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There are a number of effective strategies available to prevent dental caries, which include the use of fluorides including community fluoridation schemes (water, salt and milk), fluoridated toothpastes, and other fluoride delivery systems, such as tablets, drops, and varnishes.
The oldest community-based fluoride delivery system is water fluoridation.
The great advantage of water fluoridation over other forms of fluoride delivery is that it does not require any effort on the part of the target population, as water consumption is a universal behaviour.
Localized fluoride delivery to the oral cavity is important in caries prevention.
The topical fluoride delivery methods such as application of varnish and other remineralizing agents provide adequate control and reduce the need for patient compliance [15, 18].
Fluoride concentration in saliva is the source for the fluoride delivery to dental plaque.
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Accurate records of dentists' delivery of fluoride varnish did not exist before the study, and we assumed dentist delivery of fluoride varnish was similar to other dentists in Washington state[ 3, 8].
To determine whether education and financial incentives increased dentists' delivery of fluoride varnish and sealants to at risk children covered by capitation dental insurance in Washington state (U.S).
In the year 2011/12, the delivery of fluoride varnish described in the data used in the model constituted 13.1% of completed courses of care undertaken on children [ 32].
A 2007 meta-analysis found that water fluoridation prevented an estimated 27% of cavities in adults (95% confidence interval [CI] 19 34%), about the same fraction as prevented by exposure to any delivery method of fluoride (29% average, 95% CI: 16 42%).
While a high level of preventive delivery was reported, fluoride vanish (FV) was delivered less frequently than dietary advice (DA), or oral hygiene advice (OHA).
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