Topical Fluorides Flashcards

1
Q

high concentration of topical fluorides are used where and how often?

A
  1. low frequency

2. office use

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2
Q

low concentration of topical fluorides are used where and how often?

A
  1. high frequency

2. home use

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3
Q

indication for topical fluoride therapy

A
  1. prevent decay
  2. reverse incipient decay
  3. arrest cavitated lesions
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4
Q

percent of fluoride in monofluorophosphate (MFP)

A

13%

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5
Q

percent of fluoride in stannous fluoride (SnF2)

A

24%

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6
Q

percent of fluoride in sodium fluoride (NaF)

A

45%

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7
Q

percent of fluoride in acidulated phosphate fluoride (APF)

A

100%

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8
Q

professional topical fluoride products

A
  1. prophy paste
  2. APF foam/gel
  3. NaF foam/gel/rinse
  4. fluoride varnish
  5. silver diamine fluoride
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9
Q

T/F: fluoride prophy paste is effective

A

false, not effective

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10
Q

fluoride prophy paste is made of what?

A

APF or NaF

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11
Q

fluoride prophy paste is a substitute for what?

A

non-fluoridated paste

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12
Q

1.23% APF (foam or gel) reduces what percent of decay?

A

30%

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13
Q

1.23% APF = how much fluoride?

A

1.23% fluoride or 12,300 ppm

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14
Q

T/F: 1.23% APF foam is safer than gel

A

true

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15
Q

which type of 1.23% APF has better pt acceptance?

A

foam

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16
Q

cons of APF GEL

A
  1. too easy to swallow

2. unpleasant mouth feel

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17
Q

APF gel vs foam amount

A
gel = 60 mg
foam = 7 mg
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18
Q

T/F: ADA guidlines have recommended APF foam but not gel

A

false, recommended GEL but not foam

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19
Q

why does the ADA guidelines recommend APF gel over foam?

A

concerns about lack of research on foam

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20
Q

T/F: although APF foam has nearly identical chemical composition as gel version, safety and patient acceptance concerns make foam a better option

A

true

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21
Q

how long after painting on APF FOAM should you wait before taking into effect?

A

1-4 minutes

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22
Q

how long must pt wait before rinsing, eating or drinking after APF foam application?

A

30 minutes

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23
Q

recommended application time for APF

A
  1. manufactors advertise “1-minute” products
  2. chemically equivalent to 4-min products
  3. clinical studies done with 4-min application time
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24
Q

what should you do if pt can’t tolerate trays or can’t control swallowing when it comes to APF?

A

use varnish

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25
5% NaF varnish has what percent of fluoride ions in resin vehicle?
2.2% F-... 22,000 ppm
26
what percent of caries are reduced by fluoride varnish application?
30-45%
27
pros of fluoride varnish
1. mild taste | 2. well tolerated during application
28
cons of fluoride varnish
1. temporary sticky film on teeth | 2. may feel unpleasant
29
indications for fluoride varnish vs APF foam
1. children 3 and under | 2. anyone who can't tolerate APF foam for 4 minutes
30
T/F: fluoride varnish is a solution
false, a suspension NOT solution thus solids will settle out
31
Fluor Protector is an alternative to fluoride varnish. how much fluoride does it have?
0.1% F (0.9 difluorosilane)... 1,000 ppm
32
Fluor Protector dies clear to what percent?
~1% so ~10,000 ppm compared to 5% NaF (2.2% F)
33
features of Fluor Protector
1. low viscosity 2. studies suggest good uptake 3. clinical data lacking
34
what is more effective for partially erupted molar?
varnish more effective than APF for FISSURES but less effective than sealant if isolation can be achieved
35
neutral sodium fluoride has what percent of fluoride?
2% NaF 0.9% fluoride... 9,000 ppm
36
features of neutral sodium fluoride
1. won't etch restorations | 2. less clinical data than APF
37
weekly fluoride rinse (schools) contains how much fluoride?
0.1% F (0.2% NaF)... 1,000 ppm
38
weekly fluoride rinse (schools) reduces caries by what percent?
25%
39
who can use weekly fluoride rinse (schools)?
>age 6 yr
40
T/F: weekly fluoride rinse (schools) are rx only
true
41
indications for school rinse programs?
1. non-fluoridated areas 2. 150 OH schools 3. ~40,000 students
42
silver diamine fluoride formula
AgF(NH3)2
43
silver diamine fluoride contains how much fluoride?
5.5% fluoride... 55,000 ppm 1 mg per drop
44
T/F: silver diamine fluoride looks clear but stains black
true it's caustic to tissue so make sure to isolate
45
indications for silver diamine fluoride
1. arrests caries 2. precipitates metalic silver and fluorapatite 3. strengthens tooth mineral 4. occludes open dentinal tubules
46
how to use silver diamine fluoride
1. isolate tooth 2. dry 3. apply 1 drop to lesion 4. let sit 1-2 min 5. contain
47
fluoride dentifrice
0.1% w/w (0.15% w/v)... 1,000 ppm
48
examples of fluoride dentifrice
1. NaF 2. MFP 3. SnF2 all equally effective
49
what percent of caries are reduced by fluoride dentifrice?
~25%
50
T/F: you should have the pt rinse fluoride dentifrice after use
false, don't
51
1 gm of toothpaste contains how many mg of F?
1 mg F (0.1%)
52
RfD for 1 yr old?
0.6 mg
53
RfD for 2 yr old?
0.75 mg
54
when is toothpaste ingestion most critical?
22-26 months so monitor children
55
ADA recommendation for <3 yrs?
rice-sized smear (0.1 mg)
56
ADA recommendation for 3-6 yrs?
pea-sized dab (0.25 mg)
57
at what age is child the greatest risk for fluorosis?
at 2 yrs of age
58
daily sodium fluoride rinse contains how much fluoride?
0.01-0.02% F (100-200 ppm)
59
daily sodium fluoride rinse reduces caries by what percent?
~25%
60
who can use daily sodium fluoride rinse?
>age 6 yr
61
stannous rinse
1. 0.63% concentrate 2. 0.1% SnF2 (after dilution) 3. 0.02% F 4. 200 ppm F
62
high fluoride toothpaste requires what?
rx
63
how much fluoride is in high fluoride toothpaste?
0.5% fluoride (5,000 ppm)
64
T/F: high fluoride toothpaste is more effective than OTC
true
65
who should not use high fluoride toothpaste ?
not for use <6 yrs
66
con of high fluoride toothpaste
relatively expensive
67
T/F: high-fluoride gels require rx
true
68
high-fluoride gels
NaF & APF 0.5% F (5,000 ppm)
69
who should NOT use high-fluoride gels?
<6 yr
70
stannous fluoride gels contains how much fluoride?
0.1% F (1,000 ppm)
71
T/F: there is no evidence of efficacy when using stannous fluoride gels
true
72
considerations when it comes to fluoride tx planning
1. caries risk 2. caries type 3. water status 4. age 5. pt preferences 6. cost