School-based Fluoride mouth-rinse

Guidelines for detailed School-based Fluoride mouth-rinse project practices in Montana
Fluoride_Montana

Two approaches using commercially available drug in Japan

Once a week fluoride mouthwash(rinse) method.
Use a 0.2% sodium fluoride (900 ppmF) solution.
Take a mouth wash continuously once a week at school.

Daily Fluoride Mouthwash(rinse) method. (5 times a week)
Use a 0.05-0.1% sodium fluoride (250-450 ppmF) solution.
Take a mouth wash continuously once a day at school.
(1 package (1.5 g) is dissolved in 167 mL of water.
The fluoride ion concentration is 450 ppm. )

*Point and Issues to be considered
* Spit: Don't swallow mouthwash(rinse).
The fluoride mouthwashes can be toxic if small child swallow large enough amounts every time.
School teacher supervise children to spits it out and not to swallow it.
* To get the most benefit from a fluoride mouthwash, avoid eating, drinking, for at least 30 minutes not to wash away the fluoride.
* Currently, it is difficult for the school teachers to manage even with the once a week fluoride mouthwash method.

* Also
A fluoride mouthwash doesn't remove plaque.
It protect tooth from acids produced by the bacterial plaque.
The fluoride enforce the enamel surface.
But it can not be a substitute for brushing and flossing.
We should not give children a habit of relying only on one easy but imperfect way.

* Also
We do not know the fluoride concentration of drinking water in Bangladesh in detail.
The efficacy and safety of fluoride mouthwash(rinse) are well and widly recognized internationally, but any drug may cause side effects if misused.
Disruption by some radical activist using false/fake alarm are still in Japan, and it is not easyto progress school-based fluoride mouth-rinse.
This may be a matter for future study for us.