Topical fluoride for caries prevention

Robert I. Weyant, Sharon L. Tracy, Theresa Anselmo, Eugenio D. Beltrán-Aguilar, Kevin J. Donly, William A. Frese, Philippe P. Hujoel, Timothy Iafolla, William Kohn, Jayanth Kumar, Steven M. Levy, Norman Tinanoff, J. Timothy Wright, Domenick Zero, Krishna Aravamudhan, Julie Frantsve-Hawley, Daniel M. Meyer

Research output: Contribution to journalArticle

142 Citations (Scopus)

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 cariespreventive 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.

Original languageEnglish (US)
Pages (from-to)1279-1291
Number of pages13
JournalJournal of the American Dental Association
Volume144
Issue number11
StatePublished - Nov 2013

Fingerprint

Topical Fluorides
Fluorides
American Dental Association
Prescriptions
Gels
Ointments
Acidulated Phosphate Fluoride
Paint
Patient Preference
Expert Testimony
Dental Caries
MEDLINE
Libraries
Clinical Trials
Research

Keywords

  • Caries
  • Caries prevention
  • Evidence-based dentistry
  • Fluoride
  • Practice guidelines
  • Preventive dentistry

ASJC Scopus subject areas

  • Dentistry(all)
  • Medicine(all)

Cite this

Weyant, R. I., Tracy, S. L., Anselmo, T., Beltrán-Aguilar, E. D., Donly, K. J., Frese, W. A., ... Meyer, D. M. (2013). Topical fluoride for caries prevention. Journal of the American Dental Association, 144(11), 1279-1291.

Topical fluoride for caries prevention. / Weyant, Robert I.; Tracy, Sharon L.; Anselmo, Theresa; Beltrán-Aguilar, Eugenio D.; Donly, Kevin J.; Frese, William A.; Hujoel, Philippe P.; Iafolla, Timothy; Kohn, William; Kumar, Jayanth; Levy, Steven M.; Tinanoff, Norman; Wright, J. Timothy; Zero, Domenick; Aravamudhan, Krishna; Frantsve-Hawley, Julie; Meyer, Daniel M.

In: Journal of the American Dental Association, Vol. 144, No. 11, 11.2013, p. 1279-1291.

Research output: Contribution to journalArticle

Weyant, RI, Tracy, SL, Anselmo, T, Beltrán-Aguilar, ED, Donly, KJ, Frese, WA, Hujoel, PP, Iafolla, T, Kohn, W, Kumar, J, Levy, SM, Tinanoff, N, Wright, JT, Zero, D, Aravamudhan, K, Frantsve-Hawley, J & Meyer, DM 2013, 'Topical fluoride for caries prevention', Journal of the American Dental Association, vol. 144, no. 11, pp. 1279-1291.
Weyant RI, Tracy SL, Anselmo T, Beltrán-Aguilar ED, Donly KJ, Frese WA et al. Topical fluoride for caries prevention. Journal of the American Dental Association. 2013 Nov;144(11):1279-1291.
Weyant, Robert I. ; Tracy, Sharon L. ; Anselmo, Theresa ; Beltrán-Aguilar, Eugenio D. ; Donly, Kevin J. ; Frese, William A. ; Hujoel, Philippe P. ; Iafolla, Timothy ; Kohn, William ; Kumar, Jayanth ; Levy, Steven M. ; Tinanoff, Norman ; Wright, J. Timothy ; Zero, Domenick ; Aravamudhan, Krishna ; Frantsve-Hawley, Julie ; Meyer, Daniel M. / Topical fluoride for caries prevention. In: Journal of the American Dental Association. 2013 ; Vol. 144, No. 11. pp. 1279-1291.
@article{d5f5ffbc75124f69b313649bf3ae233b,
title = "Topical fluoride for caries prevention",
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 cariespreventive 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.",
keywords = "Caries, Caries prevention, Evidence-based dentistry, Fluoride, Practice guidelines, Preventive dentistry",
author = "Weyant, {Robert I.} and Tracy, {Sharon L.} and Theresa Anselmo and Beltr{\'a}n-Aguilar, {Eugenio D.} and Donly, {Kevin J.} and Frese, {William A.} and Hujoel, {Philippe P.} and Timothy Iafolla and William Kohn and Jayanth Kumar and Levy, {Steven M.} and Norman Tinanoff and Wright, {J. Timothy} and Domenick Zero and Krishna Aravamudhan and Julie Frantsve-Hawley and Meyer, {Daniel M.}",
year = "2013",
month = "11",
language = "English (US)",
volume = "144",
pages = "1279--1291",
journal = "Journal of the American Dental Association",
issn = "0002-8177",
publisher = "American Dental Association",
number = "11",

}

TY - JOUR

T1 - Topical fluoride for caries prevention

AU - Weyant, Robert I.

AU - Tracy, Sharon L.

AU - Anselmo, Theresa

AU - Beltrán-Aguilar, Eugenio D.

AU - Donly, Kevin J.

AU - Frese, William A.

AU - Hujoel, Philippe P.

AU - Iafolla, Timothy

AU - Kohn, William

AU - Kumar, Jayanth

AU - Levy, Steven M.

AU - Tinanoff, Norman

AU - Wright, J. Timothy

AU - Zero, Domenick

AU - Aravamudhan, Krishna

AU - Frantsve-Hawley, Julie

AU - Meyer, Daniel M.

PY - 2013/11

Y1 - 2013/11

N2 - 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 cariespreventive 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.

AB - 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 cariespreventive 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.

KW - Caries

KW - Caries prevention

KW - Evidence-based dentistry

KW - Fluoride

KW - Practice guidelines

KW - Preventive dentistry

UR - http://www.scopus.com/inward/record.url?scp=84888588356&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84888588356&partnerID=8YFLogxK

M3 - Article

VL - 144

SP - 1279

EP - 1291

JO - Journal of the American Dental Association

JF - Journal of the American Dental Association

SN - 0002-8177

IS - 11

ER -