Posttreatment Benefits from Participation in a School-Based Fluoride Mouthrinsing Program: Results after up to 7 Years of Rinsing

Leske, Gary S.; Ripa, Louis W.; Sposato, Alice Levinson; Rebich, Theodore

doi:10.1159/000260869

Cited by 12 publications

(7 citation statements)

References 7 publications

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“…These findings suggest that the benefits derived by the treatment group were retained five years after rinsing had stopped. These results agree with those of other studies demonstrating two-to three-year posttreatment benefits from fluoride rinse (9,10,(13)(14)(15)(16)(17). Only a few studies have evaluated adults seven to eight years after discontinuation of a rinse regimen (18,191.…”

Section: Discussionsupporting

confidence: 90%

Treatment and Posttreatment Effects of Fluoride Mouthrinsing after 17 Years

Kobayashi¹,

Kishi²,

Yoshihara³

et al. 1995

J Public Health Dent

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Section: Discussionsupporting

confidence: 90%

Treatment and Posttreatment Effects of Fluoride Mouthrinsing after 17 Years

Kobayashi¹,

Kishi²,

Yoshihara³

et al. 1995

J Public Health Dent

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“…In comparison, 96% of children receiving the benefits of both fluoride rinsing and PFS placement were cariesfree. The caries incidence in the fluoride rinse group was 13-time greater than that of the combined fluoride-PFS group (23). The better retention of maxillary in comparison to mandibular teeth was confirmed by Burt et al (24); however, we found no difference in that regard.…”

Section: Discussionsupporting

confidence: 71%

Retention and Effectiveness of Dental Sealant After Twelve Months in Iranian Children

Rafatjou¹,

Nobahar²,

Nikfar³

et al. 2013

Avicenna J Dent Res

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Background: Pit-and-fissure sealants are safe and effective ways to prevent dental caries and are considered as a part of an overall caries-preventive strategy. Dental caries are a public health problem and the most common intraoral disease affecting mankind. It is an infectious transmissible disease, with the child patient being at the highest risk. Objectives: The purpose of this study was to evaluate the retention rates and effectiveness of occlusal sealants in children in Hamadan, Iran. Materials and Methods: A total of 118 sealed first permanent molar teeth in 52 students (mean age, 8 years; male, 48%) were evaluated for fissure sealant retention and occlusal caries status. All teeth were examined 12 months after application of sealants. Data were collected and evaluated by survival analyses methods for age at placement, patient sex, decayed/missing/filled teeth (DMFT) index, fluoride history, toothbrush, tooth position in arch, and refer to dentistry. Results: The overall success rate with pit-and-fissure sealant was 68.6%; in addition, 38.9% of the seals were completely retained, 38.9% partially lost, and 10.2% completely lost. There were no signs of carious lesions in 69.6% of the teeth. The factors associated with an increased risk of failure included female sex (P = 0.001) and no history of fluoride use (P < 0.01). There were no significant association between the results and patient age, tooth position in the arch, DMFT index, toothbrush, and refer to dentistry. Conclusions: Although pit-and-fissure sealants are effective methods for preventing tooth caries, the low success rate of fissure sealants in current study indicated that dental sealant need to be implemented more carefully and follow-up programs are advisable.

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“…While these results indicate the effects to the permanent teeth of a school-based fluoride mouthrinsing program, they do not present the entire story. For the younger age group the primary teeth are also protected (90,112,117,118,120); for the older children who are no longer rinsing, a posttreatment benefit has been reported (118,121).…”

Section: Figure 5 Canes-preventive Effects Of Three Nidr Community Camentioning

confidence: 99%

A Critique of Topical Fluoride Methods (Dentifrices, Mouthrinses, Operator‐, and Self‐applied Gels) in an Era of Decreased Caries and Increased Fluorosis Prevalence

Ripa

1991

J Public Health Dent

146

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Within the last 20 years there has been a decrease in the caries prevalence of US schoolchildren, a change in the intraoral caries pattern, and a slowing of the progress of lesions. Simultaneously, the prevalence of enamel milder, cosmetically acceptable forms and is more noticeable in fluoride-deficient communities than those with optimal or above-optimal water fluoride concentrations. Circumstantial evidence indicates that a principal contributor to the caries decline is the extensive use of fluoride dentifrices. Conversely, although use of a fluoride dentifrice can add to the total daily amount of ingested fluoride in preschool children, there is little evidence to suggest that dentifrice ingestion is a principal factor causing the fluorosis increase. The value of fluoride methods may be assessed in relative or absolute terms. The relative, or percentage, caries reduction attributed to fluoride mouthrinses and gels appears to be a property intrinsic to the methods themselves and generally is little affected by the caries activity of the population being treated. Conversely, the absolute, or numerical, caries reduction is dependent upon the level of disease in the population. Thus, the reported caries decline reduces the number of surfaces prevented from developing caries, even though the percentage reduction remains substantially unchanged. Although inadvertent ingestion of fluoride can result from the use of mouthrinses and gels, there is little evidence to suggest that they have contributed to the fluorosis increase. When using topical methods, prudence should prevail to avoid ingestion of fluoride. Fluoride dentifrices should continue to be used routinely, and although lower potency dentifrices may be considered, the literature does not provide strong support for their need. Use of fluoride mouthrinses and gels for individual patients should be predicted upon their caries activity or risk. Use of these methods in public health programs is a matter of cost-effectiveness, which will be influenced by the caries prevalence of the target population.

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Posttreatment Benefits from Participation in a School-Based Fluoride Mouthrinsing Program: Results after up to 7 Years of Rinsing

Cited by 12 publications

References 7 publications

Treatment and Posttreatment Effects of Fluoride Mouthrinsing after 17 Years

Treatment and Posttreatment Effects of Fluoride Mouthrinsing after 17 Years

Retention and Effectiveness of Dental Sealant After Twelve Months in Iranian Children

A Critique of Topical Fluoride Methods (Dentifrices, Mouthrinses, Operator‐, and Self‐applied Gels) in an Era of Decreased Caries and Increased Fluorosis Prevalence

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