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Six fab-tasting flavors in two proven formulations - 1.23% APF and 2.0% NSF.
Introducing PediaGel® topical fluoride gel in two proven formulations (1.23% APF and 2.0% NSF). Six fab-tasting flavors in brilliant, appetizing colors that blast through our sleek, crystal clear bottles! Plus, our way cool, easy-to-handle, ergo-cap packaging makes one-handed tray delivery a snap. The switch is on. Give your patients a funtastic fluoride treatment experience with PediaGel! Ask your dealer for PediaGel today. Or call us at 1-800-474-8681, we'll immediately ship your order in your dealer's name.
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Frequently Asked Questions
Q
With the high prevalence of public water fluoridation and fluoride toothpaste is there still a need for In-Office Fluoride treatments?
A
While approximately half of the U.S. has a fluoridated water supply with the average of 1.0 ppm, in many cases it is poorly monitored, therefore not always effective. Additionally while almost every U.S. household uses fluoride toothpaste, patient compliance and proper oral hygiene technique remains a variable. Providing a booster shot of Rx fluoride guarantees compliance and insures the patient is getting maximum caries prevention.
Q
What is the difference between 1.23% APF (Acidulated Phosphate Fluoride) and 2.0% NSF (Neutral Sodium Fluoride) gel?
A
Basically, the pH. APF has a low pH 3.5, enabling it to deliver fluoride at a faster rate into enamel than NSF with its pH of 7.0. Because APF is acidic it can etch and dull composite and ceramic restorations in adults, which causes increased staining and may affect the longevity of cosmetic work. APF can also etch sealants causing marginal break down. NSF’s neutral pH is the best option for patients with these indications. NSF in most cases tastes better than APF because it doesn’t have a sour aftertaste. With Pediagel, both the APF and NSF taste great.
Q
Which is correct, 1 minute or 4 minutes, for an in-office fluoride treatment?
A
The only clinically documented treatment time is 4 minutes for both APF and NSF, Nearly 20 years ago, lab studies showed that APF’s low pH (3.5) has fast fluoride uptake in the first minute. Since young patients struggled with the gag reflex during a 4 minute treatment, dental professionals often removed the tray at 1 minute. Since NSFs are known to work slower, they were less prone to remove the tray at 1 minute. Today, many offices use both the APF and NSF at one minute feeling that the Rx dose is still beneficial.
Q
What are the patient risk factors indicating the use of in-office fluorides on children ages 6-18?
A
Poor oral hygiene, noticeable from heavy plaque formation, a cariogenic diet high in sugars, carbohydrates and acidic carbonated beverages, and active orthodontic treatment. This is why 95% of in-office fluorides are performed on this age group.
Q
What are the patient risk factors indicating the use of in-office fluoride treatments on adults?
A
Poor oral hygiene, the presence of multi-surface restorations (secondary caries), eating disorders, salivary malfunction and exposed dentin from gingival recession. There is increasing interest on treating hypersensitivity with NSF on adult patients.
Q
What are the differences between fluoride gels and fluoride foams?
A
The main difference between foams and gels is density. Fluoride level and pH are identical but because foams have less density, less fluoride (12 mg vs. 50 mg) is delivered to the patient making them safer for use on younger children (< 6 years) in the event of accidental ingestion.
Q
What are the differences between fluoride gels/foams versus 5% fluoride varnish?
A
The FDA does not recognize a caries prevention claim for fluoride varnishes. It’s approved for use in hypersensitivity only. However, its use in Europe over the last 30 years and more recent lab studies have shown it to deliver an equivalent amount of fluoride on the tooth surfaces. Because it’s painted on versus the tray technique it is much easier to use on children under 6 year of age. And because it dries on the tooth surface it reduces the chances of accidental ingestion on small children. For this reason, it has displaced foam as the product of choice for this patient population.
Q
Where do two-part combination fluoride rinses fit in the treatment regime?
A
The combination of two different fluoride mechanisms, .31% APF (uptake properties) and 1.64% Stannous (barrier & cariostatic properties) makes logical sense but these two-part rinses have never been clinically proven. Their main drawback is treatment time and the reduced safety involved with the increased potential for accidental ingestion. One minute would be an eternity for a child to rinse without swallowing. Their main use is limited to older children or adults in active orthodontic treatment.
Q
How many treatments in Pediagel 12 oz. versus a 16 oz. bottle and fluoride foam?
A
Pediagel provides 50 – 75 full arch fluoride treatments per bottle versus 80 –100 in a typical 16 oz. bottle. Foams deliver 120 treatments per bottle but they often have a lot of waste associated with the aerosol malfunction. I.E. “Whip Cream Can” phenomenon. They also fail if ever frozen in transit. The variation range for treatment amount is related to the size of the tray used.
Q
What happens to the effectiveness of Pediagel if it freezes and thaws out?
A
First Pediagel looks like a kids freeze pop. Then it resembles Jello. Finally after completely thawing it’s as good as new. The flavor and the fluoride effectiveness are not compromised.
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