Fluoride Delivery - Revision Questions Flashcards
What are the ways to deliver fluoride?
Water Salt Milk Varnish/gels Rinses Supplements Toothpastes
Fluoride gels
12,300ppm
Time consuming to apply
Special equipement required
High cost per tooth
Fluoride mouthrinses
Effective in caries reduction
>7 years
Fluoride supplements
tablets/drops = 1mg
used mainly brith - 6years
Used beyond 6 years if special needs and care requirments
Tends to be pooer compliance
Fluordie varnishes
Holds F- in close contact with tooth for period of time
Needs to be regualrly applied
Flurodie toothpastes
Applied x2 daily
Risk of swallowing and fluorosis if high con
Spit out excess
Refrain from rinsing with water
Factors influcening tesults of fluoridated milk?
Age of commencement Population F- concentration Freq of use Compliance/ drop out rate Distribuation system
Advatanges of fluoridate milk
Natrually healthy drink
Important part of childs diet
Enables fluoride to be targeted at those who would benefit most
Disadvantages of fluoridated milk
Not all children drink milk
Distribution delayed until school age/nursery
Shelf life/cost issues (higher than water F-
Measuring dental caries
dmft/DMFT
d1mft = decay into enamel
d3mft/D3MFT = decay extened pass ACJ
%d3mft/D3MFT = 0 - prevalence/%with no of obvious caries experience
D1 = intital caries D2 = Enamel D3 = dentine D4 = pulpal involvement
<0.3ppm fluoride in water, tabs required?
0-6months = 0mg/per day 6-3years = 0.25mg/per day 3-6years = 0.50mg/per day 6+ = 1mg/per day
<0.6ppm flurodie in water, tabs required?
0-6months = 0.0mg/per day
3-6 years = 0.0mg/per day
3-6 years = 0.25 mg/per day
6+ = 0.5mg/per day
What foods contain fluoride?
Tea
Beer
Bony fish - sardines, tuna, salmon
What does topical fluoride do?
Promotes remineralisation and affects plq by inhibiting bacteria in plq producing acid.
