Water Fluoridation

Question 1

Mechanisms of fluoride delivery

Answer 1

Fluoride varnish
Fluoride gel/ foam
Toothpaste
Mouth rinse
Tablets
Water
Dental materials - RMGI

Question 2

How can fluoride be delivered to communities, other than water fluoridation?

Answer 2

School based brushing
Fluoride varnish

Question 3

Current guidance and initiatives in regards to fluoride delivery?

Answer 3

Childsmile
SDCEP

Water Act 2003

Question 4

What is the concentration of fluoride in:
SDF
Fluoride varnish
High conc toothpaste
Toothpaste
Mouthwash

Answer 4

44,000 ppm
22,600 ppm
5000 ppm
2800 ppm
250 ppm

Question 5

What is the fluroide varnish regime for standard and high risk children?

Answer 5

Standard risk - 2x yearly
High risk - 4x yearly

Question 6

What are some factors affecting the anti caries activity of fluoride toothpaste?

Answer 6

Fluoride concentration
Frequency of application
Rinsing behaviours
When brushing takes place

Question 7

What is the safely tolerated and toxic dose of fluoride?

Answer 7

Safely tolerated dose = 1mg/kg
Toxic dose = 5mg/kg

Question 8

What are symptoms of fluoride toxicity?

Answer 8

Nausea, abdominal pain, diarrhoea, vomiting

Question 9

What is the management of fluoride toxicity?

Answer 9

1mg/kg give calcium orally (milk) and observe
5-15 mg/kg give milk and take to hospital
>15 mg take straight to hospital and get IV calcium gluconate and cardiac monitoring

Question 10

What is the treatment of fluorosis?

Answer 10

Acid micro-abrasion
Veneers (if over 18)