A recent study in the Uk ( Evidence Based dentistry Vol13 issue 2 June 2012) showed that in a group of adolescents who were identified as having a high risk for dental decay, that the use of a 5000 ppm toothpaste reduced their incidence of decay by 40% over 2 years as compared to the group who used regular strength fluoride toothpaste. There was even a greater improvement in patients who were shown to brush more poorly or less frequently than was recommended. This indicated the longer lasting effects of a fluoride toothpaste on the activity of bacteria and the higher concentration of available fluoride ions.
A high caries risk was classified as a DMFS (decayed, missing or filled surfaces) greater than 5. Within my practice that would also include patients that are medically compromised, physically or intellectually handicapped, have had head and neck radiation, Sjrogen’s syndrome or xerostomia.
I believe Neutrafluor 5000 is under utilised in this group of individuals and its increased use will help prevent caries.
Care should be taken with prescription of this toothpaste in individuals less than 10 years of age. It is also recommended that between 10 and 16 years, adult supervision should occur. The toothpaste should be spat out not rinsed out and no eating for 30 minutes is recommended for better protection.