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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) 8371190 | Wallace/1993 | Dentate non-institutionalized adults aged 60 years or older with at least 15 remaining teeth residing in a fluoridated area | Randomized controlled trial | | Key results | 466 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) (Dental Hygiene) |
| Keywords |
Aged, fluorides, remineralization, demineralization, mouthwash
|
| ID# |
528 |
| Date of submission: |
01/26/2010 |
| 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 | |
|
Comments and Evidence-Based Updates on the CAT
(FOR PRACTICING DENTISTS', FACULTY, RESIDENTS and/or STUDENTS 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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