Reasons for the caries decline: what do the experts believe?

Bratthall, Douglas; Hänsel-Petersson, Gunnel; Sundberg, H

doi:10.1111/j.1600-0722.1996.tb00104.x

Cited by 433 publications

(300 citation statements)

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“…Considering that the actual frequency of toothbrushing is not expected to be high, especially in children, 11,12 our findings support the relevance of F toothpaste use to explain the decrease in caries incidence reported in developed 18 and developing countries. 19 The higher F concentration in enamel and dentin slabs when F toothpaste was used is consistent with the F-mediated inhibition of mineral loss under cariogenic conditions, which results from the enhanced precipitation of calcium phosphates on and F concentration (µg F/cm²) in enamel and dentin relative to the timing of F toothpaste use (mean ± SD, n = 12).…”

Section: Discussionsupporting

confidence: 73%

Timing of fluoride toothpaste use and enamel-dentin demineralization

et al. 2011

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It is well established that fluoride (F) prevents caries development by inhibiting demineralization and enhancing remineralization processes. However, it is not known which of these protective mechanisms is more important. In this double-blind, crossover in situ study conducted in three phases of 14 days each, 12 volunteers wore palatal appliances containing enamel and root dentin slabs, on which biofilm was allowed to accumulate under exposure to 20% sucrose solution 8×/day. F toothpaste was used once a day, either before the daily demineralizing episodes (in the morning) or after them (at night). Non-F placebo toothpaste was used in the control group. F toothpaste significantly reduced enamel and dentin demineralization compared with the control (p < 0.05). F toothpaste was more effective when used after the demineralization episodes than before, and this difference was statistically significant for dentin (p < 0.05). The results suggest that brushing with F dentifrice at night to remineralize daily mineral losses may be preferable to brushing in the morning to inhibit the demineralizing episodes of the day.

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Section: Discussionsupporting

confidence: 73%

Timing of fluoride toothpaste use and enamel-dentin demineralization

et al. 2011

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“…1,15 It seems that dental caries prevention is more related to the widespread use of fluoride toothpastes than to plaque removal. 3 On the other hand, there was a significant association between the presence of abundant visible plaque on the occlusal surfaces of first permanent molars and the presence of active caries lesions in these teeth. As the development of caries lesions occurs exactly under bacterial plaque, 11,21 the association between the presence of active caries lesions on the occlusal surfaces of first permanent molars and the presence of visible plaque on the same sites is more understandable than that with the general plaque index.…”

Section: Discussionmentioning

confidence: 94%

Association between clinical parameters and the presence of active caries lesions in first permanent molars

et al. 2006

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ABSTRACT:The aim of the present study was to evaluate the association between clinical parameters and the presence of active caries lesions on the occlusal surface of first permanent molars. Forty eight children (5.8-13.8 years-old) with at least one first permanent molar present were selected. The clinical parameters evaluated were gender, age, DMF-T and dmf-t, presence of active white spots in other teeth, general plaque index, tooth's dental arch (upper or lower), tooth's side (right or left), presence of visible plaque and eruption degree of the first permanent molars. The first permanent molars were evaluated through visual inspection by two examiners in order to assess the presence of active or inactive caries lesions on the occlusal surface. Univariate and multivariate analyses for determination of the association between clinical parameters and the presence of active caries lesions in these teeth were performed. The presence of active white spots in other teeth was associated with the presence of active caries lesions in the first permanent molars, in both univariate and multivariate analyses (Odds ratio = 8.8 and 1.9, respectively). The presence of abundant visible plaque on the occlusal surface of the first permanent molars (Odds ratio = 3.5 in the univariate analysis, and 3.9 in the multivariate one) also presented a significant association. In conclusion, the presence of active white spots in other teeth and the presence of considerable visible plaque were associated with the presence of active caries lesions on the occlusal surfaces of first permanent molars. DESCRIPTORS: Dental caries; Dental caries activity tests; Diagnostic techniques and procedures.RESUMO: O objetivo do presente trabalho foi avaliar a associação entre parâmetros clínicos e presença de lesões ativas de cárie sobre a superfície oclusal de primeiros molares permanentes. Quarenta e oito crianças (5,(8)(9)(10)(11)(12)(13)8 anos) com pelo menos um primeiro molar permanente foram selecionadas. Os parâmetros clínicos avaliados foram sexo, idade, CPO-D e ceo-d, presença de manchas brancas ativas em outros dentes, índice de placa, arco dentário do dente (superior ou inferior), lado do dente (direito ou esquerdo), presença de placa visível e grau de erupção dos primeiros molares permanentes. Os primeiros molares permanentes foram avaliados usando inspeção visual por dois examinadores para avaliar a presença de lesões de cárie ativas ou inativas sobre a superfície oclusal. Análi-ses univariada e multivariada para avaliação da associação dos parâmetros clínicos e presença de lesões ativas nesses dentes foram realizadas. A presença de manchas brancas ativas em outros dentes apresentou associação significante com a presença de lesões ativas de cárie nos primeiros molares permanentes, em ambas as análises univariada e multivariada ("Odds ratio" = 8,8 e 1,9, respectivamente). A presença de placa visível abundante sobre a superfície oclusal dos primeiros molares permanentes ("Odds ratio" = 3,5 na análise univariada, e 3,9 na análise multivariada)...

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“…There is unequivocal evidence that fluoride toothpastes are efficient to control caries 18 and have played an important role in the caries decline observed in both developed 19 and developing countries. 20 When fluoride toothpastes are used, a high concentration of fluoride is maintained in the mouth (saliva, biofilm fluid) for some minutes.…”

Section: Individual Methods Of Fluoride Usementioning

confidence: 99%

Fluoride: its role in dentistry

Tenuta¹,

2010

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In spite of decades of research on fluoride and the recognition of its role as the cornerstone of dental caries reduction in the last fifty years, questions still arise on its use at community, self-applied and professional application levels. Which method of fluoride delivery should be used? How and when should it be used? How can its benefits be maximized and still reduce the risks associated with its use? These are only some of the challenging questions facing us daily. The aim of this paper is to present scientific background to understand the importance of each method of fluoride use considering the current caries epidemiological scenario, and to discuss how individual or combined methods can be used based on the best evidence available.

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Reasons for the caries decline: what do the experts believe?

Cited by 433 publications

References 0 publications

Timing of fluoride toothpaste use and enamel-dentin demineralization

Timing of fluoride toothpaste use and enamel-dentin demineralization

Association between clinical parameters and the presence of active caries lesions in first permanent molars

Fluoride: its role in dentistry

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