Środki fluorkowe w zapobieganiu i leczeniu próchnicy i erozji zębów u dzieci, młodzieży i dorosłych – rekomendacje Polskich Ekspertów. Aktualizacja zaleceń: Indywidualna profilaktyka fluorkowa u dzieci, młodzieży – rekomendacje Polskich Ekspertów

Abstract

Introduction. Fluoride-containing agents have a wide range of uses that have dental maintenance in line with the principles of minimal dentistry. They are effective in reducing the risk and progression of caries and erosion of deciduous and permanent teeth, and these pathologies are non-invasive. The safety condition and the base point of the fluoride device is the knowledge of various methods and patterns in accordance with the principle of their application. The common setting of measures for the establishment of preventive measures is termed “fluoride prophylaxis”, although some of them do so far dictate the recognition of tooth decay. Aim. As part of the activities of the Working Group on Fluoride Prevention of the Polish Division of the Alliance for a Caries-Free Future (ACFF PL) and the Polish Society of Pediatric Dentistry (PTSD), experts in the field of pediatric dentistry, team dentistry and pediatrics were appointed to update consensus statement of Polish experts on individual caries prevention with fluoride in children, adolescents and adults in Poland. Material and methods. We reviewed the literature of the equilibrium at the service level on the provision of technical assistance in the field of work performance and their application to people in the system and by people in Poland. The analysis covers measures to complement fluoride safety measures and recommendations for fluoride prevention and scientific workshops in different countries around the world. The last version of the document discussed and approved by experts in the field of pediatric dentistry, conservative dentistry and paediatrics on April 4, 2019. The update is planned no later than 5 years after its publication. Results. The documents contain basic information on educational needs and educational profiles in the field of tooth decay and erosion in Poland, the mechanism of anti-caries effect of fluoride, protective devices and different individual methods as well as imposed measures regulating issues related to regulations and provisions regarding restrictions on the prevention of caries and erosion in regulations from age and the risk of these pathologies. Conclusions. The effectiveness of agents containing fluorine compounds in the prevention and treatment of tooth decay and erosion of teeth is not in doubt at present, and their use in accordance with the developed principles is safe for patients. Compared to using only fluoride toothpaste, the combination of fluoride toothpaste with another method increases the chance of reducing tooth decay: with fluoride varnish – 48%, with fluoride gel – 14%, with rinsed – 7%. In addition to proper diet and oral hygiene, the use of agents containing fluoride compounds remains the basic method of preventing tooth decay. Highly concentrated, acidic pH formulations containing polyvalent fluorine compounds are the most preferred for erosion prophylaxis. It is recommended to use toothpastes and mouthwashes that contain fluoride or tin chloride. The protective potential increases with long-term use of the tin fluoride toothpaste. An effective form of erosion prophylaxis is the daily application of an AmF / NaF gel containing 1.23% F at low pH and a gel containing tin (II) fluoride.