What effect does deep fluoridation have on children’s teeth?
Interview on the topic with Dr. Bettina Brem
Healthy teeth are crucial for children not only for a radiant smile, but also for their development and well-being. However, teeth are particularly susceptible to cavities during the first few years of life. Regular deep fluoridation can make a valuable contribution here. But how exactly does this treatment work, and why is it so effective? We spoke with experienced pediatric dentist Dr. Bettina Brem to answer all your important questions about deep fluoridation.
Short & Sweet: Deep fluoridation of children's teeth
Was ist Tiefenfluoridierung?
- - Voco Varnish is a transparent, fast-drying fluoride varnish with a fluoride content of 5% (sodium fluoride), corresponding to a fluoride concentration of 22,600 ppm.
- It contains xylitol, which also contributes to caries prevention.
- The varnish adheres well to the tooth surface and releases the fluoride in a controlled manner.
Why is intensive fluoridation important for children’s teeth?
- Children's teeth are particularly susceptible to cavities.
- Enamel is not yet fully developed.
- It serves to prevent cavities and coats the tooth like a waterproofing agent.
- Protects against acid attacks caused by sugar and bacteria.
- Promotes remineralization and prevents initial damage.
How does the treatment work?
- Thorough cleaning of the teeth
- Applying the fluoride varnish
- Action time of a few minutes
- No eating or drinking immediately afterward
How much does deep fluoridation cost?
- Private health insurance companies cover the costs in full.
- Statutory health insurance companies require a €10 co-payment.

Interview with Dr. Bettina Brem
As a dentist and mother, it's particularly important to me to educate parents comprehensively about their children's dental health. Only then can we, together, lay the foundation for healthy, strong teeth. One of the most effective measures to strengthen children's teeth in the long term and protect them from cavities is deep fluoridation. I'd like to explain exactly how this method works and why it's so important, especially for children's sensitive teeth.
What is deep fluoridation, and why is it so important, especially for children's teeth?
Deep fluoridation is a procedure in which teeth are treated with highly concentrated fluoride preparations to sustainably strengthen tooth enamel. Especially in children, tooth enamel is not yet fully developed and is therefore more susceptible to cavities. The fluoride varnish protects the tooth surfaces by releasing fluoride ions, which are incorporated into the enamel and make it more resistant to acids and sugars. It thus acts like an impregnation of the enamel. I recommend deep fluoridation starting with baby teeth, as this allows the permanent teeth to grow back healthy and virtually eliminates the risk of cavities.
What are the advantages of deep fluoridation compared to conventional dental care with fluoride toothpaste?
While fluoride toothpaste provides daily surface care, deep fluoridation penetrates deeper into the tooth enamel. It fills microscopic weak spots and initial enamel defects. This provides longer-lasting protection. Furthermore, the fluoride concentration in the products we use in our practice is significantly higher than in toothpaste. This makes the treatment particularly effective, especially in children who are already at increased risk of caries.
How does such a treatment work in your practice?
The treatment is quick and straightforward. First, we thoroughly clean the teeth to ensure the fluoridation can take effect evenly. We then apply a transparent, fast-drying fluoride varnish to the tooth surfaces. This also contains xylitol, which further contributes to caries prevention. The fluoride varnish tastes delicious like cherry, melon, peppermint, bubble gum, cola, or caramel and is very well received by children. Thirty minutes after the treatment, children can eat and drink normally again, but we recommend avoiding very hot or sticky foods for a few hours.
How often should deep fluoridation be performed?
This depends on the child's individual risk of caries. For children with a normal risk, two to four treatments per year are usually sufficient. For children with an increased susceptibility to caries, for example, due to misaligned teeth, a high-sugar diet, or inadequate dental care, I recommend shorter intervals – approximately every three months.
Are there any risks or side effects associated with deep fluoridation?
Deep fluoridation is a very safe treatment when performed by a dentist. Occasionally, a slight, temporary tingling sensation may occur on the teeth, but this quickly disappears. It is important to use an age-appropriate dosage to avoid overdose.
Many parents are unsure whether fluoride is even safe for children. What do you say?
I hear this concern often, and I can reassure parents. Fluoride is a natural substance found in many foods and even drinking water. In the correct dosage, it is completely safe and an essential protection for teeth. In our pediatric dental practice, we use the fluoride varnish Voco Varnish with a fluoride content of 5% (sodium fluoride), which corresponds to a fluoride concentration of 22,600 ppm. Without fluoride, the risk of tooth decay increases significantly. Of course, it is important to pay attention to the right amount – that's why we are happy to advise parents individually.
What is your conclusion on the topic of deep fluoridation?
Regular dental visits are essential for healthy children's teeth. Combine these with good oral hygiene and a balanced diet. Deep fluoridation can be an excellent support for long-term protection of your children's tooth enamel.
Thank you for the informative conversation, Dr. Brem!