Fluoride for white spot lesion prevention during orthodontic treatment

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This review of professional topical fluoride application to prevent/reverse enamel white spot lesions during orthdontic treatment included 11 RCTs suggesting a reduction of in incidence of between 25–30% .

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Topical fluoride for remineralising and arresting carious lesions

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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 %).

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Fluoride gel applications reduce caries

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The update of the 2002 Cochrane review of fluoride included 28 trials finding an average 28% reduction (95% CI; 19-36%) in decayed, missing and filled tooth surfaces. There is little information about adverse effects or how well children and young people were able to cope with the gel application.

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Study suggests that a risk based non-operative caries treatment and prevention approach may be more cost effective than traditional approaches

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Sadly caries remains a significant public health problem across the world, particularly in children. The aim of this study was to assess the cost-effectiveness of caries treatment and prevention strategies in the Netherlands. The study was conducted alongside a randomised controlled trial (RCT) evaluating the effects of two caries prevention strategies compared with regular dental [read the full story…]

Dental Interventions to prevent caries in children – SIGN Guideline 138

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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…]

ADA-EBD Topical Fluoride recommendations podcast

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For those of you who like to listen to your information instead of reading it the American Dental Association have released a podcast to go with their update of the clinical recommendations for topical fluoride agents to prevent dental caries, which I covered in a blog on the 4th November. In the podcast Dr. Robert [read the full story…]

ADA updates its clinical recommendations on topical fluoride for caries prevention

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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…]

Lack of reliable evidence for the effectiveness of remineralizing agents for the treatment of post-orthodontic white spot lesions

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White spot lesions (WSLs) are a common adverse effect of orthodontic treatment. The incidence of these lesions is high with some estimates as high as 97%.  The aim of this review was to assess the evidence regarding the effect of remineralizing agents on post-orthodontic WSLs and to evaluate which remineralizing agents are effective for the [read the full story…]

Topical fluorides for moderate to high caries risk adults

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There is a tendency to focus on the prevention of dental caries in children yet is it is a problem that continues to affect old and young alike.  While considerable time and effort is spent on preventive programmes for children far less consideration to adults. The American Dental Association Center for Evidence-Based Dentistry has published [read the full story…]

Sealants, fluoride varnish and silver diamine fluoride compared

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Dental caries is unfortunately still a common problem among children worldwide.  Cochrane reviews have shown the effectiveness of pit and fissure sealants (Hiiri et al  2009)  and fluoride varnishes (Marinho et al 2002) . While other reviews have found silver diamine fluoride (SDF) to be effective (Rosenblatt et al 2009).  The aim of this trial [read the full story…]