Question · asked by 1 review

Fluoride toothpaste 550 ppm (lower concentration) vs Fluoride toothpaste 1000 ppm or more (higher concentration): Fluorosis (percentage prevalence in permanent teeth)

Population
Children exposed to topical fluoride when under 6 years old; fluorosis assessed in permanent teeth at 6 to 18 years
Intervention
Fluoride toothpaste 550 ppm (lower concentration)
Comparison
Fluoride toothpaste 1000 ppm or more (higher concentration)
Outcome
Fluorosis (percentage prevalence in permanent teeth)

Fluoride toothpaste 550 ppm (lower concentration) probably leads to lower fluorosis (percentage prevalence in permanent teeth) compared with fluoride toothpaste 1000 ppm (higher concentration) (moderate certainty).

What each review found

Current versions only
FindingEffectStudiesGRADE certainty
Fluoride toothpaste 550 ppm (lower concentration) vs Fluoride toothpaste 1000 ppm (higher concentration)
Fluorosis (percentage prevalence in permanent teeth) · Children exposed to topical fluoride when under 6 years old; fluorosis assessed in permanent teeth at 6 to 18 years · Fluorosis assessed when most permanent teeth of interest had erupted (6 to 18 years)
Fluoride toothpaste 550 ppm (lower concentration) probably leads to lower fluorosis (percentage prevalence in permanent teeth) compared with fluoride toothpaste 1000 ppm (higher concentration) (moderate certainty).
Topical fluoride as a cause of dental fluorosis in children (2024) · Cochrane All outcomes
RR 0.75 [0.57, 0.99]1 study · 959 participantsModerate

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Topical fluoride as a cause of dental fluorosis in children
2024 · Cochrane All outcomes
2022-07Not listedNot assessed

The same intervention and outcome, asked in another population or against another comparator.

How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.