FLUORIDE -IT’S NOT JUST FOR KIDS

The last article on cavities I wrote explained how we have been seeing a reduced number of cavities over the last 20 years. This in part has been attributed to the increase in fluoride. In the New York Area there is fluoride in the drinking water, fluoride in the toothpaste, and fluoride treatments given by the dentist. This area has a sixty percent reduction in cavities as opposed to areas that do not have fluoride in the drinking water. Recent research has indicated that fluoride use should continue in adult life. Interesting, it the fact that as we get older, we should be using more fluoride. This is especially true with patients who have periodontal disease with exposed roots. Not only are exposed roots prone to cavities, but they are also sensitive to hot, cold and sweets. The use of fluoride on these situations can significantly reduce sensitivity and strengthen the roots of teeth. Fluoride can also help heal small cavities. Minerals in the tooth are continuously exchanged with minerals in the saliva. The fluoride in the water or taken in other forms then get into the teeth and are less prone to the acids from bacteria waste products. Fluoride is felt to be important enough for patients that a new device is currently being developed to dispense fluoride continuously in the mouth. This devise is shaped like a tiny button and is bonded on a tooth. The fluoride release devise is made of a plastic material, and possesses a rate determining membrane. It is designed to release small amounts of fluoride ions into the mouth on a continuous basis. To maintain elevated mouth levels of FLOURIDE for as long as possible, it is recommended that patients brush with a FLOURIDE toothpaste after breakfast and just before bedtime.
Modern dentists recommend using FLOURIDE containing toothpastes and mouth rinses as a choice treatment for small white-spot cavities. When used frequently, such low concentration FLOURIDE enhance reformation of minerals in the tooth. In contrast, high concentrations of FLOURIDE , such as those found in professional applied FLOURIDE gels, favor the rapid build-up of large mineral crystals on the surface of early cavities. Scientist have not yet determined which method is better, but the general feeling is that a combination of the two is best. Certain types of FLOURIDE are not as effective as others. To find out which ones are best for you and your family, ask your dentist.