scholarly journals Recommending 1000 ppm fluoride toothpaste for caries prevention in children

2020 ◽  
pp. 201010582096329
Author(s):  
Shijia Hu ◽  
Wen Pui Bien Lai ◽  
Wanyi Lim ◽  
Ruixiang Yee
Keyword(s):  
Healthcare Professional ◽  
Young Children ◽  
Oral Hygiene ◽  
Dental Fluorosis ◽  
Fluoride Concentration ◽  
Local Context ◽  
Caries Prevalence ◽  
Caries Risk ◽  
Fluoride Toothpaste ◽  
High Caries Risk

The caries prevalence among Singapore children remains high, with almost 50% affected by the age of 6 years. Among oral hygiene homecare, toothpastes with a minimum fluoride concentration of 1000 ppm or greater have been shown to be more effective at preventing caries. Previous concerns with dental fluorosis have led to the marketing of non-fluoride and low-fluoride toothpastes specifically for children. In the local context, many parents start their children on these products due to ingestion concerns and recommendations of the product, rather than on sound advice from a healthcare professional. The latest recommendation is to use a smear size of 1000 ppm or greater fluoride toothpaste in children under 3 years of age with high caries risk. For children aged 3 years and older, a pea size of 1000 ppm or greater fluoride toothpaste should be used. As medical physicians are typically the first healthcare encounter for many children, they are well positioned to provide recommendations on the concentration and amount of fluoride toothpaste to be used in young children.

A differentiated approach to the dental caries prevention in children with different levels of caries risk

2020 ◽  
Vol 20 (3) ◽  
pp. 211-215
Author(s):  
T. N. Tserakhava ◽  
N. V. Shakavets ◽  
E. I. Melnikava ◽  
M. I. Klenovskaya ◽  
D. N. Naumovich ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Calcium Phosphates ◽  
Clinical Effectiveness ◽  
Control Group ◽  
Caries Risk ◽  
Health Group ◽  
High Caries Risk ◽  
Permanent Molars ◽  
Different Levels ◽  
First Permanent Molars

Relevance. Prevention of caries of the first permanent molars is one of the most relevant problems in pediatricdentistry.Purpose – to develop an algorithm for prevention of first permanent molars caries in children with differentlevels of caries risk.Materials and methods. The article presents the results of the implementation of the algorithm for prevention of first permanent molars caries in children with different levels of caries risk. This algorithm includes a comprehensive assessment of the values of indices dmft, DMFT, OHI-S, and the patient's health group is also taken into account. The study involved 253 children aged 6-7 years divided into 4 groups: 3 groups of children depending on the health group and the control group. 3 subgroups were identified in each group – with a low, medium, and high caries risk. We developed preventive measures schemes were for children of each group including training in oral hygiene; controlled and home toothbrushing using fluoride-containing toothpastes; applications of varnishes containing fluoride, calcium, phosphates from 2 to 3 times a year; fissure sealing of the first permanent molars. We carried out these activities were for 24 months, and then evaluated theirs effectiveness. Children in the control group were trained in oral hygiene. The clinical effectiveness of medical prophylaxis was evaluated by changes in the above clinical indicators.Results. In group of children with medium caries risk the increase in caries was 0.09, and the reduction in caries was 89.65%. In children with a low and high caries risk no increase in caries was observed; the reduction in the intensity of caries was 100%. A significant decrease in OHI-S oral hygiene index values was noted in all groups (p < 0.05). We noted high preventive efficacy of fissures sealing in the first permanent molars. No occlusal surface caries developed in sealed fissures.Conclusions. The application of the proposed preventive schemes in patients demonstrates high efficacy of fluoride and calcium-containing varnishes and sealing the fissures of the first permanent molars. 

scholarly journals Urinary fluoride excretion in children exposed to fluoride toothpaste and to different water fluoride levels in a tropical area of Brazil

2008 ◽  
Vol 19 (3) ◽  
pp. 214-218 ◽  
Author(s):  
Franklin Delano Soares Forte ◽  
Suzely Adas Saliba Moimaz ◽  
Fábio Correia Sampaio
Keyword(s):  
Dental Fluorosis ◽  
Fluoride Concentration ◽  
Second Phase ◽  
Appropriate Use ◽  
Fluoride Toothpaste ◽  
Tropical Area ◽  
Significant Difference ◽  
Urinary Fluoride ◽  
The City ◽  
Water Fluoride

The aim of this study was to evaluate the urinary fluoride excretion of 2- to 7-year-old children exposed to different water fluoride concentrations in the city of Catolé do Rocha, PB, Brazil. Forty-two children were allocated to 3 groups according to the concentration of fluoride in the water: G1 (n=10; 0.5-1.0 ppm F), G2 (n=17; 1.1-1.5 ppm F) and G3 (n= 15; >1.51 ppm F). The study was carried out in two 1-week phases with 1-month interval between the moments of data collection: in the first phase, the children used a fluoride toothpaste (FT) (1,510 ppm F) for 1 week, whereas in the second phase a non-fluoride toothpaste (NFT) was used. The urine was collected in a 24-h period in each week-phase according to Marthaler's protocol. The urinary fluoride excretion data expressed as mean (SD) in µg/24 h were: G1-FT= 452.9 (290.2); G1-NFT= 435.1 (187.0); G2-FT= 451.4 (224.0); G2-NFT= 430.3 (352.5); G3-FT=592.3 (390.5); and G3-NFT=623.6 (408.7). There was no statistically significant difference between the water fluoride groups, and regardless of the week phase (ANOVA, p>0.05). The use of fluoride toothpaste (1,510 ppmF) did not promote an increase in urinary fluoride excretion. There was a trend, though not significant, as to the increase of urine fluoride concentration in relation to fluoride concentrations in the water. The excretion values suggest that some children are under risk to develop dental fluorosis and information about the appropriate use of fluoride is necessary in this area.

scholarly journals How Long does it Take to Examine Young Children with the Caries ICDAS System and how do they Respond?

2018 ◽  
Vol 29 (4) ◽  
pp. 374-380 ◽  
Author(s):  
Stefania Martignon ◽  
Andrea Cortes ◽  
Soledad Isabel Gómez ◽  
Gina Alejandra Castiblanco ◽  
Ximena Baquero ◽  
...  
Keyword(s):  
Young Children ◽  
Clinical Examination ◽  
Rating Scale ◽  
Caries Experience ◽  
Caries Risk ◽  
Self Perception ◽  
Behavior Rating Scale ◽  
Examination Time ◽  
High Caries Risk ◽  
The Mean

Abstract A caries-epidemiological study using the ICDASepi-merged system was conducted in Colombian young children. This study aimed at associating the time needed for the clinical examination of caries and caries risk in 1 to 5-year-old children according to age and caries risk, and to assess behavior and child pain self-perception during examination according to age. After IRB approval and given parents/caregivers’ informed consent, seven trained examiners assessed 1 to 5-year olds in kindergartens under local field conditions. ICDASepi-merged caries experience (depiMEmf) was assessed as follows: Initial-depi (ICDAS 1/2 without air-drying); Moderate-dM (ICDAS 3,4); Extensive-dE (ICDAS 5,6) lesions; due-to-caries fillings-f and missing-m surfaces/teeth. Caries risk was assessed with Cariogram®. Child’s behavior (Frankl-Behavior-Rating-Scale) and self-perceived pain (Visual-Analogue-Scale-of-Faces) during examination were evaluated. Clinical examination time was recorded with a stopwatch. A total of 592 children participated (1-yr.: n=31; 2-yrs.: n=96; 3-yrs.: n=155; 4-yrs.: n=209, 5-yrs.: n=101). The depiMEmfs prevalence was of 79.9% and the mean 8.4±10.4. Most were high-caries-risk children (68.9%). The majority (58.9%) showed ≥ positive-behavior and ≤ light-pain self-perception (88.4%). Mean clinical examination time was around 3.5 minutes (216.9±133.9 seconds). For 5-yr. olds it corresponded to 4 minutes (240.4±145.0 seconds) vs. 2 minutes (122.8±80.1 seconds) for 1-yr. olds (Kruskal-Wallis; p=0.00). For high- and low-caries risk children it was around 4.3 minutes (255.7±118.5 seconds) and 3.3 minutes (201.3±129.4 seconds), respectively (ANOVA; p=0.01). This study demonstrates using the ICDAS system in young children is feasible, taking less than 4 minutes for the clinical examination without children behavior/pain self-perception issues.

Impact of Reducing Water Fluoride on Dental Caries and Fluorosis

2020 ◽  
pp. 002203452097877
Author(s):  
P. James ◽  
M. Harding ◽  
T. Beecher ◽  
D. Browne ◽  
M. Cronin ◽  
...  
Keyword(s):  
Primary Teeth ◽  
Fluoride Concentration ◽  
Permanent Teeth ◽  
Caries Experience ◽  
Caries Prevalence ◽  
Fluoride Toothpaste ◽  
Significant Difference ◽  
Policy Measures ◽  
The Difference ◽  
Water Fluoride

Guidance intended to reduce fluoride toothpaste ingestion in early childhood was introduced in Ireland in 2002. In 2007, water fluoride concentration was adjusted from 0.8–1.0 to 0.6–0.8 ppm. The objective of this study was to determine the difference in caries and fluorosis levels following introduction of these 2 policy measures. A before-and-after study compared caries and fluorosis in random samples of 8-y-olds in Dublin ( n = 707) and Cork-Kerry ( n = 1148) in 2017 with 8-y-olds in Dublin ( n = 679) and Cork-Kerry ( n = 565) in 2002. Dentinal caries experience (primary teeth, d3vcmft(cde)) and fluorosis (permanent teeth, Dean’s index of very mild or higher) were clinically measured. Lifetime exposure to community water fluoridation (CWF) was classified as “full CWF”/“no CWF.” Effect of examination year on caries prevalence and severity and fluorosis prevalence was assessed using multivariate regression adjusting for other explanatory variables. There was little change in commencement of fluoride toothpaste use at ≤24 mo following introduction of toothbrushing guidance. Among children with full CWF, there was no statistically significant difference in caries prevalence or severity between 2017 and 2002. In 2017, caries prevalence was 55% in Dublin (full CWF) and 56% in Cork-Kerry (full CWF), and mean d3vcmft(cde) among children with caries was 3.4 and 3.7, respectively. Caries severity was less in 2017 (mean 4.2) than 2002 (mean 4.9) among children with no CWF ( P = 0.039). The difference in caries severity between children with full CWF and no CWF was less in 2017 than in 2002 (interaction P = 0.013), suggesting a reduced benefit for CWF in 2017. In 2017, fluorosis prevalence was 18% in Dublin (full CWF) and 12% in Cork-Kerry (full CWF). Fluorosis was predominantly “very mild” with no statistically significant difference between 2017 and 2002. CWF at 0.6 to 0.8 ppm is an effective caries-preventive measure. Results suggested low uptake of toothbrushing guidance, a reduced caries-preventive effect for CWF in primary teeth, and no reduction in fluorosis following introduction of the policy measures.

Risk-Benefit Balance in the Use of Fluoride among Young Children

2007 ◽  
Vol 86 (8) ◽  
pp. 723-728 ◽  
Author(s):  
L.G. Do ◽  
A.J. Spencer
Keyword(s):  
Young Children ◽  
Dental Fluorosis ◽  
Population Attributable Risk ◽  
Attributable Risk ◽  
Additional Benefit ◽  
Caries Experience ◽  
Caries Prevalence ◽  
Fluoride Exposure ◽  
History Of ◽  
Exposure History

This study aimed to evaluate the risk-benefit balance of several fluoride exposures. Fluoride exposure history of randomly selected children was collected for calculation of exposure to fluoridated water, toothpaste, and other fluoride sources. We evaluated the risk-benefit balance of fluoride exposure by comparing dental fluorosis on maxillary central incisors, recorded at the time of the study with the use of the Thylstrup and Fejerskov Index, and deciduous caries experience, recorded at age six years, of the same group of South Australian children who were from 8 to 13 years old in 2002–03. Population Attributable Risk for fluorosis and Population Prevented Fraction for caries were estimated. Fluorosis prevalence was found to be 11.3%; caries prevalence, 32.3%; mean dmfs, 1.57 (SD 3.3). Exposure to fluoridated water was positively associated with fluorosis, but was negatively associated with caries. Using 1000-ppm-F toothpaste (compared with 400- to 550-ppm-F toothpaste) and eating/licking toothpaste were associated with higher risk of fluorosis without additional benefit in caries protection. Evaluation of the risk-benefit balance of fluoride exposure provides evidence to assist in the formulation of appropriate guidelines for fluoride use.

scholarly journals Dental caries prevalence among 12–15-year-olds in Lithuania between 1983 and 2005

Medicina ◽  
2009 ◽  
Vol 45 (1) ◽  
pp. 68 ◽  
Author(s):  
Simona Milčiuvienė ◽  
Eglė Bendoraitienė ◽  
Vilija Andruškevičienė ◽  
Julija Narbutaitė ◽  
Jurgina Sakalauskienė ◽  
...  
Keyword(s):  
Dental Caries ◽  
Oral Hygiene ◽  
Age Groups ◽  
Fluoride Concentration ◽  
World Health ◽  
Age Group ◽  
Caries Prevalence ◽  
Number Of Children ◽  
T Score ◽  
Health Organization

Objective. To analyze the dynamics of prevalence and severity of dental caries among 12- and 15-year-old schoolchildren in six regions of Lithuania. Material and methods. A total of 5910 schoolchildren aged 12 and 15 years were examined. Dental caries was diagnosed according to the criteria of World Health Organization. The prevalence of dental caries was calculated by dividing the number of children with caries by the number of all children examined and expressed as percentage. Severity of dental caries was described by DMF-T index. DMF-T indices of individual persons as well as each age group were determined. Oral hygiene was evaluated by a simplified oral hygiene index. Fluoride concentration in Kretinga was 1.6–2.2 ppm; in the other regions, it varied between 0.2 to 0.4 ppm. Results. The prevalence of dental caries among 12-year-olds was 88.4% in 1983 and 85.5% in 2005; among 15-year-olds, it was 95.5% and 92.9%, respectively. Mean DMF-T score decreased from 4.5 (in 1983) to 3.7 (in 2005) among 12-year-olds and from 6.4 (in 1983) to 5.6 (in 2005) among 15-year-olds. Oral hygiene index decreased from 1.69 in 1983 to 1.34 in 2005 among 12-year-olds and from 1.46 to 1.22 among 15-year-olds, respectively. Conclusions. A tendency towards decrease in the prevalence and severity of dental caries was observed, when caries prevention program was running. Correlation between oral hygiene and DMF-T was observed in both age groups. Decreased prevalence and intensity of dental caries among 12- and 15-year-olds were associated with improved oral hygiene, usage of fluoride toothpaste, and fluoride content in drinking water.

scholarly journals Caries risk profiles in 2- to 6-year-old Greek children using the Cariogram

2012 ◽  
Vol 06 (04) ◽  
pp. 415-421 ◽  
Author(s):  
Katerina Kavvadia ◽  
Andreas Agouropoulos ◽  
Sotiria Gizani ◽  
Lisa Papagiannouli ◽  
Svante Twetman
Keyword(s):  
Oral Hygiene ◽  
Buffer Capacity ◽  
Mutans Streptococci ◽  
White Spot Lesions ◽  
Caries Risk ◽  
Risk Profiles ◽  
Fluoride Exposure ◽  
High Caries Risk ◽  
Risk Determinants ◽  
Old Greek

ABSTRACTObjective: To assess the caries risk profiles in 2- to 6-year-old Greek children using a computerbased program and to evaluate the contribution of various risk factors.Methods: The study group consisted of 814 preschool children. A questionnaire on family, demographic and socioeconomic factors, general health, oral hygiene and dietary behavior was completed by the parents. Children were examined for cavitated and white-spot lesions (WSL). Salivary mutans streptococci (MS) and buffer capacity were estimated. Caries risk profiles were assessed with Cariogram.Results:Cavitated lesions were found in 30% of the children; WSL were found in 26% of those included. MS and low buffer capacity were detected in 28% and 26% of the children, respectively. The majority (70%) displayed neglected oral hygiene. Based on the questionnaires, 83% of the children had a cariogenic diet, and 17% did not use any form of fluoride. The Cariogram revealed that 26% of the children had high caries risk, while only 9% exhibited low caries risk. The most significant caries risk variables, determined by regression analysis (R2=0.88), were insufficient fluoride exposure (! =0.160) and the presence of WSL (!= 0.159).Conclusions: One-fourth of the children were categorised as high caries risk. The presence of WSL and lack of fluoride exposure were the most significant caries risk determinants. (Eur J Dent 2012;6:415-421)

Effects of Water Fluoridation on Caries Experience in the Primary Dentition in a High Caries Risk Community in Queensland, Australia

2015 ◽  
Vol 49 (2) ◽  
pp. 184-191 ◽  
Author(s):  
Rongzhen Koh ◽  
Margaret L. Pukallus ◽  
Bruce Newman ◽  
Michael Foley ◽  
Laurence J. Walsh ◽  
...  
Keyword(s):  
Primary Dentition ◽  
Caries Experience ◽  
Caries Prevalence ◽  
Caries Risk ◽  
Water Fluoridation ◽  
Percent Reduction ◽  
Significant Drop ◽  
High Caries Risk ◽  
First Time ◽  
Artificial Water

Objectives: In December 2008, artificial water fluoridation was introduced for the first time to the Logan-Beaudesert district in the state of Queensland, Australia. The aim of this study was to evaluate the effects of water fluoridation in the primary dentition in this community after a period of 36 months. Methods: Children aged 4-9 years with clinical examinations and bitewing radiographs (BWs) taken before water fluoridation (pre-F) were randomly selected as comparison controls for age matched children who had been exposed to a mean period of 36 months of water fluoridation (post-F). A total of 201 sets of pre-F BWs from children (mean age 6.95 ± 1.05 years) and 256 sets of post-F BWs from children (mean age 7.19 ± 1.23 years) attending schools in the district were randomly selected. Caries experience in the primary dentition was determined as decayed, missing or filled teeth/surfaces (dmft/dmfs). Results: The caries prevalence for the pre-F group was 87% compared to 75% in the post-F group (Odds ratio (OR): 0.44, 95% CI: 0.27-0.72). Overall, there was a 19 percent reduction of mean dmft from 4.54 in the pre-F group to 3.66 in the post-F group (p = 0.005). After fluoridation, the dmfs was reduced from 6.68 to 5.17 (p = 0.0056). The distal surfaces of maxillary first primary molars experienced the greatest reduction (26%) in caries experience after water fluoridation (p < 0.001). Conclusions: After only 36 months of water fluoridation there was a significant drop in caries prevalence from 87 to 75% and a 19% reduction in caries experience in a community with one of the highest caries rates in Australia.

scholarly journals Sugar, alternative sweeteners and meal frequency in relation to caries prevention: new perspectives

1997 ◽  
Vol 77 (S1) ◽  
pp. S121-S128 ◽  
Author(s):  
Daniel Kandelman
Keyword(s):  
Oral Hygiene ◽  
Industrialized Countries ◽  
Caries Risk ◽  
Carbohydrate Ingestion ◽  
Fluoride Exposure ◽  
Dietary Counselling ◽  
Hygiene Measures ◽  
High Caries Risk ◽  
Health Assessments ◽  
Confectionery Products

In the last 20 years, mainly due to optimum fluoride exposure, and practice of good oral hygiene procedures, an important reduction in caries has been observed, despite the fact that sugar consumption was maintained and/or was increasing during the same lapse of time. A sugar-caries relationship cannot be established in most of the industrialized countries and the dietary factor is not as preponderant in the caries process as it used to be two decades ago. The factors which seem to contribute the most significantly to the cariogenicity of the diet are the frequency of carbohydrate ingestion and eating patterns. The relative cariogenicity of food is not correlated with the amount of carbohydrate it contains. Even if sucrose remains the most important sugar consumed in sweets, beverages and confectionery products, all fermentable-carbohydrate foods can be involved in the caries process. The use of chewing gum and other xylitol-containing products have resulted in defined reduction in caries and represent interesting alternatives for high-caries-risk populations. Caries risk and oral health assessments as well as the evaluation of oral hygiene procedures and fluoride exposure should become essential tools in dietary counselling. People who receive optimum fluoride exposure and follow regular oral hygiene measures can safely use dietary carbohydrates, preferably during meals and two to three times daily in snacks or drinks.

Validation of different Cariogram settings and factor combinations in preschool children from areas with high caries risk

2019 ◽  
Vol 29 (4) ◽  
pp. 448-455 ◽  
Author(s):  
Eleftheria Birpou ◽  
Andreas Agouropoulos ◽  
Svante Twetman ◽  
Katerina Kavvadia
Keyword(s):  
Preschool Children ◽  
Caries Risk ◽  
High Caries Risk
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