A high-risk 2-year-old drinks well water. What fluoride plan?
Test or verify the well-water fluoride concentration and inventory water elsewhere, formula/foods, beverages, toothpaste, and supplements.
- Have the caregiver dispense a rice-sized smear of fluoride toothpaste for twice-daily brushing.
- Use unit-dose 5% sodium fluoride varnish at least every six months; the high-risk caries pathway supports more frequent, three-month preventive care.
- Consider supplements only after the exposure and risk assessment, with particular caution under six.