This document outlines a lecture on prevention of dental caries through self-application methods and risk-based strategies. It discusses preventive agents like fluoride gels, rinses, toothpastes and supplements that contain fluoride or antimicrobials. It also mentions non-cariogenic sweeteners like xylitol and sorbitol. Finally, it notes that risk-based prevention tailors programs to a patient's caries risk level - low, moderate or high risk.
2. Lecture outline
Preventive agents for self-application:
Chemoprevention
Fluoride gels
Fluoride rinse
Toothpastes
Fluoride supplements
Antimicrobials
Xylitol and sorbitol
Diet and plaque control
Risk-based prevention
Summary
3. Learning outcomes
Detail the different types of fluoride and
other products available for the prevention
of dental caries and their use in prevention
by individuals
Explain the application of risk-based
preventive strategies
11. Fluoride gels (OTC)
NaF (0.05%) daily rinse
Lower cost
Ease of availability palatable taste
Low strength
A 10 ml rinse for 30 seconds
Moderate to high risk
Over the age of 5
12.
13. Toothpastes
1964, Crest was given full acceptance by
the ADA
0.15% weight/volume (1000 ppm) F
pea-sized or smear toothpaste for
children
NaF (active ingredient)
Abrasive
14.
15. Fluoride supplements (Rx)
Fluoride drops
Recommended for children younger than 2
years
0.5, 2.0, 2.5 and 5.0 mg/mL F
Fluoritab, Pediaflor, Luride
Fluoride tablets
For older children and adolescents
Fluoritab, Flura-loz, Flura-tablets and Luride
16.
17.
18. Antimicrobials (Rx)
Window of infectivity
Second line of prevention
Chlorhexidine gluconate (Peridex, 0.12%)
Twice a day, a capful for 30 seconds
Should be used for 30-day period, every 3
months
22. Risk-based prevention
What is the idea behind designing
preventive programs according to risk?
Low caries risk
Moderate caries risk
High caries risk