Caries-Preventive Fluoride Mouthrinses

Birkeland, Jan Magne; Torell, P

doi:10.1159/000402431

Cited by 8 publications

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“…After the introduction of fl uoride mouth rinsing (FMR) by Scandinavian researchers in the 1960's, school-based FMR every week or every second week was performed by the Swedish Public Dental Health Service for all schoolchildren for more than two decades [Torell and Ericsson, 1965;Birkeland and Torell, 1978]. A caries decline of 20-50% due to FMR has been reported [for review, see Petersson et al, 2002].…”

confidence: 99%

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

Sköld

Birkhed²,

Borg³

2005

Caries Res

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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.

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confidence: 99%

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

Sköld

Birkhed²,

Borg³

2005

Caries Res

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“…More than 1 million children are reached by the mouthrinsing programme, but international opinion about the effectiveness of this measure varies [Birkeland and Torell, 1978]. Especially after long-term use of rinses caries prevalence could be reduced by 50%.…”

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confidence: 99%

Caries Prevalence after Cessation of Water Fluoridation in La Salud, Cuba

Künzel

Fischer²

1999

Caries Res

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In the past, caries has usually increased after cessation of water fluoridation. More recently an opposite trend could be observed: DMFT remaining stable or even decreasing further. The aim of the present study conducted in La Salud (Province of Habana) in March 1997 was to analyse the current caries trend under the special climatic and nutritional conditions of the subtropical sugar island Cuba, following the cessation, in 1990, of water fluoridation (0.8 ppm F). Diagnostic evaluations were carried out using the same methods as in 1973 and 1982. Boys and girls aged 6–13 years (N = 414), lifelong residents in La Salud, were examined. Between 1973 and 1982 the mean DMFT had decreased by 71.4%, the mean DMFS by 73.3% and the percentage of caries–free children had increased from 26.3 to 61.6%. In 1997, following the cessation of drinking water fluoridation, in contrast to an expected rise in caries prevalence, DMFT and DMFS values remained at a low level for the 6– to 9–year–olds and appeared to decrease for the 10/11–year–olds (from 1.1 to 0.8) and DMFS (from 1.5 to 1.2). In the 12/13–year–olds, there was a significant decrease (DMFT from 2.1 to 1.1; DMFS from 3.1 to 1.5), while the percentage of caries–free children of this age group had increased from 4.8 (1973) and 33.3 (1982) up to 55.2%. A possible explanation for this unexpected finding and for the good oral health status of the children in La Salud is the effect of the school mouthrinsing programme, which has involved fortnightly mouthrinses with 0.2% NaF solutions (i.e. 15 times/year) since 1990.

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“…Since the 1970s, the use of fluoride rinse has been especially widespread in organized school-based programs in countries experiencing a high prevalence of caries 1,2) . The effect of school-based FMR on the incidence of caries in children has been investigated during the past four decades in a large number of clinical trials.…”

Section: Introductionmentioning

confidence: 99%

Effect of School-Based Fluoride Mouth Rinsing Program in a Socially Deprived Community

Lee¹,

Ha²,

Yeo³

et al. 2014

Journal of Korean Dental Science

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cc This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/ by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.Purpose: The objective of this study was to evaluate the caries prevention effect of school-based fluoride mouth rinsing (FMR) program implemented in the Hanuul district of Mongolia, which has a very low socioeconomic status and extremely poor infrastructure for oral health. Materials and Methods:One hundred and seventy children aged from 6 to 8 years of the FMR school and 187 children aged from 6 to 8 years of the control school completed the baseline survey. Children from the FMR school rinsed with 0.05% sodium fluoride everyday under supervision, while those from the control school did not. Adjusted caries preventive fraction (CPF) for 2 years were calculated to evaluate the effect of the FMR program.Result: After 2 years, 288 schoolchildren remained in the study. Decayed, missing or filled permanent teeth (DMFT) and index of the FMR and the control schools at baseline were 0.11 and 0.12, respectively, and the average DMFT increment of the FMR and the control schools after 2 years were 0.35 and 0.65, respectively. The adjusted CPF of DMFT was 48.5%. Conclusion:These findings show that a school-based FMR is an effective caries preventive program in a socially deprived community with poor infrastructure for oral health.

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Caries-Preventive Fluoride Mouthrinses

Cited by 8 publications

References 0 publications

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

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

Caries Prevalence after Cessation of Water Fluoridation in La Salud, Cuba

Effect of School-Based Fluoride Mouth Rinsing Program in a Socially Deprived Community

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