Fluoride

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‫ ناظم سالم‬.

‫د‬
Fluoride
Fluoride is a naturally occurring mineral, and is a compound of the
element fluorine

Facts about fluoride


- It is found in water, soil, rock, air, plants, and food (e.g. fish, tea,…….etc).

- Its main function in the body is in the mineralisation of bones and teeth.

- It is readily absorbed from the stomach and rapidly excreted via the kidneys,

mostly in urine, and also through sweat and faeces. Traces can be found in hair,

tears, breast milk, and saliva.

- Topical fluoride is applied directly to teeth.


.- Systemic fluoride is ingested into the body through water or other supplements

.- Calcium fluoride is the form that often occurs naturally in water supplies

.- Sodium fluoride is the form used to artificially raise levels in drinking water

.- The amount of fluoride found naturally in water varies from area to area

- The fluoridation of water is the adjustment, either up or down, of the amount of

fluoride in water supplies to an optimum of (1 ppm).


- Evidence shows that fluoride is effective in the prevention of tooth
.decay (caries)

- Fluoride has also been shown to remineralise early carious lesions when
used topically
Sources of fluoride

Fluoride can be obtained from

Systemic sources:- water, tablets and drops, fluoridated milk, and salt

Topical sources:- toothpaste, mouthwash, varnish, gels,………..etc.


Water Fluoridation

Definition
Fluoridation is “the upward adjustment of the fluoride ion content of a
domestic water supply to the optimum physiologic concentration that will
provide maximum protection against dental caries and enhance the
appearance of the teeth with a minimum possibility of producing objectionable
enamel fluorosis”

Optimum levels

A concentration of 1 part per million (ppm) means 1 mg of fluoride per liter (1 mg/liter)
Benefits of water fluoridation

- Appearance of teeth: Teeth exposed to an optimum level of fluoride

frequently are clear, white, shining, opaque and without blemishes

- Dental caries reduction in primary and permanent teeth, reduction of root ca ries
and tooth loss due to ca ries.
- Economy: different forms of fluoride application are mostly economical than

treatment of dental ca ries.


Risk of increasing of fluoride in water:
Dental fluorosis
Dental fluorosis
TOPICAL FLUORIDES

Definition
Topical fluoride therapy refers to the use of systems containing relatively

large, concentrations of fluoride that are applied locally, or topically, to

erupted tooth surfaces to prevent the formation of dental ca ries


Classification
Professionally applied Self-administered
Fluoride solutions Fluoride dentifrices
Sodium fluoride 2%
Stannous fluoride 8% Sodium fluoride

Fluoride gels Fluoride mouth rinses


Ac idulated phosphate fluoride 1.23%
Dentifrices containing monofluoro-phosphate
Fluoride varnishes
Duraphat
Fluorprotector
Restorative Materials Containing Fluoride 22

Fluorides releasing dental restorative materials are also available, that provide
site specific protection. In general, the rate of fluoride release from such
materials is not constant but exhibits a relatively rapid initial rate, which
decreases with time.
The purpose of adding fluoride to restorative material is to capture its anti-
cariogenic property especially for prevention of recurrent caries.

10/9/2022
Fluoridated Toothpaste for Children 24
Concern about the fluorosis risk from children swallowing toothpaste has led to
trial of lower strength dentifrices. Findings from studies of 500–550 mgF/g
products suggest efficacy equivalent to 1000 mgF/g toothpaste. Recently
studies suggest the use of the same fluoride-concentrated tooth paste but in
less amount (smear layer)

Thank you

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