Impact du fluor topique par dentifrice dans la prevention primaire de la carie dentaire chez l'enfant de moins de 6 ans PDF Download

Author: Esther Urban (Docteur en médecine).)
Publisher:
ISBN:
Category :
Languages : fr
Pages : 0

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CONTEXTE : La carie des dents temporaires non traitée est la maladie non transmissible infantile chronique la plus courante dans le monde et en France. Les inégalités territoriales d'accès aux soins dentaires, les disparités de moyens pour y accéder ainsi que le coût important pour la société font de la carie dentaire de l'enfant un vrai enjeu de santé publique. Pourtant, des moyens de prévention existent, notamment le recours au dentifrice fluoré. L'objectif de cette étude est de synthétiser les preuves sur l'impact du fluor topique par dentifrice dans la prévention primaire de la carie dentaire chez les enfants de moins de 6 ans. METHODE : Revue parapluie portant sur les enfants de moins 6 ans, exposés au dentifrice fluoré vs non exposés au fluor par dentifrice, avec pour critère de jugement l'augmentation moyenne du dmfs/ DMFS ou dmft/DMFT (PICO). RESULTATS : 4 revues systématiques ont été incluses sur les 910 identifiées. Il existe une différence statistiquement significative en faveur de l'utilisation des dentifrices fluorés de plus de 1000ppm, pour les 3 revues ayant effectué des méta-analyses, les comparant à un placebo ou l'absence d'intervention : PF groupé 30% IC à 95% (18 à 43%), DMS -0,24 IC à 95% (-0,36 à -0,13%), DM -1,86 IC à 95% (-2,52 à -1,21%). Bien que plus efficace que l'absence d'intervention ou un placebo, aucun des résultats portant sur les dentifrices de moins de 1000ppm de fluor n'est significatif. CONCLUSION : Le dentifrice au fluor est efficace chez les enfants de moins de 6 ans en prévention primaire de la carie dentaire. Une relation dose-réponse semble exister dans l'efficacité du dentifrice au fluor. Des études complémentaires sont nécessaires pour affirmer ce propos. Le médecin généraliste devrait être partie prenante de la prévention de la carie dentaire précoce par une information fiable et systématique auprès des parents et de leurs enfants, lors du suivi habituel pédiatrique.

Author: Michel Goldberg
Publisher: Springer
ISBN: 3319305522
Category : Medical
Languages : en
Pages : 240

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​This book thoroughly explains the biological background of dental caries and the formation of carious lesions, providing the reader with a sound basis for understanding the role and effectiveness of different therapeutic and preventive measures. Detailed information is presented on pathogenesis, ultrastructure, and diagnosis. All aspects of the carious process are covered, including development of the initial carious lesion limited to the enamel, evolution of the enamel carious lesion toward a dentin carious lesion, superficial and deep dentin lesions, and cervical erosions. Strategies for prevention and dental tissue regeneration are elaborated and both conventional therapies and minimally invasive and non-invasive treatment approaches are discussed. A separate section is devoted to dental fluorosis and the use of fluoridation and remineralisation agents. This scientifically focused and clinically relevant book, written by acknowledged experts in the field, will appeal to dentists seeking to extend their knowledge as well as to researchers, dental students, and other dental professionals.

Author: National Research Council
Publisher: National Academies Press
ISBN: 0309170435
Category : Nature
Languages : en
Pages : 241

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Having safe drinking water is important to all Americans. The Environmental Protection Agency's decision in the summer of 2001 to delay implementing a new, more stringent standard for the maximum allowable level for arsenic in drinking water generated a great deal of criticism and controversy. Ultimately at issue were newer data on arsenic beyond those that had been examined in a 1999 National Research Council report. EPA asked the National Research Council for an evaluation of the new data available. The committee's analyses and conclusions are presented in Arsenic in Drinking Water: 2001 Update. New epidemiological studies are critically evaluated, as are new experimental data that provide information on how and at what level arsenic in drinking water can lead to cancer. The report's findings are consistent with those of the 1999 report that found high risks of cancer at the previous federal standard of 50 parts per billion. In fact, the new report concludes that men and women who consume water containing 3 parts per billion of arsenic daily have about a 1 in 1,000 increased risk of developing bladder or lung cancer during their lifetime.

Author: Gerald G. Moy
Publisher: Springer
ISBN: 9781493939091
Category : Technology & Engineering
Languages : en
Pages : 0

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Unless a food is grossly contaminated, consumers are unable to detect through sight or smell the presence of low levels of toxic chemicals in their foods. Furthermore, the toxic effects of exposure to low levels of chemicals are often manifested slowly, sometimes for decades, as in the case of cancer or organ failure. As a result, safeguarding food from such hazards requires the constant monitoring of the food supply using sophisticated laboratory analysis. While the food industry bears the primary responsibility for assuring the safety of its products, the overall protection of people’s diets from chemical hazards must be considered one of the most important public health functions of any government. Unfortunately, many countries do not have sufficient capability and capacity to monitor the exposure of their populations to many potentially toxic chemicals that could be present in food and drinking water. Without such monitoring, public health authorities in many countries are not able to identify and respond to problems posed by toxic chemicals, which may harm their population and undermine consumer confidence in the safety of the food supply. From a trade perspective, those countries that cannot demonstrate that the food they produce is free of potentially hazardous chemicals will be greatly disadvantaged or even subject to sanctions in the international marketplace. The goal of a total diet study (TDS) is to provide basic information on the levels and trends of exposure to chemicals in foods as consumed by the population. In other words, foods are processed and prepared as typical for a country before they are analyzed in order to better represent actual dietary intakes. Total diet studies have been used to assess the safe use of agricultural chemicals (e.g., pesticides, antibiotics), food additives (e.g., preservatives, sweetening agents), environmental contaminants (e.g., lead, mercury, arsenic, cadmium, PCBs, dioxins), processing contaminants (e.g., acrylamide, polycyclic aromatic hydrocarbons, chloropropanols), and natural contaminants (e.g., aflatoxin, patulin, other mycotoxins) by determining whether dietary exposure to these chemicals are within acceptable limits. Total diet studies can also be applied to certain nutrients where the goal is to assure intakes are not only below safe upper limits, but also above levels deemed necessary to maintain good health. International and national organizations, such as the World Health Organization, the European Food Safety Agency and the US Food and Drug Administration recognize the TDS approach as one of the most cost-effective means of protecting consumers from chemicals in food, for providing essential information for managing food safety, including food standards, and for setting priorities for further investment and study. Total Diet Studies introduces the TDS concept to a wider audience and presents the various steps in the planning and implementation of a TDS. It illustrates how TDSs are being used to protect public health from chemicals in the food supply in many developed and developing countries. The book also examines some of the applications of TDSs to specific chemicals, including contaminants and nutrients.

Author: I. E. Barnes
Publisher:
ISBN:
Category : Dental caries
Languages : fr
Pages : 136

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Author: William H. Bowen
Publisher:
ISBN:
Category : Dental caries
Languages : en
Pages : 368

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It is universally agreed that there has been an enormous decline in the prevalence of dental caries in some segments of the community. This decline has, to a considerable degree, been attributed to the universal availability of fluoride, either in the public drinking water or through the use of fluoridated toothpastes. In many countries, water is not fluoridated, and clearly in such places, the decline is due to the prevalence of caries can be attributed to the use of fluoridated toothpastes.

Author: National Institutes of Health (U.S.)
Publisher:
ISBN:
Category : Dental caries
Languages : en
Pages : 4

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