Fluoride and Cavity Prevention

Fluoride and Cavities

Fluoride is used in the United States as an anti-cavity agent. In addition to its use as a cavity preventive to help prevent demineralization and aid remineralization, fluoride is also used for the treatment of tooth sensitivity. It is predominantly supplied in one of two ways: systemic (ex-fluoridated water and fluoride supplements for children) and topically (ex-toothpastes, gels, foams, varnishes, rinses). Topical fluorides are available as in-office fluorides and home-use fluorides.  Topical fluorides act intra-orally by: 1)providing periodic high doses of fluoride (in-office) and 2)providing low regular doses of fluoride (home-use). There are numerous studies documenting the strong anti-cavity efficacy of all the above forms of fluoride. New research shows that having an in-office fluoride treatment at each preventive visit can reduce new cavities by as much as almost 75%. The American Dental Association has a Caries Risk Assessment Form that is used to determine an individual's cavity risk or potential. They now recommend an in-office fluoride treatment during preventive visits for those in the "moderate risk" and "high risk" categories. Take a look at the Assessment below by going to the following link.  Caries Risk Assessment Form

A total score of 0 indicates a low cavity risk, scores between 1-9 have a moderate risk level and combined scores of 10 (or a single high risk factor) places the patient at high risk for the development of cavities. For moderate and high risk patients, the American Dental Association recommendations are for the use of in-office fluoride two to four times per year. Subsequent scores should decrease with reduction of risks and therapeutic intervention. In addition to optimal fluoride exposure, other protective factors include the use of xylitol, Recaldent-containing products and intimicrobials.   



Mark J. Fabey D.M.D.

2690 Kingston Rd.
Easton, PA 18045

Phone : 610-810-2704


Monday: 8:00 AM - 6:00 PM
Tuesday: 7:00 AM - 7:00 PM
Wednesday: 7:00 AM - 7:00 PM
Thursday: 7:00 AM - 7:00 PM
Friday: 8:00 AM - 2:00 PM
Saturday: 8:00 AM - 1:00 PM
(1st and 3rd Saturday of the month)