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Pastas dentífricas com hidroxiapatite: uma alternativa às pastas dentífricas fluoretadas?
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OBJETIVO: Sintetizar os fundamentos justificativos dos pontos fortes e fracos das pastas dentífricas com hidroxiapatite face às pastas dentífricas fluoretadas.
METODOLOGIA: Pesquisa bibliográfica de artigos publicados nas bases de dados: PubMed, Science Direct e B-On. Foram definidos termos de pesquisa, critérios de inclusão e de exclusão para a seleção dos artigos. No total foram incluídos 50 artigos para a realização desta revisão.
PRINCIPAL TÓPICO ABORDADO: A utilização de dentífricos fluoretados associa-se a um menor risco das principais patologias orais. No entanto, o seu uso em crianças, em quantidades inapropriadas, sem supervisão está associado a um risco aumentado de fluorose dentária. As pastas dentífricas com outros componentes ativos, nomeadamente hidroxiapatite ou nano-hidroxiapatite têm sido reconhecidas como potencialmente vantajosas na abordagem preventiva da cárie e da erosão dentária. Na atualidade, as pastas dentífricas com hidroxiapatite são uma alternativa promissora às pastas dentífricas fluoretadas, dada a sua equivalência em termos de eficácia preventiva e maior segurança relativamente à toxicidade pelos fluoretos.
OBJECTIVES: To synthesize the fundamentals justifying the strengths and weaknesses of toothpastes with hydroxyapatite compared to fluoridated toothpastes. METHODS: Bibliographic search of articles published in the following databases: Pub-Med, Science Direct and B-On. Search terms, inclusion and exclusion criteria for the se-lection of articles were defined. In total, 50 articles were included for this review. MAIN TOPIC COVERED: The use of fluoridated toothpastes is associated with a lower risk of major oral pathologies. However, its unsupervised use in children in inap-propriate amounts is associated with an increased risk of dental fluorosis. Toothpastes with other active components, namely hydroxyapatite or nano-hydroxyapatite have been recognized as potentially advantageous in the preventive approach to tooth decay and erosion. Currently, hydroxyapatite toothpastes are a promising alternative to fluoridated toothpastes, given their equivalence in terms of preventive efficacy and greater safety with regard to fluoride toxicity.
OBJECTIVES: To synthesize the fundamentals justifying the strengths and weaknesses of toothpastes with hydroxyapatite compared to fluoridated toothpastes. METHODS: Bibliographic search of articles published in the following databases: Pub-Med, Science Direct and B-On. Search terms, inclusion and exclusion criteria for the se-lection of articles were defined. In total, 50 articles were included for this review. MAIN TOPIC COVERED: The use of fluoridated toothpastes is associated with a lower risk of major oral pathologies. However, its unsupervised use in children in inap-propriate amounts is associated with an increased risk of dental fluorosis. Toothpastes with other active components, namely hydroxyapatite or nano-hydroxyapatite have been recognized as potentially advantageous in the preventive approach to tooth decay and erosion. Currently, hydroxyapatite toothpastes are a promising alternative to fluoridated toothpastes, given their equivalence in terms of preventive efficacy and greater safety with regard to fluoride toxicity.
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Pastas dentífricas com hidroxiapatite Remineralização dentária Hipersensibilidade dentinária Biofilme oral Crianças Medicina dentária preventiva Hydroxyapatite toothpaste Tooth remineralization Dentin hypersensitivity Oral biofilm Children Preventive dentistry