Background: Topical application of highly concentrated forms of fluoride has been provided in clinical settings for 50 years. The most commonly used agents have included 8% to 10% solutions of stannous fluoride as well as 2% sodium fluoride and 1.23% acidulated phosphate fluoride (APF).

Numerous studies conducted prior to 1980 reported caries reductions averaging approximately 30% following use of the agents.

“Fluoride varnish has become a popular topical agent for preschool children and children with special health care needs, and has been recommended for decalcified enamel.

Method & Materials: Electronic literature search of published scientific papers in Cochrane Library, MEDLINE and PubMed based on the topical fluoride was carried out from 1965 until 2011, and then the practical and clinical notes were evaluated.

Results: The recommendations are classified by age groups and caries risk and show that periodic fluoride treatments should be considered for both children and adults who are at moderate or high risk of developing caries. The dentist, knowing the patient’s health history and susceptibility to caries, is in the best position to make treatment decisions in the interest of each patient. These clinical recommendations must be balanced with the practitioner’s professional expertise and the individual patient’s preferences.

Conclusion: children whose teeth contain structural defects or who exhibit decalcified areas or other indicators that place them at moderate or high risk for developing caries, or infants who have previously experienced severe caries may receive additional topical applications in

the form of professionally administered (e. g .,APF gel or fluoride varnish) or parentally given concentrated preparations .

1. PRESENTATION: Topical fluoride in pediatric dentistry, Zip archive data, at least v2.0 to extract, 0MB

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