Cariostatic Agents ; therapeutic use ; Dental Caries ; prevention & control ; Fluorides ; therapeutic use ; Humans

Administration, Topical ; Cariostatic Agents ; administration & dosage ; therapeutic use ; Child ; China ; Dental Caries ; prevention & control ; Fluorides ; administration & dosage ; therapeutic use ; Humans

Cariostatic Agents ; therapeutic use ; China ; Dental Caries ; prevention & control ; Fluorides ; therapeutic use ; Health Promotion ; Humans ; Oral Health

Dental caries is one of the most common oral diseases around the world. Dental plaque attached to the surfaces of teeth is the main biological factor leading to caries. Although fluoride is still one of the most commonly used methods to prevent caries, with the change of epidemiological characteristics of caries and the update of the understanding of caries etiology, it is necessary to use other ecological methods such as antimicrobial peptides, arginine, probiotics and natural products, etc. to enhance the effect of fluoride in preventing dental caries. The present article reviews the research progress on the ecological approaches for caries prevention in recent years.
Arginine ; Dental Caries/prevention & control* ; Fluorides/therapeutic use* ; Humans ; Mouth Diseases/complications*

OBJECTIVEThis study aims to assess the effects of desensitizing toothpaste containing stannous fluoride on dentine hypersensitivity by performing Meta-analysis of randomized controlled trials (RCT) involving the treatment of dentine hypersensitivity with stannous fluoride-containing toothpaste.

METHODSThe study was developed based on the Cochrane handbook for systematic reviews of interventions (Version 5.1.0) and included the following: search strategy, selection criteria, data extraction, and risk of bias assessment. We searched electronic databases such as CNKI, CBM, PubMed, Embase, and Cochrane Library up to January 2015. RCT of treating dentine hypersensitivity with stannous fluoride-containing toothpaste were included. Data extraction and domain-based risk of bias assessment were independently performed by two reviewers. Meta-analysis was performed with RevMan 5.3 software.

RESULTSSix RCT with 494 patients (247 in the experimental group and 247 in the control group) were included. The results of Meta-analysis showed that the desensitizing effect of stannous fluoride-containing toothpaste was significantly better than that of control in tactile sensitivity test (SMD=1.41, 95% confidence interval 0.74-2.09, P<0.00001) and air blast test (SMD = -1.16, 95% confidence interval -1.84--0.48, P<0.000 01).

CONCLUSIONCurrent evidence shows that stannous fluoride-containing toothpaste is effective in treating dentine hypersensitivity in clinic. However, due to limited sample size and lower quality of the included studies, more high quality and large-sample RCT are needed to further verify the evidence.

Dentin Desensitizing Agents ; therapeutic use ; Dentin Sensitivity ; drug therapy ; Humans ; Randomized Controlled Trials as Topic ; Sodium Fluoride ; Tin Fluorides ; therapeutic use ; Toothpastes ; therapeutic use ; Treatment Outcome

OBJECTIVETo study the preventive effects of fluoride drop on dental caries for children.

METHODSThe comparative method was carried out in 1 200 children aged from 3 to 4. The subjects were divided into three groups: fluoride drop group, fluoride toothpaste group and control group. The research period was 2 years.

RESULTSThe results demonstrated that new dfs was 1.35 +/- 0.57 in the fluoride drop group after one year, 1.85 +/- 0.57 after two years. The new dfs was 1.53 +/- 1.09 in the fluoride toothpaste group after one year and 2.75 +/- 1.33 after two years. There was no significant difference of the dfs reduction between fluoride drop and toothpaste group.

CONCLUSIONFluoride drop is effective in the prevention of dental caries in Chinese kindergarten and primary school children.

Ambulatory Care Facilities ; Cariostatic Agents ; therapeutic use ; Child ; DMF Index ; Dental Caries ; prevention & control ; Female ; Fluorides ; therapeutic use ; Humans ; Male ; Tooth, Deciduous ; Toothpastes

OBJECTIVETo evaluate casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) and several fluoride products in inhibiting enamel demineralization.

METHODSSeventy healthy premolars extracted before orthodontic treatment were divided into seven groups (A: CPP-ACP; B: CPP-ACP + fluoride mouth rinses; C: fluoride mouth rinses; D: fluoride glass ionomer protection; E: fluoride resin binder; F: fluoride varnish; G: control group). There were ten samples in each group. The teeth were dipped into an artificial caries solution ten minutes at a time, then applied separately with CPP-ACP, CPP-ACP + fluoride mouth rinses, fluoride mouth rinses, fluoride glass ionomer protection, fluoride resin binder and fluoride varnish on labial enamel. The samples were dipped into an artificial saliva solution (37°C). Then all samples were examined with atomic force microscope (AFM) at the end of first, second and third monthes.

RESULTSAt the end of the first month, surface roughness in group D [(114 ± 1) nm] was significantly lower than that in group G[(172 ± 9) nm]. At the end of the second month and the third month, significant difference was found in surface roughness between group G and the rest of groups (P < 0.05); between group B and the rest of groups; and between group C and groups (D, E and F).

CONCLUSIONSCPP-ACP and fluoride could both inhibit enamel demineralization in vitro. Solid fluoride (groups D, E and F) had better results than liquid fluoride (group C).

Adolescent ; Bicuspid ; ultrastructure ; Caseins ; therapeutic use ; Child ; Dental Enamel ; ultrastructure ; Fluorides ; therapeutic use ; Humans ; Microscopy, Atomic Force ; Random Allocation ; Tooth Demineralization ; prevention & control ; Tooth Remineralization

OBJECTIVETo evaluate the effect of bi-annual professional application of 1.23% fluoride foam on caries reduction in the primary dentition over a two-year period.

METHODSIn a double-blind, cluster-randomised, placebo-controlled trial, 392 children aged 3 - 4 years from 15 classes were randomly assigned to two groups on a school class basis. The experimental group (8 classes) received a bi-annual fluoride foam application, and the placebo control group (7 classes) received the placebo. The analysis of caries increment was based on the class as the unit of analysis. The independent-samples t tests were performed to compare the differences in caries indices at baseline and caries increments between the two groups.

RESULTSThe mean caries increment in foam group was 3.8 dmfs while it was 5.0 dmfs in the placebo control group, resulting in 24.2% caries reduction (P < 0.05). The experimental group had a 37.6% caries reduction on approximal surfaces compared with the placebo control group (P < 0.01). Although the mean dmfs increment of bucco-lingual surfaces was lower in the experimental group than that in the control group, it was not statistically significant (P > 0.05). No significant difference in the mean caries increment was observed on occlusal surfaces between the two groups (P > 0.05).

CONCLUSIONSBi-annual professional application of fluoride foam was effective in reducing the increment of dental caries in the primary teeth.

Cariostatic Agents ; administration & dosage ; therapeutic use ; Child, Preschool ; Dental Caries ; prevention & control ; Double-Blind Method ; Female ; Fluorides ; administration & dosage ; therapeutic use ; Follow-Up Studies ; Humans ; Male ; Tooth, Deciduous

OBJECTIVETo compare the changes of enamel surface and cross-sectional microhardness of artificial caries immediately and after the twice demineralization through coating resin infiltration, fluoride varnish and fissure sealant.

METHODSA total of forty bovine lower incisors enamel samples with artificial caries lesions by the demineralization liquid were used in the experiment. The specimens were then randomly divided into four groups as group A(resin infiltration), B(fluoride varnish), C (fissure sealant), D(control), 10 specimens in each group. The samples were sectioned vertically into two halves through the centre. One half of each sample the surface and cross-sectional microhardness was measured. The other half was put into demineralization liquid for 14 days, then the surface and cross-sectional microhardness was measured again. The cross section morphology of the samples was observed by scanning electron microscope.

RESULTSThe surface of enamel had the highest microhardness value, and with the increase of cross- sectional depth, the microhardness value declined gradually. Variance analysis showed that the difference was statistically significant in the cross-section of different depth among the four groups(P<0.05). The microhardness values of the surface and the cross- section at 40 µm of each group in immediate measure showed the values were significantly higher in group A, B and C than in group D. There was no significant difference in the microhardness value of cross-section at 80 µm between group A[(324 ± 17) kg/mm(2)] and group C[(316 ± 20) kg/mm(2)], but they were significantly higher than group D. There was no significant difference between group B[(303 ± 13) kg/mm(2)] and group D[(294 ± 23) kg/mm(2)]. At 120 µm level, the microhardness value of group A was significantly higher than those of the other three groups. After the twice demineralization, the enamel surface microhardness value of the specimens was the same as the first measurement. In the cross-section at 40 µm level, the microhardness value was equal to the value of cross-section at 80 µm level of the first measurement. In the cross- section at 80 µm and 120 µm level, the microhardness value of group A was significantly higher than those of the other three groups.

CONCLUSIONSResin infiltration can effectively strengthen microhardness of enamel surface and cross-section of different depth of artificial caries.

Animals ; Cattle ; Dental Caries ; physiopathology ; therapy ; Dental Enamel ; physiopathology ; Fluorides ; therapeutic use ; Hardness Tests ; methods ; Incisor ; Phosphates ; therapeutic use ; Pit and Fissure Sealants ; therapeutic use ; Random Allocation ; Resins, Synthetic ; therapeutic use ; Surface Properties

To test the efficacy of two calcium phosphate pastes compared to that of fluoride toothpaste on remineralizing artificial caries in situ, this study had a double-blind crossover in situ design, involving three experimental phases of 14 days each, with an 8-day washout period between phases. Nine healthy subjects participated in the study. The subjects wore removable palatal appliances mounted with six human enamel slabs with artificial caries lesions, and in each of the experimental phases, used one of the following methods two times/day: group A, brushing with 1.0 g of Colgate Regular Flavor, followed by applying 0.25 g of Tooth Mousse Plus; group B, brushing with 0.25 g of Clinpro Tooth Crème; and group C, brushing with 1.0 g of Colgate Regular Flavor. After 14 days, the enamel slabs (54 slabs/group) were embedded in resin, sectioned and examined with a polarized-light microscope, and the lesion areas were quantified using Image-Pro Plus. All experimental groups showed a significant reduction in lesion area compared to the initial lesion area (paired t-test, P<0.001). The mean reduction in lesion area of Groups A, B and C were (0.029±0.010), (0.030±0.009) and (0.027±0.009) mm(2), respectively. There were no statistical differences between groups (Kruskal-Wallis test, P>0.05). All three groups remineralized the enamel slab lesions, indicating model sensitivity to fluoride. Given the differences in usage amounts and treated regimens, Clinpro Tooth Crème provided similar benefits to the fluoride toothpaste; however, no additional benefit of Tooth Mousse Plus was observed when used in conjunction with the fluoride toothpaste.
Calcium Phosphates ; therapeutic use ; Cariostatic Agents ; therapeutic use ; Caseins ; therapeutic use ; Cross-Over Studies ; Dental Caries ; prevention & control ; Dental Enamel ; drug effects ; Dentifrices ; therapeutic use ; Double-Blind Method ; Female ; Fluorides ; therapeutic use ; Humans ; Image Processing, Computer-Assisted ; methods ; Male ; Microscopy, Polarization ; Tooth Remineralization ; methods ; Toothbrushing ; methods ; Toothpastes ; therapeutic use ; Treatment Outcome ; Young Adult