Fluoride Delivery Methods hard
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What is one of the main roles of fluoride in oral health?

  • It acts as a substitute for calcium in bones.
  • It completely eliminates plaque bacteria.
  • It helps to remineralize tooth enamel. (correct)
  • It increases the acidity of saliva.
  • Which fluoride delivery method is typically available over-the-counter?

  • Fluoride varnish applications.
  • Fluoride toothpaste. (correct)
  • Fluoride gel treatments applied in a dental office.
  • Prescription fluoride supplements.
  • Which group is at the highest risk for fluoride toxicity if exposed to high levels?

  • Adults aged 30 to 50.
  • Children under six years old. (correct)
  • Teenagers aged 13 to 19.
  • Elderly individuals over 65.
  • Which of the following is NOT a proper fluoride intervention?

    <p>Saltwater mouthwash. (C)</p> Signup and view all the answers

    What is the purpose of prescribing fluoride supplements for patients?

    <p>To reduce the risk of dental caries. (C)</p> Signup and view all the answers

    How does fluoride contribute to long-term oral health?

    <p>By reinforcing teeth against acid attacks. (B)</p> Signup and view all the answers

    In what way should healthcare providers educate patients about fluoride?

    <p>Discussing safe fluoride levels and their benefits. (A)</p> Signup and view all the answers

    What is the purpose of evaluating the role of health promotion concerning fluoride?

    <p>To identify how fluoride use affects individual behavior. (D)</p> Signup and view all the answers

    What is the most significant time period for acquiring fluoride post-eruption?

    <p>2-3 years (C)</p> Signup and view all the answers

    What fluoride compound is formed when fluoride bonds with calcium in saliva?

    <p>CaF2 (C)</p> Signup and view all the answers

    What effect does an acid attack have on fluoride in the saliva?

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

    Why does demineralized enamel absorb fluoride more easily?

    <p>It is more porous (C)</p> Signup and view all the answers

    What is the effect of fluoridated water at a level of 0.7ppm?

    <p>Reduces caries in permanent teeth (C)</p> Signup and view all the answers

    What percentage increase in the number of children with no decay in deciduous teeth is attributed to fluoridation?

    <p>35% (A)</p> Signup and view all the answers

    What is the main reason for ensuring a regular supply of low-level fluoride?

    <p>To replace lost ions (D)</p> Signup and view all the answers

    What conclusion was drawn from the Cochrane Review regarding fluoridated water?

    <p>Reduces caries in children's permanent teeth (A)</p> Signup and view all the answers

    What risk is associated with fluorosis at a concentration of 0.7ppm?

    <p>12% chance of aesthetic concerns (A)</p> Signup and view all the answers

    What has older research indicated about fluoride's effectiveness in adults?

    <p>Fluoride is completely ineffective (B)</p> Signup and view all the answers

    What is the primary reason for not using mouthwash immediately after brushing teeth?

    <p>It may wash away fluoride from toothpaste. (A)</p> Signup and view all the answers

    Which of the following statements is true regarding over-the-counter mouthwashes?

    <p>They typically have a fluoride concentration of 0.05%. (A)</p> Signup and view all the answers

    What is a significant risk associated with the use of mouthwash in young children?

    <p>There is a risk of ingestion. (D)</p> Signup and view all the answers

    For whom are prescription fluoride rinses particularly recommended?

    <p>Those over 7 years old. (A)</p> Signup and view all the answers

    Why might a weekly fluoride rinse be less effective for some individuals?

    <p>It can become forgotten easily. (D)</p> Signup and view all the answers

    What type of fluoride rinse is recommended for higher dental caries risk patients?

    <p>Daily rinses at a concentration of 0.05%. (A)</p> Signup and view all the answers

    Which of the following is considered an advantage of using fluoridated mouthwash?

    <p>It is easily customizable for dosage. (B)</p> Signup and view all the answers

    What is one potential drawback of daily fluoride mouth rinse usage?

    <p>It may become toxic with excessive use. (B)</p> Signup and view all the answers

    What fluoride concentration is typically found in daily prescription rinses?

    <p>0.05% (D)</p> Signup and view all the answers

    Which group of patients would benefit most from using fluoride rinses?

    <p>Patients with a higher risk of dental caries. (A)</p> Signup and view all the answers

    What is the primary reason fluoride supplements are prescribed?

    <p>To enhance oral health in high-risk patients (A)</p> Signup and view all the answers

    Which age group is recommended to take 0.25 mg of fluoride if the drinking water fluoride level is below 0.3 ppm?

    <p>6 months to 2 years (A)</p> Signup and view all the answers

    What should be avoided when taking fluoride supplements?

    <p>Taking them at the same time as brushing (B)</p> Signup and view all the answers

    What is a potential risk associated with excessive fluoride intake?

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

    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?

    <p>0.25 mg (A)</p> Signup and view all the answers

    What is the best practice for administering fluoride tablets or lozenges?

    <p>To suck or dissolve them in the mouth (C)</p> Signup and view all the answers

    What is the first-line approach recommended for improving oral health before considering fluoride supplements?

    <p>Diet advice and oral hygiene instruction (A)</p> Signup and view all the answers

    What is a major limitation of fluoride varnish for high-risk patients?

    <p>It requires patients to attend a dental appointment. (B)</p> Signup and view all the answers

    What is the primary function of silver diamine fluoride (SDF)?

    <p>To arrest caries in patients at high caries risk. (A)</p> Signup and view all the answers

    What is a common misconception about the effectiveness of glass ionomer cement materials?

    <p>They release fluoride continuously for an unlimited time. (D)</p> Signup and view all the answers

    What potential side effect is associated with the use of silver diamine fluoride?

    <p>Permanent black staining of teeth. (D)</p> Signup and view all the answers

    What is a significant risk involved with using prophylaxis paste containing fluoride?

    <p>It can cause greater enamel loss than fluoride benefits. (A)</p> Signup and view all the answers

    What unique property does the application of silver diamine fluoride provide?

    <p>It leads to den tenal tubule blockage. (B)</p> Signup and view all the answers

    Which of the following is true regarding fluoride concentrations in systemically applied fluoride?

    <p>The concentration is significantly lower than topical applications. (D)</p> Signup and view all the answers

    What is a significant challenge with dosing fluoride varnish?

    <p>The actual dose delivered can vary widely. (A)</p> Signup and view all the answers

    How can glass ionomer cements enhance the effectiveness of fluoride treatment?

    <p>By allowing fluoride levels to be 'recharged' via topical application. (B)</p> Signup and view all the answers

    What is an indication for the use of silver diamine fluoride in pediatric patients?

    <p>To delay treatment while managing other issues. (B)</p> Signup and view all the answers

    Flashcards

    Fluoride Delivery Methods

    Different ways to introduce fluoride into the body for oral health benefits.

    Oral Fluoride Supplements

    Fluoride supplements taken by mouth for oral health.

    Prescription Fluoride Supplements

    Fluoride supplements needing a doctor's prescription.

    Professional Fluoride Treatments

    Fluoride applications performed by dentists or dental hygienists.

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    Harmful Fluoride Levels

    The concentration of fluoride that is dangerous for different age groups.

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    Fluoride Absorption

    The process of fluoride entering the body and reaching the teeth.

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    Dental Caries

    Cavities or tooth decay.

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    Plaque Bacteria

    Bacteria that build up on the teeth and contribute to dental problems.

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    Post-Eruptive Stage

    The period after a tooth erupts through the gums, lasting approximately 2-3 years. During this time, the tooth is more porous, allowing greater absorption of fluoride.

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    Fluoride Reservoir

    A concentration of fluoride stored in saliva, ready to be released when needed.

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    CaF2

    Calcium fluoride, a compound formed when fluoride bonds to calcium in saliva.

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    Acid Attack

    When acidic substances lower the pH in your mouth, eroding tooth enamel.

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    Demineralization

    The loss of minerals, like calcium and phosphate, from tooth enamel, leading to weakening.

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    Remineralization

    The process of rebuilding tooth enamel by replacing lost minerals.

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    Topical Fluoride

    Fluoride applied directly to tooth surfaces, like in toothpaste or mouthwash.

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    Fluoride for Caries Prevention

    Regular low-level fluoride intake helps replace lost minerals and strengthen enamel, preventing cavities.

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    Fluoridated Water

    Drinking water with added fluoride, a proven method for reducing tooth decay.

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    Fluorosis

    A condition that can cause white spots or streaks on teeth due to excessive fluoride intake.

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    Mouthwash Fluoride Concentration

    The amount of fluoride in mouthwash is significantly lower than in toothpaste (around 0.05%).

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    Why Use Mouthwash Separately?

    Mouthwash's lower fluoride concentration means it's best used at a different time from brushing to not dilute the toothpaste's fluoride.

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    Prescription Fluoride Rinse

    A stronger fluoride rinse available by prescription, typically used for people with higher caries risk.

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    Fluoride Rinse Age Limit

    Prescription fluoride rinses are only recommended for children over 7 years old due to the risk of swallowing.

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    Mouthwash Pros

    Mouthwashes are easy to use, can be tailored to individual needs, are affordable, and offer an alternative for those who dislike toothpaste.

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    Mouthwash Cons

    Mouthwashes can be risky for young children due to swallowing, and weekly rinses are easily forgotten.

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    Mouthwash Toxicity

    Swallowing excessive amounts of fluoride can be toxic, especially for children.

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    Daily Fluoride Rinse Recommendation

    Using a 0.05% fluoride rinse daily at a different time than brushing is recommended for those over 7 who can spit properly.

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    Higher Caries Risk Patient

    A person who has a higher chance of developing cavities, often due to factors like poor oral hygiene or diet.

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    When to Use Fluoride Rinse

    Fluoride rinses are especially useful for people with higher caries risk, helping prevent cavities.

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    Fluoride Varnish: Pros

    Fluoride varnish is effective at targeting high-risk populations, can be discontinued when needed, comes in various flavors, and offers a choice for fluoride-averse individuals.

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    Fluoride Varnish: Cons

    Fluoride varnish requires professional application, may have compliance issues, can't be eaten or drunk after application, and dosage control can be tricky.

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    Silver Diamine Fluoride (SDF): Purpose

    SDF is a liquid used to arrest caries in high-risk individuals, including those with difficulty controlling lesions.

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    SDF: Concentration & Usage

    SDF contains a high concentration of fluoride (44,800 ppm), allowing it to manage extensive lesions without pain or infection.

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    SDF: Side Effects

    SDF causes permanent black staining but helps manage caries in children waiting for other treatments like general anesthesia.

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    Glass Ionomer Cement: Fluoride Release

    Glass ionomer cements containing fluoride can potentially leach fluoride into tooth surfaces, potentially aiding in remineralization.

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    Glass Ionomer Cement: Recharge

    Fluoride levels in glass ionomer cements can be recharged with additional topical fluoride applications.

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    Prophylaxis Paste: Fluoride Use

    While prophylaxis paste can contain fluoride, using it solely for prevention is not recommended due to its abrasiveness.

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    Prophylaxis Paste: Recommendation

    If prophylaxis paste is used, a fluoride-containing one is recommended.

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    Fluoride Tablets/Lozenges/Drops

    Prescription-only supplements containing varying concentrations of fluoride, used to strengthen teeth and prevent cavities.

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    Fluoride Supplement Dosage

    The amount of fluoride supplement needed depends on the fluoride levels in your drinking water. Higher water fluoride means lower supplement dosage.

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    Fluorosis Risk

    Overconsumption of fluoride can lead to fluorosis, a condition causing white spots or streaks on teeth.

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    When to Consider Fluoride Supplements?

    Fluoride supplements might be recommended for children at high risk of tooth decay or those with medical conditions.

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    Fluoride Supplement Administration

    Fluoride tablets should be sucked or dissolved in the mouth, preferably in the evening.

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    Fluoride Supplement Dosage Chart

    A chart that shows specific fluoride supplement dosages based on age and water fluoride levels.

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    First-Line Oral Health Strategies

    Diet advice, oral hygiene instruction, and age-appropriate oral care products are the primary recommendations for preventing tooth decay.

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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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    Fluoride Delivery Methods PDF

    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.

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