Fluoride Oral Retention After Professional Topical Application in Children With Caries Activity: Effect of the Immediate Water Consumption

Authors: Lopes, Mariana de Figueiredo1; Braga, Juliana de Kássia Silva2; de Oliveira, Ana Emília Figueiredo3; Cavalcante, Paulo Roberto Saraiva4; Ribeiro, Cecilia Cláudia Costa5

Source: Journal of Dentistry for Children, Volume 75, Number 2, May-August 2008 , pp. 121-124(4)

Publisher: American Academy of Pediatric Dentistry

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Abstract:

Purpose: Since there is no agreement about the time patients must refrain from drinking or eating after a professional application of acidulated phosphate fluoride (APF), the purpose of this study was to evaluate the effect of water consumption on fluoride in saliva.

Methods: This blind randomized crossover in vivo study involved children who received a professional APF gel application followed by either drinking a glass of water (experimental group) or without rinsing, drinking, or eating (control group) for 2 hours. The nonstimulated saliva was collected at 0, 5, 15, 30, 60, and 120 minutes following the professional APF application. After a 7-day washout period, the control and treatment groups were switched.

Results: There was a statistically significant difference in the fluoride retention between groups in the times 0 to 5 minutes (P<.05).

Conclusions: The data suggest that the recommendation of asking patients to refrain from drinking water for 30 minutes following the professional APF application is excessive and can be reduced to 15 minutes.

Keywords: TOPICAL FLUORIDE; PREVENTION AND CONTROL; SALIVA; ACIDULATED PHOSPHATE FLUORIDE; RANDOMIZED CONTROLLED TRIAL

Document Type: Research article

Affiliations: 1: Professor of Restorative Dentistry and Dental Materials, Faculty of Dentistry, Federal University of Maranhão, São Luís, Brazil 2: Faculty of Dentistry of Piracicaba, Piracicaba, Brazil 3: Professor of Radiology, Faculty of Dentistry, Federal University of Maranhão, São Luís, Brazil 4: Professor of Biology, Department of Oceanography and Limnology, Federal University of Maranhão, São Luís, Brazil 5: Professor of Pediatric Dentistry, Faculty of Dentistry, Federal University of Maranhão, São Luís, Brazil

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