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Fluoride varnish: why formulation matters more than concentration
Saroash explains why fluoride varnishes do not all behave the same way. Fluoride reacts readily with calcium in saliva, so a fast burst mostly forms calcium fluoride. That form is insoluble, washes away, and stays stable at the acidic pH where a reservoir would be needed. A slow release gives fluoride time to replace the hydroxyl group in hydroxyapatite and form fluorapatite, a more stable, acid-resistant crystal. The question at the centre is what in a formulation decides which of the two forms.
Listeners will learn why a fluorapatite layer a few microns thick is enough, and why…
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