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Órgano Oficial de la Asociación Dental Mexicana

2013, Number 1

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Rev ADM 2013; 70 (1)

Fluoride intake from toothpaste use in preschoolers

De la Cruz CD, Tapia SS, Cervantes SA, Sánchez BC, Pinelo BP

Language: Spanish
References: 35
Page: 12-16
PDF size: 1797.80 Kb.


ABSTRACT

Background: A survey carried out a shopping mall located in the eastern part of Mexico City revealed that all the toothpastes sold there had fluoride concentrations of between 500 and 1500 µg/mL. Due to the generalized use of fluoride toothpaste in this city, these products have led to a low incidence of dental caries. However, they represent a potential source of fluoride intake in children under 6. Few country-wide studies have been performed on this subject.
Objective: To determine the amount of fluoride ingested by Mexican infants and children as a result of their using these kinds of toothpastes.
Material and Method: The research was carried out on a volunteer population consisting of 62 children aged between 3 and 6 years old registerde at a daycare center in the eastern part of Mexico City, our having first obtained the signed consent of a parent or guardian in each case. Whilst at the daycare center, each child brushed their teeth using their usual method. The water used for rinsing their mouths was collected by the children themselves in a plastic container and then analyzed potentiometrically using a fluoride selective electrode.
Results and Conclusions: The fluoride ingested by the children participating in this study was within the 100 and 1800 µg/mL range, the highest value being associated with the toothpaste with the highest concentration of fluoride (p‹0.05). The fluoride concentration of the toothpastes used by the children differed from that stated on the label. Given that the maximum recommended intake of fluoride is based on that obtained from water, food, and other sources, such as toothpaste, we can conclude that the children that participated in this survey are at risk of having a higher fluoride intake that the optimal dose.


REFERENCES

  1. Heilman JR, Kiritsy MC, Levy SM, Wefel JS. Assessing fluoride levels of carbonated soft drinks.JADA 1999;130:1593-1599.

  2. Franzman MR, Levy SM, Warren JJ, Broffitt B. Fluoride dentifrice ingestion and fluorosis of the permanent incisors. JADA 2006;137:645-652.

  3. Den Besten PK. Mechanism and timing of fluoride effects on developing enamel.J Public Health Dent 1999;59(4):247-251.

  4. Evans RW, Darvell BW.Refining the estimate of the critical period for susceptibility to enamel fluorosis in human maxillary central incisors.J Public Health Dent 1995;55(4):238-249.

  5. Skotowski MC, Hunt RJ, Levy SM. Risk factors for dental fluorosis in pediatric dental patients. J Public Health Dent 1995;55(3):154-159.

  6. Osuji OO, Leake JL, Chipman ML, Nikiforuk G, Locker D, Levine N. Risk factors for dental fluorosis in a fluoridated community.J Dent Res1988;67(12):1488-1492.

  7. de Almeida BS, da Silva Cardoso VE, Buzalaf MAR. Fluoride ingestion from toothpaste and diet in 1-to 3-year-old Brazilian children. Community Dent Oral Epidemiol2007;35:53-63

  8. Celada CN. Contenido de fluoruro en alimentos de una estancia infantil por el método de dieta duplicada. Estudio estacional. México. Tesis. Carrera de Cirujano Dentista. UNAM FES Zaragoza; 2007.

  9. Kiritsy MC, Levy SM, Warren JJ, Guha-Chowdhury N, Heilman JR, Marshall T. Assessing fluoride concentrations of juices and juiceflavored drinks. JADA1996;127:895-902.

  10. Martínez JI. Contenido de fluoruro de leches de mayor consumo en una estancia infantil. Estudio comparativo. México. Tesis. UNAM FES Zaragoza; 2006.

  11. Whelton HP, Ketley CE, McSweeney F, O'Mullane DM. A review of fluorosis in the European Union: prevalence, risk factors and aesthetic issues. Community Dent Oral Epidemiol 2004;32(suppl. 1):9- 18.

  12. 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.

  13. Warren JJ, Levy SM. A review of fluoride dentifrice related to dental fluorosis. Pediatr Dent 1999;21(4):265-271.

  14. Tabari ED, Ellwood R, Rugg-Gunn AJ, Evans DJ, Davies RM. Dental fluorosis in permanent incisor teeth in relation to water fluoridation, social deprivation and toothpaste use in infancy. Br Dent J 2000;189(4):216-220.

  15. Lalumandier JA, Rozier RG. The prevalence and risk factors of fluorosis among patients in a pediatric dental practice.Pediatr Dent 1995;17(1):19-25.

  16. Wang NJ, Gropen AM, Ogaard B. Risk factors associated with fluorosis in a non-fluoridated population in Norway. Community Dent Oral Epidemiol1997;25:396-401.

  17. Pendrys DG, Katz RV, Morse DE. Risk factors for enamel fluorosis in a nonfluoridated population. Am J Epidemiol 1996;143(8):808- 815.

  18. Levy SM, Kiritsy MC, Warren JJ. Sources of fluoride intake in children.J Public Health Dent 1995;55(1):39-52.

  19. Adair SM, Piscitelli WP, McKnight-Hanes C. Comparison of the use of a child and an adult dentifrice by a sample of preschool children. PediatrDent 1997;19(2):99-103.

  20. Levy SM, Maurice TJ, Jakobsen JR. A pilot study of preschoolers' use of regular-flavored dentifrices and those flavored for children.Pediatr Dent 1992;14:388-391.

  21. García AS, González FI. Estudio epidemiológico transversal de los niveles de excreción de fluoruro en orina de una población de escolares de 6 a 14 años de edad. México. Tesis. UNAM FES Zaragoza; 1999.

  22. Sánchez BM. Validación y comparación del método analítico potenciométrico para la determinación de ion fluoruro en orina utilizando dos diferentes soluciones amortiguadoras. México. Tesis. UNAM FES Zaragoza; 1999.

  23. Rojas-Sánchez F. et al. Fluoride intake from foods, beverages and dentifrice by young children in communities with negligibly and optimally fluoride water: a pilot study. Community Dent Oral Epidemiol 1999;27:288-297.

  24. Corning. A Guide to Ion Selective Electrode Analyses.México; 1988.

  25. Martínez-Mier EA. et al. Fluoride intake from foods, beverages and dentifrice by children in Mexico.Community Dent Oral Epidemiol 2003;31:221-230.

  26. Bentley EM, Ellwood RP, Davies RM. Fluoride ingestion fromtoothpaste by young children. Br Dent J 1999;186(9):460-462.

  27. Moraes SM, Pessan JP, Ramires I, Buzalaf MAR. Fluoride intake from regular and low fluoride dentifrices by 2-3-year-old children: influence of the dentifrice flavor. Braz Oral Res2007;21(3):234-240.

  28. Paiva SM, Lima YBO, Cury JA. Fluoride intake by Brazilian children from two communities with fluoridated water.CommunityDent Oral Epidemiol2003;31:184-191.

  29. Barbería E, Cárdenas D, Suárez M, Maroto M. Fluoruros tópicos: Revisión sobre su toxicidad. Rev EstomatolHerediana 2005;15(1):86- 92.

  30. Bottenberg P, Declerck D, Ghidey W, Bogaerts K, Vanobbergen J, Martens L. Prevalence and determinants of enamel fluorosis in Flemish schoolchildren. Caries Res 2004;38(1):20-28.

  31. Food and Nutrition Board of Institute of Medicine. Tercer Examen de Salud Nacional y Estudio de Nutrición (NHANES III) en Estados Unidos.1988-94. 1997.

  32. Whitford GM. Fluoride metabolism and excretion in children. J Public Health Dent 1999;59(4):224-228.

  33. Whitford GM. Intake and metabolism of fluoride. Adv Dent Res 1994;8(1):5-14.

  34. García BC, Pérez LL. Calcificación y Erupción de los dientes permanentes. Anomalías de la dentición: Estructura y Color. En: Barbería ED. Odontopediatría. 2a. ed. Masson: España; 2001.

  35. Organización Panamericana de la Salud. Recomendaciones para la Vigilancia y Monitoreo de los Programas de Fluoruración en la Prevención de la Caries Dental. Material Mimeografiado.1996.




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