FluorideFluoride

FluorideFluoride

FluorineFluorine Natural elementNatural element

Periodic table of Periodic table of elements.elements.

Found in Found in Drinking waterDrinking water Some foodsSome foods

ProducedProduced NaturallyNaturally By the bodyBy the body

StrengthensStrengthens BonesBones Teeth Teeth

Reduces cariesReduces caries

FluoridationFluoridation

Adding fluoride to a Adding fluoride to a public water supply.public water supply. 1ppm1ppm

Part per millionPart per million G.V. BlackG.V. Black Dr. R. McKayDr. R. McKay

11stst city. city. Grand Rapids, MIGrand Rapids, MI

Portland, ORPortland, OR DOES NOT DOES NOT

FLUORIDATE FLUORIDATE

BenefitsBenefits Reduction of carious Reduction of carious

lesionslesions Saves $$$$Saves $$$$ Keep primary teethKeep primary teeth

Less malocclusionLess malocclusion Less orthoLess ortho

periodontal issues periodontal issues Stronger boneStronger bone LessLess

Periodic table of elementsPeriodic table of elements

Routes of administrationRoutes of administration

SystemicSystemic IngestedIngested Circulates Circulates

throughout the body.throughout the body. WaterWater Foods Foods Tablets Tablets Drops Drops

Topical Topical Placed on the Placed on the

enamelenamel FoamsFoams GelsGels Rinses Rinses Varnish Varnish

Fluoride toxicityFluoride toxicity

Acute fluoride Acute fluoride poisoning poisoning RareRare Large amountsLarge amounts

IngestedIngested InhaledInhaled AbsorbedAbsorbed

Call 911orCall 911or Poison controlPoison control

Chronic fluoride Chronic fluoride poisoningpoisoning Ingestion of Ingestion of

Large amountsLarge amounts Long period of time.Long period of time. Aka Fluorosis Aka Fluorosis

CausesCauses

Intrinsic stainIntrinsic stain Mottled enamelMottled enamel

FluorosisFluorosis

Fluoride applicationFluoride application

Check medical HxCheck medical Hx Explain procedureExplain procedure Try in traysTry in trays Fill trays w/ fluorideFill trays w/ fluoride Dry teethDry teeth Seat / place traysSeat / place trays Remove Remove Evacuate extraEvacuate extra P.O.I.GP.O.I.G

Post Operative Post Operative Instructions GivenInstructions Given No hygieneNo hygiene

BrushBrush FlossFloss RinseRinse

No eatingNo eating No drinkingNo drinking 30 min.30 min.

According to dentistAccording to dentist Any questions???Any questions???

Oral Hygiene InstructionOral Hygiene Instruction

BrushBrush 2 X day2 X day

3 is ok3 is ok

Soft bristlesSoft bristles Light pressureLight pressure 45 degree angle45 degree angle Vibration actionVibration action

No scrubbingNo scrubbing Modified Bass Modified Bass

technique.technique.

How long?How long? About 2 min.About 2 min.

Removing all of the Removing all of the plaque is the plaque is the objectiveobjective

Brush Brush FacialFacial LingualLingual Occlusal Occlusal Hold Tb vertical to Hold Tb vertical to

clean lingual of clean lingual of anterior teeth.anterior teeth.

Oral Hygiene InstructionOral Hygiene Instruction

Oral Hygiene InstructionOral Hygiene Instruction

FlossingFlossing 1 X day1 X day

2 or more is ok2 or more is ok AM or PMAM or PM

Any type of flossAny type of floss Waxed Waxed UnwaxedUnwaxed FlavoredFlavored Unflavored Unflavored TapeTape

Any brandAny brand Crest etc.Crest etc.

TechniqueTechnique 18 inches18 inches Wrap around middle Wrap around middle

fingersfingers Distal of the last tooth in Distal of the last tooth in

an archan arch Through ea. ContactThrough ea. Contact

Back / forth motionBack / forth motion

Into the sulcusInto the sulcus Wrapping in a ‘C’ shapeWrapping in a ‘C’ shape

Up / down motionUp / down motion

Oral Hygiene InstructionOral Hygiene Instruction

Oral HygieneOral Hygiene

RinsesRinses Used in addition Used in addition

to….to…. Does not replace Does not replace

brushing / flossingbrushing / flossing ListerineListerine ACTACT

Will be Will be recommended as recommended as needed by the needed by the dentist.dentist.

Tongue hygieneTongue hygiene Done dailyDone daily

ToothbrushToothbrush Tongue scrapersTongue scrapers Edge of a spoonEdge of a spoon

Prosthetic hygieneProsthetic hygiene

DenturesDentures FullFull Partial Partial

Build up plaqueBuild up plaque CalculusCalculus StainStain

Should be Should be BrushedBrushed Rinsed Rinsed Cleaned Cleaned DailyDaily

ConclusionConclusion

Understanding indication and Understanding indication and contraindications for fluoride treatment contraindications for fluoride treatment is very important, you are the ‘expert’.is very important, you are the ‘expert’.

You should also be able to explain OHI You should also be able to explain OHI to your patients while stressing the to your patients while stressing the importance of hygiene to people, with importance of hygiene to people, with or without their natural teeth.or without their natural teeth.

Any questions…???? Any questions…????