Question 1

What is Fluoride Varnish?

Accepted Answer

Fluoride varnish contains 5% sodium fluoride in a colophony/ resin base which is applied to the teeth by painting it on the tooth surface.  The varnish hardens on the tooth as soon as it contacts saliva, allowing the high concentration of fluoride to be in contact with tooth enamel for an extended period of time. This is considered the most scientifically effective and a safe way to apply fluoride vs: trays with gel or rinses.

Question 2

Why is a Fluoride Varnish needed?

Accepted Answer

Fluoride varnish works by increasing the concentration of fluoride in the outer surface of teeth, thereby enhancing fluoride uptake during early stages of demineralization/softening of the tooth enamel. .
Fluoride varnish has been found to be effective in preventing cavities on permanent (adult) teeth as well for the primary teeth of young children. Fluoride varnish helps to prevent root decay, often present in our senior population. F- Varnish provides protection when daily oral hygiene is poor. This varnish is also helpful for individuals who have sensitive teeth.

Question 3

How does Fluoride Work?

Accepted Answer

Tooth decay is an infectious, contagious disease caused by bacteria building up on the teeth and producing acid that dissolves enamel, resulting in softened enamel. All fluorides act to slow demineralization and boost remineralization or strengthening of the enamel. When bacterial plaque remains on the teeth it continues to destroy the tooth structure which will result in a cavity.

Question 4

What are the Disadvantages of Not Applying Fluoride Varnish

Accepted Answer

Consider this cost-effective measure to prevent cavities vs: having decay and fillings performed. Fillings do NOT last forever and typically need replacement every five to ten years. Over the course of a lifetime this can be very expensive. Fluoride varnish is a safe & effective way to strengthen our enamel and help to prevent decay.

Question 5

What is a Sealant?

Accepted Answer

A sealant is a thin, flow able BPA free resin that is placed in the deep grooves and pits of the chewing surfaces of the molars. The sealant forms a smooth, protective barrier by sealing all the little grooves and pits in the chewing surface of the teeth. This is a non-invasive procedure which requires no drilling or freezing.  Placing sealants on teeth are a positive, easy preventive intervention to avoid necessary restorative work with a Dentist when a cavity develops.

Question 6

Why are Pit & Fissure Sealants Needed?

Accepted Answer

The sealant forms a hard shield that keeps food and bacteria from getting into the tiny grooves in the teeth that contributes to dental decay. Placing sealants on “baby” teeth that have deep pits can be beneficial to avoid cavities. Sealants are often typically applied as soon as the first permanent teeth have fully erupted through the gums. This is usually between 6 and 7 years of age and the second molars are sealed between 11 and 14 years of age.

Question 7

How are Sealants placed on my tooth?

Accepted Answer

The tooth is first cleaned to ensure it is free from plaque. The area is kept dry with either cotton rolls, gauze & other isolation techniques. The tooth is prepared with etch to help the sealant material adhere to the surface. The tooth is rinsed off and dried. Finally, the sealant is brushed on and hardened with a blue curing light.

Question 8

How long can I expect the procedure to take?

Accepted Answer

On average the total time per sealant is around 5-10 minutes. At the end the sealants are checked to ensure excellent outcome/adhesion and any necessary adjustments are performed.

Question 9

What are the disadvantages of going without Sealants?

Accepted Answer

• Newly erupted teeth are susceptible to decay/cavities within two years after coming through the gums.
 • The bristles of the toothbrush cannot clean into the deep pits and grooves of the teeth. Bacteria is left on the surface and in turn provides acid that can cause decay.

Question 10

What is Silver Diamine Fluoride?

Accepted Answer

An antimicrobial liquid that can be brushed on cavities to stop tooth decay — painlessly. With silver diamine fluoride (SDF), it is now possible to reverse and arrest the cariogenic process, even if cavitation’s are present. Silver diamine fluoride kills the bacteria that cause decay.

Question 11

Who would benefit from SDF treatment?

Accepted Answer

The fearful child, individuals living with a cognitive or physical impairment, dental phobia & those with financial or accessibility constraints that prevents them from seeking traditional dental treatment. Some individuals can only receive restorative care with general anesthesia or sedation and others are not good candidates for general anesthesia due to frailty or other medical complexity. SDF Treatment is easy to apply and does not require freezing or drilling. Interim Stabilization Therapy can also be combined with SDF treatment for optimal outcomes.