Fluoride Varnish

Contact Tracie or Cate at the Front Desk – 978 927 7070 x 200

Q. What is Fluoride Varnish?

A. Fluoride varnish is one type of topical fluoride. This type of fluoride is painted onto teeth, and it is left on the teeth until the morning following application, when it is brushed away. Fluoride varnish helps to prevent cavities by putting minerals into the tooth enamel, making the enamel stronger.

Q. Is Fluoride Varnish Safe?

A. YES! Fluoride varnish is a safe and effective way to help prevent cavities. Fluoride varnish is “painted” onto the teeth and no fluoride is swallowed by the child. Although rare, children with allergies to colophony (colophonium) and pine nuts could have allergic reactions to fluoride varnish.

Q. Why is the doctor using Fluoride Varnish?

A. Oral health is an important part of overall health. Your child’s doctor is concerned with oral health too. Since many children do not get the dentist when they are very young, the doctor plays an important role in giving your child fluoride treatments to prevent cavities.

Q. What does my child do after they get Fluoride Varnish?

A. The fluoride varnish might make your child’s teeth look yellow and dull. This is normal, and your child’s teeth will be white and shiny again once the fluoride varnish is brushed off the next morning!


You must sign the consent form and return it to school/daycare/camp for your child to receive this valuable oral health benefit at school.

If you have any questions, please contact: Kathryn Dolan at Kathryn.dolan@tufts.edu and/or 617 291-2217.

Dear Parent/Guardian:

Fluoride varnish can help to prevent cavities (tooth decay), and it is being offered as a preventative service at your child’s school/day program.

Fluoride varnish is “painted” onto the teeth by a qualified healthcare professional.

Fluoride varnish can improve the dental health of your child by preventing tooth decay (cavities).

It is still important for your child to get regular dental check-ups and proper daily tooth care at home.

Fluoride varnish can be another way for your child to get fluoride in addition to fluoride he or she may get from tap water, toothpaste, and/or prescription fluoride from dentist or doctor.

For your child to participate, you must read the fluoride varnish information sheet and give consent by filling out the information and signing below.

Fluoride Varnish Application Consent Form
If your child has MassHealth, Tufts University of Dental Medicine will bill MassHealth for the fluoride varnish application.
If your child does not have MassHealth, the fluoride varnish application will be covered by grant funds. This fluoride varnish application will not interfere with dental treatment received at your own dentist.
If yes, specify.
If yes, please list the other allergies.
If yes, name the dentist.