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Fluoride 2553

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Text of Fluoride 2553

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2. Metabolism of fluoride 80 % 30-60 F 3. 75 25 fluoroapatite 4. : F - - 4 - DEJ 5. 6. (cariesresistance) (caries inhibition) 7. F F F (p.275) 8. - - - 9. Ca10 (PO4)6 (OH)210Ca 2+ + 6PO43- + 2OH- ---------(1)Ca10 (PO4)6 (OH)2 + FCa10 (PO4)6 (OH) F + OH----------(2)(hydroxyapatite) (fluorohydroxyapatite)Ca10 (PO4)6 (OH)2 + 2FCa10 (PO4)6 F2 + 2OH----------(3)(fluorapatite) 10. 1. 2. 11. F F F + 12. P 285 13. F ionic activity F 14. hydroxyapatite 15. P 304 + 305 16. P 308 17. 100 ppmF : 100 ppmF : pH 6 18. F 1000 ppmF : S. mutans F 20-400 ppmF : S. mutans Lactobacillus spp. S.mutans (pH 5.6) 19. polysaccharide = H+ pH 20. P 312 21. 22. / 23. (xerostomia) xerogenic drugs antihistamines, diuretics antihypertensive 24. 2 3 > 1 cavity active > 2 cavities (secondary caries) > 2 cavities/ complete case 25. 6 1 26. - Professionally Applied Topical Fluoride- Self Applied Topical Fluoride 27. 1. (water fluoridation)2. (supplement fluoride)3. 4. 28. Michigan 1945 50-60 WHO 1 ppm ( 1 mg / 1 ) 29. / /. . 30. 40-60 (driscll,1974) 31. (./ ) (ppm)0.6 6 0.25 mg -- 3 -3 - 6 0.5 mg 0.25 mg -6 - 1.0 mg 0.50 mg 32. 1. 2. 3. 4. 120 .5. 33. ( 0.25/0.5 /1 mgf ) 2 34. 2 1. Poliviflor2. Vidaylin fluoride 35. 36. . 0.5 . / 200 . 3 6 1 6 2 37. How are you ? 38. 39. 1. (self- applied topical fluoride)2. (professionally- applied topicalfluoride) 40. 1. (self- appliedtopical fluoride) 1.1 fluoride mouthrinse 1.2 fluoride dentrifrices 1.3 fluoride gels 41. 42. 43. 6 / 44. 2 - 0.05 % NaF 225 ppm 1 / 10 . / 2 F 2.25 .- 0.2 % NaF 900 ppm 1 / 10 . / 2 F 45. 1. 0.05 % NaF - - 1 ****- NPO 30 2. 0.2 % NaF 1 / 1-2 - - 46. 47. 500 ppm F 0.5 ./ 1 . 1000ppm F 1 ./ 1 .** 3 48. 6 500 ppm colgatejunior 850 ppm kodomo gel /butler 6 6 49. How to use Fluoride Toothpaste in Children: 6 mo to 2 yr old use smear amount of childrenfluoride toothpaste ( 500 ppmF) : once a day 2-6 yr old use pea size of childrenfluoride toothpaste (500 ppmF) : twice daily 6 yr onward use adult fluoride toothpaste(1,000-1,500 ppmF) : twice daily >European Academy for Pediatric Dentistry 2002 50. : 0.5 . 51. (professionally- applied topicalfluoride ) 52. 2.1 fluoride solutoin2.2 fluoride gels2.3 fluoride foam2.4 fluoride vanish2.5 fluoride prophylaxis paste 53. fluoride gels 1.23%Acidulated phosphate fluoride (APF) 12,300 ppm. 1 . 12.3. 54. fluoride gels 0.6- / 42 / 57. 1. 2. 58. 3. - - Tell-Show-Do 59. tray tray tray S 2 tray M 1 tray L 2 tray XL 60. + 61. 1/3 tray( 2.5 .) tray 62. 1. 4 ADA 2. 1 ADA 4 1 63. high power suction 30 64. tray 4 1-2 quadrant 8-16 65. Fluoride vanish 66. Fluoride vanish 3 -6 5% NaF 22,600 ppm 0.5 . 67. 68. cottonbud 2 69. Duraphat Duraflor Fluor protector Carex Cavity shield 70. fluoride prophylaxis paste 71. fluoride prophylaxis paste / 72. fluoride prophylaxis paste rubbercup 73. ( fluoride toxicity ) 2 1. 2. 74. - - 75. - Certainly lethal dose (CLD) - CLD 50 . / 1 . 32 64 mgF /kg. 5 - 30 mgF / kg. 76. Probably toxic dose (PTD) . 5 mgF / kg. 2 10 . PTD = 10 x 5 mgF = 50 mgF 10 . 50 . 77. Optimal fluoride level 0.05-0.07./. ./ 78. 0.5- 24 . (low dose) 79. (high dose)1. 2. 3. 4. 5. 6. 7. 80. 1. 2. 3. . 4. 5. 6. 81. 1. 2. 3. 6 4. 120 . 82. 1. (dental fluorosis)2. (skeletalfluorsis)3. (kidney damage) 83. (Dental fluorosis) 84. 50 crippling fluorosis 85. 86. Deans 0 Normal ( ) 87. 1 Questionable ( ) 88. 2 Very mild ( ) 25% 1-2 . cusp 2 89. 3 Mild ( ) 2 50% 90. 4 Moderate () 50% 91. 5 Severe ( ) 92. dental fluorosis1. (tooth bleaching)2. 3.