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Related Experiment Videos

Fluoride application procedures in orthodontic practice, current concepts.

B U Zachrisson

    The Angle Orthodontist
    |January 1, 1975
    PubMed
    Summary

    This review details fluoride (F) administration methods for orthodontic patients, recommending APF gel, daily rinses, and F toothpaste for optimal caries prevention. These strategies enhance dental health during orthodontic treatment and retention.

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    Area of Science:

    • Dental Public Health
    • Orthodontics
    • Cariology

    Background:

    • Orthodontic patients are at increased risk of dental caries due to plaque accumulation around appliances.
    • Effective fluoride (F) administration is crucial for preventing caries in this vulnerable population.
    • A comprehensive understanding of various fluoride delivery methods is needed for optimal clinical practice.

    Purpose of the Study:

    • To survey current knowledge on diverse fluoride administration methods for orthodontic patients.
    • To evaluate the clinical effectiveness, safety, and practicality of different fluoride application techniques.
    • To provide recommendations for optimal fluoride programs in orthodontic settings.

    Main Methods:

    • Review of existing literature on fluoride administration procedures, including professional applications and self-care.
    • Analysis of various fluoride vehicles: prophylaxis pastes, topical solutions, gels, mouth rinses, dentifrices, cements, coatings, and varnishes.
    • Evaluation of clinical evidence regarding efficacy, safety, and ease of use for each method.

    Main Results:

    • Professional fluoride prophylaxis pastes offer some caries reduction but do not replace topical applications.
    • Fluoride gels or solutions applied before appliance placement and recementation are effective.
    • Daily self-application of stannous fluoride (SnF2) gels, sodium fluoride (NaF) or acidulated phosphate fluoride (APF) mouth rinses, and regular fluoride dentifrice use are highly recommended.

    Conclusions:

    • A combination of APF gel application, daily dilute NaF or APF rinses, and regular fluoride toothpaste use is recommended for all orthodontic patients.
    • This comprehensive fluoride regimen should be implemented throughout active treatment and the retention period.
    • While promising, further long-term clinical studies are needed for newer methods like fluoride cements, coatings, and varnishes.

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