Recommendations on topical fluoride usage for caries management in East Asia

Zheng, Faith Miaomiao and Adiatman, Melissa and Chu, Chun Hung and Crystal, Yasmi O. and Featherstone, John D. and Hoang, Trong Hung and Kim, Baek Il and Ogawa, Hiroshi and Pitiphat, Waranuch and Abdul Kadir, Rahimah and Wong, Mun Loke and Zheng, Shuguo (2024) Recommendations on topical fluoride usage for caries management in East Asia. International Dental Journal, 74 (5). pp. 910-916. ISSN 0020-6539, DOI https://doi.org/10.1016/j.identj.2024.04.016.

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Abstract

Dental caries is a widespread oral health issue in Asia, affecting an estimated 30% to 90% of children and adults. Many caries cases remain untreated, resulting in pain and infection. In response, the Asian Academy of Preventive Dentistry (AAPD) emphasises comprehensive caries management and organised a fluoride workshop at the 15th International Conference of the AAPD in 2023. The AAPD invited a group of experts to form a fluoride working group to review existing literature and develop fluoride recommendations for stakeholders across Asian countries and regions. The working group assessed caries risk and identified commonly used topical fluoride products for home care, professional, and community settings in Asia. The working group concluded that fluoride is a safe and highly effective strategy to reduce caries prevalence and incidence. The working group provided key recommendations based on successful regional caries management practices: (1) use topical fluoride for prevention and control of dental caries; (2) encourage the use of fluoride toothpaste with a concentration of at least 1,000 ppm for effective caries reduction; (3) advise a 0.05% fluoride mouth rinse as soon as children can spit it out to prevent early childhood caries; (4) deliver professionally administered fluoride, such as 5% sodium fluoride varnish, 2% fluoride gel, or 1.23% acidulated phosphate fluoride preparations, to decrease dental caries in at-risk individuals; and (5) apply 38% silver diamine fluoride to arrest cavitated caries. These recommendations aim to help practitioners, health care providers, and parents/caregivers make informed decisions about fluoride use as part of comprehensive oral health care in the region. (c) 2024 The Authors. Published by Elsevier Inc. on behalf of FDI World Dental Federation. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/)

Item Type: Article
Funders: Asian Academy of Preventive Dentistry
Uncontrolled Keywords: Caries; Fluoride; Topical fluoride; Caries risk; Oral health
Subjects: R Medicine > RK Dentistry
Divisions: Deputy Vice Chancellor (Academic & International) Office
Depositing User: Ms. Juhaida Abd Rahim
Date Deposited: 22 Oct 2025 03:28
Last Modified: 22 Oct 2025 03:28
URI: http://eprints.um.edu.my/id/eprint/46472

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