1. Fluoride

2. 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

3. 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

4. Periodic table of elements

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

6. 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

7. Fluorosis

8. 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???

9. 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.

10. Oral Hygiene Instruction

11. 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

12. Oral Hygiene Instruction

13. 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

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

15. 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…????