Effects of lifelong consumption of fluoridated water or use of fluoride supplements on dental caries prevalence

Clark, D. Christopher; Hann, H. Jack; Williamson, Malcolm F.; Berkowitz, Jonathan

doi:10.1111/j.1600-0528.1995.tb00192.x

Cited by 23 publications

(12 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This is in accordance with results of older studies (22,23). Alternatively or in addition, these children may have complied closely with dietary and oral hygiene advice given by dental personnel (27,28). Alternatively or in addition, these children may have complied closely with dietary and oral hygiene advice given by dental personnel (27,28).…”

Section: Discussionsupporting

confidence: 85%

Fluoride supplements and caries in a non‐fluoridated child population

Wang

Riordan

1999

Comm Dent Oral Epid

View full text Add to dashboard Cite

In Norway, there is no water fluoridation and little naturally occurring fluoride in drinking water. Fluoride toothpaste is used by 95% of the population and there is a long tradition of use of fluoride supplements. The purpose of this study was to analyse whether children who used fluoride toothpaste regularly and complied with the recommendations for use of fluoride supplements had less caries than other children at the age of 8 years. Most fluoride supplements sold in Norway are lozenge-type tablets, which allow for extended enamel exposure to fluoride. All children (n = 551) born in 1988 living in a suburban community in Norway were invited to participate. In those who participated (n = 470), caries was registered clinically and radiographically and parents provided data on use of supplements. Thirty-eight percent of the children had used fluoride supplements regularly during the period 0.5 to 4.0 years of age and 66% used supplements regularly at the age of 6 to 8 years. Multivariate analyses showed that the children complying with the recommendations for use of fluoride supplements during the period 0.5 to 4.0 years of age had lower caries experience (dmfs) and fewer decayed surfaces (ds) in primary teeth than other children. No significant associations were found between supplement use in childhood and caries prevalence (DMFS) or number of decayed surfaces (DS) in permanent teeth at the age of 8 years. Supplement use from 6 to 8 years of age was not associated with caries occurrence either in primary or in permanent teeth. Both mother's education and the quality of dental hygiene were inversely associated with caries occurrence.

show abstract

Section: Discussionsupporting

confidence: 85%

Fluoride supplements and caries in a non‐fluoridated child population

Wang

Riordan

1999

Comm Dent Oral Epid

View full text Add to dashboard Cite

show abstract

“…This has been confirmed by recent epidemiological studies [Ismail et al, 1992;Clark et al, 1995] although supporting evidence has been available for a long time [Gustafsson et al, 1954]. Therefore the concept that remineralization, especially with fluoride present, can repair damage caused by demineralization (before cavitation occurs) is of crucial importance for the management of preventive care.…”

mentioning

confidence: 80%

In vitro Remineralization of in vivo and in vitro Formed Enamel Lesions

et al. 1999

View full text Add to dashboard Cite

Thin sections of natural white spot enamel lesions (WS) and of artificial in vitro lesions (VL) were remineralized simultaneously in vitro. The sections, clamped in a PMMA holder, were microradiographed at baseline and after remineralization in a calcium– and phosphate–containing solution (pH = 7.0; 1 ppm F) after 2 and 4 weeks. All data were analyzed with respect to baseline. The results show that the lesion depth values did not change significantly during 2 and 4 weeks of remineralization. The mineral accumulation (change in ΔZ), however, was substantial and significant in WS and VL. In WS the change in mineral accumulation was roughly proportional to the amount of mineral at baseline. The WS accumulated more than two times the amount of mineral than VL in the same periods of remineralization. After 4 weeks of remineralization the maximum mineral value V_max in the surface layer of the WS was nearly up to the sound enamel level ≈87 vol%. This study shows that the technique and calculation procedure described make this single section method attractive for longitudinal demineralization–remineralization studies in vitro or in situ. Both WS and VL samples obviously remineralized in vitro similarly with respect to the baseline. Furthermore, this in vitro work indicates that remineralization inhibitors present in saliva, and previously penetrated into the enamel tissue, do not influence remineralization later on.

show abstract

“… Water FluoridationAdjusting the level of fluoride in the community water systems results in a 26‐35 percent reduction in tooth decay among children receiving lifelong exposure to fluoridated water . Other estimates based earlier YK dental reviews suggests 18‐40 percent reduction in tooth decay among children receiving community fluoridated water.…”

Section: Methodsmentioning

confidence: 99%

Cost‐effectiveness of preventing dental caries and full mouth dental reconstructions among Alaska Native children in the Yukon–Kuskokwim delta region of Alaska

Atkins

Thomas

Lenaker

et al. 2016

J Public Health Dent

View full text Add to dashboard Cite

Objective We conducted a cost-effectiveness analysis of five specific dental interventions to help guide resource allocation. Methods We developed a spreadsheet-based tool, from the healthcare payer perspective, to evaluate the cost effectiveness of specific dental interventions that are currently used among Alaska Native children (6-60 months). Interventions included: water fluoridation, dental sealants, fluoride varnish, tooth brushing with fluoride toothpaste, and conducting initial dental exams on children <18 months of age. We calculated the cost-effectiveness ratio of implementing the proposed interventions to reduce the number of carious teeth and full mouth dental reconstructions (FMDRs) over 10 years. Results A total of 322 children received caries treatments completed by a dental provider in the dental chair, while 161 children received FMDRs completed by a dental surgeon in an operating room. The average cost of treating dental caries in the dental chair was $1,467 (~258,000 per year); while the cost of treating FMDRs was $9,349 (~1.5 million per year). All interventions were shown to prevent caries and FMDRs; however tooth brushing prevented the greatest number of caries at minimum and maximum effectiveness with 1,433 and 1,910, respectively. Tooth brushing also prevented the greatest number of FMDRs (159 and 211) at minimum and maximum effectiveness. Conclusions All of the dental interventions evaluated were shown to produce cost savings. However, the level of that cost saving is dependent on the intervention chosen.

show abstract

Effects of lifelong consumption of fluoridated water or use of fluoride supplements on dental caries prevalence

Cited by 23 publications

References 9 publications

Fluoride supplements and caries in a non‐fluoridated child population

Fluoride supplements and caries in a non‐fluoridated child population

In vitro Remineralization of in vivo and in vitro Formed Enamel Lesions

Cost‐effectiveness of preventing dental caries and full mouth dental reconstructions among Alaska Native children in the Yukon–Kuskokwim delta region of Alaska

Contact Info

Product

Resources

About