Summary NBDHE

A snapshot of the summary - NBDHE

• Fluoride

• At what pH does demineralization happen?

  Enamel:4.5-5.5
  Cementum: 6.0-6.7
• Pre-eruptive Fl therapy treatments

  Systemic:
  water
  supplements
  food
• Post eruptive Fl therapy treatments

  Topical:
  water
  toothpaste
  rinses
  Fl treatments
• Water Fluoridation optimal level

    Optimum: 0.7 ppm of Sodium Fluoride
• Supplemental Fl dosages

  Birth-6 months: NONE
  6 months- 3 years: Water Fl less than 0.3= .25mg daily
                                   Water Fl more than 0.3= NONE
  3-6 years: Water Fl less than 0.3= .50 mg daily
                    Water Fl 0.3-0.6= .25mg daily
                    Water Fl more than 0.6= NONE
  6-16 years: Water Fl less than .03= 1.00mg daily
                      Water Fl 0.3-0.6= .50mg daily
                      Water Fl more than 0.6= NONE
• Post-eruptive Sodium Fluoride

  9,050 ppm
  2%
  used with tooth-colored and porcelain restorations
  tray method: 4 minute treatments
  no drinking, eating or smoking for 30 minutes
  recommended for bulimics
• Post-eruptive Sodium Fluoride Varnishes

  22,600 ppm
  5% NaF used to desensitize roots
  retained for 24-48 hours with substantivity
  2-4 times per year
  effective for small children and infants
  NOT for home use
• Post-eruptive Acidulated Phosphate Fluoride

  12,300 ppm
  1.23%
  causes etching in tooth-colored and porcelain restorations
   tray or painting with applicator
• Post-eruptive Stannous Flouride

  19,360 ppm
  8%
  unstable
  stains demineralized areas or margins
  causes tissue sloughing
  does NOT  decrease sensitivity
• Fl in rinses and dentrifices

  Rinses: 0.05% NaF 225ppm
  Dentrifices: 400-1500 ppm