"Fluoride Varnish in
a Pediatric..."
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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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OMNII Oral
Pharmaceuticals ®
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The Preventive Care Consultants |
OMNII “Firsts In
Dentistry”
5% Neutral Sodium
Fluoride Varnish
May 2000 - Cover Story
“Off Label” Efficacy
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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 |
“Off Label” Efficacy
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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 |
Other Feature Articles
March 2001,Washington,
D.C.
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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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Worldwide Usage
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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 |
Fluoride
Varnishes
Available In The U.S.
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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) |
Advantages of Fluoride
Varnish
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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. |
Neutral Taste
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CavityShield® sets on
contact with saliva |
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CavityShield® is sweetened
with
Xylitol |
Application
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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 |
Color
Safety
Application/Convenience
Application Safety
Dosage Safety
Inherently Inconsistent
Dosage Delivery
Product Safety
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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 |
Product Safety
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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) |
Easy Application
Site Specific Application
Interproximal Application
Orthodontic Application
50%
Reduction
Demineralized Enamel
Conservative Treatment of
White Spot Lesions
White Lesions Not
Visible on X-ray
White Spot Treatment
Other Current
Treatment Modalities
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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 |
Glass Ionomer
Recharge Fluoride Content
Fluoride Treatments
for the Future
Care After Treatment
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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. |
Cost Per Application*
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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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OMNII Oral
Pharmaceuticals®