The only correct answer is that it depends on the patient’s policy. There is a new varnish code added by the CDT 2007-2008, code D1206 (fluoride varnish application), but it is only reimbursed for documented high-risk patients. This is defined as patients with a history of caries or hypersensitivity. There are no age restrictions with […]

The resin/rosin used in Vella Varnish is extracted from pine stump wood and not collected from living trees, therefore does not contain tree sap. This source combined with further synthesis during the manufacturing process greatly reduces any adverse reaction to rosin products due to tree nut allergies. However, as with any medical issue, patients should […]

An experienced dental hygienist can complete a complete full mouth fluoride varnish application in about one minute. Treatment time variables include: patient acceptance (squirminess) and type of applicator brush or delivery system used. The viscosity of the varnish material can also affect the application time. In most all cases though, it’s only a minute or […]

The Fluoride varnish (with peak plasma levels less than a daily fluoride tablet or brushing with fluoride toothpaste) applied infrequently (two to four times a year at 3-6 moth intervals) is unlikely to contribute to fluorosis in children under age six. (Ekstrand, Koch, Petersson, 1980)

The ADA Council on Scientific Affairs states: “Fluoride varnish applied every six months is effective in preventing caries in the primary and permanent dentition of children and adolescents.” They further state that Fluoride varnish creates less patient discomfort and achieves greater patient acceptance than fluoride gel, especially in preschool-aged children. Two or more applications of […]

Fluoride varnishes are approved as Class II Medical Devices ( FDA 510 K compliance) for use as a cavity liner and/or tooth desensitizer. Fluoride varnishes is not FDA approved as caries preventive agents. They are used “off-label” for preventing dental caries. FDA approval is not required to use fluoride varnish off-label. (USFDA, 1998, USP DI, […]

Fluoride varnish works by increasing the concentration of fluoride in the outer surface of teeth, thereby enhancing fluoride uptake during the early stages of demineralization. The varnish hardens on the tooth as soon as it contacts saliva, allowing the high concentration of fluoride to be in contact with tooth enamel for an extended period of […]

For all tooth surfaces, there is a continuous cycle of demineralization and remineralization of tooth enamel. Tooth decay (dental caries) is an infectious, transmissible disease caused by bacteria colonizing on the teeth and producing acid that dissolves enamel, resulting in greater demineralization. All fluorides act to slow demineralization and boost remineralization. Fluorides work in at […]

Most Fluoride varnishes are lacquers containing 5% fluoride in a colophony/resin base. Fluoride varnish provides a highly concentrated, temporary dose of fluoride to the tooth surface. The varnish holds the fluoride close to the tooth surface for a longer period of time than other concentrated fluoride products. Unlike low dose fluorides available over the counter […]