The importance of fluoride dentifrices to the current dental caries prevalence in Brazil

Cury, Jaime Aparecido; Tenuta, Lívia Maria Andaló; Ribeiro, Cecília Cláudia Costa; Leme, Adriana Franco Paes

doi:10.1590/s0103-64402004000300001

Cited by 165 publications

(170 citation statements)

References 21 publications

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“…There is unequivocal evidence that fluoride toothpastes are efficient to control caries 18 and have played an important role in the caries decline observed in both developed 19 and developing countries. 20 When fluoride toothpastes are used, a high concentration of fluoride is maintained in the mouth (saliva, biofilm fluid) for some minutes. In saliva, fluoride concentration takes 1 or 2 hours to reach the baseline, pre-brushing values.…”

Section: Individual Methods Of Fluoride Usementioning

confidence: 99%

Fluoride: its role in dentistry

Tenuta¹,

2010

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In spite of decades of research on fluoride and the recognition of its role as the cornerstone of dental caries reduction in the last fifty years, questions still arise on its use at community, self-applied and professional application levels. Which method of fluoride delivery should be used? How and when should it be used? How can its benefits be maximized and still reduce the risks associated with its use? These are only some of the challenging questions facing us daily. The aim of this paper is to present scientific background to understand the importance of each method of fluoride use considering the current caries epidemiological scenario, and to discuss how individual or combined methods can be used based on the best evidence available.

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Section: Individual Methods Of Fluoride Usementioning

confidence: 99%

Fluoride: its role in dentistry

Tenuta¹,

2010

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“…Fluoride (F) is the most important agent for preventing dental caries (1); however, at the same time, its extensive ingestion is related to dental fluorosis (2). Thus, F in toddlers must be used with caution.…”

Section: Introductionmentioning

confidence: 99%

“…As a safety measure, oral health promotion programs for toddlers (baby clinics, 0-3 years) currently use topical solutions with low F concentrations in the dental office (0.02% NaF/day) instead of F-containing dentifrice (3,4). However, the 0.02% NaF solution shows lower anticaries efficacy (1,5,6). Addition of inorganic phosphate can be performed to improve the effectiveness of mouthrinses containing 0.02% NaF (7,8).…”

Section: Introductionmentioning

confidence: 99%

Effect of Sodium Trimetaphosphate on Hydroxyapatite Solubility: An In Vitro Study

et al. 2013

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This study evaluated the effect of different concentrations of sodium trimetaphosphate (TMP) with and without fluoride (F) on the concentration of calcium (Ca), phosphorus (P) and F in hydroxyapatite (HA). Synthetic HA powder (0.15 g) was suspended (n=6) in solutions (75 mL) of TMP at 0%, 0.1%, 0.2%, 0.4%, 0.6%, 0.8%, 1.0%, 2.0%, 4.0%, 6.0%, 8.0% and 10% concentrations in the presence and absence of 100 ppm F and subjected to a pH-cycling process. The precipitates were filtrated, dried at 70° C for 24 h and ground onto a fine powder. The concentrations of F (KOH (CaF 2 ) and HCl (FA) soluble), Ca (Arsenazo III), and P (molybdate method) in HA were determined. The Ca P, and Ca/P ratio data were subjected to Tukey's test and the F data were subjected to Student-Newman-Keuls test (p<0.05). The addition of TMP to the samples reduced F deposition to 98% (p<0.001). The groups containing 100 ppm F and 0.4% or 0.6% TMP exhibited a higher Ca concentration than the group containing only 100 ppm F (p<0.05). Furthermore, the HA treated with 0.2% and 0.4% TMP and 100 ppm F showed a higher Ca/P ratio than the other groups (p<0.001). In conclusion, TMP at 0.2%, 0.4% and 0.6% concentrations combined with F seemed to be able to precipitate HA with low solubility. However, especially at high concentrations, TMP interferes with F deposition on HA.

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“…This is because it is safe, low cost and covers a large part of the population [1][2][3][4][5][6][7] . The United States Center for Disease Control and Prevention judges the measure as one of the ten most relevant public health achievements of the twentieth century.…”

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confidence: 99%

Fluoretação da água de abastecimento público: abordagem bioética, legal e política

Garbín¹,

Santos²,

Garbín³

et al. 2017

Rev. Bioét.

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This article aims to analyze the bioethical aspects and legal and political issues of water fluoridation, creating a discussion based on established studies and new research, in order to contribute to an ethical and impartial perspective on the subject. A bibliographic review study was performed, based on a survey of specialized literature on "fluoridation", "bioethics" and "fluoride poisoning". Water fluoridation is an important public health measure for the prevention of dental caries, and its efficacy has been demonstrated in several studies. As it is mandatory under Brazilian law, bioethical dilemmas arise due to the absence of individual choice on whether to consume or not consume fluoridated water. There appears to be no solution to this moral dilemma, as even if the measure were free from any risk, its compulsory application would still violate the principle of autonomy. Keywords: Fluoridation. Bioethics. Fluoride poisoning. ResumoFluoretação da água de abastecimento público: abordagem bioética, legal e política Este artigo tem como objetivo analisar aspectos bioéticos e questões legais e políticas da fluoretação de águas de abastecimento público, criando discussões baseadas em estudos consagrados e em novas pesquisas, a fim de contribuir para abordagem imparcial do tema. Trata-se de revisão bibliográfica realizada após levantamento de literatura especializada sobre "fluoretação", "bioética" e "intoxicação por flúor". Foram selecionados estudos que possibilitaram discussão plural, relevantes para o debate do tema. A fluoretação das águas de abastecimento público é importante medida de saúde pública para prevenir a cárie dentária, tendo sua eficácia comprovada em vários estudos. Sua obrigatoriedade prevista por lei federal gera dilemas bioéticos, pois exclui a possibilidade de escolha individual de consumir ou não água fluoretada. Não parece haver saída para esse dilema moral, mesmo se a medida fosse livre de qualquer risco, pois ainda assim violaria o princípio da autonomia. Palavras-chave: Fluoretação. Bioética. Intoxicação por flúor. ResumenLa fluoración del agua de abastecimiento público: abordaje bioético, legal y político El objetivo de este artículo es analizar los aspectos bioéticos y asuntos legales y políticos de la fluoración del agua de abastecimiento público, al crear discusiones en base a estudios consagrados y a nuevas investigaciones, con el fin de contribuir con un enfoque imparcial del tema. Se trata de la revisión bibliográfica realizada después de estudiar la literatura especializada sobre la "fluoración", "bioética" e " intoxicación por flúor". Se seleccionaron los estudios que permitieron la discusión plural, lo cual fue relevante para el debate del tema. La fluoración de agua de abastecimiento público es una medida de salud pública importante para prevenir la caries dental y su efectividad se comprobó en varios estudios. Su obligatoriedad prevista por la Ley Federal genera dilemas bioéticos, ya que elimina la posibilidad de la elección individual de consumir o no el agua fluo...

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The importance of fluoride dentifrices to the current dental caries prevalence in Brazil

Cited by 165 publications

References 21 publications

Fluoride: its role in dentistry

Fluoride: its role in dentistry

Effect of Sodium Trimetaphosphate on Hydroxyapatite Solubility: An In Vitro Study

Fluoretação da água de abastecimento público: abordagem bioética, legal e política

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