were investigated by applying a sodium fluoride solution containing 18F for six min to healthy gingiva of four adult dogs. Blood and urine samples were taken a regular intervals. Maximal fluoride in blood represented 0.02-0.05% of the applied dose and occurred four min after completion of the application. By 6.0 h, 0.02-0.06% of the applied dose had been excreted in urine. Preliminary data showed that this represented about 8.8% of the fluoride absorbed through the gingiva.

Animals↗
PubMed1999

Fluoride: a review--Part II: Topical fluorides.

Fluoride therapy continues to be the best defense in the battle against dental caries. The decision to utilize topical fluorides is no longer age dependent. Changing disease patterns require dentists to critically evaluate the caries risk of each patient and develop a fluoride treatment plan based upon the needs of the individual patient. A variety of professional and self-applied fluoride products are available and new fluoride delivery systems have recently entered the market. A critical review of literature, combined with an understanding of the advantages and disadvantages of each topical fluoride system will assist the dentist in selecting the product best suited for each patient.

Acidulated Phosphate Fluoride↗
PubMed1987

Topical fluorides: a discussion of risks and benefits.

Inadvertent ingestion of fluoride from topical procedures poses the risk of dental fluorosis in age-susceptible users. This risk can be minimized for mouthrinsing by restricting it to those above the age-susceptible limit. Operators administering topical fluoride treatments can take practical precautions that have been shown to reduce the amount of fluoride retained and, thus, reduce ingestion. Clinical and epidemiological studies have failed to establish that dentifrice ingestion by young children constitutes a serious fluorosis risk. Discussion of risk must consider the effect of perceived risks upon the public.

Child↗
PubMed1994

The effect of topical fluorides on ceramic brackets.

Topical fluorides are frequently prescribed to orthodontic patients to minimize development of initial carious lesions around brackets and bands. However, various topical fluorides are reported to cause surface changes and weight loss of dental materials composed of ceramic elements. Little is known of the effects of these fluorides on ceramic brackets. The purpose of this study was to determine the effects of topical fluorides (0.4% stannous fluoride, 0.5% acidulated phosphate fluoride, and 1.1% sodium fluoride) as compared with water, on the weight and on the surface of the wings and slots of aluminum oxide ceramic brackets. The brackets (n = 10 each treatment agent) were weighed before 6-minute immersions in the treatment agent, rinsed, dried, and reweighed for a total of 10 immersions. The surface appearance of the wings and the slots of the brackets (n = 5 each treatment group) were evaluated with scanning electron microscopy. No statistically significant changes in weight were found among the groups. Surface changes were not observed in either the slots nor the wings of ceramic brackets. Therefore it was concluded that the commercially available topical fluorides when applied as per the regimen in this study to the aluminum oxide ceramic brackets did not cause surface damage or significant weight loss as compared with controls (water).

Acidulated Phosphate Fluoride↗
PubMedDate not supplied

Fluoride retention following topical fluoride foam and gel application.

The purpose of this study was to compare the oral fluoride (F) retention following acidulated phosphate fluoride (APF) foam and gel applications in children. Fifty-nine children were divided into two groups, 6-9 years old and 10-13 years old. They each received a randomly assigned sequence of topical F foam and gel applications in two consecutive visits, using either sponge-lined or unlined trays. Approximately 0.6-0.8 g of APF foam, or 3-4 g of APF gel was used in each of the 4-min F applications. The amounts of F applied, recovered from the mouth, and retained were calculated for each treatment. The retention of an average of 1.26 mg F after an APF foam application was significantly less than 2.53 mg F for the APF gel. The sponge-lined trays also reduced significantly the F retention, compared with unlined trays. However, there was no significant difference in the amount of F retained between the two different age groups. The amount of F retained was reduced significantly from 3.65 mg F in the first appointment, to 1.24 mg F in the second appointment when unlined trays were used.

Acidulated Phosphate Fluoride↗
PubMed1981

Histaminergic mediation of the response of rat skin to topical fluorides.

The topical application of sodium fluoride to abraded rat skin produced several morphological and biochemical effects. Related to the degranulation of dermal mast cells, skin histamine concentration was increased, fluorides were absorbed into the skin, and deposited mainly kin mitochondria. Dermal histamine binding was decreased for both H1 and H2 receptors with reduced binding sites, but epidermal adenyl cyclase was activated by fluorides. The response of the rat skin to fluorides involves a sequence of changes by which the potentiation of an inflammatory response also involves alterations in specific histamine receptors and a histamine-specific adenyl cyclase system.

Adenylyl Cyclases↗
PubMedDate not supplied

Salivary fluoride levels in overdenture wearers after topical fluoride gel application.

This study describes salivary fluoride levels after topical fluoride gel application on overdenture abutments. Fluoride levels were evaluated separately for the subjects with normal unstimulated salivary flow rate (n = 16) and for those with a low flow rate (n = 8). One drop of fluoride gel (Karigel-N, Lorvic) was placed in two abutment depressions of the duplicated overdenture, after which unstimulated whole saliva was collected for 30 minutes. Samples for fluoride analysis were taken at 5-minute intervals. Two additional samples were taken at 45 and 60 minutes. Fluoride concentration at the abutment-denture interface (remaining fluoride concentration) was measured at the end of the study. Salivary fluoride concentrations decreased gradually in both groups of subjects, but after 1 hour they remained at a higher level in subjects with low flow rates. Subjects' salivary flow rates correlated negatively with remaining fluoride concentration at the denture-tissue interface. Consequently, mean remaining fluoride concentration was significantly higher in subjects with low flow rate than in their normal counterparts.

Aged↗