Flouride
Place in Therapy
Place in Therapy
Children and adults should brush their teeth twice a day with fluoride toothpaste, in the morning and before going to bed. Fluoride mouthrinses only need to be used in individuals with a high risk for decay (fluoride in main drinking water < 0.3 ppm, high caries risk level and low exposure to fluoride from other sources). Patients who choose to use fluoride mouthrinses can use 0.05% sodium fluoride (230 ppm fluoride) for daily rinsing or 0.2% sodium fluoride (920 ppm fluoride) for weekly rinsing. Fluoride supplements (tablets, lozenges or liquids) may also be used in children with a high risk for tooth decay. The use of supplements is controversial due to their limited evidence and greater risk for dental fluorosis. The Canadian Association of Public Health Dentistry is against supplement use and the Canadian Dental Association recommends their use only after eruption of the first permanent tooth in high caries risk patients (those who do not brush their teeth with fluoride toothpaste or have high family history of caries).
References:
Alberta Health Services (2011). Fluoride Products for Oral Health: Professional Information. Retrieved June 13, 2013, from Alberta Health Services Web Site: http://www.albertahealthservices.ca/hp/if-hp-fluoride-product-guidelines-overview.pdf
Nowak AJ and Warren JJ. Preventive dental care and counseling for infants and young children. In: UpToDate, Griffen A, UpToDate, Waltham, MA, 2013.
Children and adults should brush their teeth twice a day with fluoride toothpaste, in the morning and before going to bed. Fluoride mouthrinses only need to be used in individuals with a high risk for decay (fluoride in main drinking water < 0.3 ppm, high caries risk level and low exposure to fluoride from other sources). Patients who choose to use fluoride mouthrinses can use 0.05% sodium fluoride (230 ppm fluoride) for daily rinsing or 0.2% sodium fluoride (920 ppm fluoride) for weekly rinsing. Fluoride supplements (tablets, lozenges or liquids) may also be used in children with a high risk for tooth decay. The use of supplements is controversial due to their limited evidence and greater risk for dental fluorosis. The Canadian Association of Public Health Dentistry is against supplement use and the Canadian Dental Association recommends their use only after eruption of the first permanent tooth in high caries risk patients (those who do not brush their teeth with fluoride toothpaste or have high family history of caries).
References:
Alberta Health Services (2011). Fluoride Products for Oral Health: Professional Information. Retrieved June 13, 2013, from Alberta Health Services Web Site: http://www.albertahealthservices.ca/hp/if-hp-fluoride-product-guidelines-overview.pdf
Nowak AJ and Warren JJ. Preventive dental care and counseling for infants and young children. In: UpToDate, Griffen A, UpToDate, Waltham, MA, 2013.