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I work in an office that uses fluoride foam for topical application. I have recently discovered this is no longer recommended. I am wanting recommendations on the current, best type of fluoride for in office application. Thanks!



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11 Answers

Varnish all the way!

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Varnish is the new standard of care. I love the vanish varnish by 3m. I have tried a lot of different types and the vanish goes on clearer and does not goop up as quickly when exposed to air as some of the others I have seen do.

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Fluoride varnish was approved by the FDA in 1994 and has been used in European countries since the 1980’s. The advantages of varnish over gel or foams include a reduction in fluoride ingestion, ease of application, higher fluoride concentration in regards to adherence to tooth structures, no waiting time before eating and drinking, and much easier for wiggly pedo patients who won’t sit with a tray of foam in their mouth.

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Varnish is great but try all the different kinds to find the one you like and do your research on which one offers the benefits you are looking for.

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We use clear shield 5% sodium fluoride varnish and that seems to be clear and works fine.

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Definitely Varnish!

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Varnish. It has the best retention and uptake. It now comes in clear and flavored. It sets by getting it wet, so patients can eat and drink right after.

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Varnish, 3-m seems to be the most tolerated by patients.

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We use Prevident varnish its clear and flavored mint or berry.

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Definitely varnish by 3m. Just apply a thin layer throughout and no need to dry before applying. Way more affective than foam and rinse.

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Varnish is great, but insurance doesn’t cover it, so its a toss up. And the thing about the foam is, they call it a “minute foam” and that is what the ADA does not support. We still use the foam and gel, but leave it on for 4 minutes, as recommended.

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