Remineralisation of enamel erosive lesions by daily-use fluoride treatments: network meta-analysis of an in situ study set
2025

Fluoride Treatments for Enamel Remineralisation

Sample size: 14 publication 10 minutes Evidence: high

Author Information

Author(s): Creeth Jonathan, Smith Gary, Franks Billy, Hara Anderson, Zero Domenick

Primary Institution: Haleon PLC, Oral Health Research Institute, Indiana University School of Dentistry

Hypothesis

How do different fluoride concentrations and formulations affect enamel remineralisation and demineralisation?

Conclusion

Fluoride treatments can effectively promote enamel remineralisation and inhibit demineralisation, with varying effectiveness based on formulation and concentration.

Supporting Evidence

  • Fluoride concentration in toothpaste showed a dose-response effect on enamel hardness.
  • Using fluoride mouthwash after toothpaste increased remineralisation.
  • Polyvalent metal ions negatively affected remineralisation.

Takeaway

Using fluoride toothpaste helps make your teeth stronger against acid, but some ingredients can make it work better or worse.

Methodology

Network meta-analysis of 14 in situ studies measuring enamel hardness before and after fluoride treatment.

Potential Biases

Potential bias due to funding from a manufacturer of the tested products.

Limitations

The study's findings may not generalize beyond the specific in situ model used.

Participant Demographics

Healthy adults aged 18 and older from the Indianapolis area.

Statistical Information

P-Value

p<0.001

Confidence Interval

95% CI

Statistical Significance

p<0.001

Digital Object Identifier (DOI)

10.1007/s00784-024-06107-1

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