Abstract
PURPOSE: The purpose of this study was to determine the average amounts of fluoridated toothpaste applied by parents to a child’s toothbrush in response to instructions to limit the quantity to a “pea-sized” or “smear” amount.
METHODS: Fifty parents of 12- to 71-month-old children participated in this study. They were presented with three toothbrushes and asked to apply the amount of toothpaste they use typically with their child-a smear or a pea-sized quantity. The results were compared to the recommended weights of 0.25 g (pea-sized) and 0.125 g (smear).
RESULTS: The mean amount applied in response to a “smear” weighed 0.21 ± 0.19 g, which differed from the recommended weight of 0.125 g (P=.002). The mean amount applied in response to a “pea” weighed 0.30 ± 0.21 g, which was greater than but not statistically significantly different from the recommended weight of 0.25 g (P=.10). Parents applied, on average, 0.33 ± 0.24 g of toothpaste when instructed to apply the amount they typically use with their child.
CONCLUSIONS: Most parents use more fluoridated toothpaste than is recommended for young children and verbal instructions to limit the dose are ineffective. Education by demonstrating a smear and pea-sized amounts of fluoridated toothpaste is recommended.
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Fluoride toothpastes of different concentrations for preventing dental caries.
Background Caries (dental decay) is a disease of the hard tissues of the teeth caused by an imbalance, over time, in the interactions between cariogenic bacteria in dental plaque and fermentable carbohydrates (mainly sugars). Regular toothbrushing with fluoride toothpaste is the principal non-professional intervention to prevent caries, but the caries-preventive effect
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Dental fluorosis in permanent incisor teeth in relation to water fluoridation, social deprivation and toothpaste use in infancy.
OBJECTIVES: To determine the prevalence and severity of fluorosis in permanent incisor teeth in young children in a fluoridated and a fluoride-deficient community and to establish what relationship, if any, there was between the occurrence of dental fluorosis and the reported use of fluoride toothpaste in childhood. DESIGN: A prevalence study
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Revisiting Fluoride in the Twenty-First Century: Safety and Efficacy Considerations.
Over 100 years of scientific literature is available which describes the long relationship between dentistry and the many possible applications of fluoride anion (F-) as successful therapeutic strategies. To date, systemic introduction of fluoride via water, milk and salt fluoridation, and fluoride-containing tablets, has been employed. Post-eruption topical fluoride products
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Salivary fluoride concentration following toothbrushing with and without rinsing: a randomised controlled trial.
Background: Caries prevalence has declined significantly since the introduction of fluoridated toothpaste. There have been several developments regarding specific active fluoride ingredients but not enough evidence to support one over the other. The purpose of this double-blind randomized controlled trial was to compare salivary fluoride concentrations of different
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Fluoride Intake Through Dental Care Products: A Systematic Review.
Fluoride (F) is added to many dental care products as well as in drinking water to prevent dental decay. However, recent data associating exposure to F with some developmental defects with consequences in many organs raise concerns about its daily use for dental care. This systematic review aimed to evaluate
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Allergy to Fluoride
Six children and one adult exhibited various allergic reactions after the use of toothpaste and vitaimin preparations containing fluoride. The following conditions were encountered: Urticaria, exfoliative dermatitis, atopic dermatitis, stomatitis, gastro-intestinal and respiratory allergy.
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Acute Fluoride Toxicity from Toothpaste Ingestion
The Food & Drug Administration now requires that all fluoride toothpastes sold in the United States bear the following poison warning: "WARNING: Keep out of reach of children under 6 years of age. If you accidentally swallow more than used for brushing, seek professional help or contact a poison control center immediately." The
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Fluoride Toothpaste: A Cause of Perioral Dermatitis
We have gathered clinical and historical data implicating fluoride dentrifices as an important etiologic factor in this dermatosis. The following two cases support this observation.
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Fluoride Dentrifice and Stomatitis
Statistical data of 133 patients who have been using fluoride dental cream or powder have been presented. Each has developed intraoral ulcerative lesions. Many have been treated for other complaints without clearance of the lesions. Age is not significant. Repeated insults with the fluoride dentrifices produced increasingly severe excoriations. There seems to be nothing specific about the lesions to differentiate them from other diseases of an oral nature.
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Fluoride & Perioral Dermatitis
Perioral dermatitis (PD) is a common rosacea-like dermatitis that was never reported prior to the mid-fifties. Although it can affect both sexes and all ages, most patients are women ages 20-50 years. Patients with PD frequently report a pre-existing tendency to blush. This disease is most likely multifactorial in origin, and fluoride preparations in dentrifices probably have played a role as precipitator.
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