{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,19]],"date-time":"2025-11-19T20:38:37Z","timestamp":1763584717558,"version":"3.40.5"},"reference-count":22,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2023,6,15]],"date-time":"2023-06-15T00:00:00Z","timestamp":1686787200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000072","name":"National Institute of Dental and Craniofacial Research","doi-asserted-by":"publisher","award":["R03 DE028044"],"award-info":[{"award-number":["R03 DE028044"]}],"id":[{"id":"10.13039\/100000072","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Special Care in Dentistry"],"published-print":{"date-parts":[[2024,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>The aim of this study was to examine the effectiveness of topical fluorides in prevention of root caries\u2010related treatment in high caries risk Veterans.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective analysis of longitudinal data examined the effectiveness of professionally applied or prescription (Rx) fluoride treatment, in VHA clinics from FY 2009\u20132018. Professional fluoride treatments included 5% Sodium Fluoride (NaF) varnish (22 600\u00a0ppm fluoride), 2% NaF gel\/rinse (9050\u00a0ppm fluoride), and 1.23% APF gel (12 300\u00a0ppm fluoride). The Rx for daily home use was 1.1% NaF paste\/gel (5000\u00a0ppm fluoride). Outcomes studied were new root caries restorations or extractions and percent of patients with treatment over 1 year. Logistic regressions were adjusted for age, gender, race, ethnicity, chronic medical or psychiatric conditions, number of medication classes, anticholinergic drugs, smoking, baseline root caries treatment, preventive care, and time between first\u2010last restoration in the index year.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Root caries at baseline was associated with a high risk for new root caries. Veterans without root caries during the index year who received a fluoride gel\/rinse intervention were 32\u201340% less likely to receive caries\u2010related treatment for root caries during the follow\u2010up period. Once Veterans had root caries, fluorides did not exhibit a positive effect.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>In older adults with high caries risk, early fluoride prevention is key, before root caries requires treatment.<\/jats:p><\/jats:sec>","DOI":"10.1111\/scd.12894","type":"journal-article","created":{"date-parts":[[2023,6,16]],"date-time":"2023-06-16T03:14:34Z","timestamp":1686885274000},"page":"575-583","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Effectiveness of fluorides in root caries prevention, Department of Veterans Affairs (2009\u20132018)"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0126-0790","authenticated-orcid":false,"given":"Judith A.","family":"Jones","sequence":"first","affiliation":[{"name":"University of Detroit Mercy School of Dentistry Detroit Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9345-8552","authenticated-orcid":false,"given":"Gretchen","family":"Gibson","sequence":"additional","affiliation":[{"name":"Oral Health Quality Group, Veterans Health Administration Office of Dentistry Fayetteville Arkansas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1185-8331","authenticated-orcid":false,"given":"Howard J.","family":"Cabral","sequence":"additional","affiliation":[{"name":"Boston University School of Public Health Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5601-9785","authenticated-orcid":false,"given":"Carolyn J.","family":"Wehler","sequence":"additional","affiliation":[{"name":"Boston University Henry M. Goldman School of Dental Medicine Boston Massachusetts USA"},{"name":"Oral Health Quality Group Veterans Health Administration, Office of Dentistry  Bedford Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle B.","family":"Orner","sequence":"additional","affiliation":[{"name":"Oral Health Quality Group Veterans Health Administration, Office of Dentistry  Bedford Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8179-1443","authenticated-orcid":false,"given":"M. Marianne","family":"Jurasic","sequence":"additional","affiliation":[{"name":"Boston University Henry M. Goldman School of Dental Medicine Boston Massachusetts USA"},{"name":"Oral Health Quality Group Veterans Health Administration, Office of Dentistry  Bedford Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,6,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32279-7"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2016.11.002"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1023\/B:QURE.0000025596.05281.d6"},{"issue":"3","key":"e_1_2_9_5_1","first-page":"221","article-title":"How root caries differs between middle\u2010aged people and the elderly: findings from the 4th national oral health survey of China","volume":"21","author":"Gao Y","year":"2018","journal-title":"Chin J Dent Res"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2018.08.013"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.14219\/jada.archive.2013.0153"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-12-484"},{"issue":"3","key":"e_1_2_9_9_1","first-page":"c3","article-title":"Oral health status of long\u2010term care residents\u2010a vulnerable population","volume":"78","author":"Matthews D","year":"2012","journal-title":"J Can Dent Assoc"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph16224558"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00784-016-1934-9"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1754-4505.2012.00302.x"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022034510375825"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jdent.2016.05.005"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1177\/00220345221081524"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39335.541782.AD"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004479-200407000-00011"},{"key":"e_1_2_9_18_1","first-page":"91","volume-title":"Measuring and Managing Health Care Quality","author":"Selim AJ","year":"2002"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.2146\/ajhp150800"},{"key":"e_1_2_9_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.13702"},{"issue":"41","key":"e_1_2_9_21_1","article-title":"Reversal of primary root caries using dentifrices containing 5,000 and 1,100\u00a0ppm fluoride","volume":"35","author":"Baysan A","year":"2001","journal-title":"Caries Res"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1159\/000501588"},{"key":"e_1_2_9_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/j.0022\u20100337.2001.65.10.tb03470.x"}],"container-title":["Special Care in Dentistry"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/scd.12894","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,14]],"date-time":"2024-03-14T13:53:53Z","timestamp":1710424433000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/scd.12894"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,6,15]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,3]]}},"alternative-id":["10.1111\/scd.12894"],"URL":"https:\/\/doi.org\/10.1111\/scd.12894","archive":["Portico"],"relation":{},"ISSN":["0275-1879","1754-4505"],"issn-type":[{"type":"print","value":"0275-1879"},{"type":"electronic","value":"1754-4505"}],"subject":[],"published":{"date-parts":[[2023,6,15]]},"assertion":[{"value":"2022-12-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-07","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-06-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}