Fluorides for preventing early tooth decay during fixed brace treatment

Wearing a fixed brace makes it harder for people to keep their teeth clean and may also cause pain. Pain can make it more difficult for people to brush their teeth. This can lead to a build-up of dental plaque around the brackets that attach the fixed brace to the teeth. If the plaque stays on the tooth for long enough, it will cause early tooth decay, which looks like white or brown marks (demineralised lesions, also known as white spot lesions). People often wear braces for 18 months or longer and if the decay is left to progress, it can cause holes, which are sometimes bad enough to need fillings to be done in the teeth.

Fluoride helps the tooth to heal, reducing tooth decay in people who are at risk of developing it. People receiving fixed brace treatment may be given different forms of fluoride treatment. It is important to think about how the fluoride gets to the teeth. Does the fluoride need to be placed by a dentist or dental nurse, or can people having treatment with braces apply the fluoride to their own teeth? Continue reading

Fluoride gel reduces tooth decay in children

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Gel is normally applied using dental trays

Tooth decay affects 60% to 90% of children. Levels of tooth decay vary between and within countries, but it is generally true that children in lower socioeconomic groups (measured by income, education and employment) have more tooth decay. Over time, untreated tooth decay causes progressive destruction of the tops of teeth (crowns); this is often accompanied by severe pain. Repairing and replacing decayed teeth is extremely costly in terms of time and money and is a major drain on the resources of healthcare systems. The prevention of tooth decay in children and adolescents is regarded as a priority for dental services and is considered more cost-effective than its treatment. The use of fluoride, a mineral that prevents tooth decay, is widespread. As well as occurring naturally, fluoride is added to the water supply in some areas, and it is used in most toothpastes and in other products that are available to varying degrees worldwide. As an extra preventive measure there are other ways of applying fluoride directly to teeth, such as mouthrinses, lozenges, varnishes and gels. Fluoride gel is usually applied by a dental professional, or self applied under supervision (depending on the age of the child), from once a year to several times a year. The gel is usually placed in a tray that the child or young person must keep in their mouth and bite into for about four minutes. It is not uncommon for young people to accidentally swallow some of the gel; feelings of sickness, vomiting, headache and stomach pain have been reported when too much is swallowed. Due to this risk of toxicity, fluoride gel treatment is not generally recommended for children younger than six years old. Continue reading