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    Flouride 2024

    Uploaded by

    Muhammad Hamid

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Flouride 2024

    Uploaded by

    Muhammad Hamid
    3 views14 pages

    Original Title

    flouride 2024

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    © © All Rights Reserved

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    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    3 views14 pages

    Flouride 2024

    Uploaded by

    Muhammad Hamid

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 14

    Mechanisms of Fluoride Action

    1. Increased enamel resistance or reducing enamel solubility [acid dissolution]


    Fluoride reduces the solubility of dental enamel by both systemic and topical action.
    2- Interferes in the formation and functioning of dental plaque microorganisms:

    Fluoride interferes with oral bacteria in two ways. In high concentrations it


    acts as bactericidal and in low concentration it decreases acid
    production (bacteriostatic).
    3-Increases the rate of post-eruptive maturation:

    At the time of tooth eruption the enamel is not completely calcified and undergoes a posteruptive period

    of approximately 2 years during which enamel calcification continues.

    4- Remineralization of incipient lesions:

    Fluoride enhances remineralization by adsorbing to the crystal surface and attracting

    calcium ions, followed by phosphate ions, leading to new mineral formation


    5. Improves tooth morphology:
    The cusps are rounder; the fissures are more shallow and the fissural approximation
    abrupt and tight.
    Topical fluorides:
    The term topical fluoride therapy refers to the use of systems containing relatively large
    concentrations of fluoride that are applied locally or topically, to the erupted tooth
    surface to prevent the formation of dental caries. As immediately after eruption, the
    enamel is porous and immature it acquires fluoride rapidly
    Topical fluorides include:

    1. Professionally applied:
    a. Topical solutions and gels.
    b. Fluoride containing varnishes.
    c. Fluoride prophylaxis paste.
    d. Restorative materials containing fluoride.
    e. Fluoride containing devices (Slow Release).

    2. Self applied fluoride agents.


    a. Fluoride dentifrices.
    b. Fluoride rinses.
    c. Fluoride gels
    Advantages and disadvantages of topical fluorides

    Advantages:
    1. Does not cause fluorosis.
    2. Cariostatic for people of all ages.
    3. Available only to people who desire it.
    4. Easy to use.
    Disadvantages :
    1. Person must remember to use.
    2. Cost is high compared to water fluoridation.
    3. More concentrated professional use products can cause short-term side
    effects like nausea immediately after use
    The efficacy of topical fluoride depends on:
    a. The concentration of fluoride used.
    b. The frequency with which it is applied and the
    duration of application.
    c. The specific fluoride compound used.
    Indications for use of professionally applied topical fluorides

    • Patients who are at high risk for caries on smooth tooth surfaces

    • Patients who are at high risk for caries on root surfaces

    • To reduce tooth sensitivity

    • White spots
    • Special patient groups, such as: – Orthodontic patients – Patients undergoing head

    and neck irradiation – Patients with decreased salivary flow

    • Children whose permanent molars should, but cannot be sealed

    • Additional protection if necessary for children in areas without fluoridated drinking

    water.
    Method of
    Application
    Fluoride Varnishes :
    A fluoride varnish is a professionally applied adherent
    material. It is not intended to be as permanent as a fissure sealent, the purpose is to
    hold fluoride in close contact with the tooth for a period of time. They permit the
    application of high fluoride concentrations in small amounts of material.

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