[Self-applied topical fluoride products for children available in Israel. Part two: Mouthwashes]

The use of self applied topical fluoride products is considered, today, the most effective caries prevention measure. The daily or weekly/biweekly use of fluoridated mouth rinses, containing adequate concentrations of fluoride ion, has been shown to be an important adjunct in caries prevention and arrest. The purpose of this paper was 1. to review the various types of fluoridated mouth rinses, with regard to the type of fluoride compound and its effectiveness; 2. to focus on the fluoridated mouthrinses available for children in Israel in regard to concentration and additives, and 3. to give recommendations for rational and safe use. The mouthrinses are presented according to their concentration, showing Fluoride compound, additives, alcohol presence, flavor and manufacturer. The issues of safety in regard to ingestion of the rinse by small children are discussed. Rinses of no less than a 230-250 ppm are recommended to children of medium and high caries risk above the age of 6. The product should carry clear information regarding the type of fluoride compound, its concentration, instructions for use and age restriction. The products should be further protected by child proof caps.