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Root caries lesions (RCLs) are highly prevalent in elderly and can negatively impact the quality of life. Therefore, preventive therapies should be applied to control or to arrest RCLs. This chapter will discuss the application of fluoride, a conventional preventive therapy, to control RCLs. Among the self-applied products, there is strong evidence that 5,000 ppm F toothpaste is more effective in arresting RCLs (by increasing hardness) and in preventing new lesions (PF of 51%) compared to 1,100-1,450 ppm F toothpastes, in 6-month clinical trials. With regard to professional fluoride applications, 5% NaF varnish (4 times/year) and 38% silver diamine fluoride solution (1 time/year) have been tested in clinical trials with a follow-up of 3 years. Five percent NaF varnish and 38% silver diamine fluoride have been shown to prevent the emergence of new RCLs in 64 and 71%, respectively. The professional fluoride application is often combined with the daily use of 5,000 ppm F toothpaste. However, there is a gap in the knowledge about the benefit (cost-effectiveness) and the optimal use of the combinations of fluoride products in the control of RCLs.
This article was published in the following journal.
Name: Monographs in oral science
The principles of minimally invasive dentistry clearly dictate the need for clinically effective measures to remineralize early enamel caries lesions. While fluoride-mediated remineralization is the c...
To investigate the remineralising effect and bacterial growth inhibition of 38% silver diamine fluoride (SDF) solution and 5% sodium fluoride (NaF) varnish on artificial dentine caries lesions.
To investigate whether silver diamine fluoride (SDF) is effective in preventing new caries lesions in primary teeth when compared to placebo or active treatments.
Shortly after the Second World War it became known in the Netherlands that fluoride can contribute to the prevention of dental caries. As to how this effect was achieved, opinions differed. Initially,...
Toothpaste with fluoride concentration up to 5000 ppm are recommended to the patients who are susceptible to root caries; however, the effects of fluoride on cementoblasts have received less attenti...
The main objective of this study is to compare the effectiveness and cost-effectiveness of 4-monthly application of 10% povidone iodine solution followed by 5% sodium fluoride varnish with...
This study is to evaluate the effect of fluoride dentifrices on enamel with artificial caries lesions in an in situ model.
This study is to evaluate the effect of fluoride dentrifrices on enamel with artificial caries lesions in an in situ model
This is a double blind, cross-over, controlled clinical trial utilizing thirty (30) adults to evaluate remineralization of early caries lesions.
The study hypothesis is the difference in therapeutic effect of two varnish formulations (G1 = NaF, 2.26%F, G2 = NaF, 2.71% F + CaF2). These products are commercially available in the Braz...
Therapeutic practices which are not currently considered an integral part of conventional allopathic medical practice. They may lack biomedical explanations but as they become better researched some (PHYSICAL THERAPY MODALITIES; DIET; ACUPUNCTURE) become widely accepted whereas others (humors, radium therapy) quietly fade away, yet are important historical footnotes. Therapies are termed as Complementary when used in addition to conventional treatments and as Alternative when used instead of conventional treatment.
A source of inorganic fluoride which is used topically to prevent dental caries.
Inorganic fluorides of tin. They include both stannic fluoride (tin tetrafluoride) and stannous fluoride (tin difluoride). The latter is used in the prevention of dental caries.
Dental caries involving the tooth root, cementum, or cervical area of the tooth.
A sodium fluoride solution, paste or powder, which has been acidulated to pH 3 to 4 and buffered with a phosphate. It is used in the prevention of dental caries.
Clinical trials are a set of procedures in medical research conducted to allow safety (or more specifically, information about adverse drug reactions and adverse effects of other treatments) and efficacy data to be collected for health interventions (e.g...