Fluoride Retention of a Mucosa Adhesive Paste Compared with Other Home-Care Fluoride Products

Abstract

Home-care use of fluoride (F) requires a motivated individual and several F products rely on a person’s ability to follow instructions and to cooperate with the treatment. The aim of this crossover study was to investigate concentrations, distribution in the oral cavity and duration of the elevated F concentrations after using four F products: (1) a mucosa adhesive paste with 0.1% F, (2) a mouth rinsing solution with 0.2% NaF, (3) toothpaste containing 0.5% F and (4) a tablet with 0.75 mg F. Fourteen subjects used the four products in randomized order either during the daytime or just before going to bed. The F concentration was measured both in saliva and at interproximal sites. After 6 h of sleep, the F concentration after using the mucosa adhesive paste and the mouth rinse solution was high in saliva. In the interproximal area, the adhesive paste showed the highest values. During daytime use, all the products increased the F concentration, but only the mucosa adhesive paste and the rinsing solution elevated F in saliva for up to 2 h. In the interproximal area, the paste increased the F concentration most. In conclusion, this study showed that the mucosa adhesive paste and the mouth rinse solution led to higher F concentrations and for a longer time than tablets and toothpaste. For patients who are unable to comply with traditional F treatment, an F-containing adhesive paste therefore has the potential to be a useful vehicle. For individuals who are able to cooperate, a mouth rinse with an F solution is a simple, efficient and well-known method for preventing dental caries.

Oral fluoride retention in orthodontic patients with and without fixed appliances after using different fluoridated home-care products

“…The large variation in F retention between the products could be explained by the F concentrations in the products themselves, by the presence and absence of the orthodontic appliances and by the sampling site [20,21]. For example, 0.5% NaF Miswaks produced the highest values in the approximal area compared with all other products, followed by 0.2% NaF mouthwash solution.…”

Simplified methods of topical fluoride administration: effects in individuals with hyposalivation

“…In institutionalized older adults, gel containing 1.1% F was applied to the teeth with a sponge‐type intraoral applicator and F concentrations higher than reached by rinsing with 0.05% F solution were registered . Another example of an adapted product is a mucosa adhesive paste supplemented by NaF (1,000 ppm F), with promising results in terms of F retention in the oral cavity . Care staff may apply the mucosa adhesive paste to the oral mucosa before bedtime to enable F to be emitted to plaque and saliva during the night.…”

“…24 Another example of an adapted product is a mucosa adhesive paste supplemented by NaF (1,000 ppm F), with promising results in terms of F retention in the oral cavity. 25 Care staff may apply the mucosa adhesive paste to the oral mucosa before bedtime to enable F to be emitted to plaque and saliva during the night. Another simplified method tested is to put the toothpaste on a finger and then massage the buccal tooth surfaces with the fingertip.…”