2-高雄医学大学.ppt

Stannous fluoride 1950 Muhler his workers 1959 Jordan et al. Gish et al. 8% SnF2 SnF2 are acidic, with a pH 2.4 – 2.8 Application : once every 6 months. Acidulated Phosphate Fluoride (APF) 1963 Brudevola et al. found APF APF systems consist sodium fluoride, hydrofluoric acid, and phosphoric acid (1.23% fluoride 0.98% phosphoric acid pH 3 – 3.5) 表二、國內近年來推廣氟化物使用之重要記事： 時間 重要事件 八十一年 研究國人學童以含氟水(225ppm與900ppm兩類)漱口防齲效果，共計六年。該計畫於八十六年研究結果證實防取校果約達27%與36.3%。 八十二年 推廣刷牙時省用含氟牙膏，鼓勵執行專業牙科塗氟。製作相關單張小冊提醒民眾重視。 八十三年 (口腔保健年) 衛生署重新宣示遵循世界衛生組織最新的口腔保健政策，推廣國人口腔衛生的潔牙，宣導健康飲食習慣，定期看牙醫，及鼓勵適量用氟等方法以保護全民口腔健康。 八十五年 委託牙醫師公會辦理推廣國小學童含氟水漱口工作試辦計畫。逐年擴辦，本(八十八下半及八十九年)年度補助一百萬名學童參與本項預防保健計畫。 TABLE 4 COMPARISON OF CARIES INHIBITION FROM OPERATOR APPLIED APF SOLUTIONS AND GELS Study % DMFS Reduction Solution Gel Cons et al.(1970) 0 18 Ingraham and Williams (1970) 12 41 Szwejda (1972) 23* 4* Horowitz and Doyle (1971) 28 24 Cobb et al. (1980) 34 35 Average All Studies 19.4 24.4 *Fluoridated community. Table 48. Mean Fluoride Concentrations in Deciduous Enamel in Children who brushed 1-9 Times with APF Prophylaxis Paste: compare with Control Teeth (Mellberg et al. 1974) Group No. of teeth ppm F at four depths(wn) 5 15 30 60 Untreated 52 702 339 163 85 Paste-treated 710 752 362 174 86 Table 9-30. Fluoride Uptake in Enamel of Children Using NaF and SnF2 Dentifrices163 Dentifrice Used Fluoride Content (ppm) Sound Enamel Incipient Lesions Placebo 364 731 SnF2-Ca2P2O2 373 878 NaF-SiO2 379 1148 Table 9-35. In Vivo Fluoride Uptake with NaF and Na2PO3F/NaF Dentifrices Dentifrice Studied Fluoride System Fluoride Content of Lesions (mg/cm2) Placebo None 2.28 Na2PO3F/NaF Na2PO3F(0.10% F) NaF(0.045% F) 3.47 NaF NaF(0.11% F) 5.11 Table 52. Retention of Fluoride from NaF Mouthrinses by Children in Two Studies Age (yrs) No. of children Rinsing time (sec) F retention (mg) F retention (%) Ericsson and Forsman (1969): 7 ml of 245 ppm F rinse 4-5 10 30 0.42 24 5-7 20 60 0.35 22 Forsman (1974): 7ml of 110 ppm F r