Denise Muesch Helm, RDH, EdD, is a professor of dental hygiene and affiliated faculty in the Center for Health Equity Research at Northern Arizona University (NAU) in Flagstaff. A dental hygienist and dental hygiene educator for more than 34 years, she currently teaches oral health research in the NAU Dental Hygiene Bachelor Completion Program. She is also the principal investigator (PI) for the First Things First Navajo Apache Regional Council Children’s Health Systems Change project, PI for Scholarship for Disadvantaged Students- Dental Hygiene, and co-PI for Scholarship for Disadvantaged Students- Occupational Therapy.
At my practice we recommend fluoride toothpaste, oral hygiene techniques, xylitol, and diet changes for those at high risk of decay. I also consider dry mouth. However, I often feel like we are going in circles with no changes noted. Any…
Most of the patients I see are elderly and at elevated risk for root caries. What qualities should I look for in a fluoride varnish that will provide the best results in this population?