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FLUORIDE VARNISH APPLICATION CONSENT FORM Valley Pediatrics will be applying a varnish to your children teeth as a means of preventing tooth decay (cavities). Fluoride varnish is a protective coating
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01
Ensure that the child's teeth are clean and free of any food particles before applying fluoride varnish.
02
Use a small brush or applicator to apply a thin layer of fluoride varnish on the child's teeth. Make sure to cover all surfaces including the front, back, and in between teeth.
03
Avoid eating or drinking for at least 30 minutes after the application to allow the fluoride varnish to fully set and provide maximum benefits.

Who needs fluoride varnish what parents?

01
Parents of children who are at risk of developing tooth decay may benefit from using fluoride varnish as it helps to strengthen and protect the teeth from cavities.
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Fluoride varnish is a protective coating that is applied to children's teeth by a dentist to help prevent tooth decay.
Parents are not required to file fluoride varnish, it is usually applied by a dentist during a routine dental visit.
There is no need for parents to fill out any forms for fluoride varnish, it is a procedure done by a dentist.
The purpose of fluoride varnish is to protect children's teeth from decay and strengthen the enamel.
There is no reporting required for fluoride varnish by parents, it is a dental procedure.
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