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Effect of prior tooth cleaning on biannual professional acidulated phosphate fluoride topical fluoride gel tray treatments results after 3 years

, : Effect of prior tooth cleaning on biannual professional acidulated phosphate fluoride topical fluoride gel tray treatments results after 3 years. Caries Research 18(5): 457-464

Need for professional prophylaxis prior to an acidulated phosphate fluoride (APF) topical fluoride gel-tray application was assessed by comparing 3 yr caries increments in 3 groups of school children. The children were initially 10-14 yr old and resided in a fluoride-deficient community (F .ltoreq. 0.1 ppm). All received biannual APF topical fluoride gel-tray treatments performed in the children's schools by hygienist-assistant teams using portable equipment. Group I had a hygienist-administered prophylaxis with a fluoride-free prophylaxis paste prior to the fluoride treatment, and served as the positive control. Group II brushed and flossed their teeth under supervision, and group III had no toothcleaning prior to the topical fluoride treatment. Of 1453 children examined at baseline, 949 were available for the final examination. There were no statistically significant differences between the 3 yr DMFS [decayed, missing and filled surfaces] or DMFT [decayed, missing and filled teeth] increments of groups II and III compared to group I. A meticulous, professionally administered prophylaxis may not be necessary before patients are given a topical fluoride treatment.

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