Fluoride Varnish for Head and Neck Cancer
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial explores the use of fluoride varnish to protect teeth in individuals who have undergone head and neck cancer treatments. Researchers aim to determine if this dental treatment can be conveniently administered during regular cancer check-ups, particularly for those with limited access to dental care. Individuals who have received radiation for head and neck cancer and face challenges in obtaining dental care may be suitable candidates for this trial. Participants will receive fluoride varnish treatments and provide feedback through surveys and saliva samples. As an unphased trial, this study offers a unique opportunity to contribute to research that may enhance dental care accessibility for cancer survivors.
Will I have to stop taking my current medications?
The trial information does not specify whether you need to stop taking your current medications. It's best to discuss this with the trial coordinators or your doctor.
What prior data suggests that fluoride varnish treatment is safe for post-radiation head and neck cancer patients?
Research has shown that fluoride varnish treatments are generally safe for dental care. One important study found that 99% of patients continued with the treatment for up to six months, indicating tolerability. Another study confirmed that sodium fluoride, the main ingredient in the varnish, does not cause cancer. While some studies have raised concerns about fluoride, using it occasionally in professional settings like this trial is unlikely to cause serious side effects.
The specific product used in this trial, Duraflor Ultra 5% Sodium Fluoride Varnish, is easy to apply and adheres well to teeth, providing benefits with little discomfort. Some patients may notice reduced tooth sensitivity over time; in one study, sensitivity decreased from 39% to 25% over 15 months. Overall, these findings suggest that fluoride varnish treatments are well-tolerated with few negative effects.12345Why are researchers excited about this trial?
Researchers are excited about fluoride varnish treatments for head and neck cancer patients because it offers a targeted approach to protect teeth during cancer treatment. Unlike typical dental care options, which might include fluoride toothpaste or mouth rinses, this varnish is applied directly to the teeth, providing a high concentration of fluoride that adheres to the enamel longer. This method is particularly promising because it can be conveniently integrated into routine cancer surveillance visits, potentially improving dental health without adding extra appointments for patients already managing a heavy treatment schedule.
What evidence suggests that fluoride varnish treatment might be an effective treatment for head and neck cancer patients?
Research has shown that fluoride varnish reduces tooth sensitivity and prevents cavities. For instance, one study found that tooth sensitivity in patients decreased from 39% to 25% over 15 months with varnish use. The varnish releases fluoride, strengthening teeth and preventing decay. Studies indicate that fluoride varnish can reduce cavities by 50 to 70%. In this trial, participants will receive fluoride varnish treatments during their routine cancer surveillance visits. This is especially beneficial for individuals who have undergone radiation treatment for head and neck cancer, as they often face a higher risk of dental problems.16789
Who Is on the Research Team?
Mary J Xu, MD
Principal Investigator
University of California, San Francisco
Are You a Good Fit for This Trial?
This trial is for adults over 18 who have had radiation for head and neck cancer and have limited or no dental insurance. Participants must be able to give written consent.Inclusion Criteria
Exclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants receive fluoride varnish treatments during routine cancer surveillance visits
Follow-up
Participants are monitored for changes in oral health and knowledge after treatment
What Are the Treatments Tested in This Trial?
Interventions
- Fluoride Varnish Treatment
Trial Overview
The study looks at whether giving fluoride varnish treatments during regular cancer check-ups helps improve oral health in patients after radiation. It also uses surveys, saliva samples, photos, and interviews to gather information.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
The research team will interviews with participants, caregivers, and healthcare and dental providers.
Participants will received Medicom Duraflor Ultra White 5% Sodium Fluoride varnish treatments during their routine cancer surveillance visits every 3-6 month for about 1 year. During these visits, participants will complete short surveys, provide saliva samples, and have photos taken of their teeth before and after the treatment. Health and dental care providers will also be asked to complete a survey about fluoride treatment delivered.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of California, San Francisco
Lead Sponsor
Citations
Effectiveness of Fluoride Varnish Application as Cariostatic ...
Dental sensitivity decreased from 39% at 3 months to 25% at 15 months followup. 99% compliance to fluoride varnish application was seen till six months followup ...
Effectiveness of fluoride varnish application as cariostatic ...
Dental sensitivity decreased from 39% at 3 months to 25% at 15 months followup. 99% compliance to fluoride varnish application was seen till six months followup ...
3.
ctv.veeva.com
ctv.veeva.com/study/post-radiation-oral-health-in-underserved-head-and-neck-cancer-patientsPost-Radiation Oral Health in Underserved Head and Neck ...
This is a pilot study evaluates the feasibility and outcomes of providing fluoride varnish treatment during routine cancer surveillance ...
(PDF) Effectiveness of Fluoride Varnish Application as ...
Dental sensitivity decreased from 39% at 3 months to 25% at 15 months followup. 99% compliance to fluoride varnish application was seen till six months followup ...
Duraflor® Ultra™ 5% Sodium Fluoride White Varnish by ...
Ultra's advanced formula is designed to quickly release fluoride within 2 hours to 4 hours, so patients get the maximum fluoride benefit while ...
SAFETY DATA SHEET
Repeated overexposure to Sodium Fluoride may cause fluorosis. Mutagenicity: N/A. Carcinogenicity: Not known to be as carcinogen or potential carcinogen by NTP ( ...
6 Dangers of Fluoride Treatments (And What to Do Instead)
Fluoride may be linked to certain cancers. Fluoride treatments seem to pose little risk of cancer due to the infrequency of professional dental ...
Duraflor® Ultra™ White 5% Sodium Fluoride Varnish - Medicom
Provides our fastest fluoride release over 2, 4 and 24-hours. Smooth consistency ensures easy application. Strong adherence to teeth maximizes benefits and ...
Main Findings and Author's Conclusions - Fluoride Varnishes ...
“The meta-analysis showed that fluoride varnish is an effective approach for arresting the progression of enamel carious lesions in primary and permanent teeth.
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