Fluoride Foam
222b29dc-7ad0-4872-9922-970efad8b7a7
34391-3
HUMAN PRESCRIPTION DRUG LABEL
Drug Facts
Composition & Product
Identifiers & Packaging
Description
FOR PROFESSIONAL USE ONLY. A topical anti-caries preparation.
Medication Information
Description
FOR PROFESSIONAL USE ONLY. A topical anti-caries preparation.
Mint
FOR PROFESSIONAL USE ONLY. A topical anti-caries preparation.
Section 42229-5
To reorder: Call 800.645.2310 or visit darby.com
Distributed by: Darby Dental Supply, LLC, Jericho, NY 11753
NDC 66467-8003∙2
Reorder# 9510050
1900196
Warnings
KEEP OUT OF REACH OF CHILDREN. For professional use only. Avoid spraying toward open flame. Store at room temperature. Do not expose to excessive heat over 104° F (40°C). Contents under pressure. Do not puncture or incinerate. Do not use if seal is broken.
Bubble Gum
FOR PROFESSIONAL USE ONLY. A topical anti-caries preparation.
Strawberry
FOR PROFESSIONAL USE ONLY. A topical anti-caries preparation.
Directions for Use
l. Following prophylaxis treatment, fill l/4 of tray with foam. 2. To dispense, shake can vigorously then invert applicator 180° downward to the bottom of the tray. 3. Insert tray, have patient bite down lightly for a minimum of 60 seconds, up to 4 minutes. 4. Remove tray and have patient expectorate excess. 5. Advise patient not to eat, drink or rinse for 30 minutes after the treatment.
Medical Ingredients
Fluoride Ions 1.23% w/w (from 2.72% w/w sodium fluoride).
Non Medical Ingredients
Cocamidopropyl betaine, sodium phosphate monobasic, poloxamer 407, sucralose, xylitol, purified water, strawberry flavor.
Principal Display Panel 125 G Can Label Mint
darby
darby dental supply, llc
TOPICAL
FLUORIDE FOAM
2.72% TOPICAL SODIUM FLUORIDE FOAM
1.23% FLUORIDE IONS
130 Applications | 4.4 oz (125 g)
Mint
Principal Display Panel 125 G Can Label Bubble Gum
darby
darby dental supply, llc
TOPICAL
FLUORIDE FOAM
2.72% TOPICAL SODIUM FLUORIDE FOAM
1.23% FLUORIDE IONS
130 Applications | 4.4 oz (125 g)
Bubble Gum
Principal Display Panel 125 G Can Label Strawberry
darby
darby dental supply, llc
TOPICAL
FLUORIDE FOAM
2.72% TOPICAL SODIUM FLUORIDE FOAM
1.23% FLUORIDE IONS
130 Applications | 4.4 oz (125 g)
Strawberry
Structured Label Content
Mint
FOR PROFESSIONAL USE ONLY. A topical anti-caries preparation.
Section 42229-5 (42229-5)
To reorder: Call 800.645.2310 or visit darby.com
Distributed by: Darby Dental Supply, LLC, Jericho, NY 11753
NDC 66467-8003∙2
Reorder# 9510050
1900196
Warnings
KEEP OUT OF REACH OF CHILDREN. For professional use only. Avoid spraying toward open flame. Store at room temperature. Do not expose to excessive heat over 104° F (40°C). Contents under pressure. Do not puncture or incinerate. Do not use if seal is broken.
Bubble Gum
FOR PROFESSIONAL USE ONLY. A topical anti-caries preparation.
Strawberry
FOR PROFESSIONAL USE ONLY. A topical anti-caries preparation.
Directions for Use (Directions For Use)
l. Following prophylaxis treatment, fill l/4 of tray with foam. 2. To dispense, shake can vigorously then invert applicator 180° downward to the bottom of the tray. 3. Insert tray, have patient bite down lightly for a minimum of 60 seconds, up to 4 minutes. 4. Remove tray and have patient expectorate excess. 5. Advise patient not to eat, drink or rinse for 30 minutes after the treatment.
Medical Ingredients
Fluoride Ions 1.23% w/w (from 2.72% w/w sodium fluoride).
Non Medical Ingredients (Non-Medical Ingredients)
Cocamidopropyl betaine, sodium phosphate monobasic, poloxamer 407, sucralose, xylitol, purified water, strawberry flavor.
Principal Display Panel 125 G Can Label Mint (PRINCIPAL DISPLAY PANEL - 125 g Can Label - Mint)
darby
darby dental supply, llc
TOPICAL
FLUORIDE FOAM
2.72% TOPICAL SODIUM FLUORIDE FOAM
1.23% FLUORIDE IONS
130 Applications | 4.4 oz (125 g)
Mint
Principal Display Panel 125 G Can Label Bubble Gum (PRINCIPAL DISPLAY PANEL - 125 g Can Label - Bubble Gum)
darby
darby dental supply, llc
TOPICAL
FLUORIDE FOAM
2.72% TOPICAL SODIUM FLUORIDE FOAM
1.23% FLUORIDE IONS
130 Applications | 4.4 oz (125 g)
Bubble Gum
Principal Display Panel 125 G Can Label Strawberry (PRINCIPAL DISPLAY PANEL - 125 g Can Label - Strawberry)
darby
darby dental supply, llc
TOPICAL
FLUORIDE FOAM
2.72% TOPICAL SODIUM FLUORIDE FOAM
1.23% FLUORIDE IONS
130 Applications | 4.4 oz (125 g)
Strawberry
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Source: dailymed · Ingested: 2026-02-15T11:37:40.997872 · Updated: 2026-03-14T21:51:11.794870