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The effect of a modified fluoride toothpaste technique on buccal enamel caries in adults with high caries prevalence: a 2-year clinical trial.
MedLine Citation:
PMID:  22320068     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
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 2 min; 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.
Authors:
H Sonbul; K Merdad; D Birkhed
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Community dental health     Volume:  28     ISSN:  0265-539X     ISO Abbreviation:  Community Dent Health     Publication Date:  2011 Dec 
Date Detail:
Created Date:  2012-02-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8411261     Medline TA:  Community Dent Health     Country:  England    
Other Details:
Languages:  eng     Pagination:  292-6     Citation Subset:  D; IM    
Affiliation:
Department of Conservative Science, Faculty of Dentistry, King Abdulaziz University, Jeddah, Saudi Arabia. hsonbul@kau.edu.sa
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