Fluoride Treatment: Common Concerns and Guidelines for Parents

Fluoride-related issues?

Hello Dr.
Chuang,
I would like to ask you the following questions:
1.
I previously took my child for fluoride treatments twice at different clinics.
The first time was when he was 1 year and 7 months old, and the fluoride used was pink.
At that time, the doctor asked if my son could rinse his mouth.
Since he couldn't, the doctor wiped off the surface with a tissue after the treatment.
The second time was when he was 2 years and 2 months old, and the fluoride was clear.
After the treatment, he was advised not to rinse his mouth or drink water for half an hour.
Why were there different circumstances? Is it due to different dosages? Are there different methods for various age groups? This has me a bit worried!
2.
For children under five years old, fluoride treatments can be covered by health insurance every six months.
The last treatment was on October 19 of last year.
Does this mean I must wait a full six months before the next treatment (April 19)? If the last fluoride treatment is at 5 years and 2 months, will he no longer be eligible for insurance coverage for fluoride treatments? How should I schedule these appointments? Is fluoride treatment still necessary after five years? What is the approximate cost for out-of-pocket fluoride treatments?
3.
Do dentists always wear gloves when treating patients' teeth, or does it depend on the situation? For procedures like fluoride application, fillings, and cleanings, do they wear gloves?
Thank you, Dr.
Chuang, for taking the time to answer my questions! I appreciate it!

pinggu, 20~29 year old female. Ask Date: 2010/04/09

Dr. Zhuang Suhui reply Dentistry

Hello, during the first fluoride application, the dentist used a tissue to wipe the surface of the teeth to remove any residual fluoride, as there is a concern that excess fluoride could be ingested by young children.
Currently, there are various formulations of fluoride gel used for applications, some of which may leave excess fluoride residue that needs to be wiped off or rinsed away.
Other formulations are volatile, and a thin layer can be applied, allowing the excess to evaporate, so rinsing or removal is not necessary.
Health insurance regulations state that fluoride treatments can only be administered once every six months, with no early applications allowed.
For children over five years old, the cost must be borne by the parents.
The fees for fluoride treatments vary by hospital, so it is advisable to call the medical facility in advance to inquire about the costs before the treatment.

Reply Date: 2010/04/09

More Info

Fluoride treatment is an essential part of dental care, especially for children, as it helps prevent tooth decay and strengthens enamel. Your concerns about the different fluoride treatments your child received and the guidelines surrounding them are valid and important for ensuring your child's dental health.

1. Different Types of Fluoride Treatments: The variations in fluoride treatments you observed can be attributed to the type of fluoride used and the specific protocols of different dental practices. The pink fluoride you encountered during the first visit is likely a flavored varnish that is designed to be more appealing to children. The transparent fluoride used during the second visit is often a gel or varnish that may have a different application method. The dentist's decision to remove the fluoride after the first application was likely due to your child's inability to rinse, which is a precaution to prevent swallowing excess fluoride. Generally, fluoride treatments can vary in consistency and application based on the child's age, dental health, and the dentist's preference.

2. Frequency of Fluoride Treatments: For children under five, it is recommended to have fluoride treatments every six months, especially if they are at higher risk for cavities. Since your child's last treatment was in October, you can schedule the next one around April, which would meet the six-month guideline. After your child turns five, they may still benefit from fluoride treatments, but the frequency and necessity can be reassessed based on their dental health and risk factors. If your child is cavity-prone, continuing fluoride treatments may be advisable. The cost of self-paid fluoride treatments can vary widely depending on the dental office, but it typically ranges from $20 to $50 per application.

3. Use of Gloves by Dentists: Dentists are required to follow strict infection control protocols, which include wearing gloves during all patient interactions. This is standard practice for procedures such as applying fluoride, filling cavities, and performing cleanings. The use of gloves helps prevent the transmission of bacteria and ensures a hygienic environment for both the patient and the dental professional.
In summary, fluoride treatments are a crucial preventive measure in pediatric dentistry. The differences in treatment types and protocols you observed are not uncommon and can be influenced by various factors, including the child's age and the dentist's approach. It's essential to maintain regular dental visits and follow the recommended fluoride treatment schedule to protect your child's dental health. If you have further concerns or questions, don't hesitate to discuss them with your child's dentist, who can provide personalized advice based on your child's specific needs.

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