Systematic review of studies comparing the anti-caries efficacy of children's toothpaste containing 600 ppm of fluoride or less with high fluoride toothpastes of 1,000 ppm or above.
OBJECTIVE
To determine the clinical effectiveness of low fluoride (F) toothpastes, containing 600 ppm or less, with toothpaste containing 1,000 ppm or more fluoride in preventing dental caries.


METHODS
Systematic review of randomised controlled trials comparing low fluoride toothpastes containing 600 ppm F or less with toothpastes containing 1,000 ppm or more in children or adults.


RESULTS
Seven randomised controlled trials were included. These were categorised into two groups depending on the fluoride concentration in the low fluoride group (250 and 500 ppm) and analysed separately. 250 PPM: Results of the meta-analysis were statistically significant (p = 0.002 and 0.0005) and in favour of the control group (1,000 ppm). DFS increments in the 250-ppm group were 0.6-0.7 greater than the 1,000-ppm group. 500 PPM: Only two studies were in this category, and one of them failed to present the baseline caries levels, so a meta-analysis was not carried out.


CONCLUSIONS
250 ppm fluoride dentifrice was not as effective in caries prevention in permanent dentition as dentifrice containing 1,000 ppm F or more. More studies have to be carried out to test the anticaries efficacy of 500 against 1,000 ppm and above.
Ammari
A B
AB
Department of Paediatric Dentistry, Eastman Dental Institute for Oral Health Care Sciences, University College London, London, UK.
Bloch-Zupan
A
A
Ashley
P F
PF
D000293:Adolescent; D000328:Adult; D002327:Cariostatic Agents / Q000008:administration & dosage*; D002648:Child; D002675:Child, Preschool; D004245:DMF Index; D003731:Dental Caries / Q000517:prevention & control*; D005260:Female; D005459:Fluorides / Q000008:administration & dosage*; D006801:Humans; D008297:Male; D016032:Randomized Controlled Trials as Topic; D012680:Sensitivity and Specificity; D014100:Toothpastes / Q000627:therapeutic use*; D016896:Treatment Outcome
D002327:Cariostatic Agents; D014100:Toothpastes; D005459:Fluorides