1. The role of fluoride
1. Fluoride can inhibit the growth and reproduction of cariogenic bacteria and their ability to produce acid, thereby reducing the occurrence of caries.
2. Fluoride can bind firmly to teeth, making them less likely to dissolve even in an acidic environment, thereby enhancing the tooth's ability to resist caries.
3. Fluoride can also promote the remineralization of teeth, allowing teeth with early caries to repair themselves.
4. Fluoride can change the appearance of teeth, which is conducive to self-cleaning and makes them less susceptible to caries.
2. What is Fluor Protector?
Fluor Protector is a paint or liquid that dissolves fluoride in ethanol on a natural or synthetic basis. get. The most commonly used fluoride today is sodium fluoride. Since the advent of fluorine protective varnish, it has become popular in many countries, especially in Europe, as an effective method of preventing caries. Numerous clinical trials over the last decade have shown a 60-70% reduction in caries in permanent teeth treated with fluoride varnish compared with untreated controls.
3. Commonly used brands
1. Colgate Dolefluoride
Product Features
Dolefluoride is coated on the tooth surface A kind of protective coating
1. The active ingredients of Colgate Dolefluor products are sodium fluoride 5% (22.600ppm), beeswax and ethanol, shellac and mastic gum (providing a flexible, permeable The hard surface prevents the coating from quickly dissolving in saliva), flow enhancer, saccharin, flavoring and other ingredients
2. The operation is simple and fast, no auxiliary equipment is required, the patient is easy to cooperate, and the tooth surface is coated within 2 minutes , dries quickly in 1 minute after encountering saliva
3. Small amount of use, safe, low risk
4. Transparent and yellowish within 4 hours after application, good taste, easy to observe
5. It tastes good and is easy to accept, especially for children.
6. Colgate Doleflu has been fully supported by clinical data and is suitable for use on individual teeth or the whole mouth. At present, Doleflu has become the first choice for caries prevention recommended by the WHO, the United Kingdom, the United States ADA and other departments.
2. 3M Clinpro? White Varnish fluorine protective varnish
Scope of use
It is suitable for tooth sensitivity, exposed dentin and root surface sensitivity.
?High-efficiency fluoride release, suitable for regular anti-caries maintenance
Product Features
?TCP patented formula, successfully separates calcium and fluorine and ensures their preservation (High biological activity)
?Saliva helps the protective paint form a thin film protection on the tooth surface. Fluoride ions are released from the protective film/saliva interface to the oral cavity. It has good flow and diffusion and can cover more tooth surfaces, and Continuously releases fluoride and calcium for 24 hours
?Effectively relieves sensitivity
?Individually packaged, easy to use, controllable dosage
?Close to dentin color, beautiful
How to use
?Clean the tooth surface
?Open the small package of Clinpro? White Varnish and mix well
?Use a small brush Apply Clinpro? White Varnish thinly to the tooth surface that needs treatment
?Instruct the patient to close the mouth, but not to inhale
3M expert answer!
1. How to control the dosage of fluoride for children?
Answer: 3M Fluorine Protective Lacquer comes in 0.5ml independent small packages, which is clean and hygienic;
For patients with deciduous dentition or those with only a few tooth surfaces or cavities that need to be coated, The maximum usage amount is 0.25 ml;
For patients with mixed dentition or those with more tooth surfaces or cavities that need to be coated, the maximum usage amount is 0.40 ml;
For permanent teeth For patients or those who have many tooth surfaces or cavities that need to be coated, the maximum usage amount is 0.50 ml.
2. Can only 0.25ml of fluoride be applied to the primary dentition? This will not coat all the teeth.
Answer: For deciduous dentition, the maximum dosage of 3M Fluoride Protective Lacquer is 0.25ml. Since 3M Fluoride Protective Lacquer has good permeability, there is no need to coat all tooth surfaces. Through penetration, It can achieve good anti-caries and anti-sensitivity effects.
What is the concentration of 3.3M fluorine protective paint?
Answer: The active ingredients of 3M Fluorine Protective Paint are modified tricalcium phosphate and fluorine. A single independent package of 0.5ml contains 11.3mg of fluorine, and the effective F concentration is 22,600 ppm. After coating, saliva activates the modified tricalcium phosphate, dissolves the protective film, releases Ca and P, and at the same time interacts with F to deposit on the tooth surface to form more acid-resistant fluoroapatite, thus promoting the remineralization of the tooth.
4. If a child does not have dental caries, can he apply fluoride protective paint? How often should I apply it?
Answer: The application of fluorine protective paint is mainly for preventive treatment and is suitable for low fluoride areas or suitable fluoride areas (F concentration 0.8~1ppm), so it can be applied even if there are no dental caries. Please pay attention to the corresponding dosage. ; Many dentists recommend applying once every 6 months, but if the dentist assesses that the child has a higher risk of caries (dmf>1), the application can be increased to once every 3 months.
5. After filling the deciduous teeth, do I still need to apply fluoride?
Answer: Filling of deciduous teeth indicates that caries has occurred, so it is recommended to apply fluoride. Pay attention to the dosage. The maximum dosage of 3M fluoride protective paint for deciduous dentition is 0.25ml.
6. If fluoride is used topically, is it necessary to test the fluorine concentration in the water?
Answer: The fluoride concentration of qualified drinking water is about 1ppm, and above 4ppm is high fluoride. If you live in a high-fluoride area, you need to use fluoride with caution and be careful to prevent excessive fluoride intake.
7. After what age can I stop applying fluoride?
Answer: Determining whether to apply fluoride is not based on age, but on the risk of caries. Children are at a higher risk of developing dental caries because they have not mastered the method of maintaining oral hygiene, but this does not mean that adults are not at risk of developing dental caries. Adults at high risk of caries are also recommended to apply fluoride every 3-6 months. Ask your dentist about how to assess your risk of caries.
8. How often is it better for patients with acid corrosion to apply fluorine protective paint?
Answer: It is recommended to apply fluoride once every 3 months.
9. At what age can children use fluoride toothpaste?
Answer: For children with caries, any age group can use F-containing toothpaste suitable for that age group, and the dosage should be reasonably controlled according to the manufacturer's instructions. 3M Comeno Tooth Cream (F concentration 950ppm) is suitable for children and adults over 2 years old.
10. Children’s toothpaste contains low fluoride and high fluoride. How to choose?
Answer: According to the national toothpaste standard (GB8372-2008), the fluoride content of children's fluoride toothpaste is between 400ppm and 1100ppm. Children's toothpastes with a fluoride content of less than 400ppm are ordinary toothpastes, those with a fluoride content between 400ppm and 1100ppm are functional toothpastes, and toothpastes with a fluoride content of more than 1100ppm are not recommended for children.
11. What is the dose that causes fluorosis?
Answer: Plasma fluoride concentration reaching 850ng/ml may cause fluorosis. Normal use of fluorine protective paint will result in plasma fluoride concentration of about 180ng/ml. Standard use will not cause fluorosis. The dose for acute fluorosis is 5mg/ kg body weight.
3M Fluorine Protective Paint will not cause acute fluorosis when used in accordance with the specifications.
Deciduous dentition: up to 0.25ml = 5.65 mg fluoride
Mixed dentition: up to 0.4ml, equivalent to 9.04 mg fluoride
Permanent dentition has the most : 0.5ml, equivalent to 11.3mg fluoride
When an accident occurs due to excessive fluoride intake, do not try to vomit out the excessive fluoride intake, but drink 1-2 cups of milk first and seek medical attention promptly. .
12. Some children have undergone orthodontic treatment, but there is obvious mineral deficiency on the tooth surface. How to deal with this situation?
Answer: If it is limited to demineralization, you can apply fluorine protective paint regularly to promote remineralization; if there is a substantial defect, you need to perform filling treatment after caries removal, and apply fluoride regularly after filling; it is recommended that the entire During the orthodontic process, fluoride treatment is performed every 3 to 6 months.
3. Ivoca Fluoride Protective Paint
IV. Communication and Operation
Informed Consent Form for Fluoride Coating (Text Version)
Patient's name: ? Gender: ?
Age: ? Medical record number:
Diagnosis:
Treatment method: ? Cost:
Please read the following content carefully
The ability of fluoride to prevent dental caries is the greatest contribution of preventive oral medicine to mankind in the 20th century. Fluorine widely exists in nature, and the human body can absorb fluorine from drinking water, food, air and other sources. Fluoride anti-caries can be divided into systemic application and local application. Topical fluoride is most commonly brushed with fluoride toothpaste and professionally applied with fluoride on a regular basis.
Doctors usually choose appropriate fluoridation agents and cleaning methods based on each child’s age, cooperation, and other factors, as well as the child’s susceptibility to caries. It is recommended that every 3 months and 6 months Monthly or one-year review.
Please take the initiative to inform the doctor if you have the following circumstances: If the patient conceals his medical history and causes adverse consequences, the patient will be solely responsible.
1. The child’s history of drug and anesthesia allergies and surgery.
2. Recent use of fluoride preparations.
Postoperative precautions:
1. The amount of fluoride preparations for children of different ages has corresponding dosages. It does not always mean that the larger the amount, the better the effect. The doctor will control the dosage.
2. The application range of fluoride preparations is mainly the labial surface, proximal surface and occlusal surface, which have a high incidence of caries. The palatal and lingual surfaces have a low incidence of caries and the children have poor comfort after application. , generally not applied,
3. Fluorine preparations will form a scented film when encountering saliva. Children may have reactions such as excessive saliva, repeated licking or crying, which are normal reactions. Parents don't need to worry.
4. Do not drink water for half an hour after applying the fluoride preparation, and avoid eating and drinking within 4 hours. If the child is thirsty, he or she can use a straw to drink water. If the child is hungry, he or she can eat semi-liquid or soft food. After 24 hours, You can brush your teeth to remove the thin film and white plaque on your teeth.
The doctor has explained the above to me in detail and I fully understand it. I am willing to bear the possible risks of treatment and follow the doctor's instructions, cooperate with the doctor to complete all treatments, and agree to pay all required fees.
Signature of the child’s guardian: Relationship with the child: ?
Doctor’s signature:
Date of signature: Year, month and day
5. Academic research progress