Journal article
Topical fluoride for caries prevention Executive summary of the updated clinical recommendations and supporting systematic review
The Journal of the American Dental Association (1939), Vol.144(11), pp.1279-1291
11/01/2013
DOI: 10.14219/jada.archive.2013.0057
PMCID: PMC4581720
PMID: 24177407
Abstract
Background. A panel of experts convened by the American Dental Association (ADA) Council on Scientific Affairs presents evidence-based clinical recommendations regarding professionally applied and prescription-strength, home-use topical fluoride agents for caries prevention. These recommendations are an update of the 2006 ADA recommendations regarding professionally applied topical fluoride and were developed by using a new process that includes conducting a systematic review of primary studies.
Types of Studies Reviewed. The authors conducted a search of MEDLINE and the Cochrane Library for clinical trials of professionally applied and prescription-strength topical fluoride agents-including mouthrinses, varnishes, gels, foams and pastes-with caries increment outcomes published in English through October 2012.
Results. The panel included 71 trials from 82 articles in its review and assessed the efficacy of various topical fluoride caries-preventive agents. The panel makes recommendations for further research.
Practical Implications. The panel recommends the following for people at risk of developing dental caries: 2.26 percent fluoride varnish or 1.23 percent fluoride (acidulated phosphate fluoride) gel, or a prescription-strength, home-use 0.05 percent fluoride gel or paste or 0.09 percent fluoride mouthrinse for patients 6 years or older. Only 2.26 percent fluoride varnish is recommended for children younger than 6 years. The strengths of the recommendations for the recommended products varied from "in favor" to "expert opinion for." As part of the evidence-based approach to care, these clinical recommendations should be integrated with the practitioner's professional judgment and the patient's needs and preferences.
Details
- Title: Subtitle
- Topical fluoride for caries prevention Executive summary of the updated clinical recommendations and supporting systematic review
- Creators
- Robert J. Weyant - University of PittsburghSharon L. Tracy - American Dental AssociationTheresa (Tracy) Anselmo - San Luis Obispo Health AgencyEugenio D. Beltran-Aguilar - Centers for Disease Control and PreventionKevin J. Donly - The University of Texas at San AntonioWilliam A. Frese - University of Illinois ChicagoPhilippe P. Hujoel - University of WashingtonTimothy Iafolla - National Institutes of HealthWilliam Kohn - Delta Dental Plans AssociationJayanth Kumar - University at Albany, State University of New YorkSteven M. Levy - University of IowaNorman Tinanoff - University of MaiylandJ. Timothy Wright - Univ N Carolina, Sch Dent, Dept Pediat Dent, Chapel Hill, NC USADomenick Zero - Indiana UniversityKrishna Aravamudhan - American Dental AssociationJulie Frantsve-Hawley - American Dental AssociationDaniel M. Meyer - Amer Dent Assoc, Chicago, IL USAAmerican Dental Association Council on Scientific Affairs Expert Panel on Topical Fluoride Caries Preventive Agents
- Resource Type
- Journal article
- Publication Details
- The Journal of the American Dental Association (1939), Vol.144(11), pp.1279-1291
- DOI
- 10.14219/jada.archive.2013.0057
- PMID
- 24177407
- PMCID
- PMC4581720
- NLM abbreviation
- J Am Dent Assoc
- ISSN
- 0002-8177
- eISSN
- 1943-4723
- Publisher
- Amer Dental Assoc
- Number of pages
- 13
- Grant note
- Centers for Disease Control and Prevention, Atlanta; United States Department of Health & Human Services; Centers for Disease Control & Prevention - USA
- Language
- English
- Date published
- 11/01/2013
- Academic Unit
- Preventive and Community Dentistry; Epidemiology
- Record Identifier
- 9984367637202771
Metrics
5 Record Views