MI Paste PLUS contains a unique, patented form of fluoride. It is a product designed for high-risk patients. It has al the benefits of MI Paste with enhanced remineralizing capabilities. MI Paste PLUS provides a superior form of fluoride ions as it also contains CPP-ACP (casein phosphopeptideamorphous calcium phosphate). CPP-ACP + fluoride (F) has been shown to increase fluoride's uptake into plaque and subsurface enamel and substantially increase subsurface enamel remineralization in situ with fluoroapatite relative to fluoride alone, by providing bio-available calcium, phosphate and fluoride ions in the correct molar ratio to form fluoroapatite in the body of the lesion, not just at the surface layer. CPP-ACP (MI Pate PLUS) gives greater anti-caries effects than CPP-ACP (MI Paste) and is designed for patients at high risk for dental caries and dental erosion.
For children under six years of age, the use of the regular MI Paste is recommended to provide the protection required. Since it does not have Fluoride they can use a dot of Colgate Total then follow by a good amount of MI Paste without fear.
HOW TO APPLY MI PASTE PLUS?
Apply using a clean finger or custom tray. Leave undisturbed for a minimum of three minutes. Spread around the mouth and teeth with the tongue and hold for one to two minutes, expectorate, do not rinse and avoid food or drink for 30 minutes.
How often to apply?
Nightly application is the standard recommendation
For high risk patients, apply both morning and night
When applied immediately before bed, the material is then left in place, to dissolve slowly overnight. It is not rinse out. MI Paste PLUS can also be applied topically to the teeth using a custom-made tray such as a pull-down tray made for applying a whitening gel.
HOW SOON AFTER I BRUSH DO I APPLY MI PASTE?
After brushing with an over the counter toothpaste (1,000 ppm fluoride) immediately apply a pea-size amount of MI Paste to the tooth surfaces using either a clean finger or a cotton swab.
IF YOU WANT TO USE A FLUORIDE RINSE/MOUTH WASH YOU MUST DO IT 2 TO 3 HOURS BEFORE OR AFTER THE MI PASTE OR IT WILL MAKE THE MI PASTE NOT WORK AS WELL
CAN MI PASTE REVERSE WHITE SPOT LESIONS?
MI Paste provides the minerals (calcium and phosphate) to rebuild subsurface areas of defects in enamel, including white spot lesions from dental caries, white spot lesions associated with orthodontic treatment and fluorosis. In these defects, there are sub surfaces voids which can be very effectively remilitarized by applying MI Paste, and this has been shown using optical and also radiographic tests at the University of Melbourne. For some white spot lesions it may be necessary to first pre-treat the lesion before application of MI Paste. This pre-treatment may involve bleaching, acid etching or micro abrasion. Recent research at the Dental School at the University of Melbourne has demonstrate that pre-bleaching is an effective pre-treatment for MI Paste application.
In order to avoid the incidence of white spots, it is recommended to apply MI Paste twice daily for the entire period that brackets are in place. Immediately after the brackets are removed apply MI Paste twice daily for one month then re-evaluate the case. How fast MI Paste works will depend on the individual situation and the clinical use for which MI Paste has been chosen.