PCD 8117 Study Guide - Final Guide: Fluoride, Journal Of The American Dental Association, Toothpaste

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Explain when in-office fluorides (gels, foams, varnish) are indicated and how they are appropriately applied: gels/foams. 1. 23% apf (12,300ppm), low ph etches tooth colored restorations. Brush teeth, apply for 4 minutes, upright position, constant evacuation (vacumming), and no drinking/eating for 30 mins: varnish. Brush teeth, cotton roll isolation/evacuation, site specific application for less than 5 minutes. From november 2013 jada publication, know types of fluoride recommended based on evidence: supports the use of (with evidence) Rx 0. 5% gel/paste or 0. 09% mouthrinse in schools: not enough evidence for. Know the ppm and dosage amounts of topical fluorides. 3-5mg f: f varnish (22,600ppm f = 5% naf, otc toothpaste (1,000ppm f, rx toothpaste (5,000ppm f, otc rinse (0. 02-0. 05% naf = 100-226ppm) In office gel/foam (1. 23% or 2% naf = 12,300-9,040ppm) Bactericidal breaks cell walls and membranes. Prevents bacterial growth inhibits dna replication. Remineralizes dentin lesions, hardens them, and prevents demin.

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