Category: Adult Dentistry, Common Questions, Dr. Advocate's Insight, Oral Health
Fluoride toothpaste is commonly recommended for maintaining good oral health and preventing cavities. However, there are some cases where a dentist may prescribe a stronger, prescription-strength fluoride toothpaste. As a dentist with years of experience, I’ve seen firsthand how effectively fluoride reverses tooth decay. So, whether you are wondering if prescription fluoride toothpaste is right for you or if you want to learn more about maintaining good oral hygiene, read on.
Recommended Reading: Dental Fluoride | The Ultimate Guide
Whether or not you should use prescription fluoride toothpaste depends on your cavity-risk potential and the determination by your dentist. For example, if you are at high risk for tooth decay, have sensitive teeth, or have been instructed by your dentist to use a higher concentration of fluoride. Then, a prescription fluoride toothpaste should be recommended for you.
According to research, twice daily application of high-fluoride-containing toothpaste (5000 ppm) significantly improves the enamel surface of tooth decay compared with regular fluoride-containing (1350 ppm F) toothpaste.
Fluoride is a mineral that is naturally occurring in the earth’s crust. It is widely recognized for strengthening tooth enamel and preventing tooth decay. In addition, fluoride works by making the tooth more resistant to acid attacks from plaque bacteria and sugary foods. It can also help to remineralize (repair) early signs of tooth decay before they become larger cavities.
It’s important to note that while fluoride can be beneficial for oral health, excessive fluoride exposure can lead to a condition called fluorosis, which can cause discoloration or mottling of the teeth. Therefore, it’s important to use fluoride products as directed and talk to your dentist about the appropriate amount for your needs.
Fluoride works by remineralizing the enamel on your teeth, filling in microscopic cracks and fissures to create a smoother surface less susceptible to decay.
The purpose of fluoride in toothpaste is to provide additional protection for your teeth and gums. Extensive research shows fluoride effectively reduces the incidence of cavities and gum disease, primarily when used with regular brushing and flossing. Additionally, fluoride helps to strengthen tooth enamel, making it less likely to chip or break. This is particularly important for individuals prone to cavities or sensitive teeth, also known as high-cavity risk.
The benefits of fluoride in toothpaste are to improve oral health by preventing cavities, improving gum health, and strengthening tooth enamel. By incorporating fluoride toothpaste into your daily oral hygiene routine, you can help protect your teeth and gums and maintain good oral health.
The stronger the fluoride concentration, the more decay is prevented.
Fluoride toothpaste is available in both over-the-counter and prescription forms. Over-the-counter fluoride toothpaste typically contains a lower concentration than prescription fluoride and is only available by prescription. The average concentration of fluoride in toothpaste ranges from 1000 to 1500 parts per million (ppm).
Over-the-counter fluoride toothpaste is designed for general use. It is suitable for most people, while prescription fluoride toothpaste is recommended for individuals with a higher risk of tooth decay or sensitivity or who have been instructed by their dentist to use a higher concentration of fluoride.
Cavities in permanent teeth were the most prevalent condition among all those evaluated in the Global Burden of Disease 2016 study, affecting 2.4 billion people.
The specific combination of active ingredients in prescription fluoride toothpaste can vary between brands and formulations. Therefore, it is recommended to consult with a dental professional to determine which toothpaste is best suited for your needs and to receive proper usage instructions.
In addition to fluoride, some prescription toothpaste may contain other active ingredients for added benefits. For instance, triclosan, a powerful antiseptic or stannous fluoride known for reducing gum disease and tooth sensitivity, might be included in the formula.
The World Health Organization state that poor oral hygiene and inadequate exposure to fluoride have adverse effects on oral health.
Several prescription fluoride products are available, including toothpaste, gel, and varnish. Some of the most common prescription fluoride products include:
Prescription fluoride toothpaste is only available with a dentist or dental professional prescription. Therefore, you’ll need to visit your dentist for a comprehensive oral exam and consultation to access prescription fluoride toothpaste. During this appointment, your dentist will assess your oral health needs and determine if prescription fluoride toothpaste is appropriate.
It’s important to note that not all prescription fluoride toothpaste are covered by insurance, and the cost of the toothpaste may vary depending on the brand and formulation. In addition, some dental insurance plans may cover the cost of prescription fluoride toothpaste, while others may require a co-pay or deductible.
The link between fluoride and oral health dates back to the 1930s, and today fluoride remains one of dentistry’s key strategies to prevent dental caries.
The use of high-fluoride-containing varnishes or gels demonstrated a 40% improvement over standard oral hygiene measures.
Despite the numerous benefits of prescription fluoride toothpaste, some things still need to be clarified about this type of toothpaste that can prevent individuals from using it. So let’s take a closer look at some of the most common misconceptions about prescription fluoride toothpaste:
This is not true. Prescription fluoride toothpaste is formulated with high-quality ingredients and is carefully tested to ensure that it is safe and effective. Fluoride, the main active ingredient in prescription fluoride toothpaste, has been extensively researched and is recognized by dental professionals as safe and effective when used as directed.Recommended Reading: Boiling Water for Fluoride Removal: Fact or Fiction?
Prescription fluoride toothpaste is contraindicated (not recommended) for children under six years old unless recommended by a doctor. The reason is the risk of swallowing excessive amounts of toothpaste, leading to fluoride toxicity.
While the cost of prescription fluoride toothpaste may be higher than over-the-counter toothpaste, the added benefits to your oral health can be well worth the investment. Additionally, some dental insurance plans may cover the cost of prescription fluoride toothpaste, reducing the out-of-pocket cost for the patient.
Below is insightful information about using prescription fluoride toothpaste, specifically PreviDent 5000. Information was provided via colgate.com.
PreviDent 5000 Booster Plus brand of 1.1% sodium fluoride toothpaste in a squeeze bottle is easily applied onto a toothbrush. This prescription toothpaste should be used once daily in place of your regular toothpaste unless otherwise instructed by your dental professional. It may be used where drinking water is fluoridated since topical fluoride cannot produce fluorosis.
Do not use in pediatric patients under the age of six years unless recommended by a dentist or physician.
Prolonged daily ingestion may result in various degrees of dental fluorosis in pediatric patients under the age of 6 years, significantly if the water fluoridation exceeds 0.6 ppm. Use in pediatric patients under six requires special supervision to prevent repeated swallowing of toothpaste, which could cause dental fluorosis. Pediatric patients under age 12 should be supervised in the use of this product. Read directions carefully before using. Keep out of reach of infants and children.
See the comprehensive precaution list at colgate.com.
Allergic reactions and other idiosyncrasies have rarely been reported.
Accidental ingestion of large amounts of fluoride may result in acute burning in the mouth and a sore tongue. Nausea, vomiting, and diarrhea may occur soon after ingestion (within 30 minutes) and are accompanied by salivation, hematemesis, and epigastric cramping abdominal pain. These symptoms may persist for 24 hours. Seek help immediately.
Adults and pediatric patients six years or older apply a thin ribbon of PreviDent® 5000 Booster Plus to a toothbrush. Brush your teeth thoroughly once daily for two minutes, preferably at bedtime, in place of your regular toothpaste. After use, adults expectorate. Do not eat, drink, or rinse for 30 minutes for best results. Pediatric patients aged 6-16 expectorate after use and rinse their mouth thoroughly.
Prescription fluoride toothpaste is generally not necessary for most people. Over-the-counter fluoride toothpaste containing at least 1,000 ppm fluoride is typically effective at preventing tooth decay. However, in some cases, such as for people with a high risk of cavities or certain medical conditions, a dentist or doctor may recommend prescription-strength fluoride toothpaste.
Fluoride treatments can be beneficial for some people, particularly those at high risk for tooth decay. The decision to have a fluoride treatment should be made in consultation with a dentist, who can assess your individual risk for tooth decay and recommend an appropriate treatment plan. In general, fluoride treatments are safe and effective at strengthening tooth enamel and preventing cavities.
Your dentist may have prescribed fluoride toothpaste if they believe you are at higher risk for developing cavities or have early signs of tooth decay. Fluoride can help to strengthen tooth enamel and prevent further decay. It's important to use fluoride toothpaste as directed and to maintain good oral hygiene habits to help prevent future dental problems.
Prescription fluoride toothpaste can effectively prevent tooth decay, particularly for people at high risk for cavities. The effectiveness of the toothpaste depends on several factors, including the concentration of fluoride, how often it's used, and the individual's oral hygiene habits. In general, prescription fluoride toothpaste is more effective at preventing tooth decay than over-the-counter fluoride toothpaste. However, it's essential to use the toothpaste as directed and to follow good oral hygiene practices for optimal results.
As a dentist, I have repeatedly seen fluoride’s positive impact on my patients’ teeth. Fluoride is a mineral that helps to strengthen the enamel on teeth, making them more resistant to decay. This, in turn, leads to fewer cavities and less need for fillings and other restorative treatments.
In my clinical practice, I often recommend fluoride treatments to my patients, particularly those at a higher risk for cavities. For example, I suggest that a patient who struggles with dry mouth, which can decrease saliva production and increase the risk of cavities, receive regular fluoride treatments to help keep their teeth healthy.
I have also seen the benefits of fluoride in children. Children who receive regular fluoride treatments tend to have fewer cavities and stronger teeth, which sets them up for a lifetime of good oral health.
In addition to in-office treatments, I recommend that my patients use fluoride-containing toothpaste and mouthwash at home. These products can help reinforce the protection provided by fluoride treatments and can be especially useful for patients at a higher risk for cavities.
In short, as a dentist, fluoride is a safe and effective way to protect your teeth from decay. Whether you receive in-office treatments, use fluoride-containing products at home, or both, incorporating fluoride into your oral care routine is a great way to help keep your teeth healthy and strong.
The more you know, the more healthy habits you can develop, saving you and your family from avoidable and potentially expensive dental procedures. Talk to your dental professional for more suggestions on improving oral health, and check back for more blog posts and relevant information. Please share this site and let us know what else you’d like to know!