This large trial investigated the use of a ‘preventive package’ of fluoride varnish, fluoride toothpaste, toothbrush and standard dental health education in children between 2-3 years attending general practice. The intervention did not keep young children caries free but did reduce caries levels.
[read the full story...]
This large, well-conducted study in a primary care setting found a small, but not statistically significant difference, between fissure sealants and fluoride varnish for the prevention of caries in first permanent molars at 36 months.
[read the full story...]
This review of treatments for post orthodontic white spot lesions included 20 studies examining a wide variety of approaches. Modest benefits were seen in addition to daily use of fluoride toothpaste and furhter high quality studies are needed to identify the best approaches.
[read the full story...]
This review looked at topical fluoride for remineralising or arresting caries. 17 RCTs were included and overall remineralised early enamel caries using % fluoride varnish = 63.6 % (95% CI; 36.0 to 91.2 %) and 38% silver diamine fluoride had an overall proportion of arrested dentine caries = 65.9% (95% CI; 41.2 to 90.7 %).
[read the full story...]
This Cochrane review update included 8 trials involving 1746 participants. Some low-quality evidence suggesting the superiority of resin-based fissure sealants over fluoride varnish applications was identified
[read the full story...]
This split-mouth trial conducted in 4-5 year old children found that sealants were superior to fluoride varnish applications in preventing the development and progression of caries in occlusal surfaces of primary molars over 1 year.
[read the full story...]
The Scottish Intercollegiate Guidelines Network (SIGN) have just launched a new guideline on caries prevention in children. The guideline replaces two existing guidelines; SIGN 47 on preventing dental caries in children at high caries risk and SIGN 83 on prevention and management of dental decay in the pre-school child. The guideline was developed using SIGN [read the full story…]
The effectiveness of fluoride varnishes for caries prevention for children and adolescents is well established with the recent update of the Cochrane review (Marinho et al 2013) estimating the pooled preventive fraction of 43% (95% CI 30-75%) for permanent teeth and 37% (95% CI 24-51%) for primary teeth. However although 22 trails were included there [read the full story…]
The development of early, but reversible, carious lesions or demineralised white lesions (DWLs) is one adverse effect of fixed appliance orthodontic treatment. The prevalence has been reported to be as high 70%, and although the majority are minor and fade with time as they resolve about 10% cavity and may require filings. The main aim [read the full story…]
In 2006 the American Dental Association (ADA) published recommendations regarding professionally applied topical fluorides. An update of these guidelines has just been published. An executive summary is available from the Journal of the American Dental Association and the full report can be downloaded from the ADA – Centre for Evidence-based Dentistry (ADA-EBD) website (see links). [read the full story…]
