Prevention of Dental Decay: Role of Fluoride in Dentifrices
Keywords:
fluorides, toothpastes, dental caries, primary preventionAbstract
Objective: To identify the different fluoride levels and compounds in locally manufactured tooth pastes and the dental caries status of Karachi, Pakistan.
Cross-Sectional Study This study was conducted in the Dental Out Patient Department (OPD) of a public sector tertiary care hospital, over a period of 15 days. The local brands of toothpastes available were collected through the market survey of a major departmental store of Karachi. The quantity and the compound of fluoride claimed by the manufacturer
were recorded. A group of 300 patients were evaluated through a structured proforma for their demographic characteristics, brand name of the tooth paste which they claimed to use for the past six months and the number of decayed teeth (by type 1 dental examination).
Results: The clinical dental examination revealed that active tooth decay of 32.33%, 15.33% and 52.33% was observed in subjects reported the use of tooth paste with 1000ppm, 1400ppm and those which did not claim any fluoride concentration, respectively. Decay count of 52.66% was identified in subjects who used tooth pastes with sodium fluoride, while it was 37.33% where sodium mono fluoro phosphate was present.
Conclusion: Relative caries preventive effects of fluoride toothpastes increase with increase in fluoride levels. NaF has been found to be superior to SMFP for the control of dental caries.
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References
Petersen PE. The World Oral Health Report 2003: Continuous Improvement of Oral Health In The 21st Century, The Approach of the WHO Global Oral Health Programme. Community Dent Oral Epidemiol 2003;31:3-24.
Petersen PE, Phantumvanit P. Perspectives in the Effective use of Fluoride in Asia J Dent Res.2012;91:119-21.
Khan AA, Sharea I, Ayma S, Ambreena Q, Inayatullah P, Sofia S. Oral Health inÊPakistan: A situation analysis. Dev Dent 2004;5:35-44.
Bratthall D. Estimation of Global DMFT for 12year Olds in 2004. Int J Dent 2005;55:370-2.
Maxood A. Dental Caries Status in 6-9 Years Old Children. Pak Oral Dent J 2008;28:107-12
Petersen PE, Lennon MA. Effective Use of fluorides for the Prevention of Dental Caries in the 21st Century: The WHO Approach. Community Dent Oral Epidemiol 2004;32:319-21.
Walsh T, Worthington HV, Glenny AM, Appelbe P, Marinho VC, Shi X. Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents [Internet]. Cochrane Database Syst Rev; 2010.doi:10.1002/14651858.CD007868.pub2.
Zero D. Dentifrices, Mouthwashes and Remineralization / Caries Arrestment Strategies. BMC Oral Health 2006;6:1-9.
Marinho VC, Higgins JP, Sheiham A, Logan S. Fluoride toothpastes for preventing dental caries in children and adolescents [Internet]. Cochrane Database Syst Rev;2003.doi:10.1002/1465/858.CD002278.
Arnold W, Dorow A, Langenhorst S, Gintner Z, Banoczy J, Gaengler P. Effect of fluoride toothpastes on enamel demineralization. BMC Oral Health 2006;6:8.
Van LC, Moorer WR, Buijs MJ, Van PH. Total and free fluoride in toothpastes from some non-established market economy countries. Caries Res 2005;39:224-30.
Zero DT, Marinho VC, Phantumvanit P. Effective Use of Self-Care Fluoride Administration in Asia. Adv Dent Res 2012;24:16-21.
Hiremath SS. Textbook of Preventive and Community Dentistry. New Delhi: Elsevier ; 2007.
Wong MC, Clarkson J, Glenny AM, Lo EC, Marinho VC, Tsang BW et al. Cochrane reviews on the benefits/risks of fluoride toothpastes. J Dent Res 2011;90:573.
Pine CM, Curnow MM, Burnside G, Nicholson JA, Roberts AJ. Caries prevalence four years after the end of a randomised controlled trial. Caries Res 2007;41:431-6.
Ammari AB, Bloch-Zupan A, Ashley PF. Systematic Review of Studies Comparing the Anti-Caries Efficacy of Children Toothpaste Containing 600 ppm of Fluoride or Less With High Fluoride Toothpastes of 1, 000 ppm or Above. Caries Res 2003;37:85-92.
Twetman S, Axelsson S, Dahlgren H. Caries-Preventive Effect of Fluoride Toothpaste: A Systematic Review. Acta Odontol 2003;61:347-55.
Stookey GK, DePaola PF, Featherstone JDB. A Critical Review of the Relative Anti Caries Efficacy of Sodium Fluoride and Sodium Monofluoro Phosphate Dentifrices. Caries Res 1993;27:337-60.
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