Certificate in Fluoride Varnish Application and Certificate in Measuring and Recording of Plaque Indices

 Next start date: 23 May 2022    180 140.00 inc. VAT
 3 months Distance Learning

 Book this course  


Plaque indices distance learningThe aim of this course is to provide training for registered dental nurses to become competent and confident in plaque scoring and applying fluoride varnish under the prescription of a dentist or as part of a structured oral health programme.

This course is suited to registered dental nurses, hygienists, therapists and orthodontic therapists.

Topics covered:

Oral Health Education and Promotion

Fluoride Varnish Application

Plaque Indices





  • Online tutorials.
  • Downloadable booklet.
  • Affordable extended-duties course.
  • Tutor support.
  • Flexible learning.
  • Nationwide availability.
  • 15 hours of Verifiable CPD.
  • Certificate of Competence awarded upon successful completion.


  • A six-week online course which includes watching tutorials and completing multi-choice questions. 
  • Practical learning/ROC portfolio to be completed under the supervision of a dentist or suitably trained dental care professional. RoC example case study/log sheet here.
  • Course booklet.
  • Tutor support throughout the course including email support, access to live teleclasses and webinars.

Record of competence (RoC): 

Fluoride Varnish

  • You are expected to record ten log sheets, comprising five adults and five young adults and children. You have a maximum of three months to complete your RoC. 
  • The RoC is now typed up, not written. Microsoft word is required OR Google Docs which is a free version similar to Microsoft Word.

Plaque Indices

  • You are expected to record ten patients (previously fifteen). We do not specify patient groups.
  • You have a maximum of three months to complete your ROC.

The role of your supervisor/mentor:

  • Your written record of competence should be completed under the supervision of a dentist, hygienist, therapist or trained dental nurse.
  • They are expected to guide you through your practical training including demonstrating the procedure to you, signing off your portfolio and writing comments on your progress.


Fluoride Varnish Learning Objectives

GDC Development Outcomes: A, B, C , D.

Week 1:

  • Deliver basic oral hygiene and diet advice to parents and children.
  • Demonstrate effective tooth-brushing techniques.
  • Deliver basic tailored oral health instructions to children and young adults with orthodontic appliances.
  • Define the main differences between gingivitis and periodontitis.
  • Deliver basic smoking and alcohol cessation advice.
  • Deliver basic oral health advice to adults, including specific advice for pregnant women.
  • Provide denture care instructions to patients.
  • Give advice to patients suffering with xerostomia.
  • Adapt basic oral hygiene instructions for patients with special needs.
  • Deliver advice to carers on assisted brushing.

Week 2:

  • Confidently explain to a patient the process of caries and the possible outcomes of untreated caries.
  • Have a good theoretical understanding of how fluoride helps prevent decay and be confident in explaining this to a patient.
  • Be aware of supporting evidence in the use of systemic and topical fluoride in caries prevention and preventing dentine sensitivity.

Week 3:

  • Have a good understanding of the contents of Introduction to Delivering Better Oral Health.
  • Be able to explain to a patient the recommended doses of topical fluoride appropriate for the individual based on age/caries rate / influencing factors.
  • Be able to demonstrate during a fluoride application appointment the ability to give supportive oral health advice regarding diet / oral hygiene regime appropriate to the patient being treated.

Week 4:

  • Confidently explain the different topical fluoride preparations available, including varnishes/mouthwashes and toothpastes.
  • Be able to confidently give advice to a patient about the appropriate product for them.
  • Be able to identify any relevant medical history concerns that may prevent the use of a topical fluoride application.
  • Be able to identify any contraindication to a topical fluoride application based on any systemic fluoride being taken (including being aware of local water supplies).
  • Be aware of the consequences of fluoride toxicity.
  • Know how to handle any form of overdose identified.

Week 5:

  • Explain the information required in a referral/prescription from a dentist for application of a topical fluoride.
  • Explain how informed consent would be obtained from a patient for the procedure (including explaining the different types of consent).
  • Explain the process of fluoride application as a step-by-step guide, including any pre- and post-placement advice.
  • Be confident in writing clinical notes of the appointment.

Week 6:

  • Outline the concerns that patients may have regarding systemic and topical fluoride.
  • Have an understanding of some of the clinical evidence against the use of fluoride.
  • Be confident in how to manage a situation where a patient has refused consent and in how to offer possible advice on other products they may wish to use. Be able to identify any contraindications to such products.

Plaque Indices Learning Objectives

GDC Development Outcomes: A, C , D.

  • Confidently explain to a patient what dental plaque is.
  • Confidently explain to a patient how plaque forms in the oral cavity. 
  • Confidently explain to a patient the role of dental plaque in oral disease.
  • Have a good understanding of what indices are.
  • Be able to explain why we use dental plaque indices.
  • Be aware of different plaque indices methods. 
  • Be able to explain as a step-by-step guide the process of taking a dental plaque score (Plaque Control Score).
  • Have a good understanding of how we can use plaque indices in practice as dental nurses.
  • Be aware of any pre- / post- dental plaque indices advice to give the patient.
  • Be able to confidently write up appointment notes. 


 Varnish App tutorStephanie Carter RDT, RDH

Registered Dental Hygienist and Therapist: 119601

Qualifications: Diploma Dental Hygiene and Therapy, National Certificate Dental Nursing, Level 5 Diploma in Education and Training, Level 3 Certificate in Assessing Vocational Achievement, NEBDN Certificate Dental Radiography, ILM Level 3 Award in Leadership and Management, Smoking Cessation Counselling Levels 1 and 2, Young Counsellors Certificate


e learning tutor assessor ELEmma Leather RDN

Registered Dental Nurse: 148732

Qualifications: NVQ Level 3 Dental Nursing,  Level 5 Diploma in Leadership & Management, Level 4 National Certificate in Internal Quality Assurance, Level 3 Award in Education and Training, Level 3 Certificate in Assessing Vocational Achievement, Oral Health Education (BDA) 

Competency Training: Impression-Taking, Fluoride Varnish Application 


Hilary UrryHilary Urry RDN

Registered Dental Nurse: 139277

Qualifications: Foundation Degree in Advanced Dental Nursing (University of Kent), Certificate Dental Radiography (City University London), Level 3 Certificate on Education & Training, Level 3 Certificate in Assessing Vocational Achievement

Competency Training: Fluoride Varnish Application 




  • Monday 25 April 2022- Available
  • Monday 23 May 2022- Available


Payment Plans

We now offer the option to pay over three months. Please be aware, this increases the fee to £165.00 inc. VAT.

Payment due dates:

  • 23 May 2022 £55.00 (Non-refundable deposit)
  • 23 June 2022 £55.00
  • 23 July 2022 £55.00

We will NOT send reminders of payment due dates. Failure to make payment by the due dates will result in automatic removal from the course.

Please note, your certificate of competence will not be awarded until full payment is made. 

Paying by payment plan? Please use enrolment form HERE.


Discounts must be requested before payment is made. We do not automatically apply discounts.

Please note that discounts are applied to the VAT-exclusive fee: £116.67. Discounts cannot be applied to payment plans.

Multiple applicant discounts

  • Two applicants: 5% discount
  • Three applicants: 10% discount
  • Four or more applicants: 15% discount

Multiple course discounts

  • Two courses: 5% discount
  • Three courses: 10% discount
  • Four or more courses: 15% discount

Please apply by telephone or use the application form here. DNN will send you an invoice.


 Please note, you should only request an invoice if your practice is paying for you, therefore requires an invoice.
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Fluoride and Plaque - 140.00 GBP
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