Podcast
Questions and Answers
What occurs during the post-eruptive stage of a tooth's lifecycle?
What occurs during the post-eruptive stage of a tooth's lifecycle?
What is the main benefit of fluoride to tooth health during the pre-eruptive stage?
What is the main benefit of fluoride to tooth health during the pre-eruptive stage?
Which process occurs during the remineralization of teeth?
Which process occurs during the remineralization of teeth?
In what stage does fluoride uptake primarily occur?
In what stage does fluoride uptake primarily occur?
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What is the result of the drop in pH due to bacterial acid on teeth?
What is the result of the drop in pH due to bacterial acid on teeth?
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How does fluoride contribute to the formation of fluoroapatite?
How does fluoride contribute to the formation of fluoroapatite?
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What initiates the process of remineralization in teeth?
What initiates the process of remineralization in teeth?
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What role does saliva play in tooth health post-eruption?
What role does saliva play in tooth health post-eruption?
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What is the common fluoride concentration in most fluoride toothpastes available over the counter?
What is the common fluoride concentration in most fluoride toothpastes available over the counter?
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Which of the following is a systemic source of fluoride?
Which of the following is a systemic source of fluoride?
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What is a key benefit of topical fluoride applications?
What is a key benefit of topical fluoride applications?
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Which of the following is a prescription-strength toothpaste?
Which of the following is a prescription-strength toothpaste?
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Which of the following is considered a professionally applied fluoride source?
Which of the following is considered a professionally applied fluoride source?
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What happens to fluoride concentrations lower than 1000ppm in toothpaste?
What happens to fluoride concentrations lower than 1000ppm in toothpaste?
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What is a disadvantage of systemic fluoride sources?
What is a disadvantage of systemic fluoride sources?
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Which type of fluoride helps in the prevention of decay by directly strengthening teeth already in the mouth?
Which type of fluoride helps in the prevention of decay by directly strengthening teeth already in the mouth?
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What is the fluoride concentration in prescription strength sodium fluoride toothpaste termed Duraphat?
What is the fluoride concentration in prescription strength sodium fluoride toothpaste termed Duraphat?
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Which is NOT a source of fluoride without a prescription?
Which is NOT a source of fluoride without a prescription?
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What is the recommended amount of fluoride toothpaste for children aged 3 to 6 years?
What is the recommended amount of fluoride toothpaste for children aged 3 to 6 years?
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For adults with active coronal or root caries, what is the recommended fluoride level?
For adults with active coronal or root caries, what is the recommended fluoride level?
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Why should patients avoid rinsing after using fluoride toothpaste?
Why should patients avoid rinsing after using fluoride toothpaste?
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What fluoride level is recommended for children aged 0 to 3 years?
What fluoride level is recommended for children aged 0 to 3 years?
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What is one of the pros of using fluoride toothpaste?
What is one of the pros of using fluoride toothpaste?
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When treating 7 years to young adults showing signs of concern, what fluoride level is recommended?
When treating 7 years to young adults showing signs of concern, what fluoride level is recommended?
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What is the main reason for the recommendation to 'spit, don’t rinse' after using fluoride toothpaste?
What is the main reason for the recommendation to 'spit, don’t rinse' after using fluoride toothpaste?
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What is a concern for young children using fluoride toothpaste?
What is a concern for young children using fluoride toothpaste?
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For individuals aged 16 and above with active disease, what is the maximum fluoride level recommended?
For individuals aged 16 and above with active disease, what is the maximum fluoride level recommended?
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What is a potential risk when using fluoride toothpaste?
What is a potential risk when using fluoride toothpaste?
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What is one potential issue with fluoride supplementation during pregnancy?
What is one potential issue with fluoride supplementation during pregnancy?
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What is a primary benefit of fluoridated salt?
What is a primary benefit of fluoridated salt?
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What is the primary reason for prescribing fluoride supplements?
What is the primary reason for prescribing fluoride supplements?
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Which age group is recommended to receive a fluoride dosage of 0.25mg?
Which age group is recommended to receive a fluoride dosage of 0.25mg?
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What is a major risk of using fluoridated milk for children?
What is a major risk of using fluoridated milk for children?
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What should be considered when prescribing fluoride supplements?
What should be considered when prescribing fluoride supplements?
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What is a common misconception about fluoride administration methods?
What is a common misconception about fluoride administration methods?
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What condition may arise from excessive fluoride consumption?
What condition may arise from excessive fluoride consumption?
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Why should fluoride supplements be taken at a different time than brushing teeth?
Why should fluoride supplements be taken at a different time than brushing teeth?
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What is a drawback of using fluoridated milk compared to other fluoride sources?
What is a drawback of using fluoridated milk compared to other fluoride sources?
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Which condition may increase the patient's risk of fluorosis when using fluoride supplements?
Which condition may increase the patient's risk of fluorosis when using fluoride supplements?
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How does compulsory fluoridated salt affect consumer choice?
How does compulsory fluoridated salt affect consumer choice?
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What is the first-line recommendation for managing oral health in children?
What is the first-line recommendation for managing oral health in children?
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Which age group does not receive any fluoride supplement if the drinking water concentration is greater than 0.7ppm?
Which age group does not receive any fluoride supplement if the drinking water concentration is greater than 0.7ppm?
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What is the correct administration method for fluoride tablets?
What is the correct administration method for fluoride tablets?
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What is a precaution to take before prescribing fluoride supplements?
What is a precaution to take before prescribing fluoride supplements?
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What is the recommendation for fluoride use in medically compromised children?
What is the recommendation for fluoride use in medically compromised children?
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Study Notes
Fluoride Delivery Methods
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Fluoride is delivered via various methods, including oral and dental treatments.
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Different delivery methods have different strengths and implications for various age groups.
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Key methods for fluoride delivery include: over-the-counter and prescription toothpaste, mouthwashes, topical fluoride treatments, fluoride tablets/lozenges/drops, fluoridated water, fluoridated salt, and fluoridated milk.
GDC Learning Outcomes
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Dental professionals should describe properties of medications to manage patients.
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Preventative education methods should promote patient self-care.
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Patient care needs a preventative approach to contribute to long-term oral and general health.
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Appropriate preventative materials and treatments should be advised and applied.
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Dental professionals should describe the role of health promotion in changing environments.
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Evidence-based prevention should be explained and applied by dental professionals.
Pre-reading Topics
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Aeitology of Dental Caries: Caries formation process involves susceptible tooth surfaces, plaque bacteria, and fermentable carbohydrates.
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Histology of Enamel and Dentine: Study of the microscopic structure of enamel and dentine is needed.
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Fluoride and the Tooth Surface: Fluoride and its interaction with tooth surfaces.
Learning Objectives
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Students should identify over-the-counter and prescription options for fluoride supplementation.
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Students should describe professionally applied fluoride interventions.
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Students need to identify dangerous fluoride levels for various age groups.
Recap - What do we Know So Far?
- The presentation summarizes existing knowledge on fluoride delivery methods and their applications.
Fluoride Absorption - Post-Eruptive Stage
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Fluoride absorption occurs in stages (pre-eruptive and post-eruptive).
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Demineralization and remineralization processes involve fluoride for a tooth surface.
How it Works - Uptake into the Tooth
- Fluoride is absorbed into tooth surfaces and makes the tooth more resistant to demineralization throughout several phases of tooth development.
Fluoride Levels
- The presentations offer multiple levels of fluoride, from low to high, in different products.
Sources without Prescription
- Over-the-counter sources for fluoride, including toothpaste, mouthwash, fluoridated water, and fluoridated salt.
Sources with Prescription
- Prescription fluoride sources, such as toothpaste or mouthwash, which have a higher fluoride concentration than over-the-counter products.
Professionally Applied Sources
- Various professional treatments like varnish, fluoride varnish, and glass ionomer cement for fluoride application.
Systemic vs Topical
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Systemic fluoride is ingested, incorporated into forming tooth structures.
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Topical fluoride strengthens existing teeth in the mouth, making them more resistant to decay.
Mouth Wash
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Many over-the-counter mouthwashes contain fluoride.
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Fluoride concentration in mouthwashes can range from 0.05% to 0.2%.
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Rinses can be daily or weekly.
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Prescription mouthwash is for individuals older than 7 with a high risk of decay.
Fluoride Varnish
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Varnish is applied to the teeth via various procedures, often by trained professionals.
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Fluoride varnish applications are used to arrest caries and protect root surfaces.
Pros and Cons of Fluoride Varnish
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Varnish is a good choice for patients who have trouble using other methods.
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Varnish's effectiveness can be difficult to monitor.
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It contains flavors to be more palatable to patients.
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Some individuals may dislike the procedure.
Silver Diamine Fluoride
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SDF is a liquid that arrests caries.
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It's useful for patients with complex issues.
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A permanent black stain can be a side effect.
Toxicity of Fluoride Preparations
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Acute lethal doses can be extremely dangerous.
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Symptoms of poisoning from fluoride ingestion include nausea, vomiting, and excessive salivation.
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Mild poisoning can be managed by drinking a large quantity of milk or water.
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Individuals with fluoride poisoning symptoms should seek medical attention immediately.
Pre-natal Administration of Fluoride
- Supplements in pregnant women aren't scientifically proven to prevent tooth decay in offspring.
Fluoridated Salt
- Salt fluoridation is used in some countries to add fluoride.
Fluoridated Milk
- Some areas use fluoridated milk in school programs.
Recommendations
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Fluoride should be applied according to age-appropriate recommendations and under supervision.
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Supplements should be taken at a different time than brushing.
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Various fluoride-containing products, such as toothpaste and mouthwash, should be kept out of the reach of young children.
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Fluorides should always be combined with dietary advice and oral hygiene instructions.
Toothpaste
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Toothpaste variations are available for different age groups, and fluoride content varies.
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Proper use of toothpaste, including the amount and frequency, is essential.
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Children under a certain age should be supervised.
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Description
Explore the various methods of fluoride delivery, including oral and dental treatments. This quiz will help dental professionals understand the strengths and implications of each method for different age groups, as well as the importance of preventative education in patient care.
