PREVENTIVE DENTAL

MATERIALS

ShanLal,DDS
PediatricDentistry

Preventive Dental Materials

ToothPaste
MouthWashes
Fluorides
Sealants
Mouthguards

Tooth Paste
Components/composition
1. ColloidalbindingagentsNaAlginate,methy
cellulose
Function:preventseparationofthecomponents
inthetubeduringstorage.
2. Humectants(moistensordilutes)glycerin
Function:reduceswaterlossbyevaporation.
3. Preservativesusedtoinhibitbacterialgrowth.
4. Flavoringagents

Tooth Paste
5.AbrasivesCacarbonate,hydratedsilica
Capyrophosphate,Nabicarbonate
Function:removalofplaque,stains,calculus.
6.DetergentsNalaurylsulphate
Function:usedtoreducesurfacetensionand
enhancetheremovalofdebrisfromthetooth
surface.
7.TherapeuticagentsStannousFl
Function:increaseduptakeofFlionleadingto
increasedresistanceofFluorapatitetoaciddemin

Mouth Washes
1. Activeagentanticaries,antimicrobial
2. Solutionwater,alcoholpreservative
3. SurfactantNalaurylsulphate
ph3.46.6
Ethanol027%
carcinogeniceffects
staining

Preventive Materials
1. Fluoridegels,foamandvarnish:
Usedforremineralisationofdecalcified
enamelandincipientcaries.
2. Sealants:
Indicatedforpreventingandarresting
incipientlesions.
Availableasclearorwhite,filledor
unfilled,containingFluorideornot.

Fluorides
Gels,Foams,Rinses,Varnishes
APFgel2%NaF,0.34%HF,0.98%Phos
acid
4minapplicationisoptimal
Noeatingordrinkingfor1hrpost
application
Appliedtwiceayear

Question
1. A5yroldptlivesinanareawith.75
ppmflouride.Whatistherecommended
Flsupplementinthiscase?NDB87

Fluoride Varnishes

5%NaF
LongHistoryinEurope
ExcellentClinicalEffectiveness
0.1%Difluorosilane
Durafluor,Omnifluor,etc.
EasytoUse:PaintTHINLayeronDry
Teeth
24HourSlightYellowing

Question
- A child spends his first seven years
in a community in a temperate
zone, water supply contains 3 ppm
flouride, mottling will develop in
which teeth? NDB87

NDB Excerpts
Finhibitsglucosyltransferase.Strepmutansuses
thistoproducedextranstoattachtoteeth.
FlpreventssmoothsurfacecariesNOTpitand
fissurecaries.SealantspreventpitandfissureC.
Toxicflouridedose=5mg/kg.
Lethaldose=20mg/kg.
Antidotemilkandantacidscontainingcalcium.

NDB Excerpts
Flouridesaffectthetoothinthefollowingmanner
Chemicallyreactswithhydroxyapatitecrystalsto
replacethehydroxylions,
Onlyeffectstheouterlayersofenamelmakes
theapatitecrystalsmoreresistanttoacid,
Increasesremineralization.
Totalreductionofsmoothsurfacecariesby
flouride
7590%,(systemic30%,topical30%,occlusal
sealants30%).

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Glass Ionomer cements

Fluorosilicateglasspowder(base)combined
withawatersolublepolymer(acid)
e.g.Ketaccement
Resinmodifiedglassionomercements:
areglassionomerswithalightpolymerised
resincomponent.
e.g.VitrebondandVitremer

Resin-modified glass ionomers

Advantages:
1. Increasedmechanicalproperties
2. Physiochemicallybondstotoothstructure
3. Biocompatible,moistureforgiving
4. Similarcoefficientofthermalexpansionasdentin
thereforeagooddentinreplacementmaterial.(sandwich
technique)
5. IonlechabilityFluoriderelease(anticariogenicaction)
6. Minimalpolymerizationshrinkage

Mouthguards
Stock,custommade
TechniquePlaceapolyvinylpolyethylene
thermoplasticsheetoverthemodelona
vacuform.Trimtofit.

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Thank you !

Recommendedreading
Craig
DentalDecks