Cover

Toothpastes

Editor(s): van Loveren C. (Amsterdam) 
Table of Contents
Vol. 23, 2013
Section title:  
van Loveren C (ed): Toothpastes. Monogr Oral Sci. Basel, Karger, 2013, vol 23, pp 140-153
(DOI:10.1159/000350480)

After-Brush Rinsing Protocols, Frequency of Toothpaste Use: Fluoride and Other Active Ingredients

Parnell C. · O'Mullane D.
Oral Health Services Research Centre, Cork, Ireland

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Abstract

The intra-oral retention or substantivity of active ingredients in toothpastes is important for their effectiveness, and this is influenced by product-related and user-related factors. Product-related factors include the formulation and the compatibility of active and other agents in the toothpaste and the concentration of the active ingredient. User-related factors include biological aspects such as salivary flow and salivary clearance, and behavioural aspects, such as frequency and duration of brushing, amount of toothpaste used and post-brushing rinsing behaviour. To date, product-related factors have dominated the research agenda for toothpastes, but user-related factors have the potential to significantly enhance or reduce the effectiveness of toothpaste. In this chapter, we will focus on two of the user-related factors that have been most widely studied: (1) frequency of toothbrushing and (2) post-brushing rinsing behaviour. We will then provide an overview of how evidence on these two behaviours has been used to produce guidance both for the profession and for the public, and make suggestions for the future direction of research in this area.



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References

  1. Marinho V, Higgins J, Logan S, Sheiham A: Fluoride toothpastes for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2003;CD002278.
  2. Twetman S, Axelsson S, Dahlgren H, Holm AK, Källestål C, Lagerlöf F, Lingström P, Mejàre I, Nordenram G, Norlund A, et al: Caries-preventive effect of fluoride toothpaste: a systematic review. Acta Odontol Scand 2003;61:347-355.
  3. Walsh T, Worthington HV, Glenny AM, Appelbe P, Marinho VC, Shi X: Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2010;CD007868.
  4. Gunsolley JC: A meta-analysis of six-month studies of antiplaque and antigingivitis agents. J Am Dent Assoc 2006;137:1649-1657.

    External Resources

  5. Poulsen S, Errboe M, Lescay Mevil Y, Glenny AM: Potassium containing toothpastes for dentine hypersensitivity. Cochrane Database Syst Rev 2006;CD001476.
  6. Duckworth RM, Morgan SN: Oral fluoride retention after use of fluoride dentifrices. Caries Res 1991;25:123-129.
  7. Cummins D: Mechanisms of action of clinically proven anti-plaque agents; in Embery C, Rølla G (eds): Clinical and Biological Aspects of Dentifrices. Oxford, Oxford Medical Publications, 1992.
  8. Marsh P: Contemporary perspective on plaque control. Br Dent J 2012;212:601-606.
  9. Davies R, Scully C, Preston AJ: Dentifrices - an update. Med Oral Patol Oral Cir Bucal 2010;15:e976-e982.
  10. Duckworth RM, Morgan SN, Burchell CK: Fluoride in plaque following use of dentifrices containing sodium monofluorophosphate. J Dent Res 1989;68:130-133.
  11. Zero DT, Raubertas RF, Fu J, Pedersen AM, Hayes AL, Featherstone JD: Fluoride concentrations in plaque, whole saliva, and ductal saliva after application of home-use topical fluorides. J Dent Res 1992;71:1768-1775, erratum in J Dent Res 1993;72:87.
  12. Nordstrom A, Birkhed D: Fluoride retention in proximal plaque and saliva using two NaF dentifrices containing 5,000 and 1,450 ppm F with and without water rinsing. Caries Res 2009;43:64-69.
  13. Global Industry Analysts Inc (GIA): Global Toothpaste Market to Reach US$12.6 Billion by 2015, according to New Report by Global Industry Analysts, Inc. 2010. http://www.prweb.com/pdfdownload/4661914.pdf; accessed on 20/08/2012.
  14. Department of Health and British Association for the Study of Community Dentistry (BASCD): Delivering Better Oral Health - an evidence-based toolkit for prevention. 2009. http://www.oralhealthplatform.eu/resource/other-resources; accessed on 17/04/2013.
  15. Irish Oral Health Services Guideline Initiative: Strategies to prevent dental caries in children and adolescents: evidence-based guidance on identifying high caries risk children and developing preventive strategies for high caries risk children in Ireland. 2009. http://ohsrc.ucc.ie/html/guidelines.html; accessed on 04/09/2012.
  16. European Academy of Paediatric Dentistry: Guidelines on the use of fluoride in children: an EAPD policy document. Eur Arch Paediatr Dent 2009;10:129-135.

    External Resources

  17. Dos Santos AP, Nadanovsky P, de Oliveira BH: Inconsistencies in recommendations on oral hygiene practices for children by professional dental and paediatric organisations in ten countries. Int J Paediatr Dent 2011;21:223-231.
  18. Currie C, Zanotti C, Morgan A, Currie D, de Looze M, Roberts C, Samdal O, Smith ORF, Barnekow V: Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: international report from the 2009/2010 survey vol (Health Policy for Children and Adolescents, No 6). Copenhagen, WHO Regional Office for Europe, 2012.
  19. Hugoson A, Koch G, Göthberg C, Helkimo AN, Lundin SA, Norderyd O, Sjödin B, Sondell K: Oral Health of individuals aged 3-80 years in Jönköping, Sweden during 30 years (1973-2003). 1. Review of findings on dental care habits and knowledge of oral health. Swed Dent J 2005;29:125-138.

    External Resources

  20. Chadwick B, White D, Lader D, Pitts N: Preventive behaviour and risks to oral health - a report from the Adult Dental Health Survey 2009, 2011. http://data.gov.uk/dataset/adult_dental_health_survey/resource/bbc274d2-d24c-4e22-a2cc-1a6e4478fe92; accessed on 17/04/2013.
  21. Christensen LB, Petersen PE, Krustrup U, Kjøller M: Self-reported oral hygiene practices among adults in Denmark. Community Dent Health 2003;20:229-235.

    External Resources

  22. Tseveenjav B, Suominen AL, Hausen H, Vehkalahti MM: The role of sugar, xylitol, toothbrushing frequency, and use of fluoride toothpaste in maintenance of adults' dental health: findings from the Finnish National Health 2000 Survey. Eur J Oral Sci 2011;119:40-47.
  23. Whelton H, Crowley E, O'Mullane D, Woods N, Mc Grath C, Kelleher V, Guiney H, Byrtek M: Oral Health of Irish Adults, 2000-2002, 2007. http://www.dohc.ie/publications/pdf/oral_health02.pdf; accessed on 17/04/2013.
  24. Nordstrom A, Birkhed D: Effect of a third application of toothpastes (1,450 and 5,000 ppm F), including a ‘massage' method on fluoride retention and pH drop in plaque. Acta Odontol Scand 2013;71:50-56.
  25. Fischman SL: Hare's teeth to fluorides, historical aspects of dentifrice use; in Embery C, Rølla G (eds): Clinical and Biological Aspects of Dentifrices. Oxford, Oxford Medical Publications, 1992.
  26. Albertsson KW, van Dijken JW: Awareness of toothbrushing and dentifrice habits in regularly dental care receiving adults. Swed Dent J 2010;34:71-78.

    External Resources

  27. van Loveren C, Ketley CE, Cochran JA, Duckworth RM, O'Mullane DM: Fluoride ingestion from toothpaste: fluoride recovered from the toothbrush, the expectorate and the after-brush rinses. Community Dent Oral Epidemiol 2004;32(suppl 1):54-61.
  28. McGrady MG, Ellwood RP, Maguire A, Goodwin M, Boothman N, Pretty IA: The association between social deprivation and the prevalence and severity of dental caries and fluorosis in populations with and without water fluoridation. BMC Public Health 2012;12:1122.
  29. Jensen O, Gabre P, Skold UM, Birkhed D: Is the use of fluoride toothpaste optimal? Knowledge, attitudes and behaviour concerning fluoride toothpaste and toothbrushing in different age groups in Sweden. Community Dent Oral Epidemiol 2012;40:175-184.
  30. Zero DT, Raubertas RF, Pedersen AM, Fu J, Hayes AL, Featherstone JD: Studies of fluoride retention by oral soft tissues after the application of home-use topical fluorides. J Dent Res 1992;71:1546-1552.
  31. Zero DT, Fu J, Espeland MA, Featherstone JD: Comparison of fluoride concentrations in unstimulated whole saliva following the use of a fluoride dentifrice and a fluoride rinse. J Dent Res 1988;67:1257-1262.
  32. Collins W, Weetman D, Stephen K, Smalls M: Salivary F- concentrations following toothbrushing (abstract). Caries Res 1984;18:155.
  33. Attin T, Hellwig E: Salivary fluoride content after toothbrushing with a sodium fluoride and an amine fluoride dentifrice followed by different mouthrinsing procedures. J Clin Dent 1996;7:6-8.

    External Resources

  34. Issa AI, Toumba KJ: Oral fluoride retention in saliva following toothbrushing with child and adult dentifrices with and without water rinsing. Caries Res 2004;38:15-19.
  35. Zamataro CB, Tenuta LM, Cury JA: Low-fluoride dentifrice and the effect of postbrushing rinsing on fluoride availability in saliva. Eur Arch Paediatr Dent 2008;9:90-93.
  36. Duckworth RM, Knoop DT, Stephen KW: Effect of mouthrinsing after toothbrushing with a fluoride dentifrice on human salivary fluoride levels. Caries Res 1991;25:287-291.
  37. Sjögren K, Birkhed D: Effect of various post-brushing activities on salivary fluoride concentration after toothbrushing with a sodium fluoride dentifrice. Caries Res 1994;28:127-131.
  38. Sjögren K, Melin NH: The influence of rinsing routines on fluoride retention after toothbrushing. Gerodontology 2001;18:15-20.
  39. Chesters RK, Huntington E, Burchell CK, Stephen KW: Effect of oral care habits on caries in adolescents. Caries Res 1992;26:299-304.
  40. O'Mullane DM, Kavanagh D, Ellwood RP, Chesters RK, Schafer F, Huntington E, Jones PR: A three-year clinical trial of a combination of trimetaphosphate and sodium fluoride in silica toothpastes. J Dent Res 1997;76:1776-1781.
  41. Chestnutt IG, Schafer F, Jacobson AP, Stephen KW: The influence of toothbrushing frequency and post-brushing rinsing on caries experience in a caries clinical trial. Community Dent Oral Epidemiol 1998;26:406-411.
  42. Ashley PF, Attrill DC, Ellwood RP, Worthington HV, Davies RM: Toothbrushing habits and caries experience. Caries Res 1999;33:401-402.
  43. Machiulskiene V, Richards A, Nyvad B, Baelum V: Prospective study of the effect of post-brushing rinsing behaviour on dental caries. Caries Res 2002;36:301-307.
  44. Sjögren K, Birkhed D, Rangmar B: Effect of a modified toothpaste technique on approximal caries in preschool children. Caries Res 1995;29:435-441.
  45. Sonbul H, Birkhed D: The preventive effect of a modified fluoride toothpaste technique on approximal caries in adults with high caries prevalence. A 2-year clinical trial. Swed Dent J 2010;34:9-16.

    External Resources

  46. Sonbul H, Merdad K, Birkhed D: The effect of a modified fluoride toothpaste technique on buccal enamel caries in adults with high caries prevalence: a 2-year clinical trial. Community Dent Health 2011;28:292-296.

    External Resources

  47. Al Mulla AH, Kharsa SA, Birkhed D: Modified fluoride toothpaste technique reduces caries in orthodontic patients: a longitudinal, randomized clinical trial. Am J Orthod Dentofacial Orthop 2010;138:285-291.
  48. Särner B, Sundin E, Abdulrahman S, Birkhed D, Lingstrom P: Use of different mouthrinses in an adult Swedish population. Swed Dent J 2012;36:53-60.

    External Resources

  49. Duckworth RM, Maguire A, Omid N, Steen IN, McCracken GI, Zohoori FV: Effect of rinsing with mouthwashes after brushing with a fluoridated toothpaste on salivary fluoride concentration. Caries Res 2009;43:391-396.
  50. Mystikos C, Yoshino T, Ramberg P, Birkhed D: Effect of post-brushing mouthrinse solutions on salivary fluoride retention. Swed Dent J 2011;35:17-24.

    External Resources

  51. Marinho VCC, Higgins JPT, Sheiham A, Logan S: Combinations of topical fluoride (toothpastes, mouthrinses, gels, varnishes) versus single topical fluoride for preventing dental caries in children and adolescents. Cochrane Database Syst Rev 2004;CD002781.
  52. Twetman S, Petersson L, Axelsson S, Dahlgren H, Holm AK, Kallestal C, Lagerlof F, Lingstrom P, Mejare I, Nordenram G, et al: Caries preventive effect of sodium fluoride mouthrinses: a systematic review of controlled clinical trials. Acta Odontol Scand 2004;62:223-230.
  53. Barkvoll P, Rølla G, Svendsen K: Interaction between chlorhexidine digluconate and sodium lauryl sulfate in vivo. J Clin Periodontol 1989;16:593-595.
  54. Sheen S, Eisenburger M, Addy M: Effect of toothpaste on the plaque inhibitory properties of a cetylpyridinium chloride mouth rinse. J Clin Periodontol 2003;30:255-260.
  55. Owens J, Addy M, Faulkner J, Lockwood C, Adair R: A short-term clinical study design to investigate the chemical plaque inhibitory properties of mouthrinses when used as adjuncts to toothpastes: applied to chlorhexidine. J Clin Periodontol 1997;24:732-737.
  56. Van Strydonck DA, Scale S, Timmerman MF, van der Velden U, van der Weijden GA: Influence of a SLS-containing dentifrice on the anti-plaque efficacy of a chlorhexidine mouthrinse. J Clin Periodontol 2004;31:219-222.
  57. Van Strydonck DA, Timmerman MF, Van der Velden U, Van der Weijden GA: Chlorhexidine mouthrinse in combination with an SLS-containing dentifrice and a dentifrice slurry. J Clin Periodontol 2006;33:340-344.
  58. Kolahi J, Soolari A: Rinsing with chlorhexidine gluconate solution after brushing and flossing teeth: a systematic review of effectiveness. Quintessence Int 2006;37:605-612.

    External Resources

  59. Temmerman A, Dekeyser C, Declerck D, Quirynen M: Dentifrices: évaluation sur base de littérature actuelle. Rev Belge Med Dent 2010;65:60-86.

    External Resources

  60. Field MJ, Lohr KN (eds): Clinical Practice Guidelines: Directions for a New Program. Washington, National Academy Press, 1990.
  61. Scottish Dental Clinical Effectiveness Programme: Prevention and management of dental caries in children: dental clinical guidance. 2010. http://www.sdcep.org.uk/index.aspx?o=2332; accessed on 17/04/2013.
  62. American Academy of Pediatric Dentistry: Guideline on fluoride therapy. Pediatr Dent 2009;32:143-146.

    External Resources

  63. New Zealand Guidelines Group: Guidelines for the Use of Fluorides. Wellington, New Zealand Ministry for Health, 2009.
  64. Australian Research Centre for Population Oral Health: The use of fluorides in Australia: guidelines. Aust Dent J 2006;51:195-199.
  65. Scottish Intercollegiate Guidelines Network (SIGN): Prevention and Management of Dental Decay in the Preschool Child. 2005. http://www.sign.ac.uk/guidelines/fulltext/83/index.html; accessed on 17/04/2013.
  66. Scottish Intercollegiate Guidelines Network (SIGN): Preventing Dental Caries in Children at High Caries Risk. Targeted prevention of dental caries in the permanent teeth of 6-16 year olds presenting for dental care (SIGN 47). 2000. http://www.sign.ac.uk/guidelines/fulltext/47/index.html; accessed on 17/04/2013.
  67. Zero DT, Marinho VC, Phantumvanit P: Effective use of self-care fluoride administration in Asia. Adv Dent Res 2012;24:16-21.
  68. Pitts N, Duckworth RM, Marsh P, Mutti B, Parnell C, Zero D: Post-brushing rinsing for the control of dental caries: exploration of the available evidence to establish what advice we should give our patients. Br Dent J 2012;212:315-320.
  69. National Board of Health and Welfare (Socialstyrelsen) Sweden: National guidelines for adult dental care in 2011: Scientific basis 2011. http://www.socialstyrelsen.se/tandvardsriktlinjer/sokiriktlinjerna; accessed on 03/07/2012.
  70. Threlfall AG, Milsom KM, Hunt CM, Tickle M, Blinkhorn AS: Exploring the content of the advice provided by general dental practitioners to help prevent caries in young children. Br Dent J 2007;202:E9, discussion 148-149.
  71. Sjögren K, Birkhed D, Ruben J, Arends J: Effect of post-brushing water rinsing on caries-like lesions at approximal and buccal sites. Caries Res 1995;29:337-342.
  72. Marmot M, Allen J, Goldblatt P, Boyce T, McNeish D, Grady M, Geddes I: Fair Society, Healthy Lives: The Marmot review. Strategic review of health inequalities in England, post 2010. London, Global Health Equity Group, 2010.
  73. Kobayashi S, Kishi H, Yoshihara A, Horii K, Tsutsui A, Himeno T, Horowitz AM: Treatment and post-treatment effects of fluoride mouthrinsing after 17 years. J Public Health Dent 1995;55:229-233.


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