Prevention of root caries

A literature review of primary and secondary preventive agents

Rima Gluzman, Ralph Katz, Barbara J. Frey, Richard McGowan

Research output: Contribution to journalArticle

Abstract

Purpose This literature review summarizes the effectiveness of the seven leading root caries preventive agents and provides recommendations for use of those agents in clinical practice with older adults and vulnerable elderly. Method Studies were eligible if they assessed the effectiveness of either fluoride, chlorhexidine, xylitol, amorphous calcium phosphate, sealants, saliva stimulators, or silver diamine fluoride to prevent/control root caries in an English language articles between 1979 and 2010. Results In the 31 eligible studies, the most effective primary (1°) prevention agents had reductions in RC incidence ranging from 72% to nearly 200% as compared to a placebo while for secondary (2°) prevention, the best agents demonstrated arrest rates between 67 and 80%. Conclusion For 1° prevention of root caries the recommended "best choice" is a 38% Silver Diamine Fluoride solution professionally applied annually, while for the 2° prevention of root caries, the recommended "best choice" is a 22,500 ppm Sodium Fluoride varnish professionally applied every 3 months.

Original languageEnglish (US)
Pages (from-to)133-140
Number of pages8
JournalSpecial Care in Dentistry
Volume33
Issue number3
DOIs
StatePublished - May 2013

Fingerprint

Root Caries
Topical Fluorides
Xylitol
Sodium Fluoride
Chlorhexidine
Primary Prevention
Secondary Prevention
Fluorides
Saliva
Language
Placebos
Incidence

Keywords

  • elderly
  • literature review
  • oral health
  • prevention
  • root caries

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Prevention of root caries : A literature review of primary and secondary preventive agents. / Gluzman, Rima; Katz, Ralph; Frey, Barbara J.; McGowan, Richard.

In: Special Care in Dentistry, Vol. 33, No. 3, 05.2013, p. 133-140.

Research output: Contribution to journalArticle

Gluzman, Rima ; Katz, Ralph ; Frey, Barbara J. ; McGowan, Richard. / Prevention of root caries : A literature review of primary and secondary preventive agents. In: Special Care in Dentistry. 2013 ; Vol. 33, No. 3. pp. 133-140.
@article{902f851271ba4f75bfff1a0b9e3e5df7,
title = "Prevention of root caries: A literature review of primary and secondary preventive agents",
abstract = "Purpose This literature review summarizes the effectiveness of the seven leading root caries preventive agents and provides recommendations for use of those agents in clinical practice with older adults and vulnerable elderly. Method Studies were eligible if they assessed the effectiveness of either fluoride, chlorhexidine, xylitol, amorphous calcium phosphate, sealants, saliva stimulators, or silver diamine fluoride to prevent/control root caries in an English language articles between 1979 and 2010. Results In the 31 eligible studies, the most effective primary (1°) prevention agents had reductions in RC incidence ranging from 72{\%} to nearly 200{\%} as compared to a placebo while for secondary (2°) prevention, the best agents demonstrated arrest rates between 67 and 80{\%}. Conclusion For 1° prevention of root caries the recommended {"}best choice{"} is a 38{\%} Silver Diamine Fluoride solution professionally applied annually, while for the 2° prevention of root caries, the recommended {"}best choice{"} is a 22,500 ppm Sodium Fluoride varnish professionally applied every 3 months.",
keywords = "elderly, literature review, oral health, prevention, root caries",
author = "Rima Gluzman and Ralph Katz and Frey, {Barbara J.} and Richard McGowan",
year = "2013",
month = "5",
doi = "10.1111/j.1754-4505.2012.00318.x",
language = "English (US)",
volume = "33",
pages = "133--140",
journal = "Special Care in Dentistry",
issn = "0275-1879",
publisher = "Wiley-Blackwell",
number = "3",

}

TY - JOUR

T1 - Prevention of root caries

T2 - A literature review of primary and secondary preventive agents

AU - Gluzman, Rima

AU - Katz, Ralph

AU - Frey, Barbara J.

AU - McGowan, Richard

PY - 2013/5

Y1 - 2013/5

N2 - Purpose This literature review summarizes the effectiveness of the seven leading root caries preventive agents and provides recommendations for use of those agents in clinical practice with older adults and vulnerable elderly. Method Studies were eligible if they assessed the effectiveness of either fluoride, chlorhexidine, xylitol, amorphous calcium phosphate, sealants, saliva stimulators, or silver diamine fluoride to prevent/control root caries in an English language articles between 1979 and 2010. Results In the 31 eligible studies, the most effective primary (1°) prevention agents had reductions in RC incidence ranging from 72% to nearly 200% as compared to a placebo while for secondary (2°) prevention, the best agents demonstrated arrest rates between 67 and 80%. Conclusion For 1° prevention of root caries the recommended "best choice" is a 38% Silver Diamine Fluoride solution professionally applied annually, while for the 2° prevention of root caries, the recommended "best choice" is a 22,500 ppm Sodium Fluoride varnish professionally applied every 3 months.

AB - Purpose This literature review summarizes the effectiveness of the seven leading root caries preventive agents and provides recommendations for use of those agents in clinical practice with older adults and vulnerable elderly. Method Studies were eligible if they assessed the effectiveness of either fluoride, chlorhexidine, xylitol, amorphous calcium phosphate, sealants, saliva stimulators, or silver diamine fluoride to prevent/control root caries in an English language articles between 1979 and 2010. Results In the 31 eligible studies, the most effective primary (1°) prevention agents had reductions in RC incidence ranging from 72% to nearly 200% as compared to a placebo while for secondary (2°) prevention, the best agents demonstrated arrest rates between 67 and 80%. Conclusion For 1° prevention of root caries the recommended "best choice" is a 38% Silver Diamine Fluoride solution professionally applied annually, while for the 2° prevention of root caries, the recommended "best choice" is a 22,500 ppm Sodium Fluoride varnish professionally applied every 3 months.

KW - elderly

KW - literature review

KW - oral health

KW - prevention

KW - root caries

UR - http://www.scopus.com/inward/record.url?scp=84876512056&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84876512056&partnerID=8YFLogxK

U2 - 10.1111/j.1754-4505.2012.00318.x

DO - 10.1111/j.1754-4505.2012.00318.x

M3 - Article

VL - 33

SP - 133

EP - 140

JO - Special Care in Dentistry

JF - Special Care in Dentistry

SN - 0275-1879

IS - 3

ER -