Caries Prevention and Fluoride Toothpastes in International Guidelines
IAPD Bangkok Statement
International Association of Paediatric Dentistry (International Paediatric Dentistry Association), WHO, FDI and a Caries-Free Future Alliance for a Cavity Free Future (ACFF) stakeholders and representatives of 72 countries, including Turkey "On Early Childhood Caries (ECCD) World Summit1
- Raising awareness of ECCD among parents/caregivers, dentists, doctors, nurses, health professionals and other stakeholders should be increased.1
- It is important to limit sugar intake in food and drinks and to avoid sugar consumption in children under 2 years of age.1
- In all children, fluoride toothpaste (at least 1000 ppm), using an age-appropriate amount of paste, twice a day brushing is important.1
- Preventive counselling by a health professional in the first year of life, ideally for comprehensive continuing care a referral to a dentist is recommended.1
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European Academy of Paediatric Dentistry
![EAPD]()
The EAPD recommends the appropriate use of fuoride toothpaste in conjunction with good oral hygiene to be the basic fluoride regimen.
The EAPD highlighted those topics in the guideline published in 2019:
- Parents must be strongly advised to apply an age-related amount of toothpaste and assist/supervise tooth brushing until at least 7 years of age.
- The EAPD strongly endorses the daily use of fuoride as a major part of any comprehensive programme for the prevention and control of dental caries in children.
- Regardless of the type of programme, community or individually based, the use of fuoride must be balanced between the estimation of caries-risk and the possible risks of adverse efects of the fuorides.
- Preventive programmes should be re-evaluated at regular intervals and adapted to a patient’s or population’s needs and risks
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American Academy of Pediatric Dentistry
![AAPD]()
Fluoride has proven to be an effective therapy in reducing the prevalence of dental caries in infants, children, adolescents, and persons with special needs
The AAPD recommends:
- The use of fluoride for the prevention and control of caries as it is both safe and highly effective in reducing dental caries prevalence.
- Toothbrushing at least twice daily with an ageappropriate amount of over-the-counter fluoride containing toothpaste to prevent caries as first line for caries prevention.
- Decisions concerning the administration of fluoride be based on the unique needs of each patient, including the risks and benefits (e.g., risk of mild or moderate fluorosis versus the benefits of decreasing caries increment and, in some cases, preventing devastating dental disease).
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