Prescription Fluoride Toothpaste — ORE Part 1 MCQ

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EasyDental Public Health & EpidemiologyPrescription Fluoride ToothpasteORE Part 1

What is the primary purpose of prescribing 2800 or 5000 ppm fluoride toothpaste for an adult at increased caries risk?

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Correct answer: A — Preventing and managing coronal or root caries

Explanation lettering: C = shown as B · E = shown as C · B = shown as D · D = shown as E

**A is correct.** UK SmPCs identify high-fluoride toothpastes as caries-preventive medicines. Fluoride 2800 ppm is indicated for prevention and treatment of coronal and root caries; 5000 ppm is indicated for prevention of caries, particularly where there is risk of multiple coronal and/or root lesions. Thus their principal role is targeted caries control in patients at increased risk, rather than a cosmetic or periodontal intervention. Whitening is not an indication (B), and these preparations are not intended as a universal substitute for standard fluoride toothpaste in every adult (C). They may have some secondary benefit for exposed dentine, but treating hypersensitivity alone is not their primary prescribed purpose (D). They do not principally treat plaque-induced gingival inflammation (E).

Reference: Morningside Healthcare Ltd. Fluoride 5000 ppm Toothpaste: Summary of Product Characteristics, section 4.1 (Therapeutic indications). eMC. https://www.medicines.org.uk/emc/product/9575/smpc