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                                                        DR. DAN PETERSON

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DURAPHAT

Fluoride Varnish for decay prevention.

"Cavity Shield"

    Clinical findings "support the efficacy of the semi-annual topical application of fluoride in the prevention of caries in the primary dentition (baby teeth). The study also suggests children with high caries rates may receive greater benefits from varnish applications compared to lower-risk children."*

     Current studies *** that target arresting dental caries in the dentin of adult teeth found after a five year study that cavities located between the teeth did not return if fluoride varnish was added to their preventive therapy.

    Duraphat is a 5% sodium fluoride varnish used :

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as a preventive procedure to prevent dental decay

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for decay prevention.  

     Advantages of fluoride varnish:

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There is less fluoride ingestion with a fluoride varnish than with conventional office caries treatments because the fluoride adheres to the tooth surface for longer periods of time

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Duraphat releases fluoride for 28 weeks.  Two-thirds of the fluoride is released by 6 months.**

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No special equipment is needed for the application.

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Teeth do not need to be professionally cleaned prior to varnish application.

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Children can eat and drink immediately after application.

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Fluoride varnish can prevent decay in both smooth surface and pit and groove sites.

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It needs to be applied two or more times a year.

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It is fast and easy and can be done in one appointment with no injections. This varnish is a sticky, yellow semi-liquid containing 5% sodium fluoride in a resin base mixed with alcohol to dry quickly after application. 

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You can leave immediately after application.  There are no fluoride trays which prevents gagging.  

     It can be used as a cavity liner or desensitizer or painted on cervical areas in geriatric patients.  It can also be applied to tooth surfaces between teeth for young children.  ***

A great product to use in the fight against decay

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Care of Varnished Teeth

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Do not brush your teeth until the next day.

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Do not eat hard or chewy foods or chew gum on the treatment day.     This might chip the varnish off.

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It can be brushed off the next day.

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Do not take a fluoride supplement the day of your treatment.

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Don't do any other fluoride treatment that day at home.

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The varnish needs to be reapplied every 3-6 months.

See articles about the use of duraphat~ at: Colgate

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Daily fluoride "adequate intake" from all sources:
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infants 0 to 6 months old weighing 16# - less than 0.01 mg/d 
tolerance level up to 0.7 mg/d

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babies from 6 - 12 months (20 lbs) - less than 0.5 mg/d
tolerance level up to 0.9 mg/d 

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children from 1 to 3 years (29 lbs) old - less than 0.7 mg/d
tolerance level 1.3 mg/d 

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children from 4 to 8 years old (48 lbs)- less than 1.1 mg/d
tolerance level of 2.2 mg/d

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9 years and older (88 to 166 lbs) is 2 to 3.8 mg/d 
tolerance level of 10 mg/d
Dentistry Today,  Fluoride Found In Many Sources. October 2001 pg 44

Duraphat Varnish celebrates over 30 years of excellence as the world’s leading varnish. Proven and effective, it has the highest concentration of fluoride available in a fluoride varnish.

New White Omni releases 23% fluoride or a 24 hour period.

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Fluoride Varnish New Updates

FLUORIDE VARNISH HELPS PREVENT TOOTH DECAY IN VERY YOUNG CHILDREN

Fluoride varnish, a dental preventive treatment, reduces the incidence of early childhood tooth decay in combination with dental health counseling for parents, according to a study by investigators at the UCSF School of Dentistry.

The investigators examined cavity-free infants and young children, primarily from low-income Chinese or Hispanic families in San Francisco. All families received counseling on dental health, and children were randomized into three groups: those receiving fluoride varnish twice per year, those receiving it once per year, and those not receiving it at all. Of the initial 376 children enrolled, 280completed the study.

According to study findings, children who did not receive any fluoride varnish were more than twice as likely to develop tooth decay as the children who were assigned to the annual fluoride varnish group.
Children who did not receive fluoride varnish were nearly four times more likely to develop tooth decay than those assigned to receive it twice per year (four treatments over two years).


S
tudy results are published in the February issue of the Journal of Dental Research, the journal of the International Association of Dental Research. The results are posted online at http://jdr.iadrjournals.org.

There are two important points that parents should be aware of as a result of this study, said Jane Weintraub, DDS, MPH, Lee Hysan Professor at the UCSF School of Dentistry and principal investigator
of the study. "First, the results support the use of fluoride varnish to prevent tooth decay in very young children. Second, the results support parents bringing children for their first dental visit at age one when they are getting their first teeth."

"Fluoride varnish is relatively inexpensive, easy to brush onto a child's teeth, and can be part of a positive first dental visit to help prevent tooth decay," Weintraub said. "In contrast, when very young children get cavities, it is difficult for them to sit still for dental treatment. Often, young children needing many fillings receive care in the operating room, at great expense to their family and with the additional risks posed by general anesthesia. We now have an easy,low-cost way to keep teeth healthy."

Previously it has been shown to help prevent tooth decay for older school-age children who have their permanent teeth. According to the investigators, this was the first randomized study of children as young as six months of age, and it shows the efficacy of fluoride varnish to prevent tooth decay in young children's primary (baby)
teeth.

The study was conducted at the San Francisco General Hospital Family Dental Center and the San Francisco Department of Public Health's Chinatown Public Health Center. The average age of the children enrolled in the study was 1.8 years old, with ages ranging from six months to 44 months at the start of the study. In addition to dental- health counseling, treatment with fluoride varnish and examinations for tooth decay, at each visit the children's parents were asked about adverse events or safety concerns; none associated with the
fluoride varnish treatment were discovered.

The study was supported by the UCSF Comprehensive Oral Health Research Center of Discovery, UCSF Center to Address Disparities in Children's Oral Health, National Institute of Dental and Craniofacial Research, National Center for Minority Health and Health Disparities, and NIH Office of Behavioral and Social Sciences Research.

 

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To determine the efficacy of fluoride varnish (5% NaF, Duraphat®, Colgate) added to caregiver counseling to prevent early childhoodcaries, we conducted a two-year randomized, dental-examiner-masked clinical trial. Initially, 376 caries-free children.Intent-to-treat analyses showed a fluoride varnish protective effect in caries incidence, p < 0.01.Analyzing the number of actual, active fluoride varnish applications received resulted in a dose-response effect,
Fluoride Varnish Efficacy in Preventing Early Childhood CariesJ.A. Weintraub, F. Ramos-Gomez, B. Jue, S. Shain, C.I. Hoover, J.D.B. Featherstone, and S.A. Gansky J Dent Res 85(2):172-176, 2006

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Fluoride Varnish Helps Prevent Tooth Decay in Very Young Children

Fluoride varnish reduces the incidence of early childhood tooth decay in combination with oral health counseling for parents, according to a study by investigators at the University of California San Francisco (UCSF) School of Dentistry.

The children were randomized into three groups: those receiving fluoride varnish twice per year, those receiving it once per year, and those not receiving it at all. Of the initial 376 children enrolled, 280 completed the study.

The study found that the children who did not receive any fluoride varnish were more than twice as likely to develop tooth decay as the children who were assigned to the annual fluoride varnish group. Children who did not receive fluoride varnish were nearly four times more likely to develop tooth decay than those assigned to receive it twice per year (four treatments over two years).

Study results appear in the February 2006 issue of the Journal ofDental Research and online at http:// jdr.iadrjournals.org.

First, the results support the use of fluoride varnish to prevent tooth decay in very young children. Second, the results support parents bringing children for their first dental visit at age 1, when they are getting their first teeth. Fluoride varnish is relatively inexpensive, easy to brush onto a child's teeth, and can be part of a positive first dental visit to help prevent tooth decay. In contrast, when very young children get cavities, it is difficult for them to sit still for dental treatment. Often, young children needing many fillings receive care in the operating room, at great expense to their family and with the additional risks posed by general anesthesia. We now have an easy, low-cost way to keep teeth healthy.

Fluoride varnish is a resin containing concentrated fluoride that is brushed on teeth the same way that nail polish is painted onto nails. It is meant to enhance fluoride's potential therapeutic benefit by keeping the tooth enamel in contact with it. Other studies have shown that fluoride varnish helps prevent tooth
decay for older school-age children who have their permanent teeth.


- Source: UCSF News Services cited adha.org http://www.adha.org/publications/accessextra.htm

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Fluoride varnish

The authors conducted a study to evaluate fluoride released from fluoride varnishes that had been applied with two different protocols.

The authors painted enamel slabs from exfoliated primary molar teeth either in a single application (five samples) or three times within a single week (five samples) with fluoride varnish (Duraphat, Colgate-
Palmolive, New York). The samples were immersed in buffered calcium phosphate solution (pH 6) to simulate the oral environment; theamount of fluoride released was measured during a span of six months.

The total release of fluoride was significantly higher in the three- application regimen ( than in the single application. The rate of release was slower using the three- application regimen. Thus, applying fluoride-release varnish threetimes in a single week produced greater and longer release of fluoride than did one application.Massed application of fluoride varnish during a single period during the year may be as effective as spaced single applications. This method can be a good alternative to delivering fluoride varnish to high-caries-risk patients who are mobile or difficult to recall.

[Castillo JL, Milgrom P  Fluoride Release From Varnishes in Two InVitro Protocols JADA 2004; 135(12):1696-1699.]

Colgate Direct 01483 401 901, there are over 180 publications on Duraphat.

** Evaluation of Fluoride Release from Commercially Available Fluoride Varnishes.  Castillo; Milgrom, Kharasch, Izutsu, Fev. JADA Vol 132, October 2001 pages 1389-1391.

***The Fluoride Varnish Advantage, RDH, April 2001.

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~We have NO financial interest in this company.

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