Investigating the prevalence of non-fluoride toothpaste use in adults and children using nationally representative data from New Zealand: a cross-sectional study

Hobbs, Matthew; Marek, Lukáš; Clarke, R.; McCarthy, John P.; Tomintz, Melanie; Wade, Alicia; Campbell, Malcolm; Kingham, Simon

doi:10.1038/s41415-020-1304-5

Cited by 11 publications

(6 citation statements)

References 22 publications

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“…A somewhat surprising finding was that, although almost 80% of high‐SES adults used fluoride toothpaste, this was still 11% per cent lower than for low‐SES adults. This mirrors similar findings from the 2017/18 New Zealand Oral Health Survey, an interview survey of a national sample which found a lower prevalence of non‐fluoride toothpaste use in those of low SES 25 . This difference is difficult to explain, since it would be expected that those of high SES—who have better oral hygiene 26,27,28 —would use fluoride toothpaste.…”

Section: Discussionsupporting

confidence: 77%

“…This mirrors similar findings from the 2017/18 New Zealand Oral Health Survey, an interview survey of a national sample which found a lower prevalence of non-fluoride toothpaste use in those of low SES. 25 This difference is difficult to explain, since it would be expected that those of high SES-who have better oral hygiene 26,27,28 was shown in a Turkish study to be associated with greater knowledge of fluoride and its protective properties; that same study concluded that fluoride-free toothpaste was preferred by people who lacked information on fluoride. 26 Our finding may be due to higher-SES participants having had both greater autonomy and more access to alternative points of view on a range of health issues.…”

Section: Discussionmentioning

confidence: 99%

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Oral self‐care among dependent older New Zealanders

et al. 2023

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ObjectivesThe objective of the study was to describe the occurrence and associations of oral self‐care by dependent older New Zealanders.BackgroundDependent older adults who require some level of assisted daily care have been shown to have poorer oral health than their independent counterparts, yet national estimates are lacking.Materials and methodsA secondary analysis was conducted of data from New Zealand's 2012 Older People's Oral Health Survey, a national survey that interviewed and examined a representative sample of 2,218 dependent older adults living in aged residential care or receiving home‐based care. Survey data were weighted for statistical analyses, and modelling was carried out using a modified Poisson approach.ResultsOverall, 59.5% (95% CI: 55.1, 63.7) of participants brushed their teeth twice a day, with this rate higher among women, Asians and those without cognitive or physical impairment. Cleaning interdentally at least once a week was less common than brushing, at 25.9% (95% CI: 21.5, 30.9), and that proportion was significantly lower among those with higher dependency or who were cognitively or physically impaired. Almost 9 in 10 (87.8%; 95% CI 83.1, 91.4) used fluoride toothpaste, and adults of high socio‐economic status had lower rates of fluoride toothpaste use. Only 15.0% (95% CI 12.4, 18.0) used mouthwash, with this being most prevalent in Pasifika. More than half of those who wore dentures also wore them at night.ConclusionOral self‐care was sub‐optimal among dependent older New Zealanders. Improving the situation should be a high priority.

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Section: Discussionsupporting

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Oral self‐care among dependent older New Zealanders

et al. 2023

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“…Surprisingly, we observed that the use of fluoride toothpaste was carried out only “sometimes” (29.5% before lockdown, 29.5% during lockdown; p > 0.05), or was not used at all (15.5% before lockdown, 16.8% during lockdown; p > 0.05) by a high percentage of subjects. The percentage of children using non-fluoridated toothpaste was higher than that observed (6.4%) in a cross-sectional study conducted in New Zealand on 4723 children [ 45 ]. It is possible to highlight that almost half of the children in the study did not perform the correct topical fluor prophylaxis using fluoride toothpaste even before the lockdown.…”

Section: Discussionmentioning

confidence: 77%

Cariogenic Risk and COVID-19 Lockdown in a Paediatric Population

Docimo

Costacurta

Gualtieri

et al. 2021

IJERPH

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The Severe Acute Respiratory Syndrome Coronavirus 2 disease COVID-19 pandemic caused several lifestyle changes, especially among younger people. The study aimed to describe the impact of eating habits, lifestyle, and home oral hygiene during the COVID-19 pandemic, on the cariogenic risk in the Italian paediatric population, by using an online survey. The survey was conducted through a virtual questionnaire divided into four parts: child personal and anthropometric data; oral health; child dietary habits (KIDMED test); and child lifestyle, before and during COVID-19 lockdown. During the lockdown, only 18.6% of the participants had high adherence to a Mediterranean diet, recording an increase in sweets consumption and the number of meals (p < 0.001). In terms of lifestyle, the percentage of moderately and vigorously active children decreased (41.4% and 5.0%, respectively) (p = 0.014). The percentage of children sleeping more than 9 h increased (p < 0.001). They watched more television programs (p < 0.001). Regarding oral hygiene, children did not change their brushing habits (p = 0.225). The percentage of children using non-fluoridated toothpaste was higher (6.4%), and no changes were observed (p > 0.05). In some cases, dental pain and abscesses were declared (10% and 2.7%, respectively). This study confirms the need for campaigns to promote hygiene and dental care in combination with food education for a correct habit and promotion of a healthy and sustainable dietary style.

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“…At baseline, these attitudes showed very high, positive scores reflecting a general, underlying, shared understanding of the importance of these areas with respect to oral health. With regards to the importance of fluoride, despite the strong evidence base and widespread advocacy for its caries-preventive effects [ 22 , 23 ], there is an established, and in some geographies, growing resistance to utilise fluoride containing products, including in communities of lower socioeconomic status who may present a higher disease burden [ 21 , 24 ]. It is, therefore, encouraging to observe the improvement in attitudes achieved in this study, given the public health importance of regular usage of fluoride-containing toothpastes.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a digital oral health intervention (Know Your OQ™) to enhance knowledge, attitudes and practices related to oral health

Kitsaras,

Gomez,

Hogan

et al. 2023

BDJ Open

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Objective/Aim Optimal oral health behaviours are crucial to avoid preventable dental diseases and maintain good oral health. This research aimed to evaluate the impact of a digital oral health intervention (Know Your OQ™) in changing knowledge, attitudes and practices related to oral health. Materials & methods Two studies were conducted with a total of 296 healthy adults. Demographic data as well as knowledge, attitudes, and practices (KAPs) related to oral health were collected before and after completion of the Know Your OQ™ intervention. The KAPs questionnaire included 19 multiple choice questions. Comprehension and feedback were also collected. Results In total, 134 (45%) male and 162 (55%) female participants completed the two studies. Across both studies, 5 out of 7 knowledge questions and 2 out of 5 attitude questions showed significant changes pre/post-intervention with participants increasing their knowledge and improving their attitudes towards oral health. Only 1 practice changed in the first study, however, in the second study, 4 out of 7 practice questions showed significant changes pre/post-intervention. Comprehensibility was high across both studies with overall, positive feedback on the intervention. Conclusion A digital oral health intervention was successful in increasing knowledge, changing attitudes and self-reported practices with regards to oral health in a diverse sample of the US population.

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Investigating the prevalence of non-fluoride toothpaste use in adults and children using nationally representative data from New Zealand: a cross-sectional study

Cited by 11 publications

References 22 publications

Oral self‐care among dependent older New Zealanders

Oral self‐care among dependent older New Zealanders

Cariogenic Risk and COVID-19 Lockdown in a Paediatric Population

Evaluation of a digital oral health intervention (Know Your OQ™) to enhance knowledge, attitudes and practices related to oral health

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