This document outlines a lecture on prevention of dental caries through self-application methods and risk-based strategies. It discusses preventive agents like fluoride gels, rinses, toothpastes and supplements that contain fluoride or antimicrobials. It also mentions non-cariogenic sweeteners like xylitol and sorbitol. Finally, it notes that risk-based prevention tailors programs to a patient's caries risk level - low, moderate or high risk.

1. Prevention of dental
caries II
Preventive Dentistry
PDS 332

2. Lecture outline
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Preventive agents for self-application:
Chemoprevention
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Fluoride gels
Fluoride rinse
Toothpastes
Fluoride supplements
Antimicrobials
Xylitol and sorbitol
Diet and plaque control
Risk-based prevention
Summary

3. Learning outcomes
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Detail the different types of fluoride and
other products available for the prevention
of dental caries and their use in prevention
by individuals
Explain the application of risk-based
preventive strategies

6. Preventive agents for
self-application:
Chemoprevention
Rx vs. OTC

7. Fluoride gels (Rx)
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High or moderate risk
1.1% NaF (5000 ppm)
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Prevident
0.4 % SnF2 (960 ppm)
GelKam
 OminGel
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Personal application
Head and neck cancer patients
Ortho patients
Dentinal hypersensitivity

9. Fluoride gels (Rx)
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0.717% F
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DentinBloc
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Desensitizing agent for root surfaces
Protect
Potassium oxalate solution
 Root sensitivity
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Professionally applied

11. Fluoride gels (OTC)
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NaF (0.05%) daily rinse
Lower cost
Ease of availability palatable taste
Low strength
A 10 ml rinse for 30 seconds
Moderate to high risk
Over the age of 5

13. Toothpastes
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1964, Crest was given full acceptance by
the ADA
0.15% weight/volume (1000 ppm) F
pea-sized or smear toothpaste for
children
NaF (active ingredient)
Abrasive

15. Fluoride supplements (Rx)
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Fluoride drops
Recommended for children younger than 2
years
 0.5, 2.0, 2.5 and 5.0 mg/mL F
 Fluoritab, Pediaflor, Luride
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Fluoride tablets
For older children and adolescents
 Fluoritab, Flura-loz, Flura-tablets and Luride
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18. Antimicrobials (Rx)
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Window of infectivity
Second line of prevention
Chlorhexidine gluconate (Peridex, 0.12%)
Twice a day, a capful for 30 seconds
Should be used for 30-day period, every 3
months

20. Xylitol & Sorbitol
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Xylitol is a sugar alcohol
Sorbitol is a polyol
Noncariogenic sweeteners
Promote saliva stimulation

21. Diet & plaque control

22. Risk-based prevention
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What is the idea behind designing
preventive programs according to risk?
Low caries risk
Moderate caries risk
High caries risk