Clinical management and prevention of dental caries in athletes: A four-year randomized controlled clinical trial
The aims of this four-year randomized controlled clinical trial were to gain insights into management and prevention of dental caries and the effect of stannous fluoride products in athletes. Fifty-four participants were randomized into test and control groups. The test group used special stannous f...
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description | The aims of this four-year randomized controlled clinical trial were to gain insights into management and prevention of dental caries and the effect of stannous fluoride products in athletes. Fifty-four participants were randomized into test and control groups. The test group used special stannous fluoride products. The primary endpoint dental caries was assessed by the ICDAS-II-System and analyzed both by a linear mixed model for repeated measures and a generalized linear mixed model. During the observation period an increase in caries-free surfaces from 64.91 ± 6.42 at baseline to 73.22 ± 4.43 was observed. In surfaces with caries superficialis and caries media, a decrease from 13.94 ± 5.70 and 2.96 ± 2.55 surfaces at baseline to 7.89 ± 3.18 and 0.46 ± 0.78 after 2.5 years was noted, respectively. The analysis showed no effect of stannous fluoride products, but a significant difference for the time of examination (p |
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Fifty-four participants were randomized into test and control groups. The test group used special stannous fluoride products. The primary endpoint dental caries was assessed by the ICDAS-II-System and analyzed both by a linear mixed model for repeated measures and a generalized linear mixed model. During the observation period an increase in caries-free surfaces from 64.91 ± 6.42 at baseline to 73.22 ± 4.43 was observed. In surfaces with caries superficialis and caries media, a decrease from 13.94 ± 5.70 and 2.96 ± 2.55 surfaces at baseline to 7.89 ± 3.18 and 0.46 ± 0.78 after 2.5 years was noted, respectively. The analysis showed no effect of stannous fluoride products, but a significant difference for the time of examination (p < 0.0001). In addition, it could be shown that at any time of examination, the odds of developing caries media on a new surface was significantly lower than at baseline (up to 25-times). Due to biannual dental examinations, professional tooth cleaning and restorative treatment the number of caries-free surfaces increased and the odds of a new surface to be afflicted with caries media decreased 25-fold.</description><identifier>ISSN: 2045-2322</identifier><identifier>EISSN: 2045-2322</identifier><identifier>DOI: 10.1038/s41598-018-34777-x</identifier><identifier>PMID: 30451891</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>692/700/3032/3127 ; 692/700/3032/3150 ; Adult ; Athletes ; Clinical trials ; Dental Care ; Dental caries ; Dental Caries - prevention & control ; Dental Caries - therapy ; Female ; Fluoridation ; Fluorides ; Free surfaces ; Humanities and Social Sciences ; Humans ; Male ; Middle Aged ; multidisciplinary ; Prevention ; Science ; Science (multidisciplinary) ; Sports ; Stannous fluoride ; Teeth ; Young Adult</subject><ispartof>Scientific reports, 2018-11, Vol.8 (1), p.16991-10, Article 16991</ispartof><rights>The Author(s) 2018</rights><rights>2018. 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Fifty-four participants were randomized into test and control groups. The test group used special stannous fluoride products. The primary endpoint dental caries was assessed by the ICDAS-II-System and analyzed both by a linear mixed model for repeated measures and a generalized linear mixed model. During the observation period an increase in caries-free surfaces from 64.91 ± 6.42 at baseline to 73.22 ± 4.43 was observed. In surfaces with caries superficialis and caries media, a decrease from 13.94 ± 5.70 and 2.96 ± 2.55 surfaces at baseline to 7.89 ± 3.18 and 0.46 ± 0.78 after 2.5 years was noted, respectively. The analysis showed no effect of stannous fluoride products, but a significant difference for the time of examination (p < 0.0001). In addition, it could be shown that at any time of examination, the odds of developing caries media on a new surface was significantly lower than at baseline (up to 25-times). Due to biannual dental examinations, professional tooth cleaning and restorative treatment the number of caries-free surfaces increased and the odds of a new surface to be afflicted with caries media decreased 25-fold.</description><subject>692/700/3032/3127</subject><subject>692/700/3032/3150</subject><subject>Adult</subject><subject>Athletes</subject><subject>Clinical trials</subject><subject>Dental Care</subject><subject>Dental caries</subject><subject>Dental Caries - prevention & control</subject><subject>Dental Caries - therapy</subject><subject>Female</subject><subject>Fluoridation</subject><subject>Fluorides</subject><subject>Free surfaces</subject><subject>Humanities and Social Sciences</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>multidisciplinary</subject><subject>Prevention</subject><subject>Science</subject><subject>Science (multidisciplinary)</subject><subject>Sports</subject><subject>Stannous fluoride</subject><subject>Teeth</subject><subject>Young Adult</subject><issn>2045-2322</issn><issn>2045-2322</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kU1vFSEUhonR2Kb2D7gwJG7cjPI1zODCpLnxK2nipnvCwOGWhoFbmNu0_nq5TlurC9nwJuc57-HwIvSakveU8PFDFbRXY0fo2HExDEN3-wwdMyL6jnHGnj_RR-i01ivSTs-UoOolOuKtRkdFj9H1JoYUrIl4NslsYYa0YJMc3hW4aTrkhLPHrsnGWFMCVBwSNstlhAXqR3yGfd6X7g5MwaV15jn8BIdtTkvJMR7kw4ilBBNfoRfexAqn9_cJuvjy-WLzrTv_8fX75uy8sz1jSye4snxy0wREDt74yXmjJCVWMmK94LInYpRGGudAytGLnjgyDNYxGBRx_AR9Wm13-2kGZ9sCxUS9K2E25U5nE_TflRQu9TbfaMkEU3xsBu_uDUq-3kNd9ByqhRhNgryvmlHeSz6q8YC-_Qe9al-S2nYrxSSlB4qtlC251gL-8TGU6EOmes1Ut0z170z1bWt683SNx5aHBBvAV6C2UtpC-TP7P7a_AAB1r90</recordid><startdate>20181119</startdate><enddate>20181119</enddate><creator>Frese, C.</creator><creator>Wohlrab, T.</creator><creator>Sheng, L.</creator><creator>Kieser, M.</creator><creator>Krisam, J.</creator><creator>Frese, F.</creator><creator>Wolff, D.</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88A</scope><scope>88E</scope><scope>88I</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7P</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0001-9875-9290</orcidid></search><sort><creationdate>20181119</creationdate><title>Clinical management and prevention of dental caries in athletes: A four-year randomized controlled clinical trial</title><author>Frese, C. ; 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Fifty-four participants were randomized into test and control groups. The test group used special stannous fluoride products. The primary endpoint dental caries was assessed by the ICDAS-II-System and analyzed both by a linear mixed model for repeated measures and a generalized linear mixed model. During the observation period an increase in caries-free surfaces from 64.91 ± 6.42 at baseline to 73.22 ± 4.43 was observed. In surfaces with caries superficialis and caries media, a decrease from 13.94 ± 5.70 and 2.96 ± 2.55 surfaces at baseline to 7.89 ± 3.18 and 0.46 ± 0.78 after 2.5 years was noted, respectively. The analysis showed no effect of stannous fluoride products, but a significant difference for the time of examination (p < 0.0001). In addition, it could be shown that at any time of examination, the odds of developing caries media on a new surface was significantly lower than at baseline (up to 25-times). Due to biannual dental examinations, professional tooth cleaning and restorative treatment the number of caries-free surfaces increased and the odds of a new surface to be afflicted with caries media decreased 25-fold.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>30451891</pmid><doi>10.1038/s41598-018-34777-x</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0001-9875-9290</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | 692/700/3032/3127 692/700/3032/3150 Adult Athletes Clinical trials Dental Care Dental caries Dental Caries - prevention & control Dental Caries - therapy Female Fluoridation Fluorides Free surfaces Humanities and Social Sciences Humans Male Middle Aged multidisciplinary Prevention Science Science (multidisciplinary) Sports Stannous fluoride Teeth Young Adult |
title | Clinical management and prevention of dental caries in athletes: A four-year randomized controlled clinical trial |
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