FluoriMax 2.5% NaF Varnish 30 × 0.3 mL Unit-Doses Kit

Mechanism of action

FluoriMax™ patented technology represents the first varnish to be colophony-free. Colophony, the resin component of traditional varnishes derived from pine trees, has been eliminated. Unlike water-based varnishes, FluoriMax™ utilizes dewaxed, food-grade shellac, which dries and becomes seven times thinner than other colophony resins. This unique characteristic enables FluoriMax® 2.5% sodium fluoride varnish to reach water more efficiently, facilitating increased fluoride release and contact with the tooth surface. Consequently, more sodium fluoride interacts with saliva, and a higher quantity is released rather than being brushed off or swallowed in small pieces.

Indications

• Anti-caries
• Treatment of dentin hypersensitivity

Benefits

• Colophony-free, replaced by shellac
• Dries and adheres in seconds
• Hypoallergenic
• More comfortable
• Smooth: non-tacky or burning feeling
• Tenacious
• Cost-effective: 1 kit of 2 × 12 mL bottles ≅ 1,170 drops (test from August 2019); Child ≅ 1–2 drops ≅ $0.65 (based on a 2-bottle kit at $379.99); Adult ≅ 3 drops ≅ $0.97 (based on a 2-bottle kit at $379.99)
• Customize the amount required for the task at hand
• Enamel saturation is reached at 2.5% NaF and uptake does not increase above this concentration level
• 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 fluoride
• Sweetened with xylitol

Other clinical use

Pediatric dentistry

Medicinal ingredient

2.5% Sodium Fluoride (11,300 ppm F)

Formats

• 12 mL bottle (available in each flavour)
• Kits — 2 × 12 mL bottles + 300 × application brushes + 300 × mixing plates (available in each flavour)
• Mixed kits — 3 × 12 mL bottles (salted caramel, bubblegum, mint) + 500 × application brushes + 500 × mixing plates
• Unit-doses kit — 70 × 0.3 mL ampules (bubblegum only) + 70 × application brushes

Directions for use

For the first use, replace the storage cap with the flip-top dropper cap.

1. A prophylaxis is not required, however, removal of excessive plaque or calculus may be beneficial.
2. Immediately prior to application, shake the bottle vigorously for 15 seconds.
3. Hold the bottle upright and flip open the dropper cap.
4. Quickly invert the bottle and dispense the desired amount into the mixing well. Quickly turn the bottle right side up to minimize dripping along the dispensing tip. Excess varnish on the dispenser can be wiped away with an alcohol wipe.
5. Recommended drops: Primary dentition: 1 drop — Mixed dentition: 1–2 drop(s) — Permanent dentition: 2–3 drops
6. Leave the teeth moist, but immediately before application have the patient swallow or use suction to remove any pooled saliva. If the dentition is dry, have the patient swish with water, then suction.
7. Dip the applicator brush into the mixing well. Do not hold in the well and supersaturate the brush — this can lead to white streaks and over application. Remove excess from brush.
8. Retract the cheek on one side of the mouth and start with the bottom arch. Make one swipe only, from the posterior to the midline on the buccal/labial surface of one quadrant. This will provide complete tooth coverage as the varnish flows and adheres beyond the brush width. If you see white streaks or if your patient tastes a strong flavour after application, you have over-applied. Do not exceed the recommended dose. Repeat steps 6 and 7 on the top arch and then on both arches of the other side of the mouth.
9. Hold the cheek away from the teeth for 3–5 seconds after application to allow FluoriMax® varnish to completely dry and harden.

Pediatric application

For primary dentition, have the patient bite together. Splay the brush bristles, allowing them to touch both upper and lower arches simultaneously. Make one swipe only from posterior to the midline on the buccal/labial surface. Repeat the procedure on the other side of the mouth.

Patient instructions

For optimal results, advise the patient to avoid alcohol, brushing, and flossing for 4 hours. A normal diet can resume immediately since FluoriMax™ varnish forms a tenacious tooth bond.

Still the Gold Standard

According to the European Academy of Paediatric Dentistry, longer contact between fluoride varnish and teeth results in better caries protection.¹

According to the ADA, the adhesiveness of fluoride varnishes is crucial for effective fluoride uptake by tooth enamel.³

FluoriMax™ reaches water more efficiently because it uses dewaxed, food-grade shellac, a resin that dries and becomes thinner than other colophonies, allowing a higher quantity of fluoride to be released and in contact with the tooth.

“FluoriMax™ Varnish released the most cumulative fluoride during the full 4 hours of incubation.”²

“FluoriMax™ was more effective than a water-based fluoride treatment in promoting fluoride uptake into early caries-like lesions.”⁴

References

1. European Archives of Paediatric Dentistry (2019) 20:507–516. https://doi.org/10.1007/s40368-019-00464-2.
2. In Vitro Fluoride Release of Fluoride Varnishes, #24-V-007 D, Indiana University School of Dentistry, 2024.
3. American Dental Association, Fluoride Varnish and Silver Diamine Fluoride: Fluoride Release Analysis and Clinical Guidance, November 2017.
4. In Vitro Enamel Fluoride Uptake of Fluoride Varnishes, #24-V-007 B, Indiana University School of Dentistry, 2024.