scholarly journals High Fluoride Concentration Toothpastes for Children and Adolescents

2016 ◽  
Vol 50 (Suppl. 1) ◽  
pp. 9-14 ◽  
Author(s):  
Iain A. Pretty

The purpose of this review is to present the available evidence to support the use of dentifrices with high (>1,500 ppm) concentrations of fluoride to help in the prevention and treatment of caries in high-risk children and adolescents. Recent evidence from high-quality systematic reviews supports the dose-response relationship between caries prevention and fluoride levels, and there is good evidence from randomised clinical trials to support the use of high fluoride dentifrices. Such products are typically prescribed oral pharmaceuticals that require thorough risk assessment by the clinician and restricting use in those less than 6 years old to cases where the risk of severe morbidity caused by caries is greater than that of aesthetically objectionable fluorosis and which should mitigate the risk of fluorosis. Further research is required on the use of population- or community-based interventions using such products and currently, the evidence for dentifrices containing more than 2,900 ppm is weaker than for those containing 2,800 ppm or less.

2020 ◽  
Vol Volume 15 ◽  
pp. 7469-7479
Author(s):  
Aila Maria Cipriano Leal ◽  
Marcus Vinícius Beserra dos Santos ◽  
Edson Cavalcanti da Silva Filho ◽  
André Luis Menezes Carvalho ◽  
Cinthia Pereira Machado Tabchoury ◽  
...  

2021 ◽  
Vol 18 (1) ◽  
pp. 107-112
Author(s):  
Thirumala Mothe ◽  
Patnam Umashankar ◽  
Vishnuvardhan Reddy Sultanpuram

Consuming of water contaminated with high fluoride concentration for a very long time causes health problems such as, dental and skeletal fluorosis. Hence, defluoridation of water is essentially required before consumption, when water is contaminated with high fluoride concentration. In this present study, research was focussed on to isolate bacteria which are showing fluoride resistantance from samples of ground water from high fluoride affected regions of Nalgonda. After analysis of 10 samples from different areas of Nalgonda district, two samples of ground water from Narketpally and Nampally showed the high fluoride concentrations of 9.18 ppm and 7.55 ppm respectively. Hence, in the present study, Narketpally ground water sample with highest ppm was considered to isolate fluoride resistant bacteria. A total of eight fluoride resistant organisms were purified from this sample with varying fluoride resistance on Luria Bertani agar with varying fluoride concentraion from 25mg/L to 600mg/L at pH 7. Among the eight strains isolated, three strains MB1, F and G were showing high fluoride resistance (up to 500mg/L), which were further explored for their role in bioremediation of fluoride. In batch mode study, MB1 strain showed high fluoride degradation of 68%, whereas, F and G strains showed 57% and 44%fluoride removal, respectively, when fluoride concentration was present at 20 mgL-1 at 30 °C temperature and pH 7, with dextrose (10 g) utilised as source of carbon per 100 mL media after incubation of 8 days. Results indicate that, MB1 possibly a potential fluoride resistant bacterium with high fluoride bioremediation capacity.


1989 ◽  
Vol 3 (2) ◽  
pp. 203-210 ◽  
Author(s):  
T. Yanagisawa ◽  
S. Takuma ◽  
O. Fejerskov

Materials used in this work were 13 permanent molars exhibiting dental fluorosis (between 5 and 9 on the Thylstrup-Fejerskov scale, 1978) obtained from adults (aged 20-40 years) living in regions with 3.5 ppm fluoride in the water supplies. Small but deep occlusal caries lesions necessitated extraction. Light and polarized microscopic, microradiographic, electron microscopic, and electron-probe- and ion-micro-analytical studies were made. Enamel surfaces were generally cloudy to opaque, with several pits or defects of various sizes and degrees of brown-staining. An extensively hypomineralized area extended from the inner enamel to the surface layer, which was mineralized to a high degree. The hypomineralized area contained sparsely arranged, flattened, hexagonal crystals with either perforated centers or defects extending from the perimeter and indicating either no or low fluoride content. The highly mineralized surface layer, however, was composed of many large, flattened, hexagonal crystals and extremely small, irregularly shaped crystals. Both types were free of central perforations and defects. A high fluoride concentration was determined in the highly mineralized surface layer. These findings suggest that the hypomineralized area undergoes caries-like changes in terms of crystal dissolution and that the highly mineralized surface layer contains hydroxyapatite and fluoridated-hydroxyapatite, or fluorapatite, or both.


2020 ◽  
Vol 54 ◽  
pp. 59
Author(s):  
Evelyn Helena Corgosinho Ribeiro ◽  
Paulo Henrique Guerra ◽  
Ana Carolina De Oliveira ◽  
Kelly Samara da Silva ◽  
Priscila Santos ◽  
...  

OBJECTIVE: To identify and evaluate the effects of community-based interventions on the sedentary behavior (SB) of Latin American children and adolescents. METHODS: A systematic review on community-based trials to reduce and/or control SB in Latin American countries (Prospero: CRD42017072157). Five databases (PubMed, Web of Science, Scopus, SciELO and Lilacs) and a reference lists were searched. RESULTS: Ten intervention studies met the eligibility criteria and composed the descriptive synthesis. These studies were conducted in Brazil (n=5), Mexico (n=3), Ecuador (n=1) and Colombia (n=1). Most interventions were implemented in schools (n=8) by educational components, such as meetings, lessons, and seminars, on health-related subjects (n=6). Only two studies adopted specific strategies to reduce/control SB; others focused on increasing physical activity and/or improving diet. Only one study used an accelerometer to measure SB. Seven studies investigated recreational screen time. Eight studies showed statistically significant effects on SB reduction (80%). CONCLUSIONS: Latin America community-based interventions reduced children and adolescents’ SB. Further studies should: define SB as a primary outcome and implement strategies to reduce such behaviour; focus in different SBs and settings, other than recreational screen time or at-home sitting time; and use objective tools together with questionnaires to measure sedentary behaviour in.


2006 ◽  
Vol 40 (2) ◽  
pp. 148-153 ◽  
Author(s):  
M.D. Lagerweij ◽  
W. Buchalla ◽  
S. Kohnke ◽  
K. Becker ◽  
Á.M. Lennon ◽  
...  

2016 ◽  
Vol 50 (Suppl. 1) ◽  
pp. 50-60 ◽  
Author(s):  
Gail V.A. Douglas ◽  
Martin P. Ramsdale ◽  
Karen Vinall-Collier ◽  
Julia I. Csikar

Despite improvements in dental caries levels since the widespread introduction of fluoride toothpastes, it is still a disease which is considered to be a priority in many countries around the world. Individuals at higher risk of caries can be targeted with products with a high fluoride concentration to help reduce the amount and severity of the disease. This paper compares guidance from around the world on the use of products with a high fluoride concentration and gives examples of how guidance has been translated into activity in primary care dental practice. A rapid review of electronic databases was conducted to identify the volume and variation of guidance from national or professional bodies on the use of products with a high fluoride concentration. Fifteen guidelines published within the past 10 years and in English were identified and compared. The majority of these guidelines included recommendations for fluoride varnish use as well as for fluoride gels, while a smaller number offered guidance on high fluoride strength toothpaste and other vehicles. Whilst there was good consistency in recommendations for fluoride varnish in particular, there was sometimes a lack of detail in other areas of recommendation for other vehicles with a high fluoride concentration. There are good examples within the UK, such as the Childsmile project and Delivering Better Oral Health, which highlight that the provision of evidence-based guidance can be influential in directing scarce resources towards oral health improvements. Policy can be influenced by evidence-based national recommendations and used to help encourage dental professionals and commissioners and third-party payers to adopt higher levels of practices aimed at oral health improvement.


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