Deep fluoridation of tooth enamel. Methods and stages of teeth fluoridation, enamel fluoridation at home. Advantages and disadvantages

Fluoridation of teeth among dental procedures is gaining popularity, although many patients do not know what it is. The reviews and photos presented in the article will allow you to understand the essence of the procedure, as well as to verify its effectiveness.

have a beautiful and healthy smile every person aspires. However, the predominance of carbohydrates in the diet, soft food, lack of nutrients, poor hygiene status lead to the destruction of enamel and the formation of caries. Fluoridation allows you to saturate dental tissues with essential minerals and strengthen them.

What is dental fluoridation?

Fluoridation is the saturation of the hard tissues of the tooth with fluoride compounds by applying all kinds of liquids to the enamel. The procedure has proven to be effective both when performed on milk teeth and in permanent dentition.

The advantages of using fluorine-containing products make this method popular both among doctors and patients of various ages.

• increases the resistance of enamel to acids and the destructive action of microflora;
• increases the service life of dental restorations;
• hypersensitivity decreases;
• the likelihood of caries formation decreases;
• accelerates the maturation of enamel in children.

Types of procedures

Fluoridation is deep and simple. Regardless of the method chosen, certain steps must be taken to increase efficiency and reduce the risk of cavities.

1. Professional teeth cleaning, which includes the removal of soft plaque and mineralized deposits, followed by polishing of the tooth surface.
2. Filling defects.
3. Training in individual dental care and selection of hygiene products.

Good results are shown by preliminary saturation of the enamel with calcium.

Simple fluoridation is performed in two ways: applying fluorine varnish and using preparations in conjunction with mouth guards:

• individual mouthguards - are made by a dental technician according to a cast. A fluorine-containing substance is placed in it for 10-15 minutes, the course is 12-15 procedures. The advantage of the technique is that a tight contact is created between the enamel and the active components, and the leakage of the drug into the oral cavity is also excluded;
• the use of fluoride varnish - varnish is applied to the teeth previously dried and isolated from saliva, the course is performed 2 to 4 times a year. It depends on the properties of the enamel and the activity of caries.

• step 1 - cleaning teeth not only with a brush and professional paste, but also with an ultrasonic scaler;
• step 2 - drying the enamel from the water-air plaster;
• step 3 - applying a sealing liquid containing fluorine. After that, the surface of the tooth is again well dried;
• step 4 - a composition from the second vial is applied to the cotton turunda, which contains calcium hydroxide and copper. The agent is rubbed into the enamel with a swab, after which the oral cavity should be rinsed with water.

The benefits of applying fluorine-containing varnishes or gels are significant, because these substances help in the restoration and strengthening of enamel. Preparations based on fluoride compounds are used in the following situations:

• preventive procedures to reduce the likelihood of cavities, especially in areas where the content of fluoride ions in the water is reduced;
• multiple caries;
• after the end of orthodontic treatment with a bracket system;
• the final stage in the restoration of the tooth;
• removal of hypersensitivity;
• after teeth whitening.

Contraindications

1. Allergic reactions to the components that make up the preparations based on fluoride.
2. Endemic mottling of teeth.
3. Increased concentration of fluorine compounds in water.

It is important to note that during pregnancy it is allowed to prevent caries by applying fluoride preparations, except for the cases listed above. Often during this period, women notice a deterioration in the condition of their teeth due to the release of many minerals to the child's body, so timely fluoridation will preserve the beauty of the smile of the expectant mother.

Photo: before and after

The cost of procedures to strengthen the enamel with fluoride compounds is high, especially when you consider that a single session will not be enough to achieve a positive effect - you need to take a course.

Many patients are interested in whether it is possible to apply fluorine-containing varnish on their own at home, because buying a vial of the drug will cost much less than office fluoridation.

The use of this medication should be carried out under the strict supervision of a dentist, because excessive intake of fluoride in the body can lead to unpleasant effects, as well as cause serious poisoning. With self-administration, the risk of getting the drug on soft tissues, as well as its ingestion, so you should not risk your health for the sake of saving money.

TO home use some means are allowed:

1. Fluoride toothpastes.
2. Gels based on fluorine.
3. Rinsers.

Elmex-gel contains aminofluoride, which is the most effective fluorine-containing compound, which integrates as much as possible into the crystal lattice of enamel, and also forms a film on the tooth surface. Thanks to it, the active ingredients are able to act for a long time and penetrate into the deep layers of the enamel. It is necessary to brush your teeth with the gel, as with a regular paste, once a week, preventing it from being swallowed.

Dental elixirs can not only freshen your breath, but also wash out food residues from hard-to-reach places, and also enrich the enamel with useful substances. The percentage of fluorine for therapeutic and prophylactic purposes is 0.15%. Rinse your mouth twice daily after meals.

Video: fluoridation of teeth at home.

I have weak tooth enamel. Apparently it's hereditary. I am very attentive to the condition of the oral cavity, I regularly go to the dentist, I buy expensive toothpastes. But caries still does not bypass me. At the next examination, when another initial caries was discovered, my dentist advised me to carry out deep fluoridation. I agreed, which I do not regret, because the stain on the enamel has significantly decreased. It's been 5 months now and carious cavity never formed in this place. To maintain the effect, the doctor suggested that I carry out this manipulation once a year.

Svetlana, 35 years old

A beautiful smile is important to me, so I never spare money on my teeth. After the next bleaching, I developed hypersensitivity, and if it usually disappeared on its own after 5-6 days, then this time I was tormented by discomfort for the third week. I went to the doctor, after examination, he offered to do fluoridation. I immediately agreed, because I was tired of enduring the pain. The dentist applied fluoride varnish to me five times, the procedures were carried out every other day. At home, he advised me to use Elmex gel once a week. I do not know what gave the result, but my hypersensitivity eventually disappeared.

My son has very bad teeth, although I carefully monitor his diet and oral hygiene. On a forum for moms, I read that children can apply fluoride preparations to milk teeth, which will strengthen the enamel. My child and I made an appointment with the dentist, where I asked about the feasibility of this procedure. He suggested making mouthguards, in which a special substance is placed, after which they are fixed on the teeth for 10-15 minutes. The treatment was carried out as a course - we completed 12 procedures. I can say that I have not noticed new caries in the child over the past three months. We will continue to carry out fluoridation every 6-12 months.

Additional questions

How much does dental fluoridation cost?

The price for the procedure depends on the method: simple or deep fluoridation, as well as on the drug that is used to apply to the teeth. Domestic fluorine varnishes have a lower cost in comparison with imported analogues. On average, coating one tooth with varnish will cost from 50 to 400 rubles, and deep fluoridation costs 120-600 rubles per tooth.

Fluoridation of milk teeth - at what age?

The main criterion for fluoridation is the ability of the child to sit still for more than 15 minutes with open mouth. Usually this is easily possible for children from the age of 6, but there are exceptions. The procedure is effective for the maturation of enamel in the milk bite, during the period of changing teeth, as well as with increased sensitivity.

Is there any harm from the procedures?

Fluoridation is completely harmless if the doctor follows all the manufacturer's instructions. The use of a saliva ejector allows you to remove excess saliva and prevents the solutions from being swallowed. At home, you should not use preparations for professional use, because it is impossible to provide high-quality isolation of the mucous membranes from fluorine varnish or fluorine-containing gel.

Which is better: fluoridation or silvering?

Fluorination has several advantages over silvering. Firstly, when using fluorine compounds, there is no change in the shade of the enamel, and when silver is applied, the teeth are permanently stained black, which is not eliminated until the moment of physiological change. Secondly, silvering stops the development of caries; when the tooth is enriched with fluoride, the enamel is strengthened. However, fluoridation as a caries treatment is only effective at the stain stage.

How often should you do it?

Deep fluoridation is done once every 1-2 years, and it is recommended to repeat the courses of applying fluoride varnish every six months.

Strengthening teeth with fluoridation: reviews and nuances

The development of bacteria and the release of acids in the process of their vital activity is the cause of caries. With a predisposition of tooth enamel to destruction, it is necessary to further strengthen it.

To reduce the sensitivity of the teeth and prevent caries, a fluoridation procedure is prescribed.

What is fluoridation - what are the features of the procedure?

A set of measures for the treatment of enamel destruction, including saturation with fluorine ions, is called fluoridation. With insufficient ingestion of such elements as fluorine and calcium, demineralization of teeth and loss of tissue hardness begin.

They become loose and lose their strength, and these are ideal conditions for the occurrence of caries.

Teeth fluoridation is a modern painless technique that is prescribed for both children and adults. Special solutions are applied, calcium fluoride microglobules are formed on the tooth surface, which replenish fluorine reserves.

The main function of this type of fluoride prophylaxis is daily protection against the acidic environment that bacteria produce.

Indications for the procedure:

• finesse of enamel;
• prevention in the development of caries at the white spot stage;
• hyperesthesia (hypersensitivity);
• the detrimental effects of chemical bleaching;
• treatment of marginal periodontitis.

Contraindications to the procedure:

• individual intolerance or allergy to the components of fluoride varnish;
• epidemic fluorosis caused by long-term consumption of water or food with a high content of fluoride.

The mechanism of local fluoroprophylaxis

The composition of the teeth of all living beings includes three types of apatite:

• carboxyapatites - easily grind and erase (in rodents);
• hydroxyapatites - medium permeability (in humans);
• fluorapatites are the strongest (in sharks).

Carrying out the procedure ensures the interaction of fluorides with hydroxyapatite and the formation of fluorapatites. A stable connection reduces the permeability of the enamel and increases its resistance.

To increase acid resistance, a partial conversion of hydroxyapatite to hydroxyfluorapatite is sufficient.

Fluorine inhibits enzymes that break down carbohydrates and inhibits the growth of microflora in the mouth. In addition, during the formation of teeth in childhood, fluorides are involved in the metabolism of enamel protein. This increases resistance to caries.

Conditions for successful fluoridation

You must adhere to these rules:

• exogenous (external) contact of the drug with the surface of the teeth;
• exposure of a certain time;
• exclusion of ingestion or penetration of the drug into the body through the mucous membrane;
• increase in the intensity of diffusion of medicinal components into the structure of the tooth.

Features of the procedure in childhood

Children's milk teeth are often destroyed due to the passion for sweets. Maintaining oral hygiene and proper diet is not always enough.

When fluoridation of milk teeth, children at a young age of 1-3 years apply the gel separately to each tooth. Seniors carry out the procedure as well as adults throughout the mouth, it is completely harmless to the body.

Since children do not like frequent visits to the dentist, it is easier to do deep fluoridation. This method will allow you to remineralize the tissues at a time. The frequency of fluoride prophylaxis for adults and children is once every six months.

Depth Matters

Deep and conventional fluoridation of teeth is used. When examining a patient, the doctor assesses the complexity of the enamel condition and determines the appropriate technique.

Application of conventional technique

Simple fluoridation involves regular maintenance of fluoride and replenishment of its stocks in the form of microcrystals. An individual impression-spoon is prepared, which is filled with a material with a high fluorine content.

A cap with gel is applied to the teeth and aged for 10-20 minutes. The prophylactic course lasts 10-15 procedures. The first procedures are carried out by the dentist, in the future, manipulations can be performed independently at home.

With this method, it is possible to use the same cast to repeat the express method after a break.

There is another option for conventional fluoridation - coating the surface with fluoride varnish. The drug contains a composition of resins, cedar balm, and sodium fluoride. Lacquer is applied with a brush on all teeth, after which it is dried with a stream of air. The course runs 4 times a month.

A thin film that does not refract light is formed on the teeth, which is imperceptible to others.

All at once

Deep fluoridation was invented by the German professor Knappvost. The option is more reliable and efficient than simple fluoridation.

The method gives a deep migration of fluorine ions into the crystal lattice of the tooth. There they are transformed into a molecular state and deposited under the guise of complex conglomerates.

Experts say that calcium fluoride, included in hard tissue, is a potential protective barrier against caries.

Such impregnation increases the strength of the teeth by 10 times, due to the higher concentration of ions. Unlike the usual, this method is fast and one-time. Dentists recommend repeating the procedure once a year.

How deep fluoridation is carried out

Before the process of deep fluoride prophylaxis, there is a need to clean the teeth from plaque and stones that can delay the penetration of fluoride. Interdental spaces are also thoroughly cleaned.

The procedure includes several steps:

• drying teeth;
• applying an enamel-sealing agent (hold for 2 minutes);
• air drying;
• quenching with a solution of copper and calcium hydroxide;
• rinsing the mouth.

A chemical reaction occurs and a high concentration of ions in the solution provokes the precipitation of hydroxyapatite. The growth of fluoride microcrystals begins, which fill the enamel microcracks. In the depth of the pores, the crystals are kept from 6 months. up to 2 years and continue to release fluorine ions.

Fluorapatite is formed, providing optimal restoration of the enamel structure. In parallel, copper has a permanent bactericidal effect, which increases anti-caries protection.

Many pluses, minus one - the price

Successful fluoridation gives a person the following bonuses:

• foci of initial caries are completely remineralized;
• there is protection not only for enamel, but also for dentine;
• clinical efficacy gives a prolonged action;
• fluoridation of the carious cavity before filling reduces the incidence of secondary caries.

The disadvantages of fluoridation include only the cost of the procedure. But the cost of fluoride prophylaxis is much lower than the cost of dental treatment.

The dentition before and after fluoridation - it is not so noticeable from the outside, but there is a result

A few words about the harmfulness

Fluorine ions (fluoride) are found in earth's crust they can enter groundwater. Depending on the region of residence, a person receives fluorides mainly with drinking water.

An excess of fluorine causes intoxication of the body. Fluorosis can cause serious dental problems. But the fluoridation procedure itself is absolutely harmless and cannot cause fluorosis.

The chemicals in the fluorine-containing material do nothing but restore hardness to the enamel. Doctors advise to carry out fluoridation with childhood, and then problems with caries can be avoided. Strengthening of dental tissues can be carried out during pregnancy.

We saturate teeth with fluoride at home

Toothpastes with fluoride are also able to locally saturate the enamel with fluorine ions, but to a much lesser extent.

The use of such pastes has the ability to fight deposits of stones and plaque.

After applying and spreading the paste, hold it in your mouth for 1 minute, then spit it out and rinse your mouth a little. Then the fluorine is concentrated in the saliva and oral cavity, and saliva enzymes release the fluorine for another hour.

After using fluoride-containing pastes, it is advisable not to eat for an hour.

Another method that can be used at home is the use of a fluoride gel mouthguard. A ten-fold daily procedure takes only 15 minutes of time, and the effect helps to eliminate the possibility of developing caries for at least a year.

Teeth whitening at home with fluoride varnish:

What people say

Fluoridation of teeth is gaining popularity, which is confirmed by numerous reviews.

After fluoridation, the sensitivity of the teeth decreased significantly. The reaction to the winter cold has completely passed, there is not even a setback for apples.

Alina, 33

The remineralization procedure done by fluoridation really gives positive results. Previously, my child had caries in the interdental space, now we don’t remember about filling for several years.

Karina, 24

How much is it?

The cost depends on the technology used and the desired effect:

1. For application of fluorine varnish in different clinics you will have to spend from 50 to 400 rubles / tooth.
2. Deep fluoridation the most expensive, but a single procedure gives a lasting effect. The price of technology is from 120 to 600 rubles. But do not forget that prevention of the disease costs much less than treatment.

Efficiency varies depending on the technique, fluorine carrier, its clearance, concentration of active ions, duration and frequency of application. Dental care and preventive measures caries prevention is an integral part of the life of a successful person.

Dental gel GC Tooth Mousse Strawberry cream reminalizing tooth enamel - review

Fluoridation at home

I asked my attending dentist to do fluoridation procedures for me because of the sensitivity in my teeth that appeared. The teeth are all in good condition, but some have sensitivity, perhaps the reason was the braces that I wore for a long time as a student.

Fluoridation should be done in a complex of 6-10 procedures, depending on the condition of the teeth. And it is better to start after a professional cleaning by a hygienist. But it's understandable that it's difficult to drive across the city to the dentist every day, so my doctor bought me fluoride for home use.

The procedure is extremely simple, especially since you do not need to go anywhere.

The only thing you need to find or ask again from your dentist is a mouth guard. Any hygienist can provide them to you.

How to act. It is better to do this procedure at night. Since after it it will not be possible to drink for 40 minutes.

First, we brush our teeth, then we take a cap and squeeze fluoride out of the tube into it (as in the photo), you can carefully distribute it with a spatula. The cap indicates which side is for the upper jaw, insert it carefully and make chewing movements, then squeeze the cap and hold for exactly three minutes. After we take out the mouth guard, smear the remaining fluoride over the teeth with our tongue and DO NOT SWALLOW, we still wait two minutes (at this time, while washing the mouth guard). I used a disposable for myself, but washed it after the procedures until the next one. When two minutes have passed, we spit everything out, but DO NOT RINSE! And we wait 40 minutes! Do not drink, do not rinse, let the fluorine soak in.

The tastes of this fluorine are different, there is also no taste. We have a strawberry, very nice. I don’t know the price on the market, I gave the dentist 500 rubles. Considering that in the doctor’s office one such procedure will cost you the same amount, and you need to do at least 6 of them, consider it profitable for yourself or not.

Teeth fluoridation at home

A beautiful smile is the key to success in society. Dental health also affects the health of the whole body, so many dentists recommend fluoridation of teeth. What it is? This procedure is a process of ridding teeth of yellowness - fluoride coating, which significantly improves appearance smiles.

The cause of yellowing of the teeth is the frequent use of coloring drinks - tea, coffee - and the weakened structure of the enamel. Over time, it becomes more fragile, and a person begins to experience pain and teeth lose their attractive appearance and whiteness.

Also, the causes of problems with enamel can be the following factors:

• Increased acidity in the mouth.
• Too frequent dental problems that lead to frequent visits dentist and violation of the natural structure of the tooth surface.
• Violation of the rules of hygiene or the use of too harsh toothpastes that spoil the teeth.

Advantages and disadvantages

Like every operation, the fluoride coating procedure has benefits / harms:

Indications for the procedure

Fluorine cleaning is carried out in the following cases:

• Caries on the crown of the tooth.
• Pain that occurs during brushing or rinsing the mouth.
• Pain from eating excessively high or low temperature.
• Yellow plaque in the gum area.
• After the removal of structures aimed at straightening the teeth - braces, plates.

Contraindications

Before the procedure, it is worth considering contraindications:

• Too much a large number of fluorine contained in the water that the patient constantly drinks.
• Allergy to one of the components included in the fluorinating drug.
• The presence of certain diseases, including diabetes.

There are several types of procedures:

There is also silvering of the teeth. Many are interested in whether silvering or fluoridation is better? The second option is more beneficial, since the fluoride solution does not stain the teeth, while silver leaves a colored mark on them. However, fluoridation gel can only fight caries at the stage when the disease is still a common stain, while silvering is more effective in this matter.

How is deep fluoridation performed?

The deep fluoridation method is the most effective. Such processing of enamel is done step by step. First step- thorough cleaning of the surface of the teeth. Further- drying and applying the first layer. The procedure uses a special fluorogel. Next step- repeated drying and application of the next layer of the preparation and fixing the results of the work.

Many people ask how long the varnish lasts and whether it is harmful to use fluoride preparations often.

Video

Children's teeth fluoridation

Fluorgel can be applied even to children - both for dairy and for permanent teeth the procedure will be extremely useful, as it will noticeably strengthen them.

What is the best age to start? The ideal age is two to four years, when children are still little receptive to doctors and little afraid of them. It's for the tooth perfect time to be fortified, since that is when it is most vulnerable to sugar and various acids.

Also, doctors may advise to carry out the procedure in children immediately after replacing milk teeth with permanent ones. First five years The teeth are unstable and rather weak, so it is extremely important to protect them.

The dentist may attribute a conventional fluoride rinse, which can do the job without fluoride coating the teeth.

White strong teeth — this is self-confidence, the dream of many residents of Moscow! In order for a smile to be beautiful and radiant, it is necessary to properly care for the oral cavity, regularly visit the dentist's office. Incorrect brushing of teeth entails the appearance of defects on the enamel. Is it possible to get rid of existing problems? Of course, dentistry keeps up with the times. To restore the integrity and beauty of enamel, our dentists carry out fluoridation of teeth, the price of the service starts from 150 rubles per tooth. The procedure is painless, suitable for adults and young patients. We invite you to the first consultation, it is free!

The essence of the procedure

Today, it is very important to cover the teeth with fluoride varnish, the price of which is announced by the specialists of the Esculap Dental Center after assessing the feasibility of restorative measures. What caused the demand for the service? Fluoridation effectively eliminates the effects malnutrition, addictions, incorrect brushing of teeth. The procedure blocks further destructive processes that are accompanied by pain, psychological discomfort, bad breath. How does it happen? Our specialists in preventive dentistry saturate the hard tissues of the oral cavity with active fluoride compounds. The main component is fluoride. The substance has a viscous consistency, high penetrating properties. It can be applied to milk and molars teeth.

Enamel restoration occurs due to the active influence of the emitted ions. When the particles come into contact with the hard tissues of the tooth, calcium fluorides are formed. The result of the actions of specialists is restoration, stopping the destruction of enamel under the influence of carious plaques.

Why do Esculap dentists use substances - emitted fluoride ions? The trace element plays a key role in processes such as:

• bone metabolism;
• enamel restoration;
• formation of developing hard tissues.

In case of a lack of fluorine, the enamel turns yellow and thins. The result is also caries, other diseases of the teeth. And fluoridation is advisable, since this microelement enters the body in insufficient quantities, except when a person:

1. Leads healthy lifestyle life.
2. Adheres to proper nutrition.
3. Takes good care of your oral cavity.
4. Visits the dentist regularly.

To avoid regressive processes, our dentists recommend fluoridation once a year / one and a half. The frequency is determined by the doctor individually after examining the oral cavity, after which he announces the final cost.
Analysis of advantages and disadvantages

Dental fluoridation is becoming the choice of many of our patients for the following reasons:

• no need for anesthesia and other preparatory measures;
• efficiency of the procedure (about 90 minutes);
• accessibility at any age;
• lack of discomfort;
• durability of the effect (from 1 year);
• reliable enamel protection for 1.5 years;
• high recovery efficiency.

Does fluoridation have disadvantages? Some people don't consider this dental service perfect. The need for periodic repetition is an explanation for this. Specialists of "Esculap" among the disadvantages also include low efficiency with large-scale carious lesions, as well as inappropriateness with an excess of fluorine in the body.

Indications and contraindications

Are you planning to visit our dental center for specialists to professionally perform deep fluoridation of tooth enamel? Doctors will start the recovery procedure only after the examination. Fluoridation is indicated for:

• the presence of yellow plaque on the teeth near the gums;
• hypersensitivity enamels;
• initial stages of caries of crowns;
• painful sensations during hygienic cleaning.

Dentists recommend using the presented service to patients after wearing braces and other tooth-correcting structures. Seriously ill patients with diabetes. Fluorine reduces the absorption of sugar by the body, thereby overloading the pancreas. The second contraindication is an excess of the aforementioned trace element. In this case, fluoridation will end in the appearance of a state of general poisoning. In case of individual intolerance to the components of the drug, the procedure is not carried out, so our specialists carefully compare all the pros and cons.

Fluoridation: varieties of techniques

How much does a safe enamel restoration service cost? The price of fluoridation becomes known after the diagnosis. The cost depends on the technique of carrying out restoration measures. The doctor determines the most effective of them. Among them:

1. Simple. Enamel restoration procedures are simple. To solve problems with teeth, special formulations are used. The procedure can be done at home. However, our experts do not recommend self-applying fluoride products without prior professional teeth cleaning. Simple fluoridation takes no more than 20 minutes.
2. Deep. A multi-stage dental procedure, the features of which are described below. Our specialists have been successfully providing the service for more than 2 years and only in the presence of a positive prognosis.

We also carry out fluoridation by the method of electrophoresis using calcium gluconate and specialized equipment.

Stages of saturation of teeth with fluoride compounds

After examining the oral cavity, the specialists of the Esculap Dental Center assess the relevance of fluoridation. In the absence of contraindications, the doctor performs the following measures:

1. Professional cleaning of teeth from plaque, hard deposits.
2. Drying enamel with equipment.
3. Isolation of teeth from saliva.
4. Fluoride application.
5. Easy rubbing of the active substance into hard tissues with further short exposure.
6. Re-drying.
7. Enamel treatment with calcium copper hydroxide.
8. Removal of active substance residues.

At the end of the procedure, the teeth look healthy and white. Mineralization is characterized by a long-term effect.

Benefits of deep fluoridation

According to the professional technique for restoring tooth enamel, Esculap dentists use active substance based on magnesium fluoride silicate. Immediately after the procedure, the hypersensitivity caused by the thinning of the enamel disappears. Specialists apply the active viscous substance exclusively with a swab or brush. Deep fluoridation is also carried out on crowns. The calcium level remains the same. Deep fluoridation is good because it eliminates caries initial stage. At home, it is impossible to achieve such a magnificent effect as in the clinic.

The feasibility of fluoridation on children's teeth

To use the presented service, if necessary, dentists "Esculap" offer parents of young patients. Baby teeth need special protection. Deep fluoridation of teeth does not cause tears in children. For small patients, the procedure does not pose a danger, as a result of restorative measures, only positive effect. Fluoridation on children's teeth according to the technology is no different from the technique according to which the enamel is strengthened for adults.

For young and adult patients, doctors suggest using the service, as mentioned earlier, every 1-1.5 years. If treatment is necessary before fluoridation, it is wise not to ignore the advice of a dentist. After the procedure, the doctor necessarily tells the child and parents about the rules for caring for the oral cavity. Compliance with the "instructions" is extremely important! It is necessary not only to brush your teeth regularly with high-quality pastes, but also to eat right to avoid a lack of fluoride. Taking multivitamin complexes will bring benefits to the body. Deep fluoridation of milk teeth with caries is the most correct professional way protection of enamel from further destruction.

The cost of services and promotions "Esculapius"

The price of fluoridation of teeth varies within 1500 rubles. For the jaw. Our doctors announce the final cost upon completion free consultation. On examination, the expediency of fluoridation becomes clear. The doctor needs to be told chronic diseases, for example, some patients with diabetes mellitus fluoridation is contraindicated. Sign up for a consultation now on the site.

In "Esculapius" there are permanent promotions:

1. Zirconia crowns at a price of 9990 rubles.
2. Discount for surgical and therapeutic treatment on weekdays from 12 to 16.
3. Profitable implantation "to the same day" (-10% of the price in the price list).
4. Aligners for bite correction - from 30 thousand rubles.

FAQ

- What is dental fluoridation?

Fluoridation is the saturation of the hard tissues of the tooth with fluoride compounds by applying all kinds of liquids to the enamel. The procedure has proven to be effective both when performed on milk teeth and in permanent dentition.

- Is there any harm from the procedures?

Fluoridation is completely harmless if the doctor follows all the manufacturer's instructions. The use of a saliva ejector allows you to remove excess saliva and prevents the solutions from being swallowed. At home, you should not use preparations for professional use, because it is impossible to provide high-quality isolation of the mucous membranes from fluorine varnish or fluorine-containing gel.

- How often should I do it?

Deep fluoridation is done once every 1-2 years, and it is recommended to repeat the application of fluoride varnish every six months.

Take care of the protection and health of your teeth, come for a consultation!

A beautiful smile is the key to success in society. Dental health also affects the health of the whole body, so many dentists recommend fluoridation of teeth. What it is? This procedure is a process of getting rid of the yellowness of the teeth - fluoride coating, which significantly improves the appearance of a smile.

The cause of yellowing of the teeth is the frequent use of coloring drinks - tea, coffee - and the weakened structure of the enamel. Over time, it becomes more fragile, and the person begins to experience pain, and the teeth lose their attractive appearance and whiteness.

Fluoride for teeth whitens problem areas and strengthens the surface of the enamel.

Also, the causes of problems with enamel can be the following factors:

• Increased acidity in the mouth.
• Too frequent dental problems that lead to frequent visits to the dentist and disruption of the natural structure of the tooth surface.
• Violation of the rules of hygiene or the use of too harsh toothpastes that spoil the teeth.

Advantages and disadvantages

Like every operation, the fluoride coating procedure has benefits / harms:

Indications for the procedure

Fluorine cleaning is carried out in the following cases:

• Caries on the crown of the tooth.
• Pain that occurs during brushing or rinsing the mouth.
• Pain from eating excessively high or low temperature.
• Yellow plaque in the gum area.
• After the removal of structures aimed at straightening the teeth - braces, plates.

Attracts the fact that during pregnancy, surgery is not prohibited. Pregnant women often suffer from dental problems due to the fact that all the elements from the body go to support the fetus.

Contraindications

Before the procedure, it is worth considering contraindications:

• Too much fluoride in the water that the patient constantly drinks.
• Allergy to one of the components included in the fluorinating drug.
• The presence of certain diseases, including diabetes.

Types

There are several types of procedures:

There is also silvering of the teeth. Many are interested in whether silvering or fluoridation is better? The second option is more beneficial, since the fluoride solution does not stain the teeth, while silver leaves a colored mark on them. However, fluoridation gel can only fight caries at the stage when the disease is still a common stain, while silvering is more effective in this matter.

How is deep fluoridation performed?

The deep fluoridation method is the most effective. Such processing of enamel is done step by step. First step- thorough cleaning of the surface of the teeth. Further- drying and applying the first layer. The procedure uses a special fluorogel. Next step- repeated drying and application of the next layer of the preparation and fixing the results of the work.

Many people ask how long the varnish lasts and whether it is harmful to use fluoride preparations often.

The procedure should not be carried out more often twice a year, as well as abuse fluoride toothpastes and rinses.

In addition to improving the appearance and condition of the enamel, a similar method is used to defeat caries. The result before and after fluoridation will please every patient who decides to take such a step: the teeth will look more attractive, and the problem with excessive sensitivity will disappear.

Video

Children's teeth fluoridation

Fluorgel can be applied even to children - both for milk and permanent teeth, the procedure will be extremely useful, as it will noticeably strengthen them.

What is the best age to start? The ideal age is two to four years, when children are still little receptive to doctors and little afraid of them. It's for the tooth perfect time to be fortified, since that is when it is most vulnerable to sugar and various acids.

Also, doctors may advise to carry out the procedure in children immediately after replacing milk teeth with permanent ones. First five years The teeth are unstable and rather weak, so it is extremely important to protect them.

Treatment of children should only be carried out by an experienced dentist who will preliminarily diagnose the condition of the teeth and determine whether a fluoridation process is needed at all, and what type of operation is most suitable.

The dentist may attribute a conventional fluoride rinse, which can do the job without fluoride coating the teeth.

Price

The cost of fluoridation depends on the complexity of the work. Consider the cost of such a service in different cities:

Prices are for one unit.

Video

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Method of deep fluorination.SuggestedA. Knappvost ’om (University Professor, Doctor of Physical, Chemical and Medical Sciences. Institute of Physical Chemistry with the Department of Biophysical Chemistry and Scientific research in dentistry", Hamburg, Germany)

Introduction

Thanks to the so-called deep fluoridation, which initiates a strong and long-term remineralization process, including in problem areas, not only prevention, but also non-invasive or slightly invasive therapy has become possible. This therapy is based on the developed theory of caries remineralization, originally called the theory of the protective layer, which has now received such a great development that it makes it possible to give clear characteristics of remineralization as a process opposite to demineralization.

Microstructure of the tooth enamel softening zone

Imagine the structure of the enamel in the area of ​​1000 angstroms - 1 angstrom is approximately equal to the diameter of 1 atom. Data obtained by radiographic method using a radioactive isotope (Ca 40). Imagine a tiny patch of "enamel prism". The enamel is permeated with keratin fibers, to which prismatic apatite crystals about 250 angstroms long and about 50 angstroms thick are chemically, epitactically attached on one side. There are reasons to believe that all enamel apatite crystals are thus fused with keratin fibers. This means that with an average apatite crystal thickness of about 50 angstroms, the distance between the fibers is 100 angstroms (2 apatite crystals). According to the results of our studies, acidic plaque agents do not act on the enamel frontally, but diffuse into the fibers and laterally exfoliate apatite from them. The result is a very narrow attack funnel with a maximum inlet diameter of about 100 angstroms. With prolonged exposure to acids, the sides of the funnels collapse. As shown by measurements, the depth of the funnels is 10 microns. The funnels of corrosion are extremely narrow and taper even more with distance. This surface zone is about 10 microns thick and is the softening zone. In it, more or less periodically, the processes of dissolution and remineralization occur in such a way that in the remineralization phase, the physiological restoration of enamel occurs with the assistance of fibers as centers of crystallization.

Remineralization

According to our theory, remineralization occurs when saliva in plaque is oversaturated with ions that form apatite (calcium-, phosphate-, hydroxide or fluorine). As observations show, the concentrations of Ca and PO 4 ions in saliva quite consistently remain at a sufficient level, while the concentration of OH - ions can decrease by a factor of 1000, for example, at pH 4 in the interdental region. The processes of remineralization - demineralization are regulated by OH - ions. Fortunately, they can be replaced by structurally similar fluorine ions. Measurements show that at the usual concentration of fluoride in saliva, therefore, when the fluorine content in drinking water is about 0.2 to 0.3 mg per liter, the pH limit value in saliva in plaque is 5.5 (critical remineralization pH). Above this limit, the process of remineralization occurs, below - demineralization. When the pH of saliva in plaque is below this value, it is possible to direct the process towards remineralization by compensating for the lack of OH ions with fluorine ions. The resulting apatite has a significantly higher fluorine content. With the help of radioactive phosphate, it has been proved that the anti-caries preventive effect of fluorine is carried out only according to this scheme, and is not the result of replacing OH- ions with fluorine ions in solid apatite.

Evaluation of different fluorination methods

Fluoridation of drinking water, often regarded as an effective measure worthy of widespread use, can, together with fluoride in foodstuffs, increase the concentration of fluoride ions in saliva to a maximum of 10 to the minus fifth power of mol / l, which is equivalent to OH ions pH 9. This fluoride concentration is capable of best case compensate for the deficiency of OH- ions in a very thin layer of plaque on a smooth tooth surface. To compensate for the deficiency of OH- ions in thicker layers of plaque in problem areas, for example, in the interdental space with pH 4, the oral intake of fluorine is insufficient and the intake of iodized table salt is absolutely insufficient. At first glance, the so-called local fluorination with simple fluorides, such as sodium fluoride or amine fluoride, seems much more attractive. (This, however, does not apply to the slightly soluble calcium fluoride). Enamel treatment with these salts, which are part of varnishes or gels, leads to chemical reaction with enamel and the formation of relatively coarse-grained calcium fluoride, which lies freely on the surface of the enamel. Due to its very low solubility, the saturation concentration of ions on the enamel surface is 10 to the minus third power of mol/L. It is sufficient to compensate for the deficiency of OH- ions at pH4. However, since these crystals are loose on the surface of the enamel, they are quickly removed by abrasion or rinsing of the mouth. The crystals do not penetrate inside the funnels of the softening zone, since they are much larger than the diameter of the funnel inlet. The action of these fluorides is therefore too weak and short-lived to effectively stimulate the remineralization process.

Deep fluoridation

Under the deep fluorination understand the chemical formation of highly dispersed calcium fluoride with an average particle diameter of 50 angstroms and having a significantly higher solubility in the pores of the softening zone. When treating enamel with sodium fluoride, no deep fluoridation occurs. Deep fluoridation is observed only as a result of successive wetting of the enamel with a slightly acidic solution of magnesium fluoride silicate and subsequent quenching with an alkaline suspension of copper-calcium hydroxide. Subsequently, the fluoro-silicate complex spontaneously decomposes with the formation of fluorine silicate crystals and polymerized silicic acid. Calcium fluoride crystals lie deep in the pores in the silicic acid gel, protected from leaching. They release fluorine in high concentration for a long time (more than 1 year), which contributes to reliable remineralization, including in problem areas. In this case, apatite is formed, clearly enriched in fluorine, which, in the case of intact kerative fibers, leads to a complete restoration of the carious area. If the demineralization has gone so far that the edges of the corroded funnel are erased, the defect that has arisen reaches the average values ​​​​of visible light waves (about 5000 angstroms). This is how the famous chalk spots are created. With still existing keratin fibers, even in these cases, an increase in remineralization apatite can occur on them. After deep fluoridation, the disappearance of chalk spots is often observed. As a result of the studies, a significant difference was noted in the effect of deep fluoridation with an enamel-sealing preparation with copper-calcium hydroxide from local fluorination with a fluorinating preparation based on sodium or calcium fluoride.

Role of copper ions

Inorganic copper compounds play in dentistry, for example, as an additive to phosphate cements, a very important, but unfortunately very little known role. Among other aspects, its use in endodontics during depophoresis with copper-calcium hydroxide is relevant. According to Effinger research results, copper ions show strong bactericidal properties, especially against anaerobes. In addition, they are extremely powerful suppress the proteolytic activity of microorganisms. Of particular importance is the longevity of their action, due to the catalytic oxidation of the resulting copper sulfide. How great the activity of copper ions against microorganisms that cause caries of enamel and dentin is evident from the vast experience gained with the use of copper amalgam (Rebel), which was especially widely used in pediatric dentistry. Currently, amalgam is not used due to the release of metallic mercury. In these amalgams, metallic copper in solution was an ignoble component in relation to mercury and formed with saliva a sparingly soluble alkaline salt of copper, which protected not only a tooth with a copper-amalgam filling from caries, but also adjacent teeth. Copper ions also protected dentin from caries. Today, due to the negative attitude of people towards metals, it is necessary to draw the attention of patients to the fact that copper, like iron, although it is a heavy metal, is at the same time an essential trace element that plays an important role in metabolism. The serum concentration of copper is about the same as iron, and it is just as weak an allergen. The liquid used for deep fluoridation of enamel contains copper fluoride silicate. Liquid for deep fluoridation of dentin contains copper in a significantly higher concentration. The combination of deep fluoridation effects, namely strong long-term remineralization and protection of keratin fibers from proteolysis, represents a non-invasive or, in advanced caries, slightly invasive caries therapy. This is especially important for milk teeth - sparing attitude to the tooth substance and effective protection of the pulp.

The benefits and harms of fluoridation are debated. Some dentists present this procedure almost as a panacea for caries, others argue that it further damages weakened enamel.

Officially, fluoridation is believed to help prevent cavities and keep teeth healthy. This service is offered in every clinic for adults and children, sometimes even imposing. Let's figure it out together: due to what the preventive effect is achieved, how the manipulation is carried out and whether it can be done at home on your own. We will also find out whether it makes sense to perform the procedure or is it just another way to pump money.

What is dental fluoridation?

Fluorine is one of the most important elements for teeth. It strengthens the enamel, making it resistant to acids and bacteria. Patients with its deficiency are more likely to develop caries and pulpitis.

Normally, fluorine enters the body naturally - along with water (about 80% of total consumption) and food. But it is not always enough. In addition, certain pathological factors ( systemic diseases, poor digestibility, pregnancy, etc.) contribute to its rapid consumption.

In such cases, fluoridation is recommended. This procedure consists in saturating the teeth with fluoride preparations. They are applied (impregnated) on the enamel with the help of brushes or special caps, after which the compositions harden and form a protective film.

Mechanism of action

Enamel fluoridation products contain various fluorine compounds in high concentrations. It is usually one of three elements:

• sodium fluoride - NaF;
• aminofluoride - AmF;
• phosphate fluoride - APF.

Under the influence of moisture and heat, fluoride compounds release fluoride ions, which bind to the main building element of the shell of the teeth - hydroxyapatite. This is a calcium compound that makes up 75% of enamel.

As a result, a new element is formed - hydroxyfluorapatite or fluorohydroxyapatite. It is many times stronger and more resistant to acids than hydroxyapatite. Consequently, the enamel also becomes stronger. This mechanism of action is the preventive effect of fluoridation.

The procedure has one more useful property. After application of fluorine-containing compositions, they form a layer of calcium fluoride on the surface of the crowns. It protects the enamel from the action of acids, and when the pH drops below 5.5, it decomposes, releasing calcium and fluorine ions, and saturates the dental tissues with them.

Thus, fluoride impregnation not only strengthens the teeth, but also minimizes the harmful effects of lactic acid produced by cariogenic bacteria.

When to do fluoridation, indications?

But manipulation will be especially useful:

• with hyperesthesia of the teeth - increased sensitivity to cold, hot, sour, sweet;
• the presence of caries in the stage of the chalky heel;
• before or after the installation of braces - to prevent demineralization of the enamel;
• if the patient is predisposed to caries;
• after whitening and professional teeth cleaning;
• in the presence of non-carious pathologies: microcracks, wedge-shaped defects, thinning of the enamel;
• when a patient is diagnosed with an acute fluorine deficiency;
• during the period of change of milk teeth to molars;
• with increased viscosity of saliva or its insufficient secretion - in this case, the protective properties of the secret are reduced.

Contraindications to the procedure

Despite the benefits, with an illiterate approach, fluoridation can do harm. The procedure is not performed if the patient:

• allergy to the components of the fluorinating composition;
• fluorosis - an excess of fluoride in the body;
• diabetes mellitus - fluoride compounds interfere with the process of assimilation of sugar, which is already impaired in diabetics.

Also, fluoride impregnation is useless if caries has passed from the stage of a chalky spot to another phase: a dark spot, with damage to enamel or dentin. In this case, a full treatment is carried out.

Other factors are also taken into account. So, children do not always allow manipulation: some are so afraid of doctors that it is impossible to persuade them to sit quietly in a chair even for 10 minutes. Therefore, for babies, special quick-drying solutions are used. But they are not always possible to apply.

The place of residence is also important. In some regions, the soil is excessively saturated with fluorine, and so it enters the body in excess along with water and food. The procedure is prohibited for residents of such areas.

What are the advantages and disadvantages?

Fluoridation is an ambiguous procedure. She has both positive and negative sides.

Among the advantages are:

• reduction in the development of caries with regular treatment every 3-6 months: by 30% when using preparations with 1% sodium fluoride and by 63% when using 5% solutions (according to the medical information portal 24stoma – https://24stoma.ru/ftorirovanie-zubov.html);
• enamel strengthening;
• minimizing the manifestations of hyperesthesia;
• obstruction of calcium leaching from dental tissues;
• protection against staining with pigments;
• curing caries at the stage of the chalky spot;
• effect duration: complete washing out of elements with simple fluoridation occurs after 6 months, with deep fluoridation - after 2 years;
• prevention of secondary caries after;
• slight whitening effect - impregnation with fluorine-containing preparations slightly brightens the enamel, which makes the smile more attractive.

But there are also significant disadvantages that must be considered before agreeing to conduct fluoridation. These are 2 main points:

1. risk of developing fluorosis. This disease is characterized by excessive accumulation of fluoride in the body, which leads to fragility of hard tissues. Moreover, not only teeth suffer, but all structures: bones also become more brittle, fractures often occur.
2. Fluoride toxicity. With an excess of these substances, they disrupt the functioning of the body, exacerbate endocrine diseases (including diabetes), lead to anemia and diseases of the nervous system.

Harm from the procedure

You can meet the opinion that fluoridation is harmful and even dangerous. Adherents of this theory point to 2 negative points:

1. In order for fluorohydroxyapatite to be produced, fluorine must bind to the main building block of teeth, calcium. As a result, the compositions “pull out” the element from enamel and dentin, and do not strengthen, but, on the contrary, make the crowns more fragile.
2. The likelihood of fluorosis, which causes brittle bones. When using drugs, patients partially swallow them, which leads to an overdose of the element.

These statements are true, but with reservations. For normal teeth, the process of formation of hydroxyfluorapatite is not dangerous. But if they are significantly lacking in calcium, then the procedure will cause even more harm.

Approximately the same picture with fluorosis. If you live in a region with normal or insufficient fluorine content in soil and water, manipulation is harmless and even beneficial. But with its excess, the risk of pathology is great.

Therefore, ideally, impregnation is carried out after testing and determining the level of fluoride in the blood. However, in practice, dentists recommend the service right and left, and even insist on it. Do not succumb to their persuasion. Just such thoughtless imposition is dangerous. There are certain indications for the procedure, and it is impractical at best to carry it out without clinical results.

With regard to the allegedly sharp jump in fluoride levels after the application of drugs, these statements are incorrect. According to research published in International magazine Pediatric Dentistry and the Official Journal of the American Academy of Pediatrics, after the use of fluoride gels in children, the level of the element in the urine remained within the normal range. The relevant publications can be viewed at the links: https://www.ncbi.nlm.nih.gov/pubmed/28105705 , https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4143996/ .

Still, keep in mind that in most cases, a natural intake of fluoride with water and food is sufficient. And as a preventive measure, fluorine-containing pastes will suffice. For children under 12 years of age, the level of fluoride compounds should be in the range of 500-1,000 ppm, for adolescents and adults - from 1,500 ppm (for daily products) to 2,500-5,000 ppm (for preventive and therapeutic gels).

If you still decide to carry out fluoridation, it is advisable to buy toothpastes without fluoride for a couple of months after the procedure in order to prevent an overdose.

Methods

Teeth fluoridation can be done at home or at the dentist. The first option is to independently use pastes, gels and varnishes with a safe fluoride content: it is higher than in daily hygiene products, but it cannot cause harm.

But impregnation with fluorine preparations in the clinic refers to professional procedures that are performed only by a specialist. It comes in 3 main types:

• simple;
• deep;
• using electrophoresis.

Simple fluoridation

Simple impregnation is the cheapest. But with it, the element does not penetrate deep into the enamel. Therefore, fluorine is washed out faster, and repeated manipulation has to be repeated after 3-6 months.

A simple type of procedure is carried out in two versions:

1. With varnish. They cover the enamel with a brush. In total, 3-4 sessions of 2-5 minutes will be needed. Eat different types varnishes. When treating teeth in a child, they prefer to use quick-drying formulations that harden immediately after application.
2. With the use of caps. This method is called rapid or express fluorination, although it is more labor intensive. First, impressions of the jaws are taken, after which individual caps are made from them. Products are filled with fluorine-containing compounds and put on the jaws for 5-15 minutes, after which the remaining solution is rinsed with water. The full course includes 10-15 sessions, the frequency is once a week. Advantage fast way: after making impression trays, it can be done independently at home.

Simple varieties of procedures are common and familiar. They are often used in combination after professional cleaning, bleaching, braces removal, composite restoration, etc. Moreover, manipulations are not always delimited, but in the price list they are indicated under a common name: so the patient may not know that he has undergone fluoridation.

What is deep fluoridation?

Deep fluoridation is a more time-consuming, lengthy and expensive procedure than a simple one. However, it gives better results: fluorides penetrate deep into the enamel and are washed out for a long time. So you need to repeat the manipulation less often: at least once every 1.5-2 years, a maximum of once every 6 months.

The procedure is carried out in several stages:

1. Perform professional cleaning. This is a must, because plaque and tartar prevent the penetration of nutrients.
2. Dry the surface of the crowns with a stream of warm air.
3. First, the enamel is coated with compounds containing fluorine, copper and magnesium. They form a protective film around the teeth. Dry the units with polymerization lamps.
4. Then a second layer is applied - varnish with calcium hydroxide. It reacts with previous compounds, which contributes to the production of fluoride ions. It also seals the formed protective film and does not allow it to be washed off.
5. Finally, the patient is asked to rinse their mouth with clean water to wash off excess medication.

Deep fluoridation takes 30-40 minutes to complete. If the patient has a lot of tartar and pigmented deposits, it will take more time and may have to be done in 2 visits.

With a deep type of procedure, compositions are used in which the concentration of fluorides is 5 times higher than in products for simple impregnation. Therefore, it helps to slow down and even completely stop the development of caries, not only at the stage of demineralization, but also when the disease has passed into the phase of a dark spot within the enamel layer.

With the help of electrophoresis

Fluorination by electrophoresis is not widely used. Although the procedure promotes the penetration of nutrients not only deep into the enamel, but also partially into the dentin, it is difficult to perform. In addition, it has a number of contraindications and side effects.

For the procedure, a low power current is used: its strength and duration of exposure are selected individually for each patient, depending on the state of the enamel. First, electrodes with pads impregnated with calcium hydroxide are put on the teeth. A few minutes later, new pads are placed, this time with a 2-4% sodium fluoride solution.

The interaction of calcium and sodium strengthens the enamel and promotes the formation of a protective layer on the surface of the crowns.

An electrophoresis session lasts several minutes, with each visit the procedure time is extended. A total of 10 visits are required.

Teeth fluoridation at home

To save money, you can have your teeth fluoridated at home. Although a single application is inferior in effectiveness to professional procedures, the result will be better with repeated use. In addition, you do not have to waste time going to the dentist.

Tip: before home procedures, do an ultrasound cleaning in the clinic. It is pointless to apply fluoride-containing compounds to teeth with calculus and plaque.

The following are used at home:

• fluorine varnishes;
• toothpastes with a high fluoride content (from 2,500 ppm and above);
• special gels that are applied to the crowns manually or with the help of trays.

When conducting, the following rules are followed:

• varnishes and gels are applied only after brushing your teeth;
• pastes with a high fluoride content are not used constantly: they are used for a maximum of 4 weeks, and take a break for 1.5-2 months;
• fluorine varnishes are also used in courses: no more than 3-4 coatings are carried out in a row;
• the best pastes are those containing aluminum fluoride, tin or sodium monofluorophosphate;
• at the time of fluoridation, do not use other preparations containing fluorine, as well as drops, chewing gum, water and salt.

Preparations

Pharmacies and online stores sell a lot of fluoride products for self-administration. When choosing, pay attention to the concentration of fluorides: there is an interesting nuance here.

The fact is that the content of fluorides and active fluorine ions are different things. So, if the value is indicated on the package as a percentage, then we are talking about the concentration of a fluorine compound. But the designation ppm indicates precisely the concentration of fluorine ions.

Moreover, when the concentration of fluorine ions is calculated from the percentage of fluorine compounds, it will turn out to be more than 2 times lower. So, if the content of sodium fluoride is 5%, the active fluorine will be 2.26% (or 22,600 ppm).

The best products for use at home and in the clinic:

1. Colgate Duraphat. Available in 2 varieties: with a concentration of fluorine ions of 2800 ppm and 5000 ppm. The first paste is suitable for children and adolescents from 10 to 15 years old, the second - for patients from 16 years old. average price 430 r.
2. Fluocal. Available in liquid and gel form. Contains sodium fluoride, which strengthens enamel and prevents bacterial growth. Of the minuses - difficulties in application: tampons are moistened with a solution, which are applied to the teeth for 3 minutes, after which it is necessary to process the interdental spaces. The cost of a bottle: 1 420 rubles. (liquid) and 2,150 r. (gel).
3. Belak F. It is used by dentists to strengthen teeth in children, prevent caries and treat it at the stage of chalk stain. Contains potassium fluoride, which strengthens enamel and forms a protective layer on crowns. They sell for an average of 120 rubles.
4. Belagel F. Fluorinating and remineralizing gel with a rich composition: fluorine, phosphorus, calcium, potassium, sodium, magnesium, chlorine. It can be applied with a brush, but it is better to use mouthguards. You can buy for 120 rubles.
5. Nanofluor. The drug in the form of a varnish with a double action: designed for deep fluoridation and accelerated remineralization of crowns. Contains aminofluoride, sodium fluoride, natural resin, nanosized colloidal hydroxyapatite. Cost - 1,050 rubles.
6. Fluorolac. The most popular product for home and professional use. It contains a new generation aminofluid: it forms a film around the units, which for a long time protects the teeth from decay and cariogenic bacteria, reduces sensitivity, and prevents the growth of microbes. Sold for 335 rubles.
7. MI Paste Plus. Paste-cream, whose main active ingredient is the Recaldent CPP-ACP complex. It is a patented product of GC Corporation, made from milk casein and fluoride (900 ppm content). The manufacturer claims that Recaldent CPP-ACP penetrates deeper into enamel and dentin than other fluoride formulations. The product is suitable for pregnant women, children from 6 years of age and those suffering from diabetes, it is contraindicated in patients with allergies to milk proteins. Available in fruit, mint and vanilla flavors. It costs an average of 1,450 rubles.

Fluoridation and remineralization, are there any differences?

Fluoridation is often confused with remineralization. They are prescribed for the same purpose: strengthening the enamel and preventing caries. However, the principle of operation of the procedures is different.

During fluoridation, first of all, the enamel is strengthened and covered with a protective film, which prevents destruction and the influence of negative factors. And with remineralization, the teeth are simply saturated with useful elements.

Remineralizing preparations necessarily contain calcium. Also, their composition can be supplemented with phosphorus, fluorine (not always), magnesium, potassium, etc. If there are no fluorine ions in the product, then the use of fluorine-containing pastes for everyday cleaning is mandatory: this will help calcium "fix" in the enamel.

Another difference between remineralization: a smaller range of indications. Manipulation is prescribed mainly for the treatment of foci of demineralization and the prevention of caries. And in other cases, fluoridation is indicated.

Fluoridation and silvering

Another procedure similar to fluoridation is silvering. It also helps in the initial stages of caries development, but its mechanism of action is different.

When silvering, the crowns are coated with a solution of silver nitrate. Such manipulation, unlike fluoridation and remineralization, does not strengthen the teeth and does not help to get rid of lesions, but only stops the development of caries.

Silvering is justified only in children 2-3 years old, who do not allow to fully treat their teeth. Yes, even with reservations. Impregnation of silver nitrates leads to darkening of crowns. In addition, the drugs used are aggressive and can burn the pulp - the neurovascular bundle that feeds the unit. As a result, pulpitis will develop, whose therapy is several times more expensive and more difficult than caries.

The only plus of silvering is that it "slows down" caries in the stage of a dark spot and in the middle phase of development (with damage to the upper layers of dentin). Thus, the intervention allows you to delay the treatment until the child allows the tooth to be fully treated, or until the physiological change of the “milk jug” to the root unit.

The cost of fluoridation, an overview of Moscow clinics

The price of the service varies depending on its type - simple or deep. Also keep in mind that some clinics indicate the cost for the treatment of one tooth, others - for one dentition, the third - for both jaws.

The average price in Moscow for fluoridation of one tooth is 200-250 rubles, for the treatment of one jaw 1,500-1,700 rubles, for the entire oral cavity - 3,000-3,500 rubles.

Keep in mind that prices are usually quoted for fluoridation only. But professional cleaning, which necessarily precedes manipulation, is paid separately in most clinics. This increases the cost by 1,500-3,000 rubles.

Fluorine impregnation can be carried out in the following dental clinics in Moscow:

Teeth fluoridation: before and after photos

The procedure slightly brightens the enamel. Therefore, in the photo, the teeth after the use of fluoride-containing compounds look whiter.