A 78-year-old taking several xerostomic medications presents with multiple new cervical root caries lesions. In addition to diet counselling, what is the most appropriate home-use fluoride product?

  • Correct answer

    High-fluoride 1.1% sodium fluoride (5,000 ppm) toothpaste daily

  • Standard 1,000 to 1,500 ppm fluoride toothpaste only

  • Fluoride-free toothpaste with xylitol gum

  • Fluoride supplement tablets

This question is one of 15 in AFK practice: Orthodontics, pediatric and geriatric dentistry. Test yourself on all of them.

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Explanations

  • High-fluoride (5,000 ppm) toothpaste used daily is the standard home measure for adults at high root caries risk. Regular-strength toothpaste alone is insufficient for a patient already developing multiple new lesions.

    Source: Little and Falace's Dental Management of the Medically Compromised Patient — oneguy

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