Root caries: review suggests potential benefits from 5000ppm fluoride, chlorhexidine and silver diamine varnishes

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The prevalence of root caries is expected to rise and this review looked at a range of agents for non-invasive management. While 30 studies were identified they consider a large number of agents. While the review suggested that 5000ppm fluoride dentifrice was effective the number of available trials for this and the other agent was small and of limited quality.

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Study finds that high-fluoride toothpaste can reduce white lesions around orthodontic brackets

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Failure to maintain good oral hygiene during fixed appliance orthodontic treatment can lead to the development of demineralised white lesions (DWLs) around the orthodontic brackets.  The incidence of this adverse effect of treatment has bee reported as being between 15-85.  A recent Cochrane review by Benson et al (see Dental Elf 27th Jan 2014) found [read the full story…]

Study suggests that dentifrices containing 1.5% arginine, an insoluble calcium compound provides additional benefit to fluoridated toothpastes

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Cochrane reviews have clearly documented the anti-caries benefits of fluoridated toothpastes (Marhino et al 2003, Walsh et al 2010). New agents to improve caries prevention would assist efforts to reduce the impact of caries, particularly on children. The aim of this study was to investigate the efficacy of two dentifrices containing 1.5% arginine, an insoluble [read the full story…]

Use of higher concentration fluoride toothpaste (5000 ppm F) had a beneficial effect on root caries

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The aim of this clinical trial was to test the effectiveness of high-fluoride toothpaste (5000 ppm F) on root caries lesions in adults and to test the hypothesis that high concentration fluoride tooth- paste would effectively improve the surface hard- ness in root caries lesions in adult patients. Adult patients (18-75yrs) with 10 or more [read the full story…]

Teaching toothbrushing with fluoride toothpaste – are we doing it well?

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Toothbrushing at least twice a day with fluoride toothpaste is an effective way of reducing caries. This is confirmed by good systematic review evidence, so teaching patient effective toothbrushing with fluoride toothpaste is a key preventive strategy.  The aim of this qualitative study was to explore oral health professionals (OHPs) perspectives regarding their strategies, considerations [read the full story…]

Trial suggests that regular brushing as effective as MI paste or fluoride varnish in reducing white spot lesions post orthodontic treatment

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One of the adverse effects of orthodontic treatment is the development of white spot lesions (WSLs). The incidence of these early carious lesions has been reported to vary between 5-97% . The aim of this trial was to effectiveness of MI Paste Plus and PreviDent fluoride varnish (22,600 ppm of fluoride) with a standard oral [read the full story…]

Review supports effectiveness of fluoride toothpastes in reducing caries in pre-school children

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Despite improvements dental caries remains a significant oral health problem. In some areas increases in caries prevalence has been reported in pre-school children in contracts with other age group. The resultant pain, sepsis and the need for extraction have significant impact on quality of life.  Cochrane and other systematic reviews have shown that use of [read the full story…]

Daily use of chlorhexidine gel in addition to regular brushing with low fluoride toothpaste did not provide additional reductions in early childhood caries

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Early childhood caries (ECC) remains a challenge for many communities. Chlorhexidine (CHX) is a common oral antiseptic with effective bactericidal activity against mutans streptococci (MS) and early colonisation of the oral cavity by MS has been identified as a risk factor for ECC. The aim of this study was to test whether the daily application [read the full story…]

In pre-school children addition of casein phosphopeptide-amorphous calcium phosphate paste to regular brushing with fluoridated toothpaste did not have added decay prevention effect

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Early childhood caries (ECC) remains a significant public health problem and evidence (Yengopal 2009) and  has suggested that casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) may improve the effectiveness of fluoridated toothpaste. The aim of this study was to see if adding the daily application of a CPP-ACP-containing paste for 1 yr is superior to regular fluoride [read the full story…]