Fluoride Delivery Methods for Dentists
49 Questions
0 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

What is the minimum fluoride concentration children under 3 should use in toothpaste?

  • 1450ppm fluoride
  • 1000ppm fluoride (correct)
  • 1350ppm fluoride
  • 500ppm fluoride
  • Which toothpaste option is recommended for high risk children under 3 who can spit out the paste?

  • 1450ppm fluoride toothpaste
  • 2800ppm fluoride toothpaste
  • 1000ppm fluoride toothpaste
  • 1350-1500ppm fluoride toothpaste (correct)
  • At what age can children be prescribed duraphat 2800ppm sodium fluoride toothpaste?

  • Over 16 years old
  • Over 10 years old (correct)
  • Over 3 years old
  • Under 5 years old
  • Why is supervision recommended for children under 7 using fluoride toothpaste?

    <p>Due to their poor manual dexterity (D)</p> Signup and view all the answers

    What concentration of fluoride toothpaste is most commonly found in regular fluoride toothpastes?

    <p>1450ppm fluoride (B)</p> Signup and view all the answers

    What percentage increase in children with no decay in deciduous teeth was achieved through fluoridation?

    <p>15% (C)</p> Signup and view all the answers

    What is the fluoridation level that gives a 12% chance of developing fluorosis?

    <p>0.7ppm (B)</p> Signup and view all the answers

    Which of the following is NOT a source of fluoride without a prescription?

    <p>Fluoride Tablets (C)</p> Signup and view all the answers

    What type of fluoride is categorized as 'topical'?

    <p>Toothpaste with 2800ppm fluoride (C)</p> Signup and view all the answers

    According to the 2015 Cochrane Review, what percentage reduction in caries in children's permanent teeth was noted?

    <p>26% (D)</p> Signup and view all the answers

    Which of the following is a professionally applied fluoride treatment?

    <p>Silver Diamine Varnish (D)</p> Signup and view all the answers

    What is the effect of systemic fluorides compared to topical fluorides?

    <p>Systemic fluorides reduce existing tooth decay. (A)</p> Signup and view all the answers

    Which source of fluoride mentioned is not intended for children?

    <p>5000ppm Toothpaste (A)</p> Signup and view all the answers

    What is the minimum amount of fluoride that may be fatal for some children?

    <p>5mg/kg (B)</p> Signup and view all the answers

    Which symptom is NOT associated with sub-lethal fluorine toxicity?

    <p>Confusion (A)</p> Signup and view all the answers

    How soon do symptoms typically appear after ingestion of fluoride?

    <p>Within 1 hour (C)</p> Signup and view all the answers

    Which fluoride preparation has the highest potentially lethal poisoning dose for a 5-year-old child weighing 20kg?

    <p>Stannous fluoride gel (0.4%SnF2) (A)</p> Signup and view all the answers

    What should parents do regarding children's use of dental products?

    <p>Supervise their use (A)</p> Signup and view all the answers

    Which product type is indicated as the topical agent of choice for high-risk patients?

    <p>Fluoride varnish (A)</p> Signup and view all the answers

    What should be kept out of reach of young children?

    <p>Fluoride toothpaste (D)</p> Signup and view all the answers

    What action should be taken if there is doubt about the quantity of fluoride ingested by a child?

    <p>Take the child to A&amp;E (D)</p> Signup and view all the answers

    What is a primary benefit of using Silver Diamine Fluoride in dental practice?

    <p>It arrests caries in high-risk patients. (C)</p> Signup and view all the answers

    What is the highest concentration of fluoride found in Silver Diamine Fluoride?

    <p>44800ppm (D)</p> Signup and view all the answers

    Which of the following is a noted side effect of Silver Diamine Fluoride?

    <p>Permanent black staining (C)</p> Signup and view all the answers

    What can be a consequence of using prophylaxis paste containing fluoride?

    <p>Greater enamel loss than fluoride gained (C)</p> Signup and view all the answers

    How long can fluoride be released from glass ionomer cements according to studies?

    <p>Up to 8 years (A)</p> Signup and view all the answers

    What is a potential limitation of silver ion release from glass ionomer materials?

    <p>Low levels of fluoride may have limited significance (C)</p> Signup and view all the answers

    Which patient group is not typically recommended to use Silver Diamine Fluoride?

    <p>Patients requiring minimal interventive care (D)</p> Signup and view all the answers

    Which characteristic of Silver Diamine Fluoride makes it palatable for some patients?

    <p>Flavouring options available (A)</p> Signup and view all the answers

    What is a common compliance issue associated with the use of Silver Diamine Fluoride?

    <p>Difficulty in controlling the dose (D)</p> Signup and view all the answers

    What happens when Silver Diamine Fluoride is applied to teeth?

    <p>It leads to dentinal tubule blockage and remineralisation. (C)</p> Signup and view all the answers

    What is the maximum fluoride amount recommended for children aged 3-6 years?

    <p>No more than a pea size (B)</p> Signup and view all the answers

    What does the recommendation for adults with active coronal or root caries specify?

    <p>2800 or 5000ppm fluoride (C)</p> Signup and view all the answers

    What is recommended for young adults aged 7 and older who may have active caries?

    <p>1350-1500ppm fluoride (B)</p> Signup and view all the answers

    What precaution should be taken when using fluoride toothpaste for young children?

    <p>Limit to a smear amount only (B)</p> Signup and view all the answers

    What happens if patients rinse with mouthwash after using fluoride toothpaste?

    <p>Eliminates fluoride reservoir from saliva (C)</p> Signup and view all the answers

    What is a downside of using fluoride toothpaste mentioned in the recommendations?

    <p>Risk of ingestion for young children (A)</p> Signup and view all the answers

    Why is it advised against rinsing after using fluoride toothpaste?

    <p>To retain fluoride benefits in saliva (A)</p> Signup and view all the answers

    What is the recommended fluoride level for adults?

    <p>At least 1350ppm (D)</p> Signup and view all the answers

    What is the primary concern related to pre-natal administration of fluoride for caries prevention?

    <p>It is ineffective for the child. (A)</p> Signup and view all the answers

    What is a major downside of fluoridated salt?

    <p>It cannot target specific populations. (A)</p> Signup and view all the answers

    Which of the following is true concerning fluoridated milk programs?

    <p>They may be ineffective if started too late. (A)</p> Signup and view all the answers

    What is a significant benefit of using fluoridated milk?

    <p>It allows targeting children in certain areas. (B)</p> Signup and view all the answers

    What is the risk associated with the acute lethal dose of fluoride?

    <p>It can be fatal at approximately 15mg/kg. (C)</p> Signup and view all the answers

    What is a notable issue regarding the compliance of fluoride treatments?

    <p>Compliance relies on the motivation of patients or parents. (A)</p> Signup and view all the answers

    What is a potential consequence of excessive fluoride use?

    <p>Fluorosis or toxicity. (C)</p> Signup and view all the answers

    What does the variable intake of salt fluoridation imply?

    <p>Lack of a consistent dose across populations. (B)</p> Signup and view all the answers

    How does fluoridated salt affect consumer choice?

    <p>If made compulsory, it limits consumer choice. (B)</p> Signup and view all the answers

    Why is it complicated for families with more than one child to use fluoridated milk?

    <p>Dose accuracy may vary if multiple children are consuming milk. (A)</p> Signup and view all the answers

    Flashcards

    Caries Prevention

    Fluoride helps in preventing tooth decay (caries) by strengthening teeth.

    Fluoridated Water

    Water with added fluoride to reduce caries in children's permanent teeth by 26%.

    Fluorosis Risk

    Fluoridation at 0.7ppm offers a 12% chance of aesthetic concerns like mottling.

    Cochrane Review

    A study in 2015 showing 73% of research on fluoridated areas had natural fluoride.

    Signup and view all the flashcards

    Decay Reduction in Children

    Fluoridated water reduces decay in baby teeth by 35% and in permanent teeth by 14%.

    Signup and view all the flashcards

    Systemic vs. Topical Fluoride

    Systemic fluorides are ingested; topical fluorides are applied directly to teeth.

    Signup and view all the flashcards

    Sources of Fluoride

    Fluoride can be found in toothpaste, mouth rinse, fluoridated water, salt, and milk.

    Signup and view all the flashcards

    Professionally Applied Fluoride

    Includes Duraphat and Profluorid varnishes, aimed at high-cavity risk patients.

    Signup and view all the flashcards

    Fluoride Toothpaste ppm

    Most effective fluoride toothpaste contains 1450ppm to control caries.

    Signup and view all the flashcards

    Children's Toothpaste under 3

    Children under 3 should use toothpaste with a minimum of 1000ppm fluoride.

    Signup and view all the flashcards

    High-Risk Children

    High-risk children under 3 can use 1350-1500ppm fluoride toothpaste if supervised.

    Signup and view all the flashcards

    Duraphat Prescription

    Duraphat toothpaste options include 2800ppm for children over 10 and 5000ppm for over 16.

    Signup and view all the flashcards

    Manual Dexterity in Children

    Children have poor manual dexterity, needing supervision until age 7 when brushing.

    Signup and view all the flashcards

    Toxic dose for children

    As little as 5mg/kg can be fatal for some children.

    Signup and view all the flashcards

    Sub lethal effects

    1mg/kg can cause toxic effects such as salivation, nausea, and vomiting.

    Signup and view all the flashcards

    Neutralization method

    Drinking a large volume of milk can neutralize less than 5mg/kg of fluoride.

    Signup and view all the flashcards

    Symptoms onset

    Symptoms typically appear within an hour of fluoride ingestion.

    Signup and view all the flashcards

    Fluoride varnish dosage

    0.9ml of Sodium Fluoride Varnish can cause sub lethal poisoning in a child.

    Signup and view all the flashcards

    Lethal dose for children

    For sodium fluoride, 4ml can be potentially lethal for a child weighing 20kg.

    Signup and view all the flashcards

    Supervision During Use

    Parents should supervise young children using fluoride products to avoid overdose.

    Signup and view all the flashcards

    Dietary advice

    Fluoride use in dental practice should come with dietary advice and oral hygiene.

    Signup and view all the flashcards

    Silver Diamine Fluoride (SDF)

    A clear liquid used to arrest caries in high-risk individuals.

    Signup and view all the flashcards

    Fluoride concentration in SDF

    SDF contains the highest fluoride concentration of 44,800 ppm.

    Signup and view all the flashcards

    Uses of SDF

    Used to manage extensive lesions without pain or infection.

    Signup and view all the flashcards

    Side effect of SDF

    Permanent black staining of treated areas.

    Signup and view all the flashcards

    Glass Ionomer Cement

    Restorative material that can release fluoride over time.

    Signup and view all the flashcards

    Fluoride release duration

    Studies suggest fluoride can be released for up to 8 years from ionomers.

    Signup and view all the flashcards

    Prophylaxis Paste

    Abrasive paste that may contain fluoride for prevention but can erode enamel.

    Signup and view all the flashcards

    Fluoride recharge in ionomers

    Ionomers can be recharged with further topical fluoride applications.

    Signup and view all the flashcards

    Patient compliance with SDF

    Some patients may have difficulties adhering to treatment due to intolerance or age.

    Signup and view all the flashcards

    Limitations of prophylaxis pastes

    Using fluoride pastes solely for prevention is not indicated due to enamel loss.

    Signup and view all the flashcards

    Fluoride recommendation for 0-3 years

    Use toothpaste with no less than 1000ppm; apply a smear.

    Signup and view all the flashcards

    Fluoride recommendation for 3-6 years

    Use toothpaste with more than 1000ppm; apply up to pea size.

    Signup and view all the flashcards

    Fluoride level for young adults

    For 7 years to young adults, use toothpaste with 1350-1500ppm.

    Signup and view all the flashcards

    Fluoride danger for children

    Risk of ingestion can occur if young children use too much fluoride.

    Signup and view all the flashcards

    Fluoride in adults

    Adults should use at least 1350ppm of fluoride toothpaste.

    Signup and view all the flashcards

    Spit don’t rinse concept

    Patients should spit toothpaste, not rinse, to keep fluoride effects.

    Signup and view all the flashcards

    Fluoride paste awareness

    Patients may not know fluoride levels in their toothpaste.

    Signup and view all the flashcards

    OraHealth: Fluoride dosage control

    Fluoride dose can be tailored to individual risk levels.

    Signup and view all the flashcards

    Fluoride Supplementation

    Fluoride tablets, lozenges, or drops for caries prevention in children.

    Signup and view all the flashcards

    Fluoridated Salt

    Salt treated with fluoride to improve oral health, not adopted in the UK.

    Signup and view all the flashcards

    Fluoridated Milk

    Milk enriched with fluoride, targeted mainly at school children.

    Signup and view all the flashcards

    Milk Dosage for Fluoride

    Under 5’s should consume a carton every other day; older children daily.

    Signup and view all the flashcards

    Toxic Dose of Fluoride

    The acute lethal dose is approximately 15mg/kg body weight.

    Signup and view all the flashcards

    Pros of Fluoridated Salt

    Easy to administer across populations, bypassing water intake issues.

    Signup and view all the flashcards

    Discontinuation of Fluoride

    Fluoride methods like supplements can be stopped when needed.

    Signup and view all the flashcards

    Fluoride Challenges

    Issues include cost, lack of targeting, and varying doses.

    Signup and view all the flashcards

    Study Notes

    Fluoride Delivery Methods

    • Fluoride is delivered through various methods to prevent dental caries.
    • Over-the-counter fluoride sources include toothpaste, mouthwash, fluoridated water, fluoridated salt, and fluoridated milk.
    • Prescription-only fluoride sources include higher concentration toothpastes, mouthwashes, fluoride tablets, and fluoride drops.
    • Professionally applied fluoride sources include fluoride varnish, glass ionomer cement, and silver diamine fluoride.

    GDC Learning Outcomes

    • Dentists should describe relevant medicines and therapeutic agents and their application.
    • Dental practitioners should provide thorough preventive education, promoting self-care and motivation in patients.
    • All patient care should involve a preventative approach for long-term oral and general health.
    • Provide appropriate preventative materials and treatment plans.
    • Describe and evaluate health promotion within evolving environments, communities, and individual behaviors to improve health.
    • Explain and apply evidence-based prevention strategies effectively.

    Aetiology of Dental Caries Lecture

    • Dental caries results from the interaction of susceptible tooth surface, time, and fermentable carbohydrates.
    • Plaque bacteria play a critical part in this process.

    Histology of Enamel and Dentine Lecture

    • This lecture explores the microscopic structure of enamel and dentine and their impact on dental health.

    Fluoride and the Tooth Surface Lecture

    • This lecture focuses on the relationship between fluoride and the tooth surface.

    Learning Objectives

    • List over-the-counter fluoride supplementation options.
    • List prescription-only fluoride supplementation options.
    • Detail professionally applied fluoride interventions.
    • Explain concerning fluoride levels in various age groups.

    Recap - What do we know so far?

    • The presentation intends to summarize current knowledge on fluoride.

    How is Fluoride Absorbed? - Post-Eruptive Stage

    • Tooth surface health is impacted by pH change due to bacterial acid production.
    • The loss of calcium and phosphate from hydroxyapatite weakens the tooth structure.
    • Calcium, phosphate and fluoride from saliva remineralize the demineralized tooth surface, forming fluoroapatite.

    How Does Fluoride Work? - Uptake into the Tooth

    • Fluoride is absorbed into the tooth surface during tooth formation and throughout the demineralization process.
    • Pre-eruptive fluoride (systemic) is ingested and incorporated into teeth during development.
    • Post-eruptive fluoride (topical) strengthens existing teeth.
    • Fluoride uptake into the teeth occurs in multiple stages, specifically during matrix secretion and maturation.

    How is Fluoride Absorbed? - Post-Eruptive Stage - Key Points

    • Fluoride application creates a reservoir in saliva.
    • Fluoride uptake is more efficient in the demineralized areas of the teeth.
    • Demineralized enamel absorbs fluoride easily.

    Essential Fluoride Supply

    • To prevent dental caries, a regular supply of low-level fluoride is essential to replace lost ions.

    Recap

    • Insufficient evidence exists on fluoride's effect on adults.
    • Studies based on older research reveal that fluoridated water reduces caries in children's permanent teeth by 26% and in deciduous teeth by 35%.
    • Fluoridated water shows a 15% decrease in deciduous teeth decay incidence, and a 14% decrease in permanent teeth decay incidence.

    How Can This Fluoride Be Supplied?

    • The presentation is structured to highlight available fluoride sources.

    Delivering Better Oral Health - Toolkit for Prevention

    • This document is an evidence-based toolkit to support dental teams in improving their patients' oral and general health.

    Sources Without Prescription

    • Common fluoride sources accessible without a prescription include fluoride toothpaste, mouthwash, fluoridated water, fluoridated salt, and fluoridated milk.

    Sources With Prescription

    • These include higher concentrations of fluoride toothpaste, mouthwashes, fluoride tablets, and fluoride drops — all requiring a prescription.

    Professionally Applied Sources

    • Professional applications include fluoride varnish, glass ionomer cement, and silver diamine fluoride.

    Systemic vs Topical Fluoride

    • Systemic fluorides are ingested and incorporated into developing teeth, while topical fluorides strengthen existing teeth.

    Fluoride Levels

    • A full list of fluoride levels is available in the Delivering Better Oral Health document.

    Toothpaste

    • Fluoride toothpaste with less than 1450ppm provides limited effectiveness in controlling dental caries.
    • 1450ppm concentration is common in various toothpastes.
    • Fluoride toothpaste concentration varies with age groups.

    Toothpaste - Recommendations

    • Children under 3 years require a 1000 ppm fluoride toothpaste.
    • Children aged 3 and above should use toothpaste with 1350-1500 ppm fluoride concentration.
    • Supervision and ability to spit are paramount in controlling intake.

    Recommendations - Age Considerations for Fluoride in Toothpaste

    • Age-appropriate fluoride levels in toothpastes are specified for different age groups.

    Pros and Cons of Using Fluoride Toothpaste

    • Fluoride toothpaste is commonly available, cost-effective and easy to use, allowing for tailored use and application.
    • However, factors like risk of ingestion concern for young children, and potential patient awareness of fluoride levels are important to consider.

    Recommendations Regarding Fluoride Rinses

    • Recommend daily fluoride rinsing (0.05% NaF) for individuals above 7 years of age.
    • This method is best suited for individuals at higher risk of dental caries.

    Recommendation for Patients who may indicate high caries risk

    • Individuals with obvious active caries, orthodontic appliances, reduced salivary flow or additional needs, are those likely to benefit from extra attention.

    Fluoride Varnish

    • A sticky substance applied directly to the teeth for treatment and prevention of carious lesions.
    • Varnish application requires patient/guardian post-operative instruction.

    Fluoride Varnish - Procedure

    • No eating, drinking, or rinsing for 30 minutes after treatment.
    • Brushing can be resumed before bedtime, the next day.

    Pros and Cons of Fluoride Varnish

    • Can target specific groups, is applicable as needed and available in various flavors.
    • Disadvantage is the complexity in dose control, potential need for dental appointments for application.

    Silver Diamine Fluoride

    • A clear, odorless liquid used for arresting caries lesions, particularly in high-risk individuals, and in those challenging for other procedures.
    • Its application results in permanent black staining.

    Silver Diamine Fluoride - Action Mechanism

    • Applied fluoride initiates a sequence of chemical reactions that block dentinal tubules, eliminate bacteria, and limit collagen breakdown.

    Silver Diamine Fluoride - Advantages and Disadvantages

    • Advantages: Maintaining space for growing teeth, treating anxious adults, successful compliance in some patients.
    • Disadvantages: Permanent staining, potential inability to monitor effectiveness, and potential pulp damage if treatment is not rapid enough.

    Glass Ionomer Cements

    • Glass ionomer cement-based materials containing fluoride leach fluoride into the demineralized tooth surface.
    • Low fluoride levels are released for prolonged periods.

    Prophylaxis Paste

    • Prophylaxis paste, even if fluoride-containing, may not be suitable for prevention.
    • These contain abrasives that can lead to more enamel loss.

    Systemic Fluoride Methods - Fluoride Tablets/Lozenges/Drops

    • Administer these to be sucked or dissolved in mouth, usually in the evening.
    • These products are typically prescribed by dentists.
    • The concentration of fluoride needs careful consideration to avoid increasing patient risk of fluorosis.

    Recommendations for Systemic Fluoride

    • Fluoride supplements are a consideration but not a first-line treatment for deciduous teeth—further research is needed in this area.
    • Focus on diet and oral hygiene practices to avoid intake of fluoride from other sources.

    Recommendations for Fluoride Intake

    • Varying fluoride levels are recommended for different age brackets.

    Pre-natal Fluoride Administration

    • Recommendations about pre-natal fluoride administration are cited in the document, highlighting the current evidence.

    Fluoridated Salt

    • Some countries mandate salt fluoridation.
    • Salt fluoridation bypasses any issues of individuals not consistently consuming fluoridated water.

    Pros and Cons of Fluoridated Salt

    • Salt is inexpensive, readily available and widely consumed, but variability in intakes across populations could pose an issue.

    Fluoridated Milk

    • Fluoridated milk programs exist for school children in some areas.
    • Fluoride supplements may cause problems in combination with milk.

    Pros and Cons of Fluoridated Milk

    • Fluoridated milk is palatable, helps to target specific populations, can be stopped/started easily, but may be expensive and the dose may be not accurate/consistent.

    Fluoride Toxicity

    • Acute lethal levels can exist due to ingestion of fluoride.

    Fluoride Toxicity - Symptoms and Management

    • Symptoms such as salivation, nausea, and vomiting may suggest harmful fluoride ingestion.
    • Immediate action should be taken by contacting emergency services or a medical professional, providing the necessary details about ingested amount and type.

    Fluoride Toxicity - Dose Calculations (5 year old)

    • Sub-lethal and potentially lethal doses of fluoride products for a 5-year-old child are presented for various methods.

    Summary

    • Fluoride varnish is a top choice for topical delivery, particularly for high-risk patients.
    • Regular use/prescription of other fluoride products requires professional supervision, particularly for young children.
    • Dietary advice and oral hygiene are essential in managing dental health.

    References

    • Include studies, publications, and reports on fluoride's effect on teeth and associated risks.

    Studying That Suits You

    Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

    Quiz Team

    Related Documents

    Fluoride Delivery Methods PDF

    Description

    This quiz covers various fluoride delivery methods essential for preventing dental caries. It discusses over-the-counter and prescription fluoride sources, as well as professional applications used by dental practitioners. Understanding these methods is crucial for effective patient education and preventive care.

    More Like This

    Fluoride Delivery Methods Quiz
    41 questions

    Fluoride Delivery Methods Quiz

    FineLookingAquamarine248 avatar
    FineLookingAquamarine248
    Fluoride Delivery Methods medium
    45 questions

    Fluoride Delivery Methods medium

    WiseTropicalIsland4758 avatar
    WiseTropicalIsland4758
    Fluoride Delivery Methods hard
    45 questions

    Fluoride Delivery Methods hard

    WiseTropicalIsland4758 avatar
    WiseTropicalIsland4758
    Fluoride Delivery Methods
    43 questions

    Fluoride Delivery Methods

    UserFriendlySagacity4401 avatar
    UserFriendlySagacity4401
    Use Quizgecko on...
    Browser
    Browser