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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How much is a 'pea-sized amount'? A study of dentifrice dosing by parents in three countries
To provide optimal fluoride effectiveness against caries while minimising risk of negative effects from excessive ingestion from toothbrushing, the fluoride dose delivered at each occasion is critical. This is particularly important for young children, so using a 'pea-sized amount' is generally recommended. However, there appears little guidance regarding what this means in practice, although
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Fluoride ingestion from toothpaste by young children
OBJECTIVE: To investigate the reported and observed brushing habits of young children and their ingestion of fluoride from toothpaste. DESIGN: In 1997, a random sample of 50 children, aged 30 months, from three districts in the North West region of England, were visited at home. METHODS: The reported and observed toothbrushing behaviour
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Urinary fluoride excretion after application of fluoride varnish and use of fluoride toothpaste in young children.
BACKGROUND: The efficacy and safety of combined use of topical fluoride products are essential issues that must be monitored. AIM: To assess urinary excretion of fluoride after application of two different dental varnishes containing 2.26% fluoride in 3- to 4-year-old children and to compare the levels with and without parallel use
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European Organization for Caries Research Workshop: Methodology for Determination of Potentially Available Fluoride in Toothpastes.
Toothpastes are the most universally accepted form of fluoride delivery for caries prevention. To provide anti-caries benefits, they must be able to release fluoride during the time of tooth brushing or post brushing into the oral cavity. However, there is no standard accepted procedure to measure how much fluoride in
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Fluoride Levels in Saliva and Plaque following the Use of High Fluoride and Conventional Dentifrices- a Triple Blinded Randomised Parallel Group Trial.
Context: The comparison of fluoride levels in saliva and plaque following the use of conventional, 2800 and 5000 ppm dentifrices for different time intervals up to 24 hours has not been explored. Aim: The aim of the present study was to assess salivary and plaque fluoride levels at different time intervals
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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 & 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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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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Fluoride Toothpaste: A Cause of Acne-like Eruptions
I feel that I should share with my colleagues in dermatology an observation relative to the treatment of problem acne.
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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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