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Medical Forum / General / Dentistry / March 2008Wash mouth with water after using ACT Fluoride rinse?
My dentist recommended using ACT Fluoride rinse after brushing. The directions on the bottle say to swish the fluoride rinse in my mouth for one minute and then spit out. The directions then say to not eat or drink for half an hour. I'm wondering if it is ok to rinse my mouth out with water after spitting out the fluoride rinse? I don't like the idea that some of the fluoride rinse is still in my mouth after I spit it out. Ummmmmmm,,,,,,,,,,,,,,,, well,,,,,,,,,,,,,,,,,,,,, gee,,,,,,, you are rinsing with it in order to leave a coating of fluoride on your teeth. Go ahead and rinse afterwards if you want to waste your time and money.  Signature/ Amatus / > My dentist recommended using ACT Fluoride rinse after brushing. The > directions on the bottle say to swish the fluoride rinse in my mouth [quoted text clipped - 3 lines] > like the idea that some of the fluoride rinse is still in my mouth > after I spit it out. Well, it's not clear from the directions on the bottle if rinsing with water afterwards would actually cause the fluoride on the teeth to come off. The bonding with the teeth might be stronger than the bonding to skin. > Ummmmmmm,,,,,,,,,,,,,,,, well,,,,,,,,,,,,,,,,,,,,, gee,,,,,,, you are > rinsing with it in order to leave a coating of fluoride on your teeth. [quoted text clipped - 5 lines] > > Amatus >Well, it's not clear from the directions on the bottle if rinsing with >water afterwards would actually cause the fluoride on the teeth to >come off. Like AC said, if you don't want the benefit of the Fl- rinse, then go ahead and rinse with water afterwards. The manufacturer and your dentist will thank you. >The bonding with the teeth might be stronger than the >bonding to skin. Hogwash. >> Ummmmmmm,,,,,,,,,,,,,,,, well,,,,,,,,,,,,,,,,,,,,, gee,,,,,,, you are >> rinsing with it in order to leave a coating of fluoride on your teeth. [quoted text clipped - 5 lines] >> >> Amatus > Ummmmmmm,,,,,,,,,,,,,,,, well,,,,,,,,,,,,,,,,,,,,, gee,,,,,,, you are > rinsing with it in order to leave a coating of fluoride on your teeth. > > Go ahead and rinse afterwards if you want to waste your time and money. And I suppose he can make his toothpaste dollar go farther by not rinsing after brushing. > My dentist recommended using ACT Fluoride rinse after brushing. The > directions on the bottle say to swish the fluoride rinse in my mouth > for one minute and then spit out. The directions then say to not eat > or drink for half an hour. I'm wondering if it is ok to rinse my > mouth out with water after spitting out the fluoride rinse? Unless you have special needs, you might want to consider not putting it in your mouth in the first place. Poison warnings appear on toothpastes and rinses for good reason. > I don't > like the idea that some of the fluoride rinse is still in my mouth > after I spit it out. Your intuition should be taken seriously. Spend an hour looking around at www.fluoridealert.org before deciding anything. Note for instance http://www.fluoridealert.org/2007research/07.html ((((( > "Our main findings are a) that in 2005, 4 years following the release of the CDC's sentinel recommendations, a considerable proportion of dental professionals in Indiana still did not understand fluoride's predominant mode of action." > > Not only were the dentists behind in their knowledge of fluoride research, but the survey also found they didn't even know basic information about fluoride, such as how much fluoride is in toothpaste or high-fluoride gels. As noted by the authors: "Another important finding was the inability of respondents to correctly identify the concentration of commonly used fluoride products." > > This raises the question: If, after 60 years of water fluoridation, most dentists still don’t know how fluoride actually works, or how much fluoride is in the products they prescribe, what else do they not know? Do they know how fluoride affects other tissues in the body besides the teeth? ))))) >> My dentist recommended using ACT Fluoride rinse after brushing. The >> directions on the bottle say to swish the fluoride rinse in my mouth [quoted text clipped - 3 lines] > > Unless you have special needs, Like decay? What other "special need" would it be recommended for? I recommend fluoride rinses only for those I have evaluated and I feel will benefit. Steve you might want to consider not putting it > in your mouth in the first place. Poison warnings appear on toothpastes > and rinses for good reason. [quoted text clipped - 26 lines] >> besides the teeth? > ))))) >>> My dentist recommended using ACT Fluoride rinse after brushing. The >>> directions on the bottle say to swish the fluoride rinse in my mouth [quoted text clipped - 5 lines] > > Like decay? What other "special need" would it be recommended for? Thanks for your reply. You impelled me to look up some basic facts. You know such needs better than I. Some medicines reduce saliva production and puts the patient at greater risk of decay, for instance. A history of decay, as you suggest, for another example. > I recommend fluoride rinses only for those I have evaluated and I > feel will benefit. > > Steve I find that my Crest toothpaste has about 7.5 times the fluoride concentration of ACT rinse (0.15% w/v (ca. 1500 ppm) vs. 200 ppm). http://www.actfluoride.com/faq.html#act_faqs_02 ((((( > How much fluoride do ACT® Fluoride Rinses and Restoring™ Mouthwashes contain? > * A 1 oz and 18 oz bottle contains 0.05% sodium fluoride, which is equivalent to 0.02% of the fluoride ion. > * A 33 oz bottle contains 0.02% sodium fluoride, which is equivalent to 0.009% of the fluoride ion. ))))) If the patient absorbs the fluoride from 1/2 ml of rinse, that would be like drinking 100 ml of 1 ppm fluoridated tap water. So I guess it doesn't make a huge difference WRT the toxicology, except for individuals predisposed to fluorosis. For the caries-prevention aspect, the 7.5 factor makes me think that the rinse doesn't make much difference either. Were it otherwise, I expect that the [F-] of toothpaste would be much lower, given fluoride's toxicity. However, that argument disregards the possibility that fluoride is put in toothpaste to get rid of a toxic waste. So my guess at the moment is that fluoride rinses don't do any great harm or good, if they are kept away from children who might swallow them. It seems comical that the 33 oz bottle has a lower [F-] than the smaller bottles. Maybe there is a regulation that limits the total fluoride that can be sold in a single bottle. >>>> My dentist recommended using ACT Fluoride rinse after brushing. The >>>> directions on the bottle say to swish the fluoride rinse in my mouth [quoted text clipped - 11 lines] > production and puts the patient at greater risk of decay, for instance. > A history of decay, as you suggest, for another example. Certainly dry mouth due to any number of conditions or meds (older tranquilizers seem to do this; it's also seen in some rheumatological conditions such as Sjogren's syndrome). However, not all dry mouth patients develop decay. Naturally I'm extra vigilant about these patients, who should be advised by both their doctors prescribing these meds (good luck!) or the dentist who should obviously be updating the medical history regularly. >> I recommend fluoride rinses only for those I have evaluated and I >> feel will benefit. [quoted text clipped - 3 lines] > I find that my Crest toothpaste has about 7.5 times the fluoride > concentration of ACT rinse (0.15% w/v (ca. 1500 ppm) vs. 200 ppm). Now you got ME to look! ;-) My tube of Crest here is NaF 0.243%--this is equivalent to 0.15% as you say. Act for kids is even more dilute than the Act you're looking at--0.05% NaF (0.0226% {!}--I'd question the significant figures. > http://www.actfluoride.com/faq.html#act_faqs_02 > ((((( [quoted text clipped - 22 lines] > bottles. Maybe there is a regulation that limits the total fluoride > that can be sold in a single bottle. Thanks for the heads-up on this. I'll have to look at the numbers when I get to the pharmacy. Obviously this doesn't make much sense at all. In all honesty, when I see someone who really has a problem I get them on Prevident or Gel-Kam, which have much higher fluoride concentrations. Steve SignatureMark & Steven Bornfeld DDS http://www.dentaltwins.com Brooklyn, NY 718-258-5001
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