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FLUORIDE

A SHIELD FOR YOUR TEETH

Nature's Cavity Fighter

Fluoride blocks cavities by forming a more acid-resistant surface layer and can help prevent bleeding gums.  

"Fluoride is needed throughout the lifespan to prevent and control tooth decay" said CDC director Dr. Jeffrey Koplan.**

Fluoride containing water, dental products and varnishes are effective against decay~

Remineralization is the most important mechanism of action of fluoride#

Fluoride = Healthy Teeth

What is fluoride?

    Fluoride is naturally occurring element found in rock, soil, air and all vegetation because fluoride is a naturally abundance substance in the earth's crust. Fluoride is nature's answer to tooth decay.

The most critical time for fluoride is in the second to third year of life when tooth enamel is being formed. 

     Fluoride helps prevent cavities in these ways:

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Fluoride will make the entire tooth structure more resistant to decay.  Fluoride will combine into the tooth structure to make enamel more resistant to acid attack. 

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Fluoride is toxic to bacteria stops the bacterial from producing acids that cause tooth decay

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Fluoride use can also encourage remineralization or replace minerals in the tooth surfaces that have been demineralized or broken down by bacterially produced acids which can help in repairing early decay or damage before it causes a cavity

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 Fluoride aids development of enamel on "baby" teeth before they erupt.

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 Fluoride reduces enamel solubility. 

     Thus, "Fluoride offers additional help when present at the tooth surface by providing its own ions, which inhibit demineralization (enamel breakdown)  and promotes remineralization (reinforces structure of the outside surface of the tooth), as opposed to rebuilding the tooth structure itself"*.

   This process of incorporating minerals such as calcium into the teeth can also help decrease tooth sensitivity.

We are glad to address your concerns about fluoride use

              Duraphat- Fluoride Varnish                 

Fluoride News Updates

Fluoride and Water

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     Fluoridated water:

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 Protects against cavities

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 Protect against root caries, a condition often found in adults

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 Help remineralize early small decay

  Over 140 studies done by 20 different countries proved that: 

"Fluoridated water is the single most effective public health measure to prevent tooth decay and improve oral health for a lifetime "  
as stated by AGD

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White spots could mean early tooth decay; reverse with fluoride treatments

Newest Recommendation on Fluoride Use from ADA:

Evidence Based Fluoride Applications Newest information

Summary of Evidence Based Fluoride Recommendations-ADA

Recommendations for fluoride use:

Children

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Use less than a pea size amount of toothpaste with children under two and be careful they do not swallow it.  

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Don't let them lick the toothpaste tube or "eat" toothpaste.  Reserve the toothpaste made for children until they are two or old enough to obey these guidelines

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Weight or dental age is a better determining factor for fluoride dosage than age in years

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Infants past the age of 12 months should not be fed with formula made with fluoridated water.

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Fluoride treatments may begin after the age of three.  Topical fluoride gel works on the outer surface of a tooth and is NOT taken in internally so a child can not overdose on fluoride

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Fluoride rinses can be used after the age of six, especially in children who are drinking soft drinks and/or wearing braces. They can cut decay by about 30% if used daily

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For the best result of a fluoridated toothpaste, the toothpaste should be on the teeth for four minutes

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Chewable vitamins with fluoride are recommended for children who: have cavities; live in areas with unfluoridated drinking water and live in families that are prone to tooth decay or periodontal disease.  The supplement for these cases is 1 mg/day.  Again no supplement should be given until you have consulted with your dentist.

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Chewing these fluoride tablets puts fluoride directly in the grooves of the teeth where most decay is likely to happen

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We use fluoride polishing paste with all our patients when we clean their teeth.

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We apply fluoride gel to all children after they have had their teeth polished 

We use fluoride in a foam form instead of gel because the "advantage of foam use is that less foam is required for adequate coverage of the teeth. This may reduce fluoride exposure and retention by the patient."^

Age Weights in lbs Adequate Intake mg/day Tolerable Upper Intake mg/day
Infants 0-6 months 16 0.01 0.7
6-12 months 20 0.5 0.9
1-3 years 29 0.7 1.3
4-8 years 48 1.0 2.0
9-13 88 2.0 10
Boys 14-18 142 3.0 10
Girls 14-18 125 3.0 10
Males 19 yrs & older 166 4.0 10
Females 19yrs & older 133 3.0 10

ADA Fluoridation Fats May 20, 2002

WARNING: call 911 when the mgs of fluoride ingested is twice the weight of your child!

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Fluoride is for Adults:
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For adults with high level of decay or dry mouth, fluoride rinses are recommended twice a day for four minutes.  Do not swallow the rinse.

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American adults have an average of 23 decayed and filled tooth surfaces. For rampant decay rinse with fluoride when ever you can, do not swallow the rinse.  Try using a professionally high strength fluoride toothpaste and use it in the evening before bed, do not rinse or eat for 30 minutes after its use

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Fluoridated rinses may decrease bleeding problems if used along with good oral hygiene.

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40-50% of total adult fillings are done to replace existing fillings.  Use fluoride to help prevent further decay. 

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Root Caries- According to the National Institute of Health and National Institute of Dental Research Studies, 7% of 18 year olds and as high as 21% of 35 year olds have ALREADY suffered from one or more teeth experiencing Root Caries.

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For adults who drink unfluoridated water.

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Adults wearing braces.

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Dietary fluoride supplements will give teeth a low, prolonged exposure to fluoride to help supplement your fluoride intake, especially in areas where fluoride is not added to the water.

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Before bed, rub toothpaste containing fluoride along the gum line and leave it to soak into the gum line while sleeping to ensure teeth get the fluoride they need.

Surgeon General's report states: More than one-third (100 million) people has no access to community water fluoridation!

Fluoride Protection for You

  1. Sensitivity: This condition affects 25% of  most adults. Gum recession and natural wear can cause sensitivity.  Fluoride gels can help strengthen these area to insulate them from hot and cold.

  2. Root surface caries: Fluoride can help protect this area from acid- producing bacteria.

  3. Cavity control: Fluoride helps to remineralize enamel.  Fluoride blocks cavities by forming a more acid-resistant surface layer.  

  4. Implant maintenance: Fluoride blocks plaque formulation an helps protect your valuable implant from premature failure.

  5. Gum disease: Fluoride can be used to inhibit bleeding and sustain treatment.

  6. Denture and partials: can irritate gum tissue and fluoride use can help.

  7. Braces: Fluoride can help control decalcification of teeth that can occur when wearing braces.

  8. Dry Mouth: Medication can our health condition can cause this condition.  Fluoride can help protect against the rapid decay that can occur with this condition.

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Fluoride Toothpaste Significantly Reduces Childhood Cavities

A review of 50 years of clinical trails (74 studies involving more than 42,000 children under the age of 16)  firmly establishes that in children brushing with toothpaste containing fluoride results in 24% less cavities than does brushing with non fluoridated toothpaste.  This study conferred:

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greater cavity reduction by brushing twice a day or more with fluorided toothpaste than only once a day.

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brushing with toothpaste containing a higher concentration of fluoride is associated with greater reduction in cavities.

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fluorided toothpaste with give greater benefits in  those with higher levels of decayed, missing and filled teeth.

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brushing with fluoride toothpaste provides additional reduction of cavities even if children live in areas with fluoridated water

Fluoride Toothpaste Significantly Reduces Childhood Cavities, pg 44, Dentistry Today 2/03

Dental Fluorosis Classification

Classification Description of Enamel
Normal Smooth, glossy, pale creamy white translucent surface
Questionable A few white flecks or white spots
Very Mild Small opaque, paper white areas covering less than 25% of the tooth surface
Mild Opaque white areas covering less than 50% of tooth surface
Moderate All teeth surfaces affected; marked wear on biting surfaces; brown stain may be present
Severe All tooth surfaces affected; discrete or confluent pitting; brown stain present

ADA Fluoridation Facts May 20, 2002

 

bullet Anti-caries efficacy of low fluoride toothpastes: Summary of a Systematic Review Link opens in separate window. Pop-up Blocker may need to be disabled. NEW!

Summary of Anti Caries Efficacy of Low Fluoride Toothpaste:

The review found that 250-ppm fluoride toothpastes were not as effective as 1,000-ppm fluoride toothpastes at preventing dental caries in the permanent dentition.  6/06

 

CDC recommendations cite fluoride safety, efficacy Aug 2001.

American Dietetic Association position paper on: The Impact of Fluoride on Dental Health

Excellent article on the pros and cons of Fluoride: Impurifying our precious bodily fluids

The National Institute of Dental Research: The Story of Fluoridation

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 ~We have NO financial interest in this company.

~Getting Back to Basics, Dr Muzyka P.P.A.D. Vol. 15, No.6 pg 450

*Contemporary Esthetics and Restorative Practice, Dr. Ronald Goldstein, July 2001 pg 8.

** ADA News September 2001 New Fluoride Guidelines, CDC recommendations. pg 18.

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[Whitford GM, et al Enamel uptake and patient exposure to fluoride comparison of APF gel and foam. Pediatric Dentistry 1995; 17(3):199-203]

#Caries Preventive Knowledge and Practices Among Dental Hygienists. Abstract of national study, J Dent Res, 77:123 (JL Forrest, AM Horowitz, Y Shmuely, 1997)
Picture courtesy of Dentalcare.

February 06, 2008

Duraphat - Fluoride Varnish          Fluoride News Updates 

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