Fluoride Therapy Dental caries, more usually known as tooth decay, is caused by acid-producing bacteria that collect around the teeth and gums in a sticky, clear film called "plaque." Without good daily oral hygiene and regular dental visits, teeth become more vulnerable to caries. Brushing twice a day and cleaning between teeth with floss or another type of interdental cleaner help remove plaque. Regular dental examinations and cleanings also are important for keeping teeth healthy. Systemic fluorides are those that are swallowed. Examples include fluoridated water and dietary fluoride supplements. The maximum reduction in dental caries is achieved when fluoride is available both topically and systemically. If you, or a family member, are at a moderate-to-high risk of developing caries, a professional fluoride treatment can help. The fluoride preparation used in the dental office is a much stronger concentration than that in toothpastes or fluoride mouthrinses that may be available in a store or at a pharmacy. Common sources of dietary fluoride include : tea water food cooked in water COther harmful oral habits fish eaten with their bones