StudentRDH Community Health And Research Principles Practice Test

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Which product is used for tray applications and should be avoided in patients with restorations?
Correct Answer:
Gel or Foam 1.23% APF used in tray
Explanation:
Tray fluoride therapy uses fluoride gel or foam delivered in a tray to maximize contact with the teeth. This often uses acidulated phosphate fluoride (APF) at 1.23%, which has a low pH that helps fluoride uptake by enamel. However, that acidity can attack restorative materials such as composites and porcelains, causing surface roughening, discoloration, or micro-pitting. Because of this risk, APF gel or foam used in trays should be avoided in patients with restorations. Safer alternatives for those patients include neutral pH fluoride gels like 2% sodium fluoride, fluoride varnish, or fluoride rinses, which provide protection without damaging restorations.

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