Fig. 1.

The demineralization of teeth when sucrose turns into acid, which

sequesters hydroxy apatite:
Sugar from food enters oral cavity naturally occurring bacteria on
tooth surface form biofilm plaque.
Bacteria take the sugar produce acid pH level in mouth falls to
<5.5.
<5.5 main component of teeth enamel (HA) begins to dissolve
(demineralization- shown in red above) wears the teeth down.
With fluoride in saliva more basic conditions created pH rises
above 4.5 to increase the formation of fluoroapatite FA
remineralizes the enamel (blue in the pic) rebuild surface of the
teethBUT not enough to offset the rate of demineralization. None
the less, the demineralization rate is reduced.
When sugar is absent, saliva neutralizes the remaining acid in the
plaque and FA can rebuild the enamel.
LOOK at OH2. And look at the F2 where you have reminerlization.. The
F from the saliva hooks up with the Hs and grabs em.

Fig. 2. The remineralization of teeth when sucrose is absent, which repairs

the enamel using hydroxy apatite and fluorapatite
TM+: NaF 0.2% 900ppm. CPP-ACP : casein
phosphopeptide,amorphous calcium phosphate
The acceptable [ ] of Fl in the body is 1.0-1.2 ppm. The prevalence of
cavities at 0.5 ppm is about 50%. At 1.13ppm it is reduced to about
28%.. Dental fluorosis occurs at more than 1.13ppm
http://kquinto.livejournal.com/1794.html
TM+:
Delivers all the minerals required to build FA (fluoroapatite): Ca, PO4,
Fl.
Remineralises through the BODY of a lesion. Makes ENAMEL
STRONGER. Makes ENAMEL more acid resistant.
Superior delivery system for topically applied fluoride.
Neutralizes acid from: plaque, internal acid sources (e.g. reflux),
external acid sources (acidic beverages).
Fast relief from cervical and post-bleaching sensitivity.
CPP-ACPF contains: 10% CPP-ACP and 0.2% NaF. (casein
phosphopeptide- amorphous calcium phosphate fluoride).
When applied in the mouth, CPP-ACPF binds to tooth pellicle, plaque
and soft tissue surfaces localising bioavailable calcium, phosphate and
fluoride.

Nightly application is standard

High risk patients: use MORNING and NIGHT
Applications:
o Apply using a clean finger, cotton tip, swab, interproximal brush
or custom tray.
o Leave undisturbed for 3 minutes
o Spread around mouth with tongue and hold for a further 1-2
minutes
o Expectorate and avoid food or drink for >30 mins.
o Not recommended for children <6 b/c 0.2% (900ppm) fluoride)
o Not recommended for overnight application in children <12.
o DONT use in patients with milk protein allergy and/or sensitivity
to benzoate preservatives.