International Journal of Clinical Pediatric Dentistry

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VOLUME 12 , ISSUE 4 ( July-August, 2019 ) > List of Articles

Original Article

Effectiveness of Fluoridation Depending on Periodicity in 6–10-year-old Children

Mimoza Canga, Vito A Malagnino, Irene Malagnino, Giulia Malagnino

Keywords : Caries risk, Dentition, Topical fluoride,Caries

Citation Information : Canga M, Malagnino VA, Malagnino I, Malagnino G. Effectiveness of Fluoridation Depending on Periodicity in 6–10-year-old Children. Int J Clin Pediatr Dent 2019; 12 (4):280-282.

DOI: 10.5005/jp-journals-10005-1648

License: CC BY-NC 4.0

Published Online: 00-08-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: The cost-effectiveness of this study was achieved in the group that was treated every three months with periodic intervals, which had a reduction of caries with 62%. The relative effectiveness of our study is the application of fluoride treatment every 3 months compared with treatments done every 4 and 6 months, respectively. Objective: To evaluate the reduction of caries disease depending on the time period of fluoride gel application. The sample was chosen randomly. Main hypothesis: The frequency of fluoride gel application every 3 months has positive impacts on reducing dental caries. Basic design: This is a cross-sectional study with a controlled sample for a period of 24 months. Durashield fluoride fluid (5% sodium fluoride) was used for the treatment of permanent dentition of the 6–10-year-old children. Clinical setting: This study proves that fuoride application every 3 months significantly reduces caries morbidity. Participants: Our study included 400 children, who were divided into 4 groups, 100 children in each group. Intervention: The first group did not undergo any treatment and it is called the control group. The second group was under fluoride treatment every 4 months. The third group was treated with fluoride every 3 months, and the fourth group was treated every 6 months. Results: The data collected from the control group showed that there is an increase in 24% of the caries incidence. In the group treated with fluoride every 4 months, caries incidence decreased to 30%. The group treated every 3 months with periodic intervals had a reduction of caries with 62%, while the group treated every 6 months had a reduction of 40%. Based on the analysis of variance (ANOVA) test, the fluoridation application every 3 months is significant for p = 0.000. Conclusion: The best results were achieved in the treatment with fluoride in a 3-month periodic interval.


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  1. Beighton D, Manji F, et al. Associations between salivary levels of Streptococcus mutans, Streptococcus sobrinus, lactobacilli, and caries experience in Kenyan adolescents. J Dent Res 1989;68:1242–1246. DOI: 10.1177/00220345890680080601.
  2. Brown LR, Billings RJ, et al. Quantitative comparisons of potentially cariogenic microorganisms cultured from noncarious and carious root and coromal tooth surfaces. Infect Immun 1986;51:765–770.
  3. Kingman A, Little W, et al. Salivary levels caries experiences in a US adolescent population. Community Dent Oral Epidemiol 1988;16: 89–103. DOI: 10.1111/j.1600-0528.1988.tb01852.x.
  4. 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 Program. Community Dent Oral Epidemiol 2003;31:3–23. DOI: 10.1046/j.2003.com122.x.
  5. Brown LJ, Selwitz RH. The impact of recent changes in the epidemiology of dental caries on guidelines for the use of dental sealants. J Public Health Dent 1995;55:274–291. DOI: 10.1111/j.1752-7325.1995.tb02382.x.
  6. Marthaler TM. Changes in dental caries 1953–2003. Caries Res 2004;38:173–181. DOI: 10.1159/000077752.
  7. Whitford GM. Intake and metabolism of fluoride. Adv Dent Res 1994;8:5–14. DOI: 10.1177/08959374940080011001.
  8. Hicks J, Garcia-Godoy F, et al. Biological factors in dental caries: role of remineralization and fluoride in the dynamic process of demineralization and remineralization. J Clin Pediatr Dent 2004;28:203–214. DOI: 10.17796/jcpd.28.3.w0610427l746j34n.
  9. Van Loveren C. The antimicrobialaction of fluoride and its role in caries inhibition. J Dent Res 1990;69:676– 683.
  10. Hellwig E, Lennon AM. Systemic vs topical fluoride. Caries Res 2004;38:258–262. DOI: 10.1159/000077764.
  11. Warren JJ, Levy SM. Current and future role of fluoride in nutrition. Dent Clin North Am 2003;47:225–243. DOI: 10.1016/S0011-8532(02)00098-8.
  12. Weintraub JA, Ramos-Gomez F, et al. Fluoride varnish efficacy in preventing early childhood caries. J Dent Res 2006;85:172–176.
  13. Zimmer S, Robke FJ, et al. Caries prevention with fluoride varnish in a socially deprived community. Community Dent Oral Epidemiol 1999;27:103–108. DOI: 10.1111/j.1600-0528.1999.tb01998.x.
  14. Fawell J. Fluoride in Drinking-water: Background document for development of WHO Guidelines for Drinking-water Quality. World Health Organization; 2004. p. 2.
  15. Bratthall D, Hänsel-Petersson G, et al. Reasons for the caries decline: what do the experts believe? Eur J Oral Sci 1996;104:416–422; 423–425, 10.1111/j.1600-0722.1996.tb00104.x.
  16. Groeneveld A, Van Eck AA, et al. Fluoride in caries prevention: is the effect pre- or post-eruptive? J Dent Res 1990;69:751–755; 820–823.
  17. Beltran ED, Burt BA. The pre- and posteruptive effects of fluoride in the caries decline. J Public Health Dent 1988;48:233–240. DOI: 10.1111/j.1752-7325.1988.tb03204.x.
  18. Vautey S, Ranivoharilanto E, et al. Salt fluoridation and dental caries: state of the question. Sante Publique 2017;27:185–190.
  19. Ogaard B, Rølla G, et al. Orthodontic appliances and esame demineralization. Part 2. Prevention and treatment of lesions. Am J Orthod Dentofacial Orthop 1988;4:123–128. DOI: 10.1016/0889-5406(88)90360-5.
  20. Eakle WS, Featherstone JD, et al. Salivary fluoride levels following application of fluoride varnish or fluoride rinse. Community Dent Oral Epidemiol 2004;32:462–469. DOI: 10.1111/j.1600-0528.2004.00185.x.
  21. Jiang H, Bian Z, et al. The effect of a bi-annual professional application of APF on dental caries increment in primary teeth: 24-month clinical trial. J Dent Res 2005;84:265–268. DOI: 10.1177/154405910508400311.
  22. Newbrun E. Topical fluorides in caries prevention and management: a North American perspective. J Dent Educ 2001;65:1078–1083.
  23. Helfenstein U, Steiner M. Fluoride varnishes (Duraphat): a meta-analysis. Community Dent Oral Epidemiol 1994;22:1–5. DOI: 10.1111/j.1600-0528.1994.tb01559.x.
  24. Weintraub JA, Ramos-Gomez F, et al. Fluoride varnish efficacy in preventing early childhood caries. J Dent Res 2006;85:172–176. DOI: 10.1177/154405910608500211.
  25. Azarpazhooh A, Patricia AM. Fluoride Varnish in the Prevention of Dental Caries in Children and Adolescents: A Systematic Review. J Can Dent Assoc 2008 Feb;74(1):73–79.
  26. Zimmer S, Robke FJ, et al. Caries prevention with fluoride varnish in a socially deprived community. Community Dent Oral Epidemiol 1999;27:103–108. DOI: 10.1111/j.1600-0528.1999.tb01998.x.
  27. Dohnke-Hohrmann S, Zimmer S. Change in caries prevalence after implementation of a fluoride varnish program. J Public Health Dent 2004;64:96–100. DOI: 10.1111/j.1752-7325.2004.tb02734.x.
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