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what are three types of fluoride?
gels
varnishes
foams
what are six indications for use of fluoride?
primary teeth
posteruptive period
active caries
recurrent caries
ortho pt
compromised salivary flow
who are five groups of pt that are at risk for dental caries?
prosthetic pts
exposed root surfaces
noncompliant pt
lack of fluoride in water
early carious lesions
what is the caution for acidulated phosphate fluoride (APF)
may dissolve filler particles of composite resin restorations
what % of fluoride does the APF have?
1.23% in gel and foam
what fluoride do you use instead of APF in the presence of porcelain/composite restorations and sealants?
sodium fluoride (NaF) Neutral
what % of fluoride does the NaF have?
2% in gel and foam
what % of fluoride does varnish have?
5%
what is the standard of care as a caries preventive agent?
varnish
what are some precautions of fluoride? 3
do not overfill trays
request pt not to swallow
use low volume suction
t/f pt can eat or drink after fluoride?
True
False
false no eating or drinking for 30 minutes
what are 4 examples of home fluoride applications?
custom tray application
brush on gel
dentifrices
fluoride rinse
what is the % of fluoride and the ppm of fluoride mouth rinses for OTC and RX?
OTC
: .05% NaF and 230 ppm
RX
: .044% NaF and 200ppm
how often should high potency fluoride mouth rinses be used?
weekly
how often can low potency fluoride mouth rinses be used?
daily
what are the four benefits of fluoride mouth rinses?
26-29% reduction of dental caries
greater benefit on smooth surface vs. pit and fissure
greater benefit on new erupted teeth
42.5% reduction in school age children
Rx of no more than ____mg at one time, do not store large amounts at home.
120
what refers to the rapid intake of an excess dose over a short time
acute toxicity
long term ingestion of fluoride in amounts that exceed the approved therapeutic levels
chronic toxcity
what is the lethal dose for an adult? child?
adult 5 to 10 g
child .5 to 1 g
what are the signs of symptoms of acute toxicity
nausea
vomiting
diarrhea
abdominal pain
at what time frame do the signs and symptoms of acute toxicity appear?
30 minutes after ingestion
Fluoride + _____ ______=Hydrofluoric acid
hydrochloric acid (stomach lining irritant)
what are five things to do in case of an emergency with fluoride?
induce vomiting
call 911
fluoride binding liquid
support respiration and circulation
ER therapy
what is skeletal fluorosis?
osteosclerosis from chronic toxicity after long period of time but defluoridation has been developed to help
what is mild fluorosis?
appears as white opacities, no health problem is involved
what is the CLD for a child under 6
500 mg
what is the safely tolerated dose (STD) for an adult? Child?
Adult
: 2.35-2.5 g NaF
Child
: depends on weight and age
Author
cassiedh
ID
62120
Card Set
Theory
Description
Ch 33 Fluoride
Updated
2011-01-26T07:11:08Z
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