Skip to main content

Advertisement

Log in

Maternal report underestimates the amount of dentifrice used by children during toothbrushing: a cross-sectional study

  • Original Scientific Article
  • Published:
European Archives of Paediatric Dentistry Aims and scope Submit manuscript

Abstract

Purpose

This study investigated whether the report of mothers about the amount of dentifrice applied on a toothbrush could be a reliable method to estimate the inadvertent use of dentifrices.

Methods

A cross-sectional study was conducted in a randomly selected sample of 334 mothers of children enrolled in public day care centres of a city in the Brazilian northeast. Initially, the mothers chose the figure corresponding to the amount of dentifrice used during their children’s daily toothbrushing. Then, they simulated real-life conditions with the toothbrush routinely used to brush the children’s teeth. The amount of dentifrice on toothbrush was weighted using an analytical scale. Data were analysed by the Kruskal–Wallis followed by the Dunn test (α = 0.05).

Results

The weight of dentifrice on the toothbrush was high (> 0.3 g), mainly considering the categories ‘covered only’ and ‘completely covered’ that showed no statistical difference (p > 0.05). The proportion of agreement between the mothers’ reports and the weight of dentifrice on the toothbrush was 0.23 (CI 0.18–0.28).

Conclusion

The mothers’ report regarding the amount of dentifrice on the toothbrush by demonstrative figures was not a reliable method to estimate the inadvertent ingestion of fluoride from dentifrices.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Graphic 1
Graphic 2

Similar content being viewed by others

References

  • American Academy of Pediatric Dentistry. Guideline on fluoride therapy. Ref Man. 2014;37:176–9.

    Google Scholar 

  • Creeth J, Bosma ML, Govier K. How much is a “pea-sized amount”? A study of dentifrice dosing by parents in three countries. Int Dent J. 2013;63:25–30.

    Article  Google Scholar 

  • de Sousa ET, Alves VF, Maia FBM, Nobre-dos-Santos M, Forte FDS, Sampaio FC (2018) Influence of fluoridated groundwater and 1,100 ppm fluoride dentifrice on biomarkers of exposure to fluoride. Braz Dent J 29(5):475–82.

    Article  Google Scholar 

  • do Nascimento HAR, Soares Ferreira JM, Granville-Garcia AF, de Brito Costa EMM, Almeida Cavalcante AL, Sampaio FC. Estimation of toothpaste fluoride intake in preschool children. Braz Dent J. 2013;24:142–6.

    Article  Google Scholar 

  • Franzman MR, Levy SM, Warren JJ, Broffitt B. Tooth-brushing and dentifrice use among children ages 6 to 60 months. Pediatr Dent. 2004;26:87–92.

    PubMed  Google Scholar 

  • Huebner CE, Thomas A, Scott J, Lin J-Y. Parents’ interpretation of instructions to control the dose of fluoridated toothpaste used with young children. Pediatr Dent. 2013;35:262–6.

    PubMed  Google Scholar 

  • Lwanga S, Lemeshow S. Sample size determination in health studies: a practical manual. Geneva: World Health Organization; 1991.

    Google Scholar 

  • Marinho VC, Higgins JP, Logan S, Sheiham A. Topical fluoride (toothpastes, mouthrinses, gels or varnishes) for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2003;2003:CD002782.

    Google Scholar 

  • Martins CC, Oliveira MJ, Pordeus IA, Cury JA, Paiva SM. Association between socioeconomic factors and the choice of dentifrice and fluoride intake by children. Int J Environ Res Public Health. 2011;8:4284–99.

    Article  Google Scholar 

  • Moimaz SAS, Saliba O, Marques LB, Garbin CAS, Saliba NA. Dental fluorosis and its influence on children’s life. Braz Oral Res. 2015;29:1–7.

    Article  Google Scholar 

  • Oliveira MJL, Paiva SM, Martins LHPM, Ramos-Jorge ML, Lima YBO, Cury JA. Fluoride intake by children at risk for the development of dental fluorosis: comparison of regular dentifrices and flavoured dentifrices for children. Caries Res. 2007;41:460–6.

    Article  Google Scholar 

  • Oliveira MJL, Martins CC, Paiva SM, Tenuta L, Cury JA. Estimated fluoride doses from toothpastes should be based on total soluble fluoride. Int J Environ Res Public Health. 2013;10:5726–36.

    Article  Google Scholar 

  • Santos AP, Nadanovsky P, Oliveira BH. A systematic review and meta-analysis of the effects of fluoride toothpastes on the prevention of dental caries in the primary dentition of preschool children. Community Dent Oral Epidemiol. 2013;41:1–12.

    Article  Google Scholar 

  • Wong MCM, Clarkson J, Glenny AM, Lo ECM, Marinho VCC, Tsang BWK, Walsh T, Worthington HV. Cochrane reviews on the benefits/risks of fluoride toothpastes. J Dent Res. 2011;90:573–9.

    Article  Google Scholar 

  • Wright JT, Hanson N, Ristic H, Whall CW, Estrich CG, Zentz RR. Fluoride toothpaste efficacy and safety in children younger than 6 years: a systematic review. J Am Dent Assoc. 2014;145:182–9.

    Article  Google Scholar 

  • Zohoori FV, Buzalaf MAR, Cardoso CAB, Olympio KPK, Levy FM, Grizzo LT, Mangueira DF, Sampaio FC, Maguire A. Total fluoride intake and excretion in children up to 4 years of age living in fluoridated and non-fluoridated areas. Eur J Oral Sci. 2013;121:457–64.

    Article  Google Scholar 

  • Zohoori FV, Whaley G, Moynihan PJ, Maguire A. Fluoride intake of infants living in non-fluoridated and fluoridated areas. Br Dent J. 2014;216:E3.

    Article  Google Scholar 

Download references

Acknowledgements

We especially thank all preschoolers and their parents for their valuable participation in this study. This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to E. T. de Sousa.

Ethics declarations

Conflict of interest

The authors declare no potential conflict of interest with respect to the authorship and/or publication of this article.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

de Siqueira, M.F.G., de Sousa, E.T., Alves, V.F. et al. Maternal report underestimates the amount of dentifrice used by children during toothbrushing: a cross-sectional study. Eur Arch Paediatr Dent 20, 603–607 (2019). https://doi.org/10.1007/s40368-019-00443-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40368-019-00443-7

Keywords

Navigation