ORAL HEALTH EVIDENCE-BASED PRACTICE PROGRAM
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Title The daily use of a fluoridated mouth rinse may reduce the demineralizing effects of xerostomia caused by age in geriatric patients’ teeth
Clinical Question In a geriatric patient where xerostomia caused by age may be a factor, will an oral mouth rinse containing fluoride decrease caries compared to no treatment?
Clinical Bottom Line The daily use of a fluoridated mouth rinse may reduce the demineralizing effects of xerostomia caused by age in geriatric patients’ teeth. (See Comments on the CAT below)
Best Evidence (you may view more info by clicking on the PubMed ID link)
PubMed ID Author / Year Patient Group Study type
(level of evidence)
#1) 8371190Wallace/1993Dentate non-institutionalized adults aged 60 years or older with at least 15 remaining teeth residing in a fluoridated areaRandomized controlled trial
Key results466 Patients were split into 3 groups. Group A received only a placebo mouth rinse, group B received semiannual fluoride treatment (1.2%), and group C rinsed with ACT fluoride mouth rinse once daily. After 48 months the DMFS of the 3 groups were compared and group B had a significantly lower DMFS compared to group A. Group C’s DMFS was slightly lower than group B’s. The incremental DMFS were: A = 0.91, B = 0.27, C = 0.26.
Evidence Search "Tooth Remineralization"[Mesh] AND "Mouthwashes"[Mesh] AND "Fluorides"[Mesh]
Comments on
The Evidence
Good study design. Systematic review would provide a greater perspective on this topic.
Applicability Dentate elderly adults
Specialty/Discipline (General Dentistry)
Keywords Aged, fluorides, remineralization, demineralization, mouthwash
ID# 528
Date of submission: 01/26/2010spacer
E-mail riggsc@livemail.uthscsa.edu
Author Michael Davis
Co-author(s) Chad Riggs
Co-author(s) e-mail
Faculty mentor/Co-author Mary Norma Partida, DDS, MPH
Faculty mentor/Co-author e-mail PARTIDAM@uthscsa.edu
Basic Science Rationale
(Mechanisms that may account for and/or explain the clinical question, i.e. is the answer to the clinical question consistent with basic biological, physical and/or behavioral science principles, laws and research?)
post a rationale
None available
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Comments on the CAT
(FOR PRACTICING DENTISTS' and/or FACULTY COMMENTS ON PUBLISHED CATs)
post a comment
by Nadijah Tamimi (San Antonio, TX) on 04/09/2012
I conducted a PubMed search on this topic April 2012 and found a more recent publication: PubMed: 15513419. This systematic review of RCTs states that further clinical trials are needed to determine the effect of fluoride mouth rinses in older adults.
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