About Fluoride

What is it and where is it found?

Fluoride is a naturally occurring mineral that can be found in various places in the environment. Here are some of the main sources:

1. Drinking Water

  • Groundwater and surface water naturally contain fluoride, though the levels vary by geographic region. In some areas, the fluoride concentration is sufficient to help prevent tooth decay, while in others, it may be lower.

2. Soil

  • Fluoride is present in trace amounts in soil, as it naturally occurs in many minerals, including fluorspar, apatite, and cryolite. These minerals can release fluoride into the surrounding environment.

3. Rocks

  • Some types of rock contain significant amounts of fluoride, which can be released into water supplies or the surrounding soil over time through weathering processes.

4. Foods

  • Fluoride is present in very small amounts in many foods, particularly those grown in areas with naturally occurring fluoride in the soil and water. Common foods with small amounts of fluoride include:

    • Tea (especially black tea)

    • Fish (particularly with bones, such as sardines and salmon)

    • Cereal grains (like rice and oats)

    • Fruits and vegetables (in small amounts, depending on soil content)

5. Air

  • Fluoride can also be found in trace amounts in the air, primarily from natural sources like volcanic eruptions, wildfires, and the erosion of fluoride-containing rocks.

*In areas where fluoride levels in natural sources are low, it may be added to drinking water to help reduce tooth decay, a practice endorsed by many health organizations worldwide.

5.5% Sodium Fluoride Varnish Treatment

What is fluoride varnish?
5.5% Sodium Fluoride Varnish is a highly concentrated fluoride solution applied to the teeth to help prevent cavities and strengthen enamel. This varnish is painted directly onto the surface of the teeth, where it quickly bonds to the enamel and releases fluoride over time.

Benefits:

  • Helps to remineralize enamel, making it stronger and more resistant to decay

  • Reduces tooth sensitivity

  • Provides lasting protection against cavities, especially in high-risk patients

  • Ideal for use in children and adults with a history of dental decay or other risk factors

When is it indicated?

  • High risk of tooth decay: For individuals with a history of frequent cavities or those prone to tooth decay, including those with braces, dry mouth (xerostomia), or inadequate oral hygiene.

  • Post-operative care: Often recommended after dental procedures such as fillings or restorations to help promote healing and protect newly treated teeth.

  • Sensitive teeth: If a patient experiences discomfort or sensitivity from cold, heat, or sweets, fluoride varnish can help reduce sensitivity over time.

  • Pediatric care: Recommended for children as a preventive treatment, especially for those who may have difficulty maintaining proper oral hygiene or those at higher risk of decay.

Possible Side Effects:
While fluoride varnish is safe when applied as directed, there may be some mild and temporary side effects, including:

  • Mild tooth discoloration: The varnish may cause a temporary yellow or white appearance on the teeth, which typically disappears within a few hours to a day.

  • Gum irritation: In some cases, the varnish may cause slight irritation or sensitivity to the gums, which usually resolves shortly after application.

  • Taste: Some patients may notice an unusual taste, but this is typically temporary.

Risks associated with improper use:

  • Fluorosis: If fluoride varnish is ingested in excessive amounts (particularly by children), it can lead to dental fluorosis, a condition that causes white spots or streaks on the teeth. This is why it’s crucial for patients, particularly children, to avoid swallowing the varnish.

  • Allergic reactions: Though rare, some individuals may experience an allergic reaction to fluoride or other components in the varnish, which can include swelling, itching, or redness around the mouth or gums.

  • Stomach upset or nausea: Ingesting large amounts of fluoride, either from the varnish or other sources, may cause stomach discomfort or nausea. It's important to follow all after-care instructions provided by your dental professional.

How is it applied?
The varnish is applied by a dental professional, usually after a cleaning. It is painted directly onto the teeth and quickly hardens. Patients are typically advised to avoid eating or drinking for at least 30 minutes following the application to allow the fluoride to take full effect.

 Common Misconceptions

  • Fact:
    Fluoride, when used correctly, is safe and beneficial. It's a naturally occurring mineral that helps strengthen tooth enamel and prevent cavities. Fluoride treatments and fluoridated water have been extensively researched and are endorsed by leading health organizations, including the American Dental Association (ADA) and the Centers for Disease Control and Prevention (CDC). Fluoride varnish and toothpaste are designed for safe use and are regulated to ensure safe dosages. Overuse or ingestion in large amounts can cause side effects (like dental fluorosis), but this is rare and generally avoidable with proper care.

  • Fact:
    There is no scientific evidence linking fluoride to cancer. Numerous studies have examined the potential connection between fluoride exposure and cancer, and health authorities such as the National Cancer Institute (NCI) have found no credible evidence that fluoride in drinking water or fluoride treatments causes cancer. Fluoride is considered safe for use in dental products and public water systems.

  • Fact:
    While fluoride is especially beneficial for children, adults can also benefit from fluoride. Adults, particularly those at higher risk for cavities (due to dry mouth, gum disease, or frequent cavities), can benefit from fluoride treatments. In fact, fluoride can help remineralize enamel and reduce sensitivity in adults, not just prevent cavities in children.

  • Fact:
    Fluoride toothpaste is an important part of oral hygiene, but fluoridated water provides an additional layer of protection. Drinking water with fluoride helps protect teeth throughout the day, as it continuously strengthens enamel and helps prevent cavities between brushing. Fluoridated water offers community-wide protection, which is especially important for those who may not have access to regular dental care.

  • Fact:
    Dental fluorosis only occurs when excessive fluoride is ingested during the development of teeth (typically before age 8). Fluorosis typically results from swallowing fluoride toothpaste or receiving an excessive amount of fluoride treatments in a short period. When used as recommended (for example, by only using a pea-sized amount of toothpaste for children and avoiding swallowing it), the risk of fluorosis is very low. The mildest cases of fluorosis appear as small white spots on the teeth, which are typically only noticeable in severe cases.

  • Fact:
    Fluoride treatments are beneficial even for those without current cavities. They help strengthen tooth enamel, making teeth more resistant to decay in the future. Fluoride can also reverse early signs of decay (like white spots on the teeth) before cavities fully form, making it an effective preventive measure for everyone, not just those with existing dental issues.

  • Fact:
    There is no reliable evidence to suggest that fluoride exposure causes autism. Multiple scientific studies and reviews have been conducted on this topic, and none have shown a connection between fluoride and autism. The Centers for Disease Control and Prevention (CDC), World Health Organization (WHO), and other leading health organizations affirm that fluoride is safe when used as recommended, and there is no credible research linking fluoride to autism.

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  • Fact:
    This is a conspiracy theory with no basis in reality. The addition of fluoride to public water supplies is backed by scientific research and endorsed by health organizations around the world, including the World Health Organization (WHO). Fluoridation has been shown to significantly reduce the incidence of tooth decay and is considered one of the top public health achievements of the 20th century. Fluoride in water is closely regulated to ensure safety and effectiveness.

  • Fluoride is one of the most effective and scientifically supported methods to prevent tooth decay and protect dental health. The myths surrounding fluoride often stem from misinformation or misunderstandings. When used as directed, fluoride is safe and provides many benefits for both children and adults. If you ever have concerns, it's always a good idea to consult with a dental professional to get accurate information.

Please note: While fluoride treatments are strongly recommended for the prevention of tooth decay, we believe that every patient should have the autonomy to make informed decisions about their own health. If you have any concerns or would prefer to opt out of any treatment, we fully respect your choice and are here to discuss any alternatives that may better suit your needs.