What are the best methods available for the primary prevention of dental caries initiation throughout life?
Water fluoridation and the use of fluoridated toothpaste are generally recognized as highly effective means of preventing primary dental caries. Therefore, the panel focused on identifying other methods that might be of additional benefit. There is moderate-to-strong evidence that the following might help prevent primary caries: (1) acidulated phosphate fluoride gel (APF) applied one to two times a year; (2) fluoride varnish applied to permanent teeth; (3) chlorhexidine gel; (4) pit and fissure sealants; and (5) noncariogenic sweeteners (especially xylitol) as constituents of gum, candy, or dentifrice. Preventive strategies appear to be more effective when combined with one another. They also appear to have a greater impact on patients with a lower DMSF (decayed, missing, and filled surfaces) baseline, indicating that they perhaps may be of greater benefit to high-risk populations. 4. What are the best treatments available for reversing or arresting the progression of early dental cari
