dental hygienist and patient in full PPE gear having a conversation

Winning the fight
against caries

Effective prevention for patients
at increased caries risk*,^

Dental caries is one of the most prevalent

non-communicable diseases1

 

What is dental caries?

(tooth decay)

A preventable, multifactorial disease caused by a complex interaction over time between acid-producing bacteria and sugar. Caries will not develop if any of these four primary factors are not present.2

 

Dental caries due to tooth decay

.


Caries is a dynamic process3

The caries process is a continuum resulting from many cycles of enamel acid attack3. In the early stages of the disease, dental caries can be reversed by reducing the frequency and the amount of dietary sugars, improving oral hygiene practice and increasing fluoride availability. However, when dental caries progresses through the enamel the tooth surface breaks down leading to cavitiesrequiring professional dental intervention.

 

Oral hygiene time

Professional intervention is needed at all stages


Dental caries remains prevalent5,6

Dental caries is prevalent throughout life. The latest study of adults attending general dental practice showed that:6

 

Dental caries average

Evidence-based caries prevention

Once dental caries has been treated, the tooth will need ongoing maintenance throughout life. Therefore, preventing teeth from becoming decayed through regular toothbrushing with fluoride toothpaste is key.7

Delivering better oral health is an evidence-based toolkit for prevention’ (DBOH) published by Public Health England. It provides guidance on the advice that dental and healthcare professionals should give their patients, and the actions they should take to prevent disease. For those patients at greater risk of dental caries DBOH guidance is to increase the intensity of the same actions taken for the population at large. Therefore, consider prescribing higher concentration fluoride toothpastes.8

Higher concentrations of fluoride in toothpaste result in greater caries reduction9

 

High fluoride toothpastes are clinically proven to be more effective than a regular tooth paste in preventing dental caries.10-14

 

Regular toothpastes vs High fluoride toothpastes

A 5000 ppm fluoride toothpaste results in 30-40% greater caries reduction than

a regular toothpaste (1450 ppm)9

Prescription for Colgate® Duraphat® 2800 ppm and Colgate® Duraphat® 5000 ppm toothpaste

 

There are two high concentration fluoride toothpastes listed on the Dental Practitioners’ Formulary, and both are classified as Prescription Only Medicines and used instead of a patient’s regular toothpaste: 

 

Duraphat ppm
  •  Sodium fluoride 2800 ppm toothpaste is indicated for increased risk patients aged 10 years and over, 2x daily use.#
  •  Sodium fluoride 5000 ppm toothpaste is indicated for patients 16 years and over with increased risk, 3x daily use.#

One tube of Duraphat® toothpaste lasts approximately one month.# Many patients pay charges for each dental consultation, so dentists tend to prescribe the number of tubes to last until the patients’ next dental examination.

Course of treatment
  • References

     

    * Colgate® Duraphat® 5000 ppm high fluoride toothpaste for patients 16 years of age and over at increased caries risk.

    ^ Colgate® Duraphat® 2800 ppm high fluoride toothpaste for patients 10 years of age and over at increased caries risk.

     

    References: 1. DBOH Guidance Chapter 4: Dental caries Updated 9 November 2021. 2. Pitts, N et al. “Global oral health inequalities: dental caries task group--research agenda.” Advances in dental research vol. 23,2 (2011): 211-20. doi:10.1177/0022034511402016]. 3. Featherstone J.D, Aust Dent J. 2008 Sep; 53(3): 286-91. 4. Machiulskiene V, Campus G, Carvalho JC, Dige I, Ekstrand KR, Jablonski-Momeni A, and others. Terminology of Dental Caries and Dental Caries Management: Consensus Report of a Workshop Organized by ORCA and Cariology Research Group of IADR. Caries Research. 2020;54(1):7-14. 5. Oral health survey of 5 year old children 2022; England. 6. Oral health survey of adults attending general dental practices 2018. 7.Adult oral health: applying all our health Updated 4 April 2022. 8. Delivering better oral health: an evidence-based toolkit for prevention, Version 4, 2021. Public Health England. 9. Adapted from Tavss et al. Am J Dent 2003;16(6):369-374. 10. Baysan A et al. Caries Res 2001;35:41-46. 11. Biesbrock AR et al. Community Dent Oral Epidemiol 2001;29:382-389. 12. Ekstrand et al. Caries Res 2013;47:391–8. 13. Schirrmeister JF et al. Am J Dent 2007;20. 212-216. 14. Ekstrand et al. Gerod 2008; 25:67-75.

     

    Colgate® Duraphat® 5000 ppm Fluoride Toothpaste - Name of the medicinal product: Duraphat® 5000 ppm Fluoride Toothpaste. Active ingredient: Sodium Fluoride 1.1%w/w (5000ppm F-). 1g of toothpaste contains 5mg fluoride (as sodium fluoride), corresponding to 5000ppm fluoride. Indications: For the prevention of dental caries in adolescents and adults 16 years of age and over, particularly amongst patients at risk from multiple caries (coronal and/or root caries). Dosage and administration: Brush carefully on a daily basis applying a 2cm ribbon onto the toothbrush for each brushing. 3 times daily, after each meal. Contraindications: This medicinal product must not be used in cases of hypersensitivity to the active substance or to any of the excipients. Special warnings and precautions for use: An increased number of potential fluoride sources may lead to fluorosis. Before using fluoride medicines such as Duraphat, an assessment of overall fluoride intake (i.e. drinking water, fluoridated salt, other fluoride medicines - tablets, drops, gum or toothpaste) should be done. Fluoride tablets, drops, chewing gum, gels or varnishes and fluoridated water or salt should be avoided during use of Duraphat Toothpaste. When carrying out overall calculations of the recommended fluoride ion intake, which is 0.05mg/kg per day from all sources, not exceeding 1mg per day, allowance must be made for possible ingestion of toothpaste (each tube of Duraphat 500mg/100g Toothpaste contains 255mg of fluoride ions). This product contains Sodium Benzoate. Sodium Benzoate is a mild irritant to the skin, eyes and mucous membrane. Undesirable effects: Gastrointestinal disorders: Frequency not known (cannot be estimated from the available data): Burning oral sensation. Immune system disorders: Rare (≥1/10,000 to <1/1,000): Hypersensitivity reactions. Legal classification: POM. Marketing authorisation number: PL00049/0050. Marketing authorisation holder: Colgate-Palmolive (U.K.) Ltd. Guildford Business Park, Midleton Road, Guildford, Surrey, GU2 8JZ. Recommended retail price: £7.99 (51g tube). Date of revision of text: July 2022.

     

    Colgate® Duraphat® 2800 ppm Fluoride Toothpaste - Name of the medicinal product: Duraphat® 2800 ppm Fluoride Toothpaste. Active ingredient: Sodium Fluoride 0.619 %w/w (2800 ppm F-). Indications: For the prevention and treatment of dental caries (coronal and root) in adults and children 10 years of age and over. Dosage and administration: Use daily instead of normal toothpaste. Apply a 1cm line of paste across the head of a toothbrush and brush the teeth thoroughly for one minute morning and evening. Spit out after use; for best results do not drink or rinse for 30 minutes. Contraindications: Individuals with known sensitivities should consult their dentist before using. Not to be used in children under 10 years old. Special warnings and precautions for use: Not to be swallowed. Undesirable effects: When used as recommended there are no side effects. Legal classification: POM. Marketing authorisation number: PL00049/0039. Marketing authorisation holder: Colgate-Palmolive (U.K.) Ltd. Guildford Business Park, Midleton Road, Guildford, Surrey, GU2 8JZ. Recommended retail price: £5.10 (75ml tube). Date of revision of text: September 2022.