Approximal Caries Development in Adolescents with Low to Moderate Caries Risk after Different 3-Year School-Based Supervised Fluoride Mouth Rinsing Programmes

Abstract

The aim was to evaluate a 3-year randomised controlled trial of school-based fluoride mouth rinsing (FMR) on approximal caries development in 13- to 16-year-olds with low to moderate caries risk. The adolescents used F toothpaste at home and underwent prophylactic treatment at yearly check-ups at public dental clinics. Out of 788 randomly selected 13-year-olds, 622 completed the trial, carried out in 1999–2003. Supervised by a dental nurse, the subjects rinsed with a 0.2% NaF solution at different intervals. Group 1 rinsed their teeth on the first three schooldays every semester; group 2 on the first three and the last three schooldays every semester; group 3 on three consecutive days once a month during semesters; group 4 once every fortnight during semesters, and group 5 (control) did not rinse. Radiographic recording of approximal caries was performed. FMR on the three first and the three last schooldays every semester (group 2) had a prevented fraction of 59%, with approximal enamel lesions as a diagnostic threshold. Corresponding figures for groups 1, 3 and 4 were 30, 47 and 41%, respectively. The control group differed statistically from groups 2–4 for new enamel and dentin lesions and fillings (p < 0.01). Enamel lesions constituted more than 90% of the new caries lesions. Caries progression was low for all groups and no significant differences were found between groups. The main conclusion from this randomised controlled trial is that school-based FMR, as a supplement to the daily use of F toothpaste, reduces caries incidence on approximal surfaces in adolescents with low to moderate caries risk.

Effect of Herbal and Fluoride Mouth Rinses onStreptococcus mutansand Dental Caries among 12–15-Year-Old School Children: A Randomized Controlled Trial

“…Even then attrition could not be controlled at the end of 1 year. This finding of attrition rate was less when compared to study done by Moberg Sköld et al [31] who reported a drop-out of 21% at the end of 3 years. The reason for such high drop-out is due to the change in schools during the promotion to the class grade and duration of the study.…”

Nonrestorative Treatments for Caries: Systematic Review and Network Meta-analysis

“…We identified 13 studies (14 reports) reporting the effectiveness of interventions in arresting or reversing noncavitated approximal lesions, with 6 studies (7 reports) that could be included in the NMA (Martignon et al 2006; Ekstrand et al 2010; Martignon et al 2010; Paris et al 2010; Martignon et al 2012; Meyer-Lueckel et al 2012; Gomez et al 2015; Table 2, Appendix Fig. 3b) and 7 that could not be pooled (Modeer et al 1984; Petersson et al 1991; Peyron et al 1992; Moberg Skold, Birkhed, et al 2005; Moberg Skold, Petersson, et al 2005; Trairatvorakul 2011; Meyer-Lueckel at al. 2016; Appendix Table 1).…”

Use of occlusal sealant in a community program and caries incidence in high- and low-risk children

“…The slower progression of lesions 22 , the unequal distribution of disease 2 , with about 80% of caries experience is concentrated in 20-30% of the population 10,25,31 , and the concentration of new lesions on occlusal surfaces of permanent molars 8,12,26 have also been noted.…”