Øivind Ekman Jensen

Effect of Daily Rinsing with Stannous Fluoride on Plaque and Gingivitis: Final Report

Two groups of children, ages 12 to 15, rinsed daily for 28 mo with aqueous fluoride solutions, one group using 0.05% sodium fluoride (NaF) and the other group using 0.1% stannous fluoride (SnF2). The SnF2 group had less plaque accumulation after four mo, but no difference was apparent at 16 and 28 mo. Gingivitis was less severe in the SnF2 group throughout the study, although the difference did not reach statistical significance. The 0.1% SnF2 solution, used daily as a mouthrinse, inhibits plaque formation, although this inhibitory effect is not apparent after 16 mo of rinsing.

Use and quality of bitewing films in private dental offices

Patient records (387) were obtained from twenty-five dentists in private practice in Rochester, New York. The number and types of radiographs taken at each recall examination in the most recent 10-year period were recorded. Bitewing radiographs were taken at 50.5% of the recalls with size 2 film used most frequently (83.7%). The average recall interval was 8.4 months overall and 18.0 months for bitewing recalls. Of all proximal surfaces available on the bitewing films, 68.2% were judged adequately separated for diagnostic purposes. For individual surfaces, the highest percentages were recorded for the mesial surface of the maxillary second premolar (89.9%) in the permanent dentition and for the distal surface of the mandibular second molar (83.7%) in the deciduous dentition. Taking four bitewing films instead of two improved the percentage of adequately separated proximal surfaces at a given recall by 2% to 25%. The percentage of unreadable proximal surfaces caused by overlapping or distortion on the bitewing radiographs, when excluding the canines, ranged from 6.3% to 39.5% in the permanent dentition and from 12.5% to 24.9% in the deciduous dentition.

The Effect of Daily Mouthrinsing with Stannous Fluoride on Dental Plaque and Gingivitis — Four-month Results

This clinical trial of a daily 0.1% SnF2 mouthrinse involved over 400 children, from 12 to 15 years of age. With 0.05% NaF as the active control, rinsing was conducted daily for four mo after baseline examinations. Four-month examinations showed significantly lower Plaque Index scores for the SnF2 group. Gingival Index scores for the SnF2 group were lower, but the difference did not reach statistical significance.

Dental Caries and Staining after Twenty-eight Months of Rinsing with Stannous Fluoride or Sodium Fluoride

The aim of this study was to compare the effects of daily mouthrinsing with aqueous solutions of 0.05% NaF or 0.1% SnF2 on dental caries and tooth staining. The study population consisted of 437 children, aged from 12 to 15 years at baseline, residing in a non-fluoridated community. By stratified random sampling, the subjects were divided into two groups, one group rinsing daily under supervision for 28 months with the NaF solution and the other with the SnF2 solution. The SnF2 group exhibited four to five times as much extrinsic stain as did the NaF group, although the stains were quite mild and not explicitly distinguishable between groups. There were no statistically significant differences between the two groups in terms of total DMFS. However, the increment of pit and fissure caries was 0.9 surfaces fewer for the SnF2 group (p = 0.04), while the increment of smooth surface caries was 0.6 surfaces fewer for the NaF group (p = 0.04). These data suggest that there may be a difference in mechanism of action between SnF2 and NaF rinses.

In vitro assessment of marginal leakage of six enamel sealants

The findings of this study support previous data on marginal leakage using enamel sealants in vitro. All sealants tested except Epoxylite 9075 were described for this study. However, all in vitro studies have limitations, and the ultimate evaluation of sealant behaviour must be based on in vivo experimentation.

Bitewing radiographs and dentists' treatment decisions

A study involving twenty-one general dentists in private practice in Rochester, New York, was performed to assess the relationship between radiographic evidence of caries and restorative intervention in permanent teeth. Seven thousand three hundred thirty-eight bitewing radiographs taken of 387 patients over the most recent 10-year period were obtained and independently examined by six Eastman Dental Center faculty members as to presence of restorations and caries status of nonrestored proximal surfaces. Patients 20 years of age and younger had significantly lower mean maximum caries penetration scores before restorative treatment when compared to older patients. For all age groups, the mean maximum caries penetration scores indicated that, on the average, restorative treatment was initiated before there were radiographic changes in dentin. There were no differences among the dentists in the study regarding the mean elapsed time between radiographic caries diagnosis and restorative treatment. The random distribution and low number of apparent caries reversals, and the subsequent restoration of 25% of these teeth, suggested that the dentists in this study did not employ systematic remineralization strategies for their patients.