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Health professionals' recommendations on the use of fluoride varnish for caries prevention in preschool children.
Couto, Flávia Macedo; de Sousa, Fernanda Santos de Oliveira; Vicente, Gabriela Cristina; Castro, Daniel Pereira de Faria; Nadanovsky, Paulo; Dos Santos, Ana Paula Pires; Barja-Fidalgo, Fernanda.
Afiliación
  • Couto FM; Department of Community and Preventive Dentistry, Faculty of Dentistry, Rio de Janeiro State University, Rio de Janeiro, Brazil.
  • de Sousa FSO; Department of Community and Preventive Dentistry, Faculty of Dentistry, Rio de Janeiro State University, Rio de Janeiro, Brazil.
  • Vicente GC; Department of Community and Preventive Dentistry, Faculty of Dentistry, Rio de Janeiro State University, Rio de Janeiro, Brazil.
  • Castro DPF; Department of Community and Preventive Dentistry, Faculty of Dentistry, Rio de Janeiro State University, Rio de Janeiro, Brazil.
  • Nadanovsky P; Department of Epidemiology, Institute of Social Medicine, Rio de Janeiro State University, Rio de Janeiro, Brazil.
  • Dos Santos APP; Department of Epidemiology, National School of Public Health, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil.
  • Barja-Fidalgo F; Department of Community and Preventive Dentistry, Faculty of Dentistry, Rio de Janeiro State University, Rio de Janeiro, Brazil.
Int J Paediatr Dent ; 34(1): 11-25, 2024 Jan.
Article en En | MEDLINE | ID: mdl-37101236
ABSTRACT

BACKGROUND:

Fluoride varnish (FV) is widely recommended for caries prevention in preschool children, despite its anticaries benefits being uncertain and modest. Dentists often report using clinical practice guidelines (CPGs) as a source of scientific information.

AIM:

To identify and analyze recommendations for clinical practice on the use of FV for caries prevention in preschool children and to assess the methodological quality of the CPG on this topic.

DESIGN:

Two researchers independently used 12 search strategies and searched the first five pages of Google Search™ and three guideline databases for recommendations freely available to health professionals on the use of FV for caries prevention in preschoolers. Then, they retrieved and recorded recommendations that met the eligibility criteria and extracted the data. A third researcher resolved disagreements. Each included CPG was appraised using the AGREE II instrument.

RESULTS:

Twenty-nine documents were included. Recommendations varied according to age, patients' caries risk, and application frequency. Of the six CPGs, only one scored above 70% in the AGREE II overall assessment.

CONCLUSION:

Recommendations on the use of FV lacked scientific evidence, and CPGs were of poor quality. Application of FV is widely recommended despite recent evidence showing an uncertain, modest, and possibly not clinically relevant anticaries benefit. Dentists should be aware that it is necessary to critically appraise CPGs since they may be of poor quality.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Caries Dental / Fluoruros Tipo de estudio: Guideline / Prognostic_studies Límite: Child, preschool / Humans Idioma: En Revista: Int J Paediatr Dent Asunto de la revista: ODONTOLOGIA / PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Caries Dental / Fluoruros Tipo de estudio: Guideline / Prognostic_studies Límite: Child, preschool / Humans Idioma: En Revista: Int J Paediatr Dent Asunto de la revista: ODONTOLOGIA / PEDIATRIA Año: 2024 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Reino Unido