EFFECTIVENESS OF DAILY FLUORIDE TOOTHPASTE USE IN REDUCING TOOTH DECAY AND MAINTAINING ORAL HEALTH A POPULATION-BASED STUDY

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Dr Saqib Ghafoor Kayani
Dr Rizwan Qureshi
Dr Muhammad Imtiaz
Dr Sikandar Javed Bajwa
Dr Malik Arshman Khan
Dr Muhammad Farooq

Keywords

Dental caries, fluoride toothpaste, oral health, socioeconomic factors, dietary habits, public health, DMFT index, preventive dentistry

Abstract

Background: Dental caries remains a prevalent global health issue, with fluoride toothpaste widely recognized for its caries-preventive properties. This study aims to evaluate the effectiveness of daily fluoride toothpaste use in reducing tooth decay and maintaining oral health among a diverse population.


Methods: A cross-sectional study was conducted involving 155 participants aged 18 and older, recruited from community centers and dental clinics. Data were collected through structured questionnaires and clinical examinations to assess the prevalence of dental caries using the DMFT index. Statistical analyses, including chi-square tests and logistic regression, were performed to evaluate associations between fluoride toothpaste usage and dental health outcomes.


Results: The findings revealed that 20% of daily fluoride toothpaste users experienced dental caries compared to 50% and 40% among occasional users and non-users, respectively (p < 0.001). The average DMFT score was 1.2, with higher rates of dental caries observed in low-income participants (50%) compared to middle (18.8%) and high-income (28.6%) groups. High sugar intake was associated with a higher prevalence of dental caries (54.5%). Awareness of fluoride benefits was reported by 58.1% of participants, and only 38.7% received formal education on oral hygiene practices.


Conclusion: Daily use of fluoride toothpaste is effective in reducing dental caries prevalence. However, socioeconomic factors and dietary habits significantly influence oral health outcomes. Increasing awareness and education about fluoride's benefits is essential for improving community health, particularly in underserved populations. Targeted public health initiatives should focus on enhancing access to dental care and promoting proper oral hygiene practices.


 

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References

1. Jepsen, S., Blanco, J., Buchala, W., et al. (2017) ‘Prevention and control of dental caries and periodontal diseases at individual and population level: consensus report of group 3 of joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases’, Journal of Clinical Periodontology, 44(Suppl 18), pp. S85–S93.
2. Lenzi, T.L., Montagner, A.F., Soares, F.Z., et al. (2016) ‘Are topical fluorides effective for treating incipient carious lesions?: a systematic review and meta-analysis’, Journal of the American Dental Association, 147(84–91), e1.
3. World Health Organization (2017) WHO Expert Consultation on Public Health Intervention against Early Childhood Caries: Report of a meeting, Thailand, 26-28 January 2016. Geneva: WHO. Available at: http://www.who.int/oral_health/publications/early-childhood-caries-meeting-report-Thailand/en/
4. Wong, M.C., Clarkson, J., Glenny, A.M., et al. (2011) ‘Cochrane reviews on the benefits/risks of fluoride toothpastes’, Journal of Dental Research, 90(5), pp. 573–579.
5. Fejerskov, O., Cury, J.A., Tenuta, L.M. & Marinho, V.C. (2015) ‘Fluorides in caries control’, in Dental caries: the disease and its clinical management, 3rd edn. Oxford: Wiley-Blackwell, pp. 245-276.
6. Horst, J.A., Tanzer, J.M. & Milgrom, P.M. (2018) ‘Fluorides and other preventive strategies for tooth decay’, Dental Clinics, 62(2), pp. 207-234.
7. Iheozor-Ejiofor, Z., Worthington, H.V., Walsh, T., O'Malley, L., Clarkson, J.E., Macey, R. & Glenny, A.M. (2015) ‘Water fluoridation for the prevention of dental caries’, Cochrane Database of Systematic Reviews, (6).
8. Kanduti, D., Sterbenk, P. & Artnik, B. (2016) ‘Fluoride: a review of use and effects on health’, Materia Socio-Medica, 28(2), pp. 133-139.
9. Munteanu, A., Holban, A.M., Păuna, M.R., Imre, M., Farcașiu, A.T. & Farcașiu, C. (2022) ‘Review of professionally applied fluorides for preventing dental caries in children and adolescents’, Applied Sciences, 12(3), pp. 1054.
10. Petersen, P.E. & Ogawa, H. (2016) ‘Prevention of dental caries through the use of fluoride – the WHO approach’, Community Dentistry and Oral Health, 33(2), pp. 66-68.
11. Pitts, N.B., Zero, D.T., Marsh, P.D., Ekstrand, K., Weintraub, J.A., Ramos-Gomez, F. & Ismail, A. (2017) ‘Dental caries’, Nature Reviews Disease Primers, 3(1), pp. 1-16.
12. Peroš, K., Šutej, I. & Bašić, K. (2013) ‘The cariostatic mechanisms of fluoride’, Acta Medica Academica, 42(2), pp. 115-119.
13. Rugg-Gunn, A. (2013) ‘Dental caries: strategies to control this preventable disease’, Acta Medica Academica, 42(2), pp. 117-123.
14. Spencer, A.J., Do, L.G. & Ha, D.H. (2018) ‘Contemporary evidence on the effectiveness of water fluoridation in the prevention of childhood caries’, Community Dentistry and Oral Epidemiology, 46(4), pp. 407-415.
15. Sharma, G., Puranik, M.P. & Sowmya, K.R. (2015) ‘Approaches to arresting dental caries: an update’, Journal of Clinical and Diagnostic Research, 9(5), pp. ZE08-ZE12.
16. Schmalz G, Hickel R, van Landuyt KL, et al. Scientific update on nanoparticles in dentistry. Int Dent J. 2018;68(5):299–305. doi: 10.1111/idj.12394.
17. Schmalz G, Hickel R, van Landuyt KL, et al. Nanoparticles in dentistry. Dent Mater. 2017;33(11):1298–1314.