The American Dental Association's New Fluoride Guidelines

Professional Fluoride Treatments

If a little fluoride is able to prevent tooth decay, then more fluoride will prevent more tooth decay, right? That is the theory behind professional fluoride applications. It really works, too. People who get more professional fluoride treatments have less tooth decay. Ask our friends at
 MassHealth. The people who administer the Massachusetts version of Medicaid offer to pay dentists to apply fluoride to children's teeth far more frequently than the two times a year that most dental insurance companies offer. However, does anyone get enough fluoride just from their drinking water and toothpaste? According to the American Dental Association, some people do.

The August 2006 issue of The Journal of the American Dental Association (JADA) contains the report of a meta study (a paper that reports and analyzes the results of several clinical studies) of the effectiveness of professional fluoride applications. JADA provides dentists a clear authority in matters of dental practice, procedures and treatments. JADA throws the full weight of its editorial conviction behind this paper and its recommendations.

The paper, "Professionally applied topical fluoride, Evidence-based clinical recommendations," is a product of the ADA Council on Scientific Affairs (CSA). Per its mission statement, the CSA "..serves the public and the profession as the primary resource on the science of dentistry." How will the recommendations of this committee effect dental practices and your dental health?

Related information
  • The American Dental Association,The Massachusetts Dental Society,Dr. Leader's office
 
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This answers many questions I had. Thank you. Our dentist does professional fluoride treatments on my kids and my husband. I was feeling a bit left out, until reading your article. As you can guess, I'm the one in the family with few decay issues (knock on wood). Since I am getting "older" (as my dentist said) he has recommended that I use a daily fluoride rinse at home recently to keep my 'old' teeth strong. Thank you again for all you share.

Posted on 02/11/2007 at 6:02:00 PM

Professional Fluoride application is more thorough and should expose tooth surfaces to fluoride longer than brushing. However even Professional Fluoride application does not access deep inside pits and fissures in grooves on chewing surfaces where over 80% of cavities occur because food is left trapped between teeth and inside grooves after every meal or snack and any fementable carbohydrate present is changed to acid. Although the amount of trapped food is very small, it is the only source of acid that demineralises tooth eventually causing cavities. Even with the benefits of fluoride, dental health education and a $21.5 billion global oral hygiene industry, tooth decay is still the most common and second most costly diet related disease with an economic impact comparable with that of heart disease and diabetes. Food left trapped after every meal or snack is the source of carbohydrate that is changed to acid causing decay, the incidence of which has not reduced much over the last 2

Posted on 11/25/2006 at 3:11:00 AM

Aren't there similar guldelines for radiological examinations for children and young adults? I aggree with these guidelines. But I am unaware of the water fluoridation in USA. In the UK, only 9.5% of the population get fluoridated water. This makes the external fluoride treatments very important. However, a dentist should be more discerning!

Posted on 09/24/2006 at 4:09:00 AM

NYSCOF makes a good point. Dentists should take a fluoride history of each patient and act accordingly. The comment on varnish is misleading. Fluoride varnish is very concentrated. However, dentists use very little for each patient. While it may take several milliliters of foam, gel or rinse to treat one patient, dentists often use less than one mililiter of varnish for the same patient. A lower dose of fluoride is swallowed with varnish. Remember that professionally applied fluoride is not for dayly use.

Posted on 09/22/2006 at 12:09:00 PM

Very interesting and informative article, I appreciate your time and your useful reports.

Posted on 09/22/2006 at 10:09:00 AM

Informative.

Posted on 09/20/2006 at 3:09:00 PM

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