Non-Fluoride Caries Preventive Agents
Publication Date: August 29, 2011
Last Updated: March 14, 2022
Recommendations
Polyol (Coronal Caries)
Advise parents and caregivers of children 5 years or older that use of sucrose-free polyol (xylitol only or polyol combinations) chewing gum for 10 to 20 minutes after meals may reduce incidence of coronal caries. (Weak)
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Advise adults that use of sucrose-free polyol (xylitol only or polyol combinations) chewing gum for 10 to 20 minutes after meals may reduce incidence of coronal caries. (Expert Opinion)
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Advise parents and caregivers of children 5 years or older that the daily use of xylitol-containing lozenges or hard candies that are dissolved slowly in the mouth after meals may reduce incidence of coronal caries (5-8 grams/day divided into two to three doses). (Expert Opinion)
335284
Chlorhexidine (Root Caries)
Apply 1:1 mixture of chlorhexidine-thymol varnish every three months to reduce the incidence of root caries. (In Favor)
335284
Applying 0.5 to 1.0 percent chlorhexidine gel alone or in combination with fluoride for prevention of root caries is not recommended. (Expert Opinion)
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Using 0.12 percent chlorhexidine rinse alone or in combination with fluoride for prevention of root caries is not recommended. (Against)
335284
Chlorhexidine (Coronal Caries)
Applying 1:1 mixture of chlorhexidine-thymol varnish alone or in combination with fluoride for prevention of coronal caries is not recommended. (Expert Opinion)
335284
Applying 10 to 40 percent chlorhexidine varnish alone or in combination with fluoride for prevention of coronal caries is not recommended. (Against)
335284
Applying 0.5 to 1.0 percent chlorhexidine gel alone or in combination with fluoride for prevention of coronal caries is not recommended. (Expert Opinion)
335284
Using 0.12 percent chlorhexidine rinse alone or in combination with fluoride for prevention of coronal caries is not recommended. (Against)
335284
Recommendation Grading
Overview
Title
Non-Fluoride Caries Preventive Agents
Authoring Organizations
Publication Month/Year
August 29, 2011
Last Updated Month/Year
July 26, 2023
Supplemental Implementation Tools
Document Type
Guideline
External Publication Status
Published
Country of Publication
US
Document Objectives
In this article, the authors present evidence-based clinical recommendations regarding the use of nonfluoride caries-preventive agents.
Target Patient Population
Children and adults at higher risk of developing caries
Inclusion Criteria
Female, Male, Adolescent, Adult, Child, Older adult
Health Care Settings
Ambulatory, Childcare center, School
Intended Users
Dentist, nurse, nurse practitioner, physician, physician assistant
Scope
Prevention, Management
Diseases/Conditions (MeSH)
D011315 - Preventive Medicine, D003731 - Dental Caries, D011313 - Preventive Dentistry, D014993 - Xylitol, D002710 - Chlorhexidine, D000149 - Acidulated Phosphate Fluoride
Keywords
preventive care, caries, dental caries, non-fluoride, caries-preventive agents