Estimated fluoride doses from toothpastes should be based on total soluble fluoride. 2013

Maria José L Oliveira, and Carolina C Martins, and Saul M Paiva, and Livia M A Tenuta, and Jaime A Cury
Department of Paediatric Dentistry and Orthodontics, School of Dentistry, Universidade Estadual de Montes Claros (UNIMONTES), Campus Darcy Ribeiro, Vila Mauricéia, Montes Claros, MG 39410-089, Brazil. carolcm10@hotmail.com.

The fluoride dose ingested by young children may be overestimated if based on levels of total fluoride (TF) rather than levels of bioavailable fluoride (total soluble fluoride-TSF) in toothpaste. The aim of the present study was to compare doses of fluoride intake based on TF and TSF. Fluoride intake in 158 Brazilian children aged three and four years was determined after tooth brushing with their usual toothpaste (either family toothpaste (n = 80) or children's toothpaste (n = 78)). The estimated dose (mg F/day/Kg of body weight) of TF or TSF ingested was calculated from the chemical analysis of the toothpastes. Although the ingested dose of TF from the family toothpastes was higher than that from the children's toothpastes (0.074 ± 0.007 and 0.039 ± 0.003 mg F/day/Kg, respectively; p < 0.05), no difference between types of toothpaste was found regarding the ingested dose based on TSF (0.039 ± 0.005 and 0.039 ± 0.005 mg F/day/Kg, respectively; p > 0.05). The fluoride dose ingested by children from toothpastes may be overestimated if based on the TF of the product. This finding suggests that the ingested dose should be calculated based on TSF. Dose of TSF ingested by children is similar whether family or children's toothpaste is used.

UI MeSH Term Description Entries
D001938 Brazil A country located on the eastern coast of South America, located between Colombia and Peru, that borders the Atlantic Ocean. It is bordered on the north by Venezuela, Guyana, Suriname, and French Guiana, on the south by Uruguay, and on the west by Argentina. The capital is Brasilia.
D002327 Cariostatic Agents Substances that inhibit or arrest DENTAL CARIES formation. (Boucher's Clinical Dental Terminology, 4th ed) Cariostatic Effect,Cariostatic Effects,Agent, Cariostatic,Agents, Cariostatic,Cariostatic Agent,Effect, Cariostatic,Effects, Cariostatic
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D005459 Fluorides Inorganic salts of hydrofluoric acid, HF, in which the fluorine atom is in the -1 oxidation state. (McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Sodium and stannous salts are commonly used in dentifrices. Fluoride
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012995 Solubility The ability of a substance to be dissolved, i.e. to form a solution with another substance. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Solubilities
D014099 Toothbrushing The act of cleaning teeth with a brush to remove plaque and prevent tooth decay. (From Webster, 3d ed) Toothbrushings
D014100 Toothpastes Dentifrices that are formulated into a paste form. They typically contain abrasives, HUMECTANTS; DETERGENTS; FLAVORING AGENTS; and CARIOSTATIC AGENTS. Toothpaste
D017736 Ion-Selective Electrodes Electrodes which can be used to measure the concentration of particular ions in cells, tissues, or solutions. Electrodes, Ion-Selective,Ion Selective Electrode,Ion-Sensitive Electrode,Ion-Sensitive Electrodes,Electrode, Ion Selective,Electrode, Ion-Selective,Electrode, Ion-Sensitive,Electrodes, Ion Selective,Electrodes, Ion-Sensitive,Ion Selective Electrodes,Ion Sensitive Electrode,Ion Sensitive Electrodes,Ion-Selective Electrode,Selective Electrode, Ion,Selective Electrodes, Ion

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