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What is High Fluoride Toothpaste?

High fluoride toothpaste is a prescription-only dental treatment containing sodium fluoride. It is available in two strengths:

  • 2800ppm fluoride contains 0.619% sodium fluoride.
  • 5000ppm fluoride contains 1.1% sodium fluoride.

Standard adult toothpaste usually contains approximately 1350ppm to 1500ppm fluoride. These higher-strength toothpastes are intended for people who have an increased risk of developing dental caries.

The brand and pack size supplied may vary depending on availability.

What is High Fluoride Toothpaste used for?

High fluoride toothpaste helps prevent and treat tooth decay affecting the tooth crown or exposed roots. It may be suitable for people who:

  • Experience frequent tooth decay.
  • Have previously had multiple fillings or cavities.
  • Have exposed tooth roots or receding gums.
  • Wear braces or other orthodontic appliances.
  • Have a dry mouth.
  • Take medicines that reduce saliva production.
  • Have a medical condition or treatment that increases their risk of tooth decay.
  • Have been advised to use high fluoride toothpaste by a dentist or another healthcare professional.

How does High Fluoride Toothpaste work?

Fluoride helps protect the teeth by:

  • Reducing the loss of minerals from tooth enamel.
  • Supporting the remineralisation and strengthening of enamel.
  • Making teeth more resistant to acids produced by plaque bacteria.
  • Helping protect exposed dentine and tooth roots from decay.

High fluoride toothpaste should replace your normal toothpaste while you are using it.

How to use 2800ppm Fluoride Toothpaste

Unless your dentist or prescriber tells you otherwise:

  • Apply a ribbon of toothpaste to your toothbrush.
  • Brush carefully and thoroughly for approximately one minute.
  • Use morning and evening.
  • Brush vertically from the gum towards the tip of each tooth.
  • Spit out after brushing.
  • Do not swallow the toothpaste.
  • For the best results, do not rinse your mouth, eat or drink for 30 minutes after brushing.

How to use 5000ppm Fluoride Toothpaste

Unless your dentist or prescriber tells you otherwise:

  • Apply a ribbon of toothpaste to your toothbrush.
  • Brush carefully and thoroughly for approximately three minutes.
  • Use three times daily, preferably after meals.
  • Brush vertically from the gum towards the tip of each tooth.
  • Spit out after brushing.
  • Do not swallow the toothpaste.

Important safety information

Do not use high fluoride toothpaste if you are allergic to sodium fluoride or any other ingredient in the product.

Speak to your dentist, pharmacist or prescriber before use if you:

  • Use fluoride tablets, drops, mouth rinses, gels, varnishes or other high-fluoride products.
  • Receive fluoride from another prescribed source.
  • Have difficulty swallowing.
  • Are pregnant or breastfeeding.
  • Have been told that you have an intolerance to any of the ingredients.

Your total fluoride intake should be considered before high fluoride toothpaste is prescribed, particularly when using the 5000ppm strength.

Use only the recommended amount and keep the toothpaste out of the sight and reach of children.

Possible side effects

Side effects are uncommon but may include:

  • A burning sensation or irritation inside the mouth.
  • Rare hypersensitivity or allergic reactions.

Stop using the toothpaste and seek urgent medical help if you experience swelling, difficulty breathing, a severe rash or another sign of a serious allergic reaction.

Always read the patient information leaflet supplied with your medicine because the manufacturer and ingredients may vary.

What is high fluoride toothpaste?

High fluoride toothpaste contains more fluoride than standard adult toothpaste and is used to help prevent and treat dental caries in people at increased risk of tooth decay. This product is available in 2800ppm and 5000ppm strengths.

The 5000ppm strength contains more fluoride and is generally intended for people with a greater risk of tooth decay. It also has different age restrictions and directions. Our prescriber will assess which strength is suitable for you.

Apply a ribbon to your toothbrush and brush carefully for approximately one minute, morning and evening. Spit out after brushing and do not swallow. For the best results, do not rinse, eat or drink for 30 minutes afterwards.

Apply a ribbon of paste to your toothbrush and brush carefully for approximately three minutes, three times daily, preferably after meals. Spit out after brushing and do not swallow.

Yes. High fluoride toothpaste should normally replace your regular toothpaste while you are using it. Do not use both toothpastes during the same brushing session.

Tell your dentist, pharmacist or prescriber if you use fluoride tablets, drops, mouth rinses, gels, varnishes or other prescribed fluoride products. Your total fluoride intake may need to be assessed before treatment is approved.

Do not swallow high fluoride toothpaste. If you accidentally swallow a large amount or develop symptoms such as nausea, vomiting, diarrhoea or abdominal pain, contact NHS 111 or seek medical advice promptly.

The manufacturer, packaging and tube size may vary depending on availability. You will receive a UK-licensed high fluoride toothpaste in the strength approved by the prescriber.

Yes. Both 2800ppm and 5000ppm high fluoride toothpastes are prescription-only medicines. You must complete an online clinical assessment before our prescriber can determine whether treatment is suitable.

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