The Next Generation Varnish
Mechanism of action
FluoriMax’s patented technology is the first varnish to be colophony free. Colophony is the resin component of traditional varnishes that originates in pine trees. Since there is no water in varnishes, fluoride needs to escape the varnish and contact the saliva before it is activated. FluoriMax’s 2.5% sodium fluoride reaches water more efficiently because it uses dewaxed, food-grade shellac, a resin that dries and becomes 7 times thinner than other colophonies, allowing a higher quantity of fluoride to be released and in contact with the tooth. More sodium fluoride touching saliva means more of it is released rather than brushed off with the resin or swallowed in small pieces before it can be released from the colophony.
- A 2.5% NaF formulation is not less effective than a 5% formulation
- Colophony free, replaced by shellac Dries and adheres in seconds
- More comfortable
- Smooth: non-tacky or burning feeling
- Cost-effective: ± $0.52 (children: 2 drops) to ± $1.04 (adults: 4 drops)2
- 12ml bottle = 585 drops (new test run in August 2019)
- Hydroxyapatite: protects from acid attacks and keeps enamel strong
- Increased patient compliance
- Most efficient varnish with superior fluoride uptake
- No uni-dose required: dispense only the quantity needed
- Opportunity to replace foam and gel fluorides
- Sweetened with xylitol
2.5% Sodium Fluoride
(11,300 ppm F)
Shellac, propylene glycol, ethyl alcohol, dibasic sodium phosphate, ammonium phosphate, xylitol, sucralose, calcium hydroxyapatite, mint flavour or bubble gum flavor.
- High risk caries
- Tooth sensitivity
Available kitsSingle flavour:
- 2 x 12ml bottles
- 300 applicators
- 300 mixing wells
- 3 x 12ml bottles (1 x of each flavour
- 500 applicators
- 500 mixing wells
- Bubble gum
Directions for use
- High intensity treatment: 3 applications within 5 to 7 days
- Dental hygiene maintenance: 3 to 6 months
- Adults: 0.5ml
- Children 4 to 9 years old: 0.25ml
- A prophylaxis is not required, however, removal of excessive plaque or calculus may be beneficial.
- Prior to application, shake the bottle vigorously for 15 seconds.
- Hold the bottle upright and flip open the dropper cap.
- Dispense the desired amount into the mixing well and wipe off top of bottle. Dispense right before the application of the FluoriMax is to commence. Recommended drops are: Site specific or incomplete dentition: 1-2 drop(s)
- Primary dentition: 2-3 drops
- Mixed dentition: 3-4 drops
- Permanent dentition: 4-5 drops
- Leave the tooth moist, but immediately before application have the patient swallow or use suction to remove any excess saliva.
- Dip the applicator brush into the Dappen Dish; remove excess.
- FluoriMax is a thin liquid that dries and adheres completely in seconds. Sitting the patient upright during application, while not required, reduces the potential for it to drip off of the tooth before drying.
- Start on the lower posterior teeth and apply one continuous layer of varnish by sweeping the brush across the facial/buccal surface(s). Note: This motion will provide complete tooth coverage since the varnish flows and adheres beyond the brush width. One coating is all that is needed per surface. If you see white streaks or if your patient feels a strong flavour taste after the application, you have over applied. Do not exceed the recommended dose.
- FluoriMax dries rapidly. Keep the cheek and lips off the tooth surface for 3 to 5 seconds after application to allow it to completely harden
For optimal results, ask the patients to avoid drinking alcohol and oral hygiene for 4 hours.
2.5% VS 5% NAF VARNISH
FLUORIMAX IS A SODIUM FLUORIDE VARNISH INDICATED BY HEALTH CANADA
HEALTH CANADA, ONE OF THE MOST STRICT HEALTH AGENCIES IN THE WORLD...
- Recognizes FluoriMax as an anticaries agent
- Classifies it in the same category and equivalent to all other sodium fluoride varnishes
WHY ARE ALL VARNISHES 5% SODIUM FLUORIDE?
The first studies made 20 years ago on fluoride varnishes were done with 5% NaF formulations because it was the only formulation available on the market. There was no rational to choose 5% instead of another concentration.
INDEPENDENT SCIENTIFIC DATA SHOWING SAME OR BETTER EFFECT OF 2.5% NAF VARNISHES ON 5% NAF 6, 7, 8
1980’s and 1990’s :
A series of in vitro and in vivo studies established statistical equivalency between 2.5% NaF and 5% NaF varnish formulations
In-Vivo 3 Year Clinical Study Compared the effects of a 5% NaF varnish (Duraphat) and a 2.5% varnish (experimental Duraphat) applied three times annually 9
“It can be stated at a reasonable level of certainty that if a difference in the efficacy of the two varnishes exists, it is probably minute.”
In vitro research model created using synthetic HAp discs to test “saturation theory” 1
- Determine the NaF concentration that yields the optimal level of enamel uptake
- Determine whether the release rate of fluoride into saliva is predictive of the fluoride uptake into enamel. “In this study, optimal (NaF) is 2.5% for saturating all the available tight and loose binding sites of the HAp disc.”
Reasons to switch
This is such a great product. Patients don't have to leave the office with a sticky feeling on their teeth and no clumps either!
- Kelly Kasper S., from facebook page
It's fast to use, applies much thinner than other varnishes, and dries clear. Better fluoride uptake & improved patient compliance too!
- Jessica Longino J., from facebook page
Revolutionary! All my hygienists love this product.
- Ashley P., from facebook page
Quantitative In Vitro Dentin Tubule Blockage Evaluation of Fluoride Varnish Applications
Enamel Fluoride Uptake Study Number 28 FDA Method #40
A NEW GENERATION OF FLUORIDE VARNISH IS COMING TO YOU!
Fluoride Varnish Thickness Test #3
In vivo Study: Fluoride Varnish Migration and Salivary Fluoride
Fluoride uptake from professional fluoride applications applied directly onto lesions
Fluoride bioavailability in close proximity to professional fluoride applications
Demineralization Protection of a New Protective Coating
Fluoride Release and Uptake into Hydroxyapatite from Experimental Dental Varnish
Caries incidence after topical application of varnishes containing different concentrations of sodium fluoride: 3-year results
Effects of a sodium fluoride solution and a varnish with different fluoride concentrations on enamel remineralization in vitro
Caries-Preventive Effect of Fluoride Varnish with Different Fluoride Concentrations
Prevention of Rat Fissure Caries by Sodium Fluoride Varnish (Duraphat®) with Different Fluoride Concentrations
- I. Ahmed, S.S. Coleman, C.M. Carey, Fluoride Release and Uptake into Hydroxyapatite from Experimental Dental Varnish, University of Colorado [LINK]
- George K Stookey, Bruce R. Schemehorn, Thomas J. Keefer, Final Report: Enamel Fluoride Uptake Study Number 28 [linLINKk]
- Sylvie Martel, A New Generation of Fluoride Varnish is coming to you! Oral Hygiene Magazine [LINK]
- Thomas J. Keefer, Final Report: Fluoride Varnish Thickness Test #3 [LINK]
- George K Stookey, Bruce R. Schemehorn, Thomas J. Keefer, Quantitative In Vitro Dentin Tubule Blockage Evaluation of Fluoride Varnish Applications [LINK]
- Seppa, 1988
- Haugejorden Ola and Nord Alf, 1990
- Seppa, 1998
- Seppa, 1994