In addition to office fluoride application, what other therapies should be used?

Studies have shown that multiple fluoride therapies produce superior results. The most beneficial regimen uses a systemic mechanism (water fluoridation or dietary supplementation) and as many topical approaches as needed to control caries.

Twice-a-year office topical applications provide infrequent high concentrations of fluoride. Dentrifices (toothpastes), mouth rinses and home fluoride gels offer frequent low concentration which is needed to enhance the remineralization process of the tooth enamel.

Suggest Source: Horowitz, H.S., Alternative Methods of Delivering Fluorides. Dent. Hygiene 57 (5): 37-43, May 1983.