December 2011

Volume 28, Issue 4

The effect of a modified fluoride toothpaste technique on buccal enamel caries in adults with high caries prevalence: a 2-year clinical trial

Authors: D. Birkhed K. Merdad H. Sonbul
doi: 10.1922/CDH_2657Sonbul05


Objective: To evaluate the preventive effect of a “modified fluoride (F) toothpaste technique” on the incidence and progression of buccal/ lingual enamel caries among Saudi adults with high caries prevalence. Method: Adults were randomly assigned to test and control groups. Test group patients were instructed to use the provided F toothpaste twice a day as follows: 1, use 2cm toothpaste; 2, brush for 2min; 3, swish the toothpaste slurry around the teeth for about half a minute before spitting it out; and 4, no post-brushing water rinsing and no eating/drinking for 2hr. The patients in the control group (n=57) were instructed to continue using their regular F toothpaste twice a day without any further instructions. The patients’ compliance in the test group was assessed after 2 years. Results: Of 175 adults, 113 completed the study. The test group (n=56) had a lower enamel mean caries incidence 0.56 (sd 1.04) than the control group (n=57), 1.01 (1.00) (p<0.05), with a preventive fraction of 44%. There was no difference regarding enamel caries progression or arrested caries. The caries incidence in the test group was higher in the subgroup of patients who rinsed with water post-brushing and who only brushed once a day (p<0.05). Conclusion: The “modified fluoride toothpaste technique”, as practised over the 2 years in a Saudi population with high caries prevalence, had a preventive effect on the incidence of buccal/lingual enamel caries but not on the progression. Key words: adults, dental restorations, enamel caries, fluoride toothpaste, Saudi Arabia.


Other articles in this issue

Article Pages Access
Editorial - Early Childhood Caries: a complex problem requiring a complex intervention 254-254 Download
Why has oral health promotion and prevention failed children requiring general anaesthesia for dental extractions? 255-258 Download
The relationship between dental care and perceived oral health impacts 259-264 Download
Is the shortened dental arch an underused treatment strategy in the Republic of Ireland? 265-268 Download
Predictors of utilisation of dental care services in a nationally representative sample of adults 269-273 Download
Applicability of both dentist and patient perceptions of dentists’ explanations to the evaluation of dentist–patient communication 274-279 Download
Oral health behaviour of urban and semi-urban schoolchildren in the Lao PDR 280-285 Download
Evaluation of a preventive program based on caries risk among mentally challenged children using the Cariogram model 286-291 Download
The effect of a modified fluoride toothpaste technique on buccal enamel caries in adults with high caries prevalence: a 2-year clinical trial 292-296 Download
Association of clinical oral health status with self-rated oral health and GOHAI in Japanese adults 297-300 Download
Prevalence of periodontopathogens in a black Brazilian secluded community matched with a black urban population 301-304 Download
Association of pulp stones with coronary artery stenosis 305-307 Download
Incisor trauma in a Turkish preschool population: Prevalence and socio-economic risk factors 308-312 Download
Malocclusion and orthodontic treatment need measured by the Dental Aesthetic Index and its association with dental caries in Indian schoolchildren 313-316 Download


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