The role of fluoride mouthrinses in the control of dental caries: a brief review

Department of Pediatric Dentistry
Resident’s Name: Murphy Program: Lutheran Medical Center - Providence
Article title: The role of fluoride mouthrinses in the control of dental caries: a brief review
Author(s): Adair DDS MS, Steven
Journal: AAPD
Year. Volume (number). Page #’s: 1998. 20-2. 101-104
Major topic: Mouthrinses effectiveness and it’s varied use
Overview of method of research: Review of studies

Findings: Fluoride mouth rinses (FMR) have been found to be efficacious as a means of controlling caries incidence. In 1996, the CDC developed the Fluoride Work Group. The purpose of this group was to review the mechanism of fluoride action, he modes of delivery, and the risks of fluorosis.
Low potency/high frequency regimens assessed the use o .05% NaF(230ppm Fl) or .44% APF, while high potency/low frequency protocols tested weekly or bi weekly use of .2% NaF(900ppm). Early studies in Scandinavia listed reductions in caries as high as 80%.
In the 70’s, 75000 kids in the US and Guam used the weekly regimen was followed and had a 34% reduction in caries incidence. The studies showed that Fl was most effective on smooth surfaces, on newly erupted teeth, and worked better on permanent teeth than primary teeth. In adults, FMR can reduce root caries, help remineralization, and prevent demin.
Unfortunately, aside from school base programs, only 10% of kids use some kind of FMR(remember this study is 12 years old)

Key points/Summary:
1. School based programs should only be used in a community with a population caries rate high enough to warrant a cost effective outcome.
2. Providers should only consider recommending FMR (.05% NaF) for individuals who are at a high risk.
3. Only kids who can spit should be using FMR
4. Alcohol free FMR are best.
5. More research is needed to further investigate FMR and their effectiveness

Assessment of Article: Good info. Good info to give parents.