|Method of Fluoride Delivery
||0.7 parts per million (ppm)
||50 cents-$3/per person/per year
||Safe; minute amounts of fluoride over long period of time; convenient; consumers of all ages benefit.
||Small vocal minority fear any additives in the drinking water.
||Most effective and safest method of fluoride delivery; considered closest to nature’s way.
||0.5 -1.0 mg
||Safe, but was originally intended to be dissolved in water; systemic and topical benefits.
||Inappropriate use may cause mild fluorosis (white spots on the teeth); problem with compliance.
||Recommended for children living in areas that are not fluoridated.
||1,000 – 1,500 ppm
||Safe for topical use; provides topical benefits.
||Parents must monitor small children, as they tend to swallow toothpaste – only a smear (0-2 years) to a pea-size amount (2-6 years) is recommended.
|Over-the- counter fluoride rinse
||Topical benefits; no systemic benefit; problem with compliance.
|Topical Fl applied in the dental office
||12,300 – 26,600 ppm
||Because of expense, not available to all; insurance pays for fluoride treatments only for children.
|Prescription Fluoride gel
|| 5,000 ppm
||Not suitable for children; problem with compliance; unpleasant taste.