Pharmacology · single question

What is the primary mechanism of action of topical fluoride?

  1. Increases salivary flow
  2. Remineralizes by adding calcium ions
  3. Decreases calcium phosphate solubility (hydroxyapatite stabilization)
  4. Kills cariogenic bacteria directly
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Correct answer: C. Decreases calcium phosphate solubility (hydroxyapatite stabilization)

Fluoride's primary mechanism is decreasing hydroxyapatite solubility by converting it to fluorapatite, which is more acid-resistant.
  • A. ❌ Fluoride does not significantly increase salivary flow.
  • B. ❌ Fluoride promotes remineralization but its primary action is solubility reduction.
  • C. ✅ CORRECT – Fluoride forms fluorapatite, making enamel more acid-resistant.
  • D. ❌ Fluoride has antibacterial effects (enolase inhibition) but this is secondary.

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