Fluoride varnish as a preventive treatment of primary teeth: A systematic review

José Orellana-Centeno; Roxana Guerrero Sotelo; Verónica Morales Castillo; Mauricio Orellana Centeno

doi:10.17126/joralres.2024.026

José Orellana-Centeno Universidad de la Sierra Sur, Instituto de Investigación Sobre la Salud Pública, Oaxaca, México.|Especialidad en bioética, Unidad Académica de Filosofía de la Universidad Autónoma de Zacatecas, México. http://orcid.org/0000-0002-9518-7319
Roxana Guerrero Sotelo Universidad de la Sierra Sur, Instituto de Investigación Sobre la Salud Pública, Oaxaca, México http://orcid.org/0000-0002-4503-7478
Verónica Morales Castillo Instituto Mexicano del Seguro Social HGZ No. 7, Departamento de Medicina Familiar, Rioverde, S.L.P., México. http://orcid.org/0000-0003-4767-5032
Mauricio Orellana Centeno Universidad Cuauhtémoc Plantel San Luis Potosí, Facultad de Odontología, San Luis Potosí, S.L.P., México http://orcid.org/0000-0003-3374-9766

DOI: https://doi.org/10.17126/joralres.2024.026

Keywords: Systematic review, Disease prevention, Dentistry, Fluoride treatment, Topical fluorides, Varnish

Abstract

Objetive: To identify fluoride varnish as a preventive treatment for primary teeth in patients according to the evidence in the literature.
Materials and Methods: Literature review in the scientific literature, in the following databases: PUBMED (19), BVS (25), BBO Odontología (21). The descriptors selected in Spanish were: “fluor”, “barniz”, “odontología”. Combined in the following search strategy: Spanish: [“fluor” AND “barniz” AND “odontología”]. PICO and SPIDER methodology was used.
Results: 65 articles were found by selecting by title and abstract. After a thorough reading only 23 articles met the inclusion criteria of being a clinical trial, longitudinal study (quasi-experimental or cohort), duplicate articles and 13 that were not directly related to the topic were not excluded. The final sample totaled seven articles for the systematic review.
Conclusions: Fluoride varnish is a material for preventive use in dentistry that has a wide and successful application in the treatment of the population at all ages and with diverse application in its use.

References

Peres MA, Macpherson LMD, Weyant RJ, Daly B, Venturelli R, Mathur MR, Listl S, Celeste RK, Guarnizo-Herreño CC, Kearns C, Benzian H, Allison P, Watt RG. Oral diseases: a global public health challenge. Lancet. 2019; 394(10194): 249-260. https://doi.org/10.1016/S0140-6736(19)31146-8. Erratum in: Lancet. 2019; 394(10203): 1010. PMID: 31327369.

de Sousa FS, Dos Santos AP, Nadanovsky P, Hujoel P, Cunha-Cruz J, de Oliveira BH. Fluoride Varnish and Dental Caries in Preschoolers: A Systematic Review and Meta-Analysis. Caries Res. 2019; 53(5): 502–13.

Díaz Mayta AA, Sernaque Calderon K, Roque Gallardo NA, Martínez Cadillo EE, Mattos-Vela MA. Streptococcus dentisani, una promesa de probiótico bucal. Revisión de literatura. Rev. Soc. cient. Parag. 2023; 28(1): 156-168. https://doi.org/10.32480/rscp.2023.28.1.156

Jadad AR, Moore RA, Carroll D, et al. Assessing the quality of reports of randomized clinical trials: is blinding necessary? Control Clin Trials 1996; 17: 1–12.

Salazar PD, Nakouzi MJ. Clinical evaluation fluoride varnish in the management of dentin hypersensitivity. Int. J. Odontostomat. 2017; 11(1): 41-46.

Pariona Minaya MC, Villavicencio Caparó E, Buzalaf Marilia AR, Villena Sarmiento R. Evaluación de fluoruro residual en saliva despues de la aplicación de barnices fluorados al 2.26%: estúdio comparativo. Rev. Fac. de Odon. UBA 2016; 31(71): 43-50.

Brailsford SR, Fiske J, Gilbert S, Clark D, Beighton D. The effects of the combination of chlorhexidine/thymol- and fluoride-containing varnishes on the severity of root caries lesions in frail institutionalised elderly people. J Dent. 2002; 30(7-8): 319-24. https://doi.org/10.1016/s0300-5712(02)00045-3. PMID: 12554113.

Johnson G, Almqvist H. Non-invasive management of superficial root caries lesions in disabled and infirm patients. Gerodontology 2003; 20(1): 9-14. https://doi.org/10.1111/j.1741-2358.2003.00009.x. PMID: 12926746.

Flamee S, Gizani S, Caroni C, Papagiannoulis L, Twetman S. Effect of a chlorhexidine/thymol and a fluoride varnish on caries development in erupting permanent molars: a comparative study. Eur Arch Paediatr Dent. 2015; 16(6): 449-54. https://doi.org/10.1007/s40368-015-0192-x. Epub 2015 Jun, PMID: 26059497.

Stecksén-Blicks C, Renfors G, Oscarson ND, Bergstrand F, Twetman S. Caries-preventive effectiveness of a fluoride varnish: a randomized controlled trial in adolescents with fixed orthodontic appliances. Caries Res. 2007;41(6):455-9. https://doi.org/10.1159/000107932. Epub 2007 Sep 7. PMID: 17827963.

Turska-Szybka A, Gozdowski D, Twetman S, Olczak-Kowalczyk D. Clinical Effect of Two Fluoride Varnishes in Caries-Active Preschool Children: A Randomized Controlled Trial. Caries Res. 2021; 55(2): 137-143. https://doi.org/10.1159/000514168. Epub 2021 Mar 11. PMID: 33706305.

Aparna S, Setty S, Thakur S. Comparative efficacy of two treatment modalities for dentinal hypersensitivity: a clinical trial. Indian J Dent Res. 2010 Oct-Dec;21(4):544-8. https://doi.org/10.4103/0970-9290.74213. PMID: 21187622.

Cancado Figueiredo M, Kalil Bussadori S , Mota Lara J, Cardoso Guedes C, Zambrano O. Barniz de fluoruro y clorhexidina en el control de la caries dental: Presentación de un protocolo. Ciencia Odontológica. 2007;4(2):115-121.