Focus on fluorides: update on the use of fluoride for the prevention of dental caries.
Focus on fluorides: update on the use of fluoride for the prevention of dental caries.
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DOI：
10.1016/j.jebdp.2014.02.004
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发表时间：
2014-06
期刊：
影响因子：
--
通讯作者：
Carey CM
中科院分区：
文献类型：
--
作者：
Carey CM
声明性标题：提高氟化物治疗的有效性可减少龋齿并降低氟化物暴露。氟化物被全身或局部递送到牙齿以帮助预防龋齿。来自摄入来源的全身性氟化物存在于血清中，并且只能沉积在儿童正在形成的牙齿中。局部氟化物来自社区水、加工食品、饮料、牙膏、漱口水、凝胶、泡沫和清漆等来源。美国疾病控制和预防中心（CDC）和美国牙科协会（ADA）已提议改变其长期以来对社区饮用水中氟化物含量的建议，以应对儿童氟斑牙发病率增加的担忧。目前的研究集中在发展战略，以提高氟化物的功效。本次更新的目的是向读者通报与使用氟化物预防龋齿相关的新研究和政策。目前的研究和最近的证据为基础的系统评价的主题氟化物的审查。讨论的主题包括：社区水氟化研究和政策的更新;牙膏中的可用氟化物;氟化物清漆的组成、使用和建议;以及其他含氟牙科产品。本更新提供了对当前研究的见解，并讨论了使用氟化物预防龋齿的政策变化。牙科专业正在根据目前对晕轮效应和后续结果的观察调整他们对氟化物使用的建议。研究界的重点是提高氟化物治疗的疗效，从而减少龋齿和降低疗效所需的氟化物量。
Declarative Title: Improving the efficacy of fluoride therapies reduces dental caries and lowers fluoride exposure. Fluoride is delivered to the teeth systemically or topically to aid in the prevention of dental caries. Systemic fluoride from ingested sources is in blood serum and can be deposited only in teeth that are forming in children. Topical fluoride is from sources such as community water, processed foods, beverages, toothpastes, mouthrinses, gels, foams, and varnishes. The United States Centers for Disease Control and Prevention (CDC) and the American Dental Association (ADA) have proposed changes in their long standing recommendations for the amount of fluoride in community drinking water in response to concerns about an increasing incidence of dental fluorosis in children. Current research is focused on the development of strategies to improve fluoride efficacy. The purpose of this update is to inform the reader about new research and policies related to the use of fluoride for the prevention of dental caries. Reviews of the current research and recent evidence based systematic reviews on the topics of fluoride are presented. Topics discussed include: updates on community water fluoridation research and policies; available fluoride in dentifrices; fluoride varnish compositions, use, and recommendations; and other fluoride containing dental products. This update provides insights into current research and discusses proposed policy changes for the use of fluoride for the prevention of dental caries. The dental profession is adjusting their recommendations for fluoride use based on current observations of the halo effect and subsequent outcomes. The research community is focused on improving the efficacy of fluoride therapies thus reducing dental caries and lowering the amount of fluoride required for efficacy.