Topics of the day:

1. Thank you (Re: OrthoClear)
2. Fluoride protection
3. Fluoride protection
4. Re: Max fluoride protection
5. Re: Max fluoride protection
6. ESCO - The Electronic Study Club for Orthodontics


From: "Morris Rapaport" <>
To: "ESCO" <>
Subject: Thank you (Re: OrthoClear)
Date: Fri, 22 Jul 2005 12:55:52 +1000

I want to thank Stanley Sokolow for posting (29 June 2005) his very interesting review of the OrthoClear sequential plastic aligner product. As a reasonably experienced user of Invisalign, I found it a fascinating read and I'm grateful that Stanley took the trouble to put his personal research and thoughts down for us all to read.


  Morris (Rapaport)
Orthodontist/Lecturer p. t.
University of Sydney


From: "Michael Keim" <>
Subject: Fluoride protection
Date: Thu, 21 Jul 2005 21:44:05 -0500

I have found that my need for additional fluoride has been greatly reduced since I have switched to Fuji LC for bondings about a year ago. As you all know, there is much greater fluoride release but I also think there is an advantage from not having to do an acid etch. I do use the “Conditioner” which is mildly acidic. I started using it on a trial basis when I finally decided it was time to do all I could to reduce the decalcification that I was seeing on a regular basis. I was expecting a much greater problem with loose brackets but was pleasantly surprised when my bond failure rate dropped dramatically! As expected, decalcification has all but disappeared.

Getting back to the question at hand, I did find actual reversal of the more superficial decalcification with the fluoride varnishes. The deeper decalcifications directly adjacent to the brackets were a different matter. On the patients with poor OH or poor brushing habits we would apply the varnish at each visit but the time when I noticed the greatest improvement was the day of deband . The patients hated it, of course, due to the yellow appearance.

I should state that I have no affiliation with Fuji .

Michael Keim
Fargo, ND


Date: Thu, 21 Jul 2005 21:53:47 EDT
Subject: Fluoride Protection

Fuji Ortho LC is a rechargeable fluoride bonding cement that is easy to bond with and affords excellent protection from decalcification.  For  our worst brushers, we also brush fluoride gel on the teeth at adjustment visits (to recharge the Fuji Fluoride release). Recently, we have also been painting Duraphat fluoride varnish on the gingival  half of the clinical crowns for those patients with chronically poor oral hygiene.  This varnish unfortunately is an unsightly orange color, however this may be incentive for these patients to brush this area better. 

Scott Dillingham, DDS


From: "Charles Ruff" <>
Subject: Re: Max fluoride protection
Date: Thu, 21 Jul 2005 11:17:58 -0400


What do you mean by max fluoride?

charlie ruff


From: "Morris Rapaport" <>
To: "ESCO" <>
Subject: Re: Max fluoride protection
Date: Thu, 21 Jul 2005 21:44:14 +1000

In answer to this question,

Just wondering what everyone is recommending for maximum fluoride protection during orthodontic treatment?

I routinely recommend Colgate NeutraFluor 5000 Plus for every second toothbrushing during fixed appliance or Invisalign treatment. It was suggested by a Paedodontist in a lecture entitled "Care of Enamel".

Morris Rapaport

Orthodontist ,Sydney


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