2018, Number 5
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Acta Pediatr Mex 2018; 39 (5)
Remineralization effect on incipient carious lesions of a sodium fluoride with tricalcium phosphate varnish
Juárez-López MLA, Adriano-Anaya MP, Molina-Frechero N, Murrieta- Pruneda F
Language: Spanish
References: 26
Page: 263-270
PDF size: 375.92 Kb.
ABSTRACT
Objective: To determine the preventive and remineralization effectiveness of carious
lesions with the topical application of a Sodium Fluoride varnish with Tricalcium
Phosphate.
Method: A clinical trial was conducted with 106 schoolchildren of 6 years enrolled in a
primary school in Mexico City for 12 months. Children were randomly assigned in two
groups: a) Sodium Fluoride with Calcium Trifosphate varnish every 4 months and dental
brushing fluoridated dentifrice; b) Only dental brushing with fluoridated dentifrice. All
the participants received brushing technique instructions. The caries indices by surface
in primary and permanent teeth were recorded: dmfs, DMFS and the preventive fraction
was calculated. In addition, the molars with incipient carious lesions were detected
using the International Caries Detection and Evaluation System. For the comparison of
the groups, student T, paired T, U of Mann Whitney and Wilconson tests were applied.
Results: The varnish group had a lower DMFS increment than the control group (p=
0.087). The protection fraction for the varnish was 36% for the permanent molars. Following
the incipient carious lesions, it was observed that 15% of the NaF-TPC varnish
group recovered compared to 0.4% of the control. (p = 0.001).
Conclusion: The application of NaF-TCP varnish every four months in a year showed
preventive benefits as well as to reverse and prevent the advance of incipient carious
lesions.
REFERENCES
Secretaría de Salud. Resultado del Sistema de Vigilancia Epidemiológica de Patologías Bucales. SIVEPAB 203. Dic 2014 disponible en http://www.spps.salud.gob.mx/ acceso 13 septiembre del 2016.
Henestroza G. Caries dental. Principios y procedimientos para el diagnóstico. Lima: Universidad Peruana Cayetano, 2007:37-38.
Marinho VC, Worthington HV, Walsh T, Clarkson JE. Fluoride varnishes for preventing dental caries in children and adolescents (Review). Cochrane Database of Syst Rev 2013, Issue 7: CD002279. Disponible en www. cochranelibrary.com
Carvalho DM, Salazar M, Oliveira BH, Coutinho ES. Fluoride varnishes and decrease in caries incidence in preschool children. A systematic review. Braz J Epidemiol. 2010;13:139-49.
Irigoyen M, Luengas M, Amador Y, Zepeda M A, Villanueva T, Sánchez L. Comparación de barnices y dentífrico con flúor en la prevención de caries en escolares. Rev de Salud Pública. 2015; 17(5):801-814.
Sánchez C. Desmineralización y remineralización. El proceso balance de la caries dental. Rev. ADM. 2010;67(1):30-32.
Secretaría de Salud. Subdirección de salud bucal. Centro Nacional de Programas Preventivos 2011.
Murrieta Pruneda F, Juárez López MLA. Índices epidemiológicos de morbilidad bucal en México. FES Zaragoza. UNAM 2006. ISBN 970-32-3340-6.
Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, et al. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental Caries. Community Dent Oral Epidemiol. 2007;35:170-8.
Clinpro™ White Varnish keeps getting better -now with TCP. Disponible en: http://multimedia.3m.com/mws/ media/654703O/clinpro-white-varnish-extra-protectionfolder. pdf?fn=Clinpro_White_Varnish_F.pdf
Gil F, Aguilar M, Canamás M, Ibañez P. Periodoncia para el higienista dental. Periodoncia y osteointegración. 2005;15(1):43-58.
Arruda AO, Senthamarai Kannan R, Inglehart MR, Rezende CT, Sohn W. Effect of 5% fluoride varnish application on caries among school children in rural Brazil a randomized controlled trial. Communnit Dental Oral Epidemiol 2011; 40:267-76.
Abanto JA, Bonecker M, Raggio DP. Impacto de los problemas bucales sobre la calidad de vida de los niños. Rev Estomat Herediana.2010;20(19):38-44.
Marinho VC, Higgins JP, Logan S, Sheiham A. Topical fluorides (toothpastes, mouth rinses, gels or varnishes) for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2003;4:1-164. disponible en http://www.cochranelibrary.com/
Featherstone JD, Domejean G. The role of remineralizing and anticaries management. Adv Dent Res. 2012;24(2):28-31.
Cury J, Andalo L. Enamel remineralization: controlling the caries disease or treating early caries lesions? Braz oral Res 2009;23(Spec Iss1):23-30.
Gao S, Zhang S, Mei M, Chin-man E, Chu Ch. Caries remineralization and arresting effect in children by professionally applied fluoride treatment -a systematic review. BMC Oral Health.2016;16-12. doi: 10.1186/s12903-016-0171-6
Rirattanapong P, Vongsavan K, Saengsirinavin C. Pornmahala T. Effect of fluoride varnishes containing different calcium phosphate sources on mineralization of initial primary enamel lesions. J Trop Med Public Health. 2014;45(6):1503-10.
Elkassas D, Arafa A. Remineralizing efficacy of different calcium- phosphate and fluoride-based delivery vehicles on artificial caries like enamel lesions. J Dent. 2014;42(4):466-74.
Urzúa I, Mocada G, Aranguiz V, Hoyos J,Cortes C, Ulloa MT. Efecto In vivo de la paliccaión de un barniz de flúor al 5% sobre la colonización de los S mutans en el esmalte. Revista de Operatoria Dental y Biomateriales. 2006;1(2):43-46.
Schemehorn BR, Wood GD, McHale W, Winston AE. Comparison of fluoride uptake into tooth enamel from two fluoride varnishes containing different calcium phosphate sources. J Clin Dent. 2011;22(2):51-4.
Memarpour M, Soltaneimer E, Saharahmedy N. Efficacy of calcium and fluoride containing materials for the remineralization of primary teeth with early enamel lesion. Microsc Res Tech. 2015;78(9): 801-6.
Mohd Said SN, Ekambaram M, Yiu CK. Effect of different fluoride varnishes on remineralization of artificial enamel carious lesions. Int J Paediatric Dent 2016;27(3):163-73.
Shen P, Bagheri R, Walker GD, Yuan Y, Stanton DP, Reynolds C, Reynolds EC. Effect of calcium phosphate addition to fluoride containing dental varnishes on enamel demineralization. Aust Dent J. 2016 Sep;61(3):357-65.
Pita S, Fernández P, Sánchez S. Relevancia del cepillado dental y caries. Aten Primaria. 2010;42(7):372-79.
Molina-Frechero N, Durán-Merino D, Castañeda-Castaneira E, Juárez-López MLA. La caries y su relación con la higiene oral en preescolares. Gac Med Mex. 2015;151:485-90.