Fluoride varnishes for preventing dental caries in children and adolescents

Abstract

Introduction: tissue loss due to carious processes is usually resolved with restorations, requiring abundant patient collaboration in oral hygiene. The aim of the present study was to evaluate the effect of oral hygiene motivational talks addressed to parents or guardians of children aged 5 to 8 years on the duration of composite resins over 24 months. Methods: a prospective descriptive study was conducted in 31 children and their parents or guardians meeting the inclusion criteria. The parents and guardians were trained in oral hygiene techniques, and the participating children's cavitated teeth were restored with composite resin, providing dental cleaning devices every 6 months during the study period. Clinical evaluations were performed every 6 months during the study period, evaluating the deterioration of restorations and the presence of visible plaque (VPI) and gingival bleeding (GBI). The data obtained were submitted to ANOVA statistical analysis and Student t-test through the STATA software. Results: there was a close relationship between oral hygiene indexes (p = 0,2019 for VPI and p = 0,6243 for GBI) and the deterioration of restorations, especially those involving proximal sides. Survival analysis showed that failure is lower in the presence of nearby caries (42.9%), with p values of 0.0045 for the occlusal-distal surface and 0.0291 for the occlusal-mesial one. Conclusion: the oral hygiene motivational talks addressed to parents or guardians of participating children influence the durability of composite resins.

Effect of health promotion and fluoride varnish on dental caries among Australian Aboriginal children: results from a community-randomized controlled trial

“…For all analytic models, net effects of the intervention are within the range reported in a systematic review of fluoride varnish, where the pooled estimate of prevented fraction in primary teeth was 33% (95% CI = 19%, 48%). ( 9 ) Also, our results are similar to findings from a study reported since that systematic review. In a 2-year, community-randomized trial among Canadian Aboriginal children aged 6 months–5 years, fluoride varnish and caregiver counseling reduced caries increment by an average of 2.8 surfaces per child, a prevented fraction of 18% ( 16 ).…”

Effect of health promotion and fluoride varnish on dental caries among Australian Aboriginal children: results from a community-randomized controlled trial

“…For all analytic models, net effects of the intervention are within the range reported in a systematic review of fluoride varnish, where the pooled estimate of prevented fraction in primary teeth was 33% (95% CI = 19%, 48%). ( 9 ) Also, our results are similar to findings from a study reported since that systematic review. In a 2-year, community-randomized trial among Canadian Aboriginal children aged 6 months–5 years, fluoride varnish and caregiver counseling reduced caries increment by an average of 2.8 surfaces per child, a prevented fraction of 18% ( 16 ).…”

Oral hygiene motivational talks for parents or guardians of children aged 5 to 8 years and its influence on the duration of composite resin restorations: a clinical study with a 24 months follow-up in Ecuador

“…In this context, our results highlight the need for dental training centers in Ecuador to incorporate caries risk analysis (and control once the disease has started) in the teaching-learning processes, [15][16][17][18] by means of procedures of hygiene and elimination of biofilm both at the dentist's office and at home. 1,2,19,20 The findings of the present study show deterioration of restorations over time, agreeing with the findings by other authors 18 and demonstrating the influence of the oral conditions where the restored tooth is on the restorative material used, as well as its integration with the dental structure as a mechanism to prevent the viability of remaining bacteria and their progression towards the pulp. [21][22][23][24][25] All this in olvidar las fallas producidas por el envejecimiento de la restauración y las propiedades del material restaurador, 26 lo cual pudo apreciarse al considerar los cinco criterios clínicos empleados, en los que el deterioro de la restauración fue el menos frecuente, lo que revela que la técnica restauradora fue ejecutada de forma adecuada y cuidadosa.…”

Clinical Effect of Two Fluoride Varnishes in Caries-Active Preschool Children: A Randomized Controlled Trial

“…In this study, the calculated prevented fraction for both varnishes was approximately 60% at the subject level and 20% at the tooth level, which corresponds well to values reported in systematic reviews of the literature [Carvalho et al, 2010;Marinho et al, 2013;Mishra et al, 2017;de Sousa et al, 2019]. The comparatively lower effect on tooth/surface level may be explained by the relatively short duration of our study and the extensive need of restorative care among the participants.…”

Effect of health promotion and fluoride varnish on dental caries among Australian Aboriginal children: results from a community-randomized controlled trial

“…For all analytic models, net effects of the intervention are within the range reported in a systematic review of fluoride varnish, where the pooled estimate of prevented fraction in primary teeth was 33% (95% CI = 19%, 48%). ( 9 ) Also, our results are similar to findings from a study reported since that systematic review. In a 2-year, community-randomized trial among Canadian Aboriginal children aged 6 months–5 years, fluoride varnish and caregiver counseling reduced caries increment by an average of 2.8 surfaces per child, a prevented fraction of 18% ( 16 ).…”

Oral hygiene motivational talks for parents or guardians of children aged 5 to 8 years and its influence on the duration of composite resin restorations: a clinical study with a 24 months follow-up in Ecuador

“…In this context, our results highlight the need for dental training centers in Ecuador to incorporate caries risk analysis (and control once the disease has started) in the teaching-learning processes, [15][16][17][18] by means of procedures of hygiene and elimination of biofilm both at the dentist's office and at home. 1,2,19,20 The findings of the present study show deterioration of restorations over time, agreeing with the findings by other authors 18 and demonstrating the influence of the oral conditions where the restored tooth is on the restorative material used, as well as its integration with the dental structure as a mechanism to prevent the viability of remaining bacteria and their progression towards the pulp. [21][22][23][24][25] All this in olvidar las fallas producidas por el envejecimiento de la restauración y las propiedades del material restaurador, 26 lo cual pudo apreciarse al considerar los cinco criterios clínicos empleados, en los que el deterioro de la restauración fue el menos frecuente, lo que revela que la técnica restauradora fue ejecutada de forma adecuada y cuidadosa.…”

Clinical Effect of Two Fluoride Varnishes in Caries-Active Preschool Children: A Randomized Controlled Trial

“…In this study, the calculated prevented fraction for both varnishes was approximately 60% at the subject level and 20% at the tooth level, which corresponds well to values reported in systematic reviews of the literature [Carvalho et al, 2010;Marinho et al, 2013;Mishra et al, 2017;de Sousa et al, 2019]. The comparatively lower effect on tooth/surface level may be explained by the relatively short duration of our study and the extensive need of restorative care among the participants.…”

Effect of health promotion and fluoride varnish on dental caries among Australian Aboriginal children: results from a community-randomized controlled trial

“…For all analytic models, net effects of the intervention are within the range reported in a systematic review of fluoride varnish, where the pooled estimate of prevented fraction in primary teeth was 33% (95% CI = 19%, 48%). ( 9 ) Also, our results are similar to findings from a study reported since that systematic review. In a 2-year, community-randomized trial among Canadian Aboriginal children aged 6 months–5 years, fluoride varnish and caregiver counseling reduced caries increment by an average of 2.8 surfaces per child, a prevented fraction of 18% ( 16 ).…”

Oral hygiene motivational talks for parents or guardians of children aged 5 to 8 years and its influence on the duration of composite resin restorations: a clinical study with a 24 months follow-up in Ecuador

“…In this context, our results highlight the need for dental training centers in Ecuador to incorporate caries risk analysis (and control once the disease has started) in the teaching-learning processes, [15][16][17][18] by means of procedures of hygiene and elimination of biofilm both at the dentist's office and at home. 1,2,19,20 The findings of the present study show deterioration of restorations over time, agreeing with the findings by other authors 18 and demonstrating the influence of the oral conditions where the restored tooth is on the restorative material used, as well as its integration with the dental structure as a mechanism to prevent the viability of remaining bacteria and their progression towards the pulp. [21][22][23][24][25] All this in olvidar las fallas producidas por el envejecimiento de la restauración y las propiedades del material restaurador, 26 lo cual pudo apreciarse al considerar los cinco criterios clínicos empleados, en los que el deterioro de la restauración fue el menos frecuente, lo que revela que la técnica restauradora fue ejecutada de forma adecuada y cuidadosa.…”

Clinical Effect of Two Fluoride Varnishes in Caries-Active Preschool Children: A Randomized Controlled Trial

“…In this study, the calculated prevented fraction for both varnishes was approximately 60% at the subject level and 20% at the tooth level, which corresponds well to values reported in systematic reviews of the literature [Carvalho et al, 2010;Marinho et al, 2013;Mishra et al, 2017;de Sousa et al, 2019]. The comparatively lower effect on tooth/surface level may be explained by the relatively short duration of our study and the extensive need of restorative care among the participants.…”