Skip to main content
Toggle Menu of ADA WebSites
ADA Websites
Toggle Search Area
Toggle Menu
e-mail Print Share

Professionally-Applied and Prescription-Strength, Home-Use Topical Fluoride Agents for Caries Prevention Clinical Practice Guideline (2013)

A panel of experts convened by the ADA Council on Scientific Affairs presents an 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.

Download guideline

Key Points 

  • The panel recommends the following for people at risk of developing dental caries: 2.26% fluoride varnish or 1.23% fluoride (acidulated phosphate fluoride) 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.
  • 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. 

An update of this guideline is expected in 2021.

View all guidelines