Topical Fluoride for Caries Prevention (2013)
A panel of experts convened by the American Dental Association (ADA) Council on Scientific Affairs presents evidence-based clinical practice guideline and systematic review on professionally-applied and prescription-strength, home-use topical fluoride agents for caries prevention including mouthrinses, varnishes, gels, foams, and pastes. The panel recommends the following for people at risk of developing dental caries: 2.26% fluoride varnish or 1.23% fluoride (APF) gel, or a prescription-strength, home-use 0.5% fluoride gel or paste or 0.09% fluoride mouthrinse for 6 years or older. Only 2.26% fluoride varnish is recommended for children younger than 6 years. The strengths of the recommendations for the recommended products varied from “in favor” to “expert opinion for”. As part of the evidence-based approach to care, these clinical recommendations should be integrated with the practitioner’s professional judgment and the patient’s needs and preferences.