IADR Abstract Archives

Effect of Dentifrice Usage Regimen on Oral Retention of Fluoride

Objectives: Fluoride’s anticaries efficacy from toothbrushing with dentifrice depends strongly on how, and how frequently, the dentifrice is used.  F- retained on oral surfaces and liberated into saliva post-brushing is an important efficacy predictor.  This study investigated the effect of brushing duration and dentifrice quantity used on oral retention of F- in vivo.  Further, it aimed to relate the results to the effects of rinsing regimen and dentifrice F- concentration, which have much better-characterised impact on anticaries efficacy.

Methods: Subjects brushed with a commercial dentifrice (Aquafresh Advanced, 1150ppm F- as NaF, silica base) or a control dentifrice (250ppm F, same base), for 45, 60, 120 and 180 sec with 0.5 or 1.5 g dentifrice, and rinsed with 15 mL water either 1x or 3x, in a full cross-over design.  Saliva samples were collected pre-brushing and over 120 min post-brushing, and their F- concentration determined (fluoride analysis of expectorate, rinse and toothbrush-washing samples will be reported elsewhere).  The log area under the saliva fluoride clearance curve between 30-120 min post-brushing was used as a surrogate measure of retained F-.

Results:

Treatment

Log10AUC30-120min

Std. deviation

1150ppm-45s-1.5g-1x15mL (n=38)

0.94

0.301

1150ppm-60s-1.5g-1x15mL (n=38)

0.95

0.324

1150ppm-120s-1.5g-1x15mL (n=40)

1.00

0.289

1150ppm-180s-1.5g-1x15mL (n=40)

1.00

0.296

1150ppm-45s-0.5g-1x15mL (n=41)

0.69

0.363

1150ppm-60s-0.5g-1x15mL (n=39)

0.69

0.316

1150ppm-120s-0.5g-1x15mL (n=40)

0.80

0.418

1150ppm-60s-1.5g-3x15mL (n=41)

0.86

0.295

250ppm-60s-1.5g-1x15mL (n=40)

0.53

0.315

Dentifrice quantity and brushing duration (at the lower dose only) significantly affected retained F-.  Over the ranges investigated, the numerical order of importance of the treatment variables was: F- concentration > dentifrice quantity > rinsing regimen > brushing duration (note no statistical comparisons between variables were performed).

Conclusions: Increasing brushing duration, and in particular dentifrice quantity, can elevate fluoride retention in the oral cavity post-brushing.  Evidence is accumulating that the importance of these variables to fluoride efficacy may have been underestimated.

Pan European Region Meeting
2012 Pan European Region Meeting (Helisinki, Finland)
Helisinki, Finland
2012
26
Scientific Groups
  • Creeth, Jonathan  ( GlaxoSmithKline Consumer Healthcare, Weybridge-Surrey, N/A, United Kingdom )
  • Kelly, Sue  ( Indiana University School of Dentistry, Indianapolis, IN, USA )
  • Mau, Melissa  ( Indiana University School of Dentistry, Indianapolis, IN, USA )
  • Karwal, Ritu  ( GlaxoSmithKline Consumer Healthcare, Weybridge-Surrey, N/A, United Kingdom )
  • North, Mairead  ( GlaxoSmithKline Consumer Healthcare, Weybridge-Surrey, N/A, United Kingdom )
  • Bosma, Marylynn  ( GlaxoSmithKline Consumer Healthcare, Weybridge-Surrey, N/A, United Kingdom )
  • Zero, Domenick T.  ( Indiana University School of Dentistry, Indianapolis, IN, USA )
  • Oral Session
    Cariology Research
    09/12/2012