Comparison of dental prophylaxis and toothbrushing prior to topical APF applications

Bijella, Maria Francisca Thereza Borro; Bijella, Vitoriano Truvijo; Lopes, Eymar Sampaio; Bastos, José Roberto de Magalhães

doi:10.1111/j.1600-0528.1985.tb01904.x

Cited by 21 publications

(13 citation statements)

References 20 publications

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“…These children were followed up for three years in the former and for two years in the latter study. The results of both studies revealed no statistically signifi cant differences in DMFS/DMFT increments between a PATF with or without a prior prophylaxis (grade of recommendation D/E; see Table 2) Bijella et al 23 undertook a longitudinal clinical study (level II-1) to evaluate the effect of dental prophylaxis before the topical application of acidulated phosphate fl uoride solution applied twice a year in 160 schoolchildren aged 7-10 yrs. These children were divided into three groups: Group I: control group, had no treatment; Club were conducted.…”

Section: Dental Prophylaxis and Caries Preventionmentioning

confidence: 99%

“…23 Johnston and Lewis 24 performed a randomised, three-year, community-based clinical trial of professionally applied APF gel involving the use and non-use of a prior dental prophylaxis and annual and biannual APF applications for highrisk children in age groups 6-7 (n = 176) and 10-11 (n = 153) years initially. Their fi ndings were consistent with all of the above studies; neither the provision of prior prophylaxis (as compared with non-use of a prior dental prophylaxis) nor bi-annual PATF resulted in statistically significant three-year reduction in mean caries increments (grade of recommendation: D).…”

Section: Levels Of Evidence -Research Design Ratingmentioning

confidence: 99%

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Efficacy of dental prophylaxis (rubber cup) for the prevention of caries and gingivitis: a systematic review of literature

Azarpazhooh¹,

Main

2009

Br Dent J

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acted as a barrier, inhibiting fl uoride uptake and consequently reducing the clinical efficacy of the topical fl uoride application. 2,3 Many clinicians believe that the removal of the acquired pellicle, plaque and other substances adhering to the enamel by professionally applied prophylaxis results in a greater amount of fl uoride contacting the enamel surface, thus enhancing the efficacy of a PATF, 2,4 and an expected increase in the reduction in the incidence of caries. The removal of plaque can be effectively accomplished with a toothbrush. However, the belief is that the acquired pellicle, a thin organic layer adherent to the surface enamel, can only be removed by pumice or other abrasive prophylaxis. 2 The role of bacterial dental plaque in the aetiology of gingivitis and periodontal disease has been well established. 5 Part of the prevention of such conditions is based on limiting the accumulation of micro-organisms on the teeth and maintaining a fl ora that is consistent with periodontal health.Three separate studies have evaluated the effect of dental prophylaxis before PATF on the amount of fl uoride uptake by BACKGROUNDDental prophylaxis typically consists of placing pumice or an abrasive paste in a rubber cup and applying the paste to the clinical crowns of the teeth using rotating rubber cup at slow speed. This aims at the complete removal of plaque, salivary pellicle, materia alba and extrinsic stains found on the crowns of teeth to reduce and prevent future dental caries. The clinical protocol for performing a routine dental prophylaxis before professionally applied topical fl uoride (PATF) was fi rst advanced by Knutson. 1 The rationale behind this was the belief that materia alba, plaque and other natural coatings on tooth surfaces Background The purpose of this systematic review was to assess the effi cacy of routine dental prophylaxis applied before professionally applied topical fl uoride (PATF) or at a regular recall visit in the prevention of caries or gingivitis. Types of studies reviewed Ovid MEDLINE and its allied versions; CINAHL; Cochrane Library; EMBASE; Health and Psychosocial Instruments; HealthSTAR; International Pharmaceutical Abstracts; and ACP Journal Club were searched for English and Human articles from 1966 to 2007 for original in vivo English publications assessing rubber cup dental prophylaxis. In vitro studies, case series, case reports or letters to editors (not containing primary data), editorials, review articles and commentaries were excluded but were read to identify any potential studies. Results One hundred and eighty-nine articles were searched for relevancy resulting in six original studies that met our inclusion criteria. There was a unanimous agreement in four studies that a dental prophylaxis is not warranted before a PATF for caries prevention in children. A generalisation on dental prophylaxis before PATF cannot be applied to adolescents and adults. Available evidence (two other studies) fails to demonstrate any benefi t in the prevention of gingivitis from ...

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Section: Dental Prophylaxis and Caries Preventionmentioning

confidence: 99%

Section: Levels Of Evidence -Research Design Ratingmentioning

confidence: 99%

Efficacy of dental prophylaxis (rubber cup) for the prevention of caries and gingivitis: a systematic review of literature

Azarpazhooh¹,

Main

2009

Br Dent J

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“…Four independent clinical trials Houpt et al, 1983;Katzet al, 1984;Bijella et al, 1985] where APFgels were applied with or without prior cleaning, have failed to show a signif icant difference between the groups (table 5).…”

Section: Professionally Applied Topical Fluoride Gelsmentioning

confidence: 99%

Evaluation of the Use of Topical Fluoride Gel

Wei¹,

Yiu²

1993

Caries Res

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Professionally applied topical fluoride should be used judiciously and is indicated only in patients with moderate or high caries activity. While the anticaries effectiveness of acidulated phosphate fluoride gels has been clinically documented, the 2% neutral NaF gel has not been adequately tested, and further clinical verification is needed. Daily use of a self-applied fluoride gel is recommended for patients undergoing orthodontic treatment or to those affected with xerostomia as a result of disease or head and neck radiation therapy. The dental profession and the public should be well informed on the proper use of clinically proven products to achieve optimum effectiveness and minimize the risk of fluoride ingestion.

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“…Para conhecer os resultados preventivos do método, desenvolveu-se o presente estudo, que prosseguiu durante um ano com as aplicações tópicas de flúor com a mesma metodologia inicial estabelecida pelo PREGAD (Programa Nacional de Prevenção da Cárie Dental) 12 . Até então largamente utilizado em consultórios particulares, o Gel FFA ganhou viabilidade em saúde pública com a criação de uma nova metodologia de aplicação para grupos numerosos de pessoas e com a eliminação da necessidade de profilaxia prévia 1,6,7,14,20,21 . Vários trabalhos científicos asseguram a eficácia das aplicações tópicas de Gel FFA, principalmente em áreas sem fluoretação da água 1,2,3,5,6,7,8,11,18,20,21,24 .…”

Section: Introductionunclassified

“…Até então largamente utilizado em consultórios particulares, o Gel FFA ganhou viabilidade em saúde pública com a criação de uma nova metodologia de aplicação para grupos numerosos de pessoas e com a eliminação da necessidade de profilaxia prévia 1,6,7,14,20,21 . Vários trabalhos científicos asseguram a eficácia das aplicações tópicas de Gel FFA, principalmente em áreas sem fluoretação da água 1,2,3,5,6,7,8,11,18,20,21,24 . Com base nos estudos disponíveis, estima-se que o método possibilita uma redução na ocorrên-cia de novas superfícies cariadas entre 23% e 33% 5,18,19 .…”

Section: Introductionunclassified

Prevenção da cárie dental com aplicações tópicas semestrais de flúor-fosfato acidulado

Pinto

1993

Rev. Saúde Pública

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Prevenção da cárie dental com aplicações tópicas semestrais de flúor-fosfato acidulado* Dental caries prevention through APF Gel-Tray applications each six monthsIlza Leite Pinto** PINTO, I.L. Prevenção da cárie dental com aplicações tópicas semestrais de flúor-fosfato acidulado. Rev. Saúde Pública, 27: 277-90, 1993. Foram analisados os resultados preventivos da aplicação tópica semestral de gel com flúor-fosfato acidulado em 998 crianças, de 6, 8 e 10 anos, provenientes de famílias de baixa renda. Utilizou-se a metodologia de aplicação em massa sem profilaxia prévia desenvolvida no contexto do Programa Nacional de Prevenção da Cárie Dental. Após um ano, constatou-se em localidades sem fluoretação da água de consumo público redução na incidência de cárie da ordem de 31,6% em crianças de 6 anos, 24,9% aos 8 anos e 39,5% aos 10 anos, segundo o índice CPO-S. Nas localidades com flúor na água, as reduções foram, respectivamente, de 24,3%, 26,6% e 27,7%, em todos os casos com significância estatística ao nível de 95%. Face aos resultados positivos e à segurança, custo reduzido e praticidade do método, recomenda-se que os programas de saúde bucal em todos os níveis desenvolvam ação preventiva permanente, abrangente e sem solução de continuidade para as crianças sob sua responsabilidade.Descritores: Fluoretos tópicos. Cárie dentária, prevenção. Levantamentos de saúde bucal.

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Comparison of dental prophylaxis and toothbrushing prior to topical APF applications

Cited by 21 publications

References 20 publications

Efficacy of dental prophylaxis (rubber cup) for the prevention of caries and gingivitis: a systematic review of literature

Efficacy of dental prophylaxis (rubber cup) for the prevention of caries and gingivitis: a systematic review of literature

Evaluation of the Use of Topical Fluoride Gel

Prevenção da cárie dental com aplicações tópicas semestrais de flúor-fosfato acidulado

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