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The role of fluoride dentifrices in a national strategy for the oral health of children.

The Department of Health's recent publication 'An Oral Health Strategy for England' proposes a number of targets for improving the oral health of children by the year 2003. It recognises that the prevalence and severity of dental caries have decreased considerably in England over the last 25 years but, water fluoridation apart, it suggests no specific measures to ensure that this improvement continues. There is evidence to suggest that in many regions this will not be sufficient, and that in the medium term a more coordinated approach involving government, the profession and commerce is required.

Adolescent↗

Evaluation of anti-calculus efficacy. An SEM method of evaluating the effectiveness of pyrophosphate dentifrice on calculus formation.

A double-blind, cross-over study was carried out to assess the anti-calculus effectiveness of a pyrophosphate containing cleaning gel. 2 groups of 30 heavy calculus formers were followed up comparing conventional clinical scoring systems (Volpe-Manhold-Index and Marginal-Line-Calculus-Index) and micromorphologic SEM criteria of calculus formation and inhibition. The results indicated that after a 3-month period, there was a significant reduction of calculus formation compared to a placebo gel. The proposed SEM calculus index (SEMCI) objectively reflects the reduction of supragingival calculus formation.

Adult↗

A 3-year clinical trial into the effect of fluoride content and toothpaste abrasivity on the caries inhibitory properties of a dentifrice.

The effect of reducing the abrasivity of toothpaste on dental caries was observed in a 3-year clinical trial involving 1106 11-13-year-old Berkshire schoolchildren were divided into three groups; Group 1 were allocated a low abrasivity paste containing 0.8% sodium monofluorophosphate, Group 2 a paste of conventional abrasivity also containing 0.8% sodium monofluorophosphate and Group 3 a low abrasivity non-fluoride paste. After 3 years the net DMFS increments (clinical and radiographic scores combined) were 4.22 in Group 1, 4.72 in Group 2 and 6.43 in Group 3. The differences between Groups 1 and 3 and between Groups 2 and 3 were highly significant (P less than 0.001). The mean increment in Group 1 was lower than in Group 2 but did not reach statistical significance. Reducing the abrasivity of the toothpaste had no meaningful effect on the standard of oral hygiene and prevalence of gingivitis as measured by the Gingival and Plaque Indices.

Adolescent↗