Podcast
Questions and Answers
What is one of the main roles of fluoride in oral health?
What is one of the main roles of fluoride in oral health?
Which fluoride delivery method is typically available over-the-counter?
Which fluoride delivery method is typically available over-the-counter?
Which group is at the highest risk for fluoride toxicity if exposed to high levels?
Which group is at the highest risk for fluoride toxicity if exposed to high levels?
Which of the following is NOT a proper fluoride intervention?
Which of the following is NOT a proper fluoride intervention?
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What is the purpose of prescribing fluoride supplements for patients?
What is the purpose of prescribing fluoride supplements for patients?
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How does fluoride contribute to long-term oral health?
How does fluoride contribute to long-term oral health?
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In what way should healthcare providers educate patients about fluoride?
In what way should healthcare providers educate patients about fluoride?
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What is the purpose of evaluating the role of health promotion concerning fluoride?
What is the purpose of evaluating the role of health promotion concerning fluoride?
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What is the most significant time period for acquiring fluoride post-eruption?
What is the most significant time period for acquiring fluoride post-eruption?
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What fluoride compound is formed when fluoride bonds with calcium in saliva?
What fluoride compound is formed when fluoride bonds with calcium in saliva?
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What effect does an acid attack have on fluoride in the saliva?
What effect does an acid attack have on fluoride in the saliva?
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Why does demineralized enamel absorb fluoride more easily?
Why does demineralized enamel absorb fluoride more easily?
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What is the effect of fluoridated water at a level of 0.7ppm?
What is the effect of fluoridated water at a level of 0.7ppm?
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What percentage increase in the number of children with no decay in deciduous teeth is attributed to fluoridation?
What percentage increase in the number of children with no decay in deciduous teeth is attributed to fluoridation?
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What is the main reason for ensuring a regular supply of low-level fluoride?
What is the main reason for ensuring a regular supply of low-level fluoride?
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What conclusion was drawn from the Cochrane Review regarding fluoridated water?
What conclusion was drawn from the Cochrane Review regarding fluoridated water?
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What risk is associated with fluorosis at a concentration of 0.7ppm?
What risk is associated with fluorosis at a concentration of 0.7ppm?
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What has older research indicated about fluoride's effectiveness in adults?
What has older research indicated about fluoride's effectiveness in adults?
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What is the primary reason for not using mouthwash immediately after brushing teeth?
What is the primary reason for not using mouthwash immediately after brushing teeth?
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Which of the following statements is true regarding over-the-counter mouthwashes?
Which of the following statements is true regarding over-the-counter mouthwashes?
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What is a significant risk associated with the use of mouthwash in young children?
What is a significant risk associated with the use of mouthwash in young children?
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For whom are prescription fluoride rinses particularly recommended?
For whom are prescription fluoride rinses particularly recommended?
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Why might a weekly fluoride rinse be less effective for some individuals?
Why might a weekly fluoride rinse be less effective for some individuals?
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What type of fluoride rinse is recommended for higher dental caries risk patients?
What type of fluoride rinse is recommended for higher dental caries risk patients?
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Which of the following is considered an advantage of using fluoridated mouthwash?
Which of the following is considered an advantage of using fluoridated mouthwash?
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What is one potential drawback of daily fluoride mouth rinse usage?
What is one potential drawback of daily fluoride mouth rinse usage?
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What fluoride concentration is typically found in daily prescription rinses?
What fluoride concentration is typically found in daily prescription rinses?
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Which group of patients would benefit most from using fluoride rinses?
Which group of patients would benefit most from using fluoride rinses?
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What is the primary reason fluoride supplements are prescribed?
What is the primary reason fluoride supplements are prescribed?
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Which age group is recommended to take 0.25 mg of fluoride if the drinking water fluoride level is below 0.3 ppm?
Which age group is recommended to take 0.25 mg of fluoride if the drinking water fluoride level is below 0.3 ppm?
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What should be avoided when taking fluoride supplements?
What should be avoided when taking fluoride supplements?
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What is a potential risk associated with excessive fluoride intake?
What is a potential risk associated with excessive fluoride intake?
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For children aged 3-5 years, what is the fluoride supplement recommendation if the primary water source has a fluoride level of 0.3-0.7 ppm?
For children aged 3-5 years, what is the fluoride supplement recommendation if the primary water source has a fluoride level of 0.3-0.7 ppm?
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What is the best practice for administering fluoride tablets or lozenges?
What is the best practice for administering fluoride tablets or lozenges?
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What is the first-line approach recommended for improving oral health before considering fluoride supplements?
What is the first-line approach recommended for improving oral health before considering fluoride supplements?
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What is a major limitation of fluoride varnish for high-risk patients?
What is a major limitation of fluoride varnish for high-risk patients?
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What is the primary function of silver diamine fluoride (SDF)?
What is the primary function of silver diamine fluoride (SDF)?
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What is a common misconception about the effectiveness of glass ionomer cement materials?
What is a common misconception about the effectiveness of glass ionomer cement materials?
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What potential side effect is associated with the use of silver diamine fluoride?
What potential side effect is associated with the use of silver diamine fluoride?
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What is a significant risk involved with using prophylaxis paste containing fluoride?
What is a significant risk involved with using prophylaxis paste containing fluoride?
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What unique property does the application of silver diamine fluoride provide?
What unique property does the application of silver diamine fluoride provide?
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Which of the following is true regarding fluoride concentrations in systemically applied fluoride?
Which of the following is true regarding fluoride concentrations in systemically applied fluoride?
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What is a significant challenge with dosing fluoride varnish?
What is a significant challenge with dosing fluoride varnish?
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How can glass ionomer cements enhance the effectiveness of fluoride treatment?
How can glass ionomer cements enhance the effectiveness of fluoride treatment?
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What is an indication for the use of silver diamine fluoride in pediatric patients?
What is an indication for the use of silver diamine fluoride in pediatric patients?
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Study Notes
Fluoride Delivery Methods
- Fluoride is used to prevent dental caries
- Various methods of fluoride delivery exist
- Methods include: over-the-counter, prescription, and professionally applied sources
- Different concentrations of fluoride are available for different age groups and needs
- Fluoride is incorporated into tooth structures during tooth development, making teeth more resistant to demineralisation
- Fluoride concentrations vary; some topical applications have higher concentrations
- Spit don't rinse is important for maximising fluoride benefits
- Fluoride in mouthwash is lower than fluoride in toothpaste.
- Recommendations exist for different age groups and risk factors
- The use of fluoride in dental care, along with other preventive measures and patient care information, is discussed.
- Fluoride toxicity is a concern, with specific dosage guidelines related to age
GDC Learning Outcomes
- GDC learning objectives encompass several areas related to preventative medicine and patient management
- These objectives highlight the importance of preventative care in improving long-term oral and general health
- Knowledge of therapeutic agents, patient education, and materials is essential for effective preventative care
- Encouragement of self-care and motivation is crucial for patient outcomes
- Health promotion is instrumental in achieving positive health outcomes within changing environments, communities and individual behaviours
- Effective implementation of evidence-based prevention strategies is vital
Pre-Reading: Aetiology of Dental Caries
- The lecture is on the causes of dental caries
- Susceptible tooth surface, fermentable carbohydrates, and plaque bacteria factors combine to lead to caries
Pre-Reading: Histology of Enamel and Dentine
- The lecture is on the microscopic structure of enamel and dentine
- Structures of enamel and dentine are discussed
Pre-Reading: Fluoride and the Tooth Surface
- The lecture is focused on the effects of fluoride on teeth and tooth surfaces
Learning Objectives (Session)
- The session aims at covering various aspects of fluoride supplementation and interventions.
- Knowledge of over-the-counter fluoride options is targeted
- Types of prescription fluoride options will also be discussed
- Detailed knowledge of professionally applied fluoride interventions will be presented
- Identification of dangerous fluoride levels across different age groups is a key objective
Recap - What do we know so far?
- The presentation overviewed aspects of fluoride and dental health
How is Fluoride Absorbed? (Post-Eruptive Stage)
- Fluoride absorption is discussed in relation to the stage of tooth development after eruption
- Factors involved in this stage include pH, calcium, phosphate, and fluoride interactions
- Remineralisation is part of the process
How Does Fluoride Work? (Uptake Into the Tooth)
-The stages of fluoride uptake into teeth are covered: pre-eruptive (systemic fluoride) and post-eruptive (topical fluoride) stages.
- The absorption of fluoride into the tooth surface, rendering it more resistant to demineralisation, is discussed.
How is Fluoride Absorbed? (Post-Eruptive Stage - Key Points)
- The acquisition of fluoride during the first 2-3 years after tooth eruption is substantial due to the porous nature of early teeth.
- Demineralised enamel materials absorb fluoride readily
- Fluoride acts as a reservoir
Importance of Regular Fluoride Supply
- Regular fluoride supply is essential in restoring lost ions, contributing to carie prevention.
Recap
- Fluoridation of water and its effect on decay reduction in children's teeth is discussed
- Evidence on effects of this is reviewed in context
- The presentation summarised fluoride's role in preventing dental decay, giving specific examples of percentage chances of decay reduction.
How Can Fluoride Be Supplied?
- The presentation discussed methods of fluoride delivery.
Sources Without Prescription
- Common sources of fluoride available without a prescription (toothpaste, mouthwash, fluoridated water, fluoridated salt, fluoridated milk) are listed.
Sources With Prescription
- Prescription-strength fluoride sources (high-concentration toothpastes, mouthwashes, fluoride tablets, fluoride drops) are described. These have higher fluoride levels than non-prescription options.
Professionally Applied Sources
- Professionally applied fluoride sources, such as fluoride varnishes, glass ionomer cement, and silver diamine fluoride, are discussed
Systemic vs Topical Fluoride
- The difference between systemic and topical fluoride delivery is explained: Systemic is consumed, enters the body, and effects are generalised, whereas topical only works on the surface.
Topic: Mouthwash
- The presentation covered various aspects of fluoride concentration in mouthwashes.
- The concentration of fluoride in mouthwash is presented as lower than in toothpaste.
- Various advice concerning usage time, appropriate age-groups and precautions were presented.
Pros and Cons of Mouthwashes
- Advantages and disadvantages of using mouthwash are discussed.
Recommendations
- Recommendations for the daily use of mouthwash are detailed.
- The recommendation for appropriate usage of fluoride mouthwash, including when and how long, is discussed
- Potential patient groups with higher caries risks were identified.
Fluoride Varnish
- Aspects of fluoride varnish are detailed.
- The application of fluoride varnish, as well as indications (including caries prone adults and patients with orthodontic appliances) are discussed.
- Precautions in application are covered, as well as post-operative instructions.
- Pro/con considerations for the use of fluoride varnishes are explained
Pros and Cons of Fluoride Varnish
- Considerations relating to patient groups and application are discussed, together with efficacy and contraindications.
Silver Diamine Fluoride
- SDF is presented as a strong fluoride liquid
- Different usage of SDF, in particular in dental practice, is discussed.
- Advantages and disadvantages of use are described
Pros and Cons of SDF
- Advantages and disadvantages of SDF are considered.
Prophylaxis Paste
- Presentation focused on prophylactic paste and considerations relating to its use
- This included abrasive qualities and whether or not prophylactic paste is suitable for fluoride delivery
Systematic Application of Fluoride
- Systemic fluoride application methods, including tablets and lozenges, are covered.
Recommendations
- Recommendations concerning the systemic delivery of fluoride, including age-appropriate dosages, are discussed
Fluoride Tablets/Lozenges/Drops
- Different strengths and uses of fluoride are discussed
- Precautions concerning fluoride usage are explained
Recommendations
- Considerations are made concerning who may benefit most from systemic fluoride usage and precautions to be taken.
Fluoride Recommendations
- Considerations for appropriate use and contraindications of fluoride sources (toothpaste, supplements etc) are detailed according to age appropriateness
Pre-natal Fluoride Administration
- It has been noted that there is no conclusive evidence supporting the effectiveness of prenatal fluoride supplementation in preventing dental caries in offspring.
Fluoridated Salt
- The presentation described the use of fluoride-containing salt in some countries.
- Considerations relating to the use of fluoridated salt, as well as pros and cons, are discussed
Fluoridated Milk
- Fluoridated milk programs are presented, along with indications for use and advice for usage considerations.
- Pros and cons of fluoridated milk are detailed.
Fluoride Toxicity
- Symptoms and possible consequences of fluoride toxicity are discussed.
- The presentation provided specifics information concerning the implications of fluoride toxicity, including potential lethal doses and symptoms associated with dosage
Toxicity of Fluoride Preparations
- The presentation provided clear quantification of dosage levels of fluoride preparations.
Summary
- A summary of fluoride usage is summarised, including topical application aspects and recommendations, with specific mention to high caries risk patients
References
- The presentation presented relevant documented references, including publications and reviews, providing support to the presented facts.
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Description
Explore the various methods of fluoride delivery used in dental care to prevent caries. This quiz covers over-the-counter, prescription, and professionally applied fluoride, along with their concentrations for different age groups. Understand the importance of fluoride applications and key recommendations for effective use.
