Excessive fluoride toothpaste | Oral Well being Basis

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Prescription toothpaste excessive in fluoride will help sufferers successfully forestall and management tooth decay outdoors of the workplace. ¹ This can be a easy, evidence-based software to assist sufferers keep away from further tooth decay prevalence or development.

Prescription toothpaste that’s excessive in fluoride will help forestall tooth decay by inhibiting demineralization and selling remineralization. ²

Toothpaste with excessive fluoride content material is available in two strengths – a 2800ppm sodium fluoride paste can be utilized by individuals over 10 years of age and the next power 5000ppm sodium fluoride paste that may be prescribed for ages 16 and over. ^{3, 4, 5, 6}

Prescription toothpaste with excessive fluoride content material must be prescribed to sufferers at elevated threat (medium to excessive chance) of creating tooth decay. ¹ This helps sufferers management their preliminary tooth decay lesions. ^{7, 8}

A tube of extremely fluoride toothpaste will final a affected person for a couple of month, and dentists can prescribe for as much as six months at a time, relying on their subsequent recall. These prescriptions may be post-dated in order that sufferers choose up their prescriptions in batches quite than unexpectedly.

For extra info on the properties of excessive fluoride toothpaste, please go to the MHRA web site.

Identification of medium to excessive threat caries sufferers

There are a lot of threat assessments out there to find out the probability and severity of tooth decay in a affected person.

This is only one instance of the tooth decay threat evaluation: ⁹

threat	Social historical past	Medical historical past	Dietary historical past	Use of fluoride	Plaque management	saliva	Medical proof
Excessive threat of tooth decay	Socially deprived. Excessive caries presence amongst siblings. Little data of dental illness. Irregular participant. Prepared availability of snacks. Low dental aspirations.	Medically endangered. Bodily disabilities. Xerostomia. Long run. Cariogenic medication.	Frequent consumption of sugar.	Ingesting non-fluorinated water. No fluoride components. Toothpaste with out fluoride.	Uncommon, ineffective cleansing. Dangerous handbook cleansing.	Low movement price. Low buffer capability Excessive numbers of S-Mutans and Lactobacillus.	New lesions, untimely extractions, anterior tooth caries or restorations, a number of restorations. No fissure sealing. Fastened gadget. Orthodontics. Partial dentures.
Average threat of tooth decay	Individuals who don’t clearly fall right into a excessive or low caries threat class are thought of to be of reasonable threat of caries.
Low threat of tooth decay	Socially Favored. Low caries in siblings. Dentistry conscious. Common participant. Work doesn’t permit common snacks. Excessive dental requirements.	No medical issues. No bodily issues. Regular salivation. No long-term medicine.	Not often consumption of sugar.	Drink fluoridated water. Fluoride dietary supplements used. Toothpaste containing fluoride is used.	Frequent, efficient cleansing. Good handbook cleansing.	Regular movement. Excessive buffer capability Low numbers of S-Mutans and Lactobacillus.	No new lesions. Zero extractions for tooth decay. Wholesome entrance enamel. No or few restorations. Restorations added years in the past. Sealed fissures. No gadget.

Sufferers at elevated threat of tooth decay Sufferers ten years of age and older, sufferers with tooth decay, orthodontic home equipment, a extremely cariogenic food regimen or medicine that trigger dry mouth could possibly be prescribed a fluoride toothpaste with 2880 ppm. ¹

Sufferers aged 16 and over with an elevated threat of tooth decay, current or potential for root caries, dry mouth, orthodontic home equipment, overdentures, sufferers with a extremely cariogenic food regimen or medicine that trigger dry mouth could possibly be prescribed a fluoride toothpaste with 5000 ppm. ¹

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1. Public Well being England (2017) “Delivering higher oral well being: an evidence-based toolkit for prevention”, third version, UK.
2. Baysan A, Lynch E, Ellwood R, Davies R, Petersson L, Borsboom P. Reversal of major root caries with dentifrices with 5,000 and 1,100 ppm fluoride. Tooth decay. 2001 Jan-Feb; 35 (1): 41-6. doi: 10.1159 / 000047429. PMID: 11125195.
3. Colgate (2020) “Colgate® Duraphat® 5000ppm Fluoride”, on-line at https://www.colgateprofessional.co.uk/merchandise/products-list/colgate-duraphat-5000-toothpaste, accessed October 2020.
4. Colgate-Palmolive (U.Ok.) Ltd (2020) “Abstract of Product Options”, Duraphat 2800ppm fluoride toothpaste. On-line at https://mhraproducts4853.blob.core.home windows.web/docs/c0e452136f37b21ae14dae330bc55c62b0e931fb
5. Colgate-Palmolive (U.Ok.) Ltd (2020) “Abstract of Product Options”, Duraphat 5000 ppm fluoride toothpaste. On-line at https://mhraproducts4853.blob.core.home windows.web/docs/993ca2d10345c940c4649fd8c98042f68fe00d51
6. Colgate-Palmolive (U.Ok.) Ltd (2014) “Duraphat® 5000ppm Fluoride Toothpaste”, Bundle Insert: Data for the person, on-line at https://mhraproducts4853.blob.core.home windows.web/docs/f7686217b083fc71959d19152bb6eab6ea5dad82.
7. Schirrmeister JF, Gebrande JP, Altenburger MJ, Mönting JS, Hellwig E. Impact of toothpaste with 5000 ppm fluoride on non-cavitated fissure caries in vivo after 2 weeks. Am J Dent. August 2007; 20 (4): 212-6. PMID: 17907481.
8. Biesbrock AR, Gerlach RW, Bollmer BW, Faller RV, Jacobs SA, Bartizek RD. Relative anti-caries effectiveness of 1100, 1700, 2200 and 2800 ppm fluoride ions in a sodium fluoride toothpaste over 1 12 months. Group Dent Oral Epidemiol. 2001 Oct; 29 (5): 382-9. doi: 10.1034 / j.1600-0528.2001.290508.x. PMID: 11553111.
9. FGDPUK (2016) ‘Medical Examination and Information: Tips for Good Observe “, issued by the College of Normal Dental Observe (UK), the Royal School of Surgeons of England. United Kingdom.

This marketing campaign is run by the Oral Well being Basis, a charity that creates more healthy communities by selling higher oral well being. The marketing campaign is sponsored by Colgate-Palmolive.

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