Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

Is professionally applied fluoride effective in preventing or arresting caries in older adults?

Abstract

Design Systematic review of clinical trials.

Case selection Clinical trials with adults 60 years of age or older who professionally received fluoride therapy for caries prevention or arrest. Controls were adults of the same age group who received another professionally applied fluoride agent, placebo, or nothing.

Data analysis The expected outcomes were the mean difference in the number of new caries, caries prevented fraction and caries arrest rate. Independently, two researchers assessed the risk of bias in the included studies.

Results Seven studies met the selection criteria where 5% sodium fluoride varnish, 38% sodium diamine fluoride solution and 1.23% acidulated phosphate fluoride gel were used with root caries and coronal caries. Given the nature of the studies, the three agents were effective in preventing root caries in older adults. None of the agents were particularly superior to the others.

Conclusions Professionally applied fluoride is effective in preventing dental caries in older adults.

This is a preview of subscription content, access via your institution

Access options

Rent or buy this article

Get just this article for as long as you need it

$39.95

Prices may be subject to local taxes which are calculated during checkout

References

  1. Marinho V C C, Worthington H V, Walsh T, Chong L Y. Fluoride gels for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2015; DOI: 10.1002/14651858.CD002280.pub2.

  2. Marinho V C C, Worthington H V, Walsh T, Clarkson J E. Fluoride varnishes for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2013; DOI: 10.1002/14651858.CD002279.pub2.

  3. Gao S S, Zhang S, Mei M L, Lo E C-H, Chu C-H. Caries remineralisation and arresting effect in children by professionally applied fluoride treatment - a systematic review. BMC Oral Health 2016; 16: 12.

  4. Higgins J P T, Thomas J, Chandler J et al. Cochrane Handbook for Systematic Reviews of Interventions. Chichester: John Wiley & Sons, 2019.

Download references

Author information

Authors and Affiliations

Authors

Ethics declarations

The authors declare no conflicts of interest.

Rights and permissions

Reprints and Permissions

About this article

Verify currency and authenticity via CrossMark

Cite this article

Al-Ansari, A. Is professionally applied fluoride effective in preventing or arresting caries in older adults?. Evid Based Dent 23, 138–139 (2022). https://doi.org/10.1038/s41432-022-0841-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/s41432-022-0841-y

This article is cited by

Search

Quick links