Role of Community Based Fluoride Delivery in Caries Prevention Flashcards

1
Q

how does fluoride prevent caries

A

promotes remineralisation
fluoroapatite less susceptible to demineralisation
topical effect greater than systemic
most effective on early lesions

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2
Q

what are the 2 types of oral reservoir for fluoride

A

mineral deposits in saliva
calcium fluoride

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3
Q

what are the community fluoride therapy

A

water
school based brushing
varnish

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4
Q

what are the in office fluoride methods

A

varnish
gels and foams
slow release

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5
Q

what are the home fluoride methods

A

toothpaste
mouthrinse
tablets

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6
Q

what is the effect of fluoride mouthrinses

A

reduction in caries of around 30%

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7
Q

what is an acidulated mouthrinse

A

low pH which makes demineralisation so presence of fluoride in mouthwash can promote remineralisation
more effective than non acidulated

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8
Q

what is a fluoride booster

A

CPP-ACP

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9
Q

what is the fluoride concentration of duraphat fluoride varnish

A

22600ppmF

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10
Q

what are the factors determining the anticaries activity of fluoride toothpaste

A

fluoride concentration
frequency of application
rinsing behaviours
when brushing takes place

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11
Q

what is the effect of fluoride concentration

A

6-7% reduction in caries for every 500ppmF increase

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12
Q

what are the optimal brushing habits

A

twice daily
no rinsing
1500ppmF paste

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13
Q

how much fluoride is needed to risk fluorosis

A

0.1mg/kg body weight

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14
Q

what is the efficacy of fluoride dependent on

A

concentration

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15
Q

how do you maximise caries benefit but reduce fluorosis risk in young children

A

keep toothpaste out of reach of young children
brush frequently
supervise brushing by young children
use small amount of paste
discourage swallowing
encourage spitting out

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