Fluoride

Fluoride Fluorine Strengthens Natural element Found in Produced Bones Periodic table of elements. Found in Drinking water Some foods Produced Naturally By the body Strengthens Bones Teeth Reduces caries

Fluoridation Benefits Adding fluoride to a public water supply. 1ppm Part per million G.V. Black Dr. R. McKay 1st city. Grand Rapids, MI Portland, OR DOES NOT FLUORIDATE Benefits Reduction of carious lesions Saves $$$$ Keep primary teeth Less malocclusion Less ortho periodontal issues Stronger bone Less

Periodic table of elements

Routes of administration Systemic Ingested Circulates throughout the body. Water Foods Tablets Drops Topical Placed on the enamel Foams Gels Rinses Varnish

Fluoride toxicity Acute fluoride poisoning Chronic fluoride poisoning Rare Large amounts Ingested Inhaled Absorbed Call 911or Poison control Chronic fluoride poisoning Ingestion of Large amounts Long period of time. Aka Fluorosis Causes Intrinsic stain Mottled enamel

Fluorosis

Fluoride application Check medical Hx Explain procedure Try in trays Fill trays w/ fluoride Dry teeth Seat / place trays Remove Evacuate extra P.O.I.G Post Operative Instructions Given No hygiene Brush Floss Rinse No eating No drinking 30 min. According to dentist Any questions???

Oral Hygiene Instruction Brush 2 X day 3 is ok Soft bristles Light pressure 45 degree angle Vibration action No scrubbing Modified Bass technique. How long? About 2 min. Removing all of the plaque is the objective Brush Facial Lingual Occlusal Hold Tb vertical to clean lingual of anterior teeth.

Oral Hygiene Instruction

Oral Hygiene Instruction Flossing 1 X day 2 or more is ok AM or PM Any type of floss Waxed Unwaxed Flavored Unflavored Tape Any brand Crest etc. Technique 18 inches Wrap around middle fingers Distal of the last tooth in an arch Through ea. Contact Back / forth motion Into the sulcus Wrapping in a ‘C’ shape Up / down motion

Oral Hygiene Instruction

Oral Hygiene Rinses Tongue hygiene Used in addition to…. Does not replace brushing / flossing Listerine ACT Will be recommended as needed by the dentist. Tongue hygiene Done daily Toothbrush Tongue scrapers Edge of a spoon

Prosthetic hygiene Dentures Full Partial Should be Build up plaque Calculus Stain Should be Brushed Rinsed Cleaned Daily

Conclusion Understanding indication and contraindications for fluoride treatment is very important, you are the ‘expert’. You should also be able to explain OHI to your patients while stressing the importance of hygiene to people, with or without their natural teeth. Any questions…????