Follow-Up
Follow-up interval until the next fluoride varnish application should be determined by a child's caries risk status and whether he or she has been able to establish a dental home. Varnish application must be documented in the medical record.
Inform the caregiver
- Child's teeth may be discolored for 24–48 hours (only with yellow products); this will be removed by thorough brushing.
- Avoid hot, sticky or hard foods for the rest of the day. Choose soft foods same day.
ICOHP
Provide anticipatory guidance:
- Emphasize importance of regular oral hygiene practices.
- Offer dietary counseling regarding carbohydrate intake.
- Provide dietary fluoride prescription. if appropriate.
- Arrange referral to dental home.
If varnish is applied for white spots or active decay:
- Provide intensive counseling on oral health (diet, hygiene, and systemic fluoride supplementation—if appropriate).
- Arrange urgent dental referral.
- Schedule next varnish application.