caries prevention ii

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Preventive Dentistry
Third Year

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caries prevention ii

  1. 1. Prevention of dental caries II Preventive Dentistry PDS 332
  2. 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. 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
  4. 4. Preventive agents for self-application: Chemoprevention Rx vs. OTC
  5. 5. Fluoride gels (Rx)   High or moderate risk 1.1% NaF (5000 ppm)   Prevident 0.4 % SnF2 (960 ppm) GelKam  OminGel   Personal application Head and neck cancer patients Ortho patients Dentinal hypersensitivity
  6. 6. Fluoride gels (Rx)  0.717% F  DentinBloc   Desensitizing agent for root surfaces Protect Potassium oxalate solution  Root sensitivity   Professionally applied
  7. 7. 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
  8. 8. 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
  9. 9. 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 
  10. 10. 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
  11. 11. Xylitol & Sorbitol     Xylitol is a sugar alcohol Sorbitol is a polyol Noncariogenic sweeteners Promote saliva stimulation
  12. 12. Diet & plaque control
  13. 13. Risk-based prevention     What is the idea behind designing preventive programs according to risk? Low caries risk Moderate caries risk High caries risk

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