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Fluoride Varnish in a Pediatric Practice |
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Created by
W. Edward Gonzalez D.M.D. |
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The Preventive Care Consultants |
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Tewart & Associates reported that after 2.5
years, the fluoride varnish resulted in a higher percentage of caries
reduction than did the 2 % sodium fluoride solution and the 1.23%
acidulated phosphate fluoride gel |
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Source: JADA, MAY, 2000 |
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Numerous randomized clinical trials conducted
outside the United States point to the efficacy and safety of fluoride
varnishes as a caries-preventive agent |
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Source: JADA, MAY, 2000 |
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“The overall preventive effect of
professional fluoride gel treatments on caries increments between children
treated and children not treated was between 18 and 25 percent. Clinical
investigation of the application of fluoride varnish to permanent teeth of
children provided preventive effects of between 25 and 50 percent”. |
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R. Gary Rozier, D.D.S |
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Developed in late 1960s and early 1970’s |
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Numerous studies show efficacy |
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Used extensively in Europe and Canada as a
primary preventive agent |
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92% of Denmark’s municipal preventive programs
use Fluoride Varnish exclusively |
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As much as 75% reduction in decay* |
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* Goran Kock et. Al.1975 |
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Duraphat® (Colgate Oral
Pharmaceuticals) 5% NaF - 10 ml
tube |
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Duraflor® (Medicom® Inc.) 5% NaF - 10 ml tube |
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Fluor Protector (Ivoclar-Vivadent) 1% Difluorsilane |
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(unit-dose) |
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CavityShield® (OMNII ) 5% NaF(unit-dose) |
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Neutral taste |
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Apply in less than one minute |
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Does not require special equipment or the need
for a prophylaxis prior to application |
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Safety |
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Application in Orthodontics |
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As much as 50% reduction in demineralization (1) |
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Special applications for handicapped, mentally
and medically compromised patients |
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Delay caries progression |
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1. M.A. Todd et al., “Effect of fluoride varnish
on demineralization adjacent |
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to orthodontic brackets,” American Journal of
Orthodontics and Dentofacial |
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Orthopedics (August 1999): 159-167. |
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CavityShield® sets on contact with
saliva |
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CavityShield® is sweetened with
Xylitol |
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No need for prophy prior to application |
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Yellow tint for application control |
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“Tooth brush cleaning” |
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Applicator brush provided for convenience and
cost savings |
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Unit-dosed for asepsis control |
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CavityShield® |
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1 ml = 50 mg sodium fluoride = 22.6 mg F |
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22,600 ppm F |
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Dosage Applied |
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0.25 ml for primary dentition |
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0.40 ml for mixed dentition |
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0.65 ml for permanent dentition |
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Following application of varnish on four
children, ages 4, 5, 12 and 14: “Peak plasma fluoride concentrations of 3.2
to 6.3 micromolar were found within two hours of treatment… These levels
were comparable with those found after brushing with a fluoridated
toothpaste (3.63 +/- 0.45 mmol/h) or after ingesting a 1-mg F tablet (4.47
+/- 0.47 mmol/h) and were
considerably lower than those reported for APF gels (16 to 76 mmol/h) |
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Severe Early Childhood Caries |
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(Arrest progression to time when child will
tolerate needed treatment) |
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Placement under the flap of partially erupted
six or twelve year old molars |
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Directions For Care After Treatment With
CavityShield® Fluoride Varnish. |
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After the application of CavityShield®
you will feel a coating and may notice a difference in color while the
varnish remains on your teeth. To obtain the maximum benefit during the 4 -
6 hour treatment period, we ask that you take the following care after you
leave our office: |
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Do not
remove CavityShield® by brushing or flossing for at least 4 - 6
hours. |
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If
possible, wait until tomorrow morning to resume normal oral hygiene. |
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Eat a
soft food diet during the treatment period. |
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Avoid
hot drinks and products containing alcohol (i.e.: beverages, oral |
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rinses, etc.) during the treatment period. |
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A thorough brushing and flossing will easily
remove any remaining CavityShield®. Your teeth will return to
the same shine and brightness as before the treatment. |
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CavityShield® Unit-Dose (0.25 ml - 32
packages) $0.91 |
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Duraphat (10 ml tube) $1.48 |
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Duraflor (10 ml tube) $1.54 |
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Average cost per application for gel or foam in
disposable tray is between $.55 and $1.18. |
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* Includes cost of brush, if not provided.
Retail price comparison |
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(Colgate and Schein) as of 5/2001. |
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Notes