Part 7

Fluoride Administered by Dental

Personnel

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Fluoride Administered by Dental Personnel:
introduction
The fluoride is not only the most effective method
known at present for preventing dental caries but it
is also the most
Cost-effective
It is widely believed that fluoridation should be the
corner-stone for any local or national caries-
preventive programme.
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 fluorides

Systemic Topical
•Water fluoridation Home use:
•Salt fluoridation Dentifrices
•Milk fluoridation Mouth rinse
•Fluoride supplements: Professionally applied:
Tablets Fluoride gels
Drops Solutions

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Types of topical solution or gel of fluoride administered by dental
personnel:
a- Sodium fluoride solution (2%)
- need a series of four applications at
about weekly intervals was required.
b- Stannous fluoride solution (8%)
- it is necessary to prepare a fresh
solution for each treatment (it is unstable)
- it produce a brown stain

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c- Acidulated phosphate-fluoride (APF)
- it is stable when restored in plastic or polythene containers
- its taste is less disagreeable than that of stannous fluoride
- it does not stain enamel
- it is available as either solution or gel
- Varnish are available which are applied directly to the teeth
d- prophylaxis paste
- Various fluoride have been incorporated into prophylaxis paste
- Prophylaxis with the paste should not be considered as an alternative
treatment to the application of solution gel, or varnish

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 Technique: topical fluoride application:-
A:- Direct technique, solution, gel or varnish:
a- Ask the child to brush his teeth or you can do scaling and polishing
b- Isolated teeth ⅓ of mouth or ½ of the mouth
c- Dry the isolated teeth
d- Apply solution, gel or varnish with a small brush to all tooth surfaces
e- Keep the teeth covered with solution or gel for 4 minutes. If using varnish
apply thin layer to surfaces showing enamel demineralization then allow
contact with saliva or drip water on to the varnish
f- After 4 minute remove solution or gel from accessible tooth surfaces (leave
varnish)
g- Advise the patient not to eat or drink for ½ hours

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B:- Indirect (tray) technique: gel
a- Ask the child to brush his teeth or do scaling and polishing.
b-Select and prepare a tray
c- Place enough gel to cover the base of the tray
d- Dry the teeth
e- Isolate the maxillary or mandibular arch by retracting the checks, and dry with
compressed air, only.
f- Sit the patient nearly upright and insert the tray
g- Insert the saliva ejector
h- After 4 minutes remove the tray and remove excess gel
i- Advise the patient not to eat or drink for ½ hour

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