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Foam fluoride recommendations?

My office uses foam fluoride for one minute. Obviously this is against current recommendations but what literature can I provide to my office regarding this? I have the article from 2006 with the ADA recommendations which says they only support the 4 minute application time but don’t really like the foam anyway because there are only 2 clinical studies showing efficacy of the foam versus other methods like the varnish. My office is very open and always looking to be current so I think it will be well received but are there other resources I can use to convince the more reluctant staff members to either do the 4 minute or go fully over to varnish? Thanks!



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2 Answers

I’m so glad you are tying to get your office current on the standard of care! Just about every CE course and hygiene article I read regarding the efficacy of varnish vs foam states varnish is superior. Many of these articles state their sources so that would be where I would start regarding finding resources to share with your office. In doing a Google search for “efficacy of fluoride varnish compared to foam scholarly articles” I found the 2006 ADA recommendations acknowledge that while foams are commonly used in dental practice, the weight of evidence for effectiveness is not as strong as gels and varnish. Fluoride varnish contains a smaller quantity of fluoride compared to fluoride foams (and gels) so its use reduces the risk of inadvertent ingestion especially in children younger than 6 years old. In a 2013 systemic review of current research and studies the ADA found there is insufficient evidence on 1.23% fluoride foams preventing caries. Here is the link: http://ebd.ada.org/~/media/EBD/Files/Topical_fluoride_for_caries_prevention_2013_update.ashx. I hope this gives you a starting point into your research!

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This article is from 2014 and even though I didn’t read the full article (if there is even one available!) doesn’t show any significant difference in the 1-4 minute application. http://www.ncbi.nlm.nih.gov/pubmed/25241499

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