アブストラクト(34巻1号:神奈川歯学)

神奈川歯学

Japanese

Title : ホームケア用フッ化物製剤のう蝕予防性について -起床時唾液中フッ素濃度からの検討-
Subtitle : 原著
Authors : 下井戸さよ, 飯塚喜一
Authors(kana) :
Organization : 神奈川歯科大学口腔衛生学教室
Journal : 神奈川歯学
Volume : 34
Number : 1
Page : 43-60
Year/Month : 1999 / 3
Article : 原著
Publisher : 神奈川歯科大学学会
Abstract : 「はじめに」 フッ化物(以下"F"とする)がう蝕予防に優れた効果をもたらすものとして利用されはじめてから半世紀以上が経過した. 現在に至るまでに, 他の先進諸外国では水道水へのF添加などの全身応用から, F配合歯磨剤などの局所応用まで, 様々な形で利用され続け, 劇的なう蝕減少効果をあげている. それに対してわが国では, 緩やかなう蝕の減少傾向はあるものの, 国際比較に広く用いられている12歳児のDMFTは3.64本と, 他の先進国に比べて依然として高い有病状況にある. また, WHOが西暦2000年までの歯科保健目標として掲げている『12歳児のDMFTを3本以下にする』についても, このままでは目標の達成は難しいのではないかと予想される. さらに近年では, 日本人の平均寿命の延びにより急速に高齢化社会に突入しており, 根面う蝕などの高齢者独特のう蝕に対して, その予防対策を講じる必要が生じてきている.
Practice : 歯科学
Keywords : フッ化物, 起床時唾液中フッ素濃度, ホームケア

English

Title : Caries Preventive Potentialities of Various Fluoride Products for Home-use -A Study through the Fluoride Concentration in Saliva at the Time of Rising in the Morning-
Subtitle :
Authors : Sayo SHIMOIDO, Yoshikazu Iizuka
Authors(kana) :
Organization : Department of Dental Health and Public Health, Kanagawa Dental College
Journal : Kanagawa Shigaku
Volume : 34
Number : 1
Page : 43-60
Year/Month : 1999 / 3
Article : Original article
Publisher : Kanagawa Odontological Society
Abstract : [Abstract] Among many dental products which are currently available in Japan for topical application of fluoride, only a part of them have guidelines for the use by professionals or for the fluoride mouth-rinsing as a measure of public health care. However, the majority of these products for home-use, which are easy to use as well as inexpensive, still do not have any established standard methods for their single usage or combination use methods. There are various preparations of fluoride products for home-use including dentifrices and mouth-rinsing agents with different fluoride concentrations. Although dentifrices are most widely used among these preparations, their directions for use are not definitely prescribed. Standardization of tooth brushing conditions such as the amount of dentifrice used and the frequency of rinsing after brushing may be necessary for oral health to derive the maximal benefit of the fluoride contained in dentifrice. In this study, we examined fluoride concentration in saliva at the time of rising in the morning to determine the optimal conditions of brushing with fluoride dentifrice and to evaluate the effectiveness of combination usage of dentifrice and a fluoride product for post-brushing including fluoride mouth-rinsing agents. Results of the present study are as follows : 1. Single use of ordinary fluoride dentifrice by adults 1) It is advisable that more than 0.5 g of dentifrice be used. 2) It is advisable that after toothbrushing, three kinds of mouth-rinsing conditions should be prescribed as follows : no more than twice, using less than 25 ml of water for less than 4 seconds each. 3) It is advisable that the duration of toothbrushing should be more than 3 minutes. 2. When using low-concentration fluoride dentifrice (100 ppmF) alone, effective fluoride levels in saliva could not be maintained until the next morning. 3. When a fluoride dentifrice and another fluoride product are used in combination, fluoride concentration in saliva were well maintained, and this usage can be recommended to those at high risk group of dental caries. 4. To those who are unable to use dentifrice, those who use extremely small amounts of dentifrice, and those who rinse the mouth too much, the use of fluoride mouth-rinsing or fluoride dentifrice for post-brushing is recommended after brushing with no dentifrice is performed as the first brushing. 5. As for weekly use of fluoride mouth-rinsing (900ppmF), which is adopted as school-based program, the carry-over effect helped to maintain fluoride concentration in saliva a few days after. However, the proper use of fluoride mouth-rinsing together with fluoride dentifrice for home-use is more desirable. 6. Spray-type dentifrice with a lower fluoride concentration is convenient for infants undergoing primary tooth eruption, but its usage needs further consideration to maintain fluoride concentration in saliva.
Practice : Dentistry
Keywords :