Fluoride varnish or fluoride mouth rinse?: A comparative study of two school-based programs

M K Keller; BJ Klausen; S Twetman

doi:10.1922/CDH_3869Keller04

Fluoride varnish or fluoride mouth rinse? A comparative study of two school-based programs

M K Keller, BJ Klausen, S Twetman

Section 02 - Paediatric Dentistry

1 Citation (Scopus)

Abstract

OBJECTIVE: In many Danish communities, school-based fluoride programs are offered to children with high caries risk in adjunct to tooth brushing. The purpose of this field trial was to compare the caries-preventive effectiveness of two different fluoride programs in 6-12 year olds.

BASIC RESEARCH DESIGN: Clinical controlled trial.

CLINICAL SETTING: The 2-year study was conducted in Public Dental Clinics in a multicultural low-socioeconomic suburban area of Odense, Denmark with an elevated prevalence of caries compared to the city average.

PARTICIPANTS: 1,018 children (aged 6-12 years) from 9 different schools were enrolled after informed consent and their class unit was randomly allocated to one of two fluoride programs.

INTERVENTIONS: One group received a semi-annual fluoride varnish applications (FV) and the other group continued with an existing program with fluoride mouth rinses once per week (FMR). All children received oral hygiene instructions and comprehensive dental care at the local Public Dental Clinics throughout the study period.

MAIN OUTCOME MEASURES: Increment of caries lesions in permanent teeth at both cavitated and initial caries levels.

RESULTS: The groups were balanced at baseline. After two years, 961 children (94.4%) were reexamined. The FV group showed a mean DMFS increment of 0.36 compared to 0.41 in the FMR group. The corresponding values for initial caries lesions were 0.83 and 0.91 respectively.

CONCLUSION: There were no statistically significant differences in caries development over two years among children participating in a school-based fluoride varnish or mouth rinse program.

Original language	English
Journal	Community Dental Health
Volume	33
Issue number	1
Pages (from-to)	23-26
Number of pages	4
ISSN	0265-539X
DOIs	https://doi.org/10.1922/CDH_3869Keller04
Publication status	Published - Mar 2016

Keywords

Cariostatic Agents
Child
Comprehensive Dental Care
DMF Index
Denmark
Dental Caries
Female
Fluorides
Fluorides, Topical
Follow-Up Studies
Humans
Male
Mouthwashes
Oral Hygiene
Prospective Studies
School Dentistry
Single-Blind Method
Social Class
Sodium Fluoride
Suburban Health Services
Treatment Outcome
Comparative Study
Journal Article
Randomized Controlled Trial

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10.1922/CDH_3869Keller04

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title = "Fluoride varnish or fluoride mouth rinse?: A comparative study of two school-based programs",

abstract = "OBJECTIVE: In many Danish communities, school-based fluoride programs are offered to children with high caries risk in adjunct to tooth brushing. The purpose of this field trial was to compare the caries-preventive effectiveness of two different fluoride programs in 6-12 year olds.BASIC RESEARCH DESIGN: Clinical controlled trial.CLINICAL SETTING: The 2-year study was conducted in Public Dental Clinics in a multicultural low-socioeconomic suburban area of Odense, Denmark with an elevated prevalence of caries compared to the city average.PARTICIPANTS: 1,018 children (aged 6-12 years) from 9 different schools were enrolled after informed consent and their class unit was randomly allocated to one of two fluoride programs.INTERVENTIONS: One group received a semi-annual fluoride varnish applications (FV) and the other group continued with an existing program with fluoride mouth rinses once per week (FMR). All children received oral hygiene instructions and comprehensive dental care at the local Public Dental Clinics throughout the study period.MAIN OUTCOME MEASURES: Increment of caries lesions in permanent teeth at both cavitated and initial caries levels.RESULTS: The groups were balanced at baseline. After two years, 961 children (94.4%) were reexamined. The FV group showed a mean DMFS increment of 0.36 compared to 0.41 in the FMR group. The corresponding values for initial caries lesions were 0.83 and 0.91 respectively.CONCLUSION: There were no statistically significant differences in caries development over two years among children participating in a school-based fluoride varnish or mouth rinse program.",

keywords = "Cariostatic Agents, Child, Comprehensive Dental Care, DMF Index, Denmark, Dental Caries, Female, Fluorides, Fluorides, Topical, Follow-Up Studies, Humans, Male, Mouthwashes, Oral Hygiene, Prospective Studies, School Dentistry, Single-Blind Method, Social Class, Sodium Fluoride, Suburban Health Services, Treatment Outcome, Comparative Study, Journal Article, Randomized Controlled Trial",

author = "Keller, {M K} and BJ Klausen and S Twetman",

year = "2016",

month = mar,

doi = "10.1922/CDH_3869Keller04",

language = "English",

volume = "33",

pages = "23--26",

journal = "Community Dental Health",

issn = "0265-539X",

publisher = "F D I World Dental Press Ltd.",

number = "1",

}

TY - JOUR

T1 - Fluoride varnish or fluoride mouth rinse?

T2 - A comparative study of two school-based programs

AU - Keller, M K

AU - Klausen, BJ

AU - Twetman, S

PY - 2016/3

Y1 - 2016/3

N2 - OBJECTIVE: In many Danish communities, school-based fluoride programs are offered to children with high caries risk in adjunct to tooth brushing. The purpose of this field trial was to compare the caries-preventive effectiveness of two different fluoride programs in 6-12 year olds.BASIC RESEARCH DESIGN: Clinical controlled trial.CLINICAL SETTING: The 2-year study was conducted in Public Dental Clinics in a multicultural low-socioeconomic suburban area of Odense, Denmark with an elevated prevalence of caries compared to the city average.PARTICIPANTS: 1,018 children (aged 6-12 years) from 9 different schools were enrolled after informed consent and their class unit was randomly allocated to one of two fluoride programs.INTERVENTIONS: One group received a semi-annual fluoride varnish applications (FV) and the other group continued with an existing program with fluoride mouth rinses once per week (FMR). All children received oral hygiene instructions and comprehensive dental care at the local Public Dental Clinics throughout the study period.MAIN OUTCOME MEASURES: Increment of caries lesions in permanent teeth at both cavitated and initial caries levels.RESULTS: The groups were balanced at baseline. After two years, 961 children (94.4%) were reexamined. The FV group showed a mean DMFS increment of 0.36 compared to 0.41 in the FMR group. The corresponding values for initial caries lesions were 0.83 and 0.91 respectively.CONCLUSION: There were no statistically significant differences in caries development over two years among children participating in a school-based fluoride varnish or mouth rinse program.

AB - OBJECTIVE: In many Danish communities, school-based fluoride programs are offered to children with high caries risk in adjunct to tooth brushing. The purpose of this field trial was to compare the caries-preventive effectiveness of two different fluoride programs in 6-12 year olds.BASIC RESEARCH DESIGN: Clinical controlled trial.CLINICAL SETTING: The 2-year study was conducted in Public Dental Clinics in a multicultural low-socioeconomic suburban area of Odense, Denmark with an elevated prevalence of caries compared to the city average.PARTICIPANTS: 1,018 children (aged 6-12 years) from 9 different schools were enrolled after informed consent and their class unit was randomly allocated to one of two fluoride programs.INTERVENTIONS: One group received a semi-annual fluoride varnish applications (FV) and the other group continued with an existing program with fluoride mouth rinses once per week (FMR). All children received oral hygiene instructions and comprehensive dental care at the local Public Dental Clinics throughout the study period.MAIN OUTCOME MEASURES: Increment of caries lesions in permanent teeth at both cavitated and initial caries levels.RESULTS: The groups were balanced at baseline. After two years, 961 children (94.4%) were reexamined. The FV group showed a mean DMFS increment of 0.36 compared to 0.41 in the FMR group. The corresponding values for initial caries lesions were 0.83 and 0.91 respectively.CONCLUSION: There were no statistically significant differences in caries development over two years among children participating in a school-based fluoride varnish or mouth rinse program.

KW - Cariostatic Agents

KW - Child

KW - Comprehensive Dental Care

KW - DMF Index

KW - Denmark

KW - Dental Caries

KW - Female

KW - Fluorides

KW - Fluorides, Topical

KW - Follow-Up Studies

KW - Humans

KW - Male

KW - Mouthwashes

KW - Oral Hygiene

KW - Prospective Studies

KW - School Dentistry

KW - Single-Blind Method

KW - Social Class

KW - Sodium Fluoride

KW - Suburban Health Services

KW - Treatment Outcome

KW - Comparative Study

KW - Journal Article

KW - Randomized Controlled Trial

U2 - 10.1922/CDH_3869Keller04

DO - 10.1922/CDH_3869Keller04

M3 - Journal article

C2 - 27149769

SN - 0265-539X

VL - 33

SP - 23

EP - 26

JO - Community Dental Health

JF - Community Dental Health

IS - 1

ER -

Fluoride varnish or fluoride mouth rinse? A comparative study of two school-based programs

Abstract

Keywords

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