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TFA PROCEDURES:
Determine the size of the tray.
Prepare the fluoride tray.
Dispense on the tray the 1.23% acidulated phosphate fluoride, it is about 1/3 of the height of the tray.
Dont use metal instrument for it will react in the fluoride, use only plastic instrument.
Isolate tooth surfaces using cotton rolls (placement: upper- buccal & labial surfaces. lower-buccal, labial & lingual surfaces)
Dry tooth surfaces with compressed air.
Let the patient sit in an upright manner.
Removed the cotton rolls.
Make sure the surfaces are dry with compressed air.
Instruct the patient to breed into his nose going out to his mouth.
Fold the tray and place it inside the patient's mouth for about 4 minutes.
Instruct the patient not to swallow the flouride solution.
After 4 minutes remove the tray.
Instruct the patient to spit the excess flouride on a plastic container.
Tell the patient not the eat,drink or rinse for 30 minutes.
When Is Fluoride Intake Most Critical? (via webmd.com)
It is certainly important for infants and children between the ages of 6 months and 16 years to be exposed to fluoride. This is the timeframe during which the primary and permanent teeth come in. However, adults benefit from fluoride too. New research indicates that topical fluoride -- from toothpastes, mouth rinses, and fluoride treatments -- are as important in fighting tooth decay as in strengthening developing teeth.
In addition, people with certain conditions may be at increased risk of tooth decay and would therefore benefit from additional fluoride treatment. They include people with:
- Dry mouth conditions : Dry mouth caused by diseases such as Sjögren's syndrome, certain medications (such as allergy medications, antihistamines, anti- anxiety drugs, and high blood pressure drugs), and head and neck radiation treatment makes an individual more prone to tooth decay. The lack of saliva makes it harder for food particles to be washed away and acids to be neutralized.
- Gum disease : Also called gingivitis, gum disease can expose more of your tooth and tooth roots to bacteria increasing the chance of tooth decay.
- History of frequent cavities : If you have one cavity every year or every other year, you might benefit from additional fluoride.
- Presence of crowns and/or bridges or braces : These treatments can put teeth at risk for decay at the point where the crown meets the underlying tooth structure or around the brackets of orthodontic appliances.
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