Total and soluble fluoride concentration in children´s toothpastes in Spain
e202104050
Keywords:
Dental caries, Fluoride, Toothpastes, Soluble fluorideAbstract
Background: The use of fluoridated toothpastes is considered the most rational method in dental caries control, and it is recommended for all ages people, but for this they must be established at a minimum concentration of 1,000 ppm of total soluble fluoride, in pediatric patients. The objective of the study was to determine the concentration of total and soluble fluoride present in toothpastes marketed in Spain for pediatric use.
Methods: A descriptive and cross-sectional study was carried out throughout 2019, analyzing 11 toothpastes for pediatric use marketed in Murcia, Spain. The concentration of fluoride (ppm F=mg F/Kg) total (FT), soluble (FTS) and fluoride ion (F) and MFP (FPO32-) was analyzed using an ion-specific electrode coupled to an ion analyzer. A descriptive study was carried out to determinate mean and standard deviations for each variable analyzed.
Results: Among the analyzed toothpastes, 45% contained NaF (sodium fluoride), 45% MFP (sodium monofluorophosphate) and 10% both types of salts. The abrasive used was silica. 98% of the analyzed toothpastes showed total fluoride contents similar to those described by the manufacturer, only 3 toothpastes had fluoride concentrations lower than those described. The range obtained from FT oscillated between 398 -1,474.6 ppm F, and 100% of the toothpastes did not show differences between values of total fluoride and soluble fluoride.
Conclusions: Most of the analyzed toothpastes contain a concentration of soluble fluoride between 1,000-1,500 ppm Fluoride, corresponding to the values described by the manufacturers However, there are still toothpastes with values lower than those recommended, minimum 1,000 ppm F, that do not allow effective anticaries activity from a public health point of view.
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References
Marinho VC, Higgins JP, Sheiham A, Logan S. Fluoride toothpastes for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2003; (1):CD002278. http://doi.org/10.1002/14651858.CD002278
Cury JA, Tenuta LMA. Enamel remineralization: controlling the caries disease or treating the early caries lesions? Braz Oral Res. 2009;23(1):23-30. http://doi.org/10.1590/s1806-83242009000500005
Cury JA, Caldarelli PG, Tenuta LMA. Necessity of review the Brazilian regulation about fluoride tooth-pastes. Rev Saúde Publica 2015. 49. http://doi.org/10.1590/S0034-8910.2015049005768
Walsh T, Worthington HV, Glenny AM, Appelbe P, Marinho VC, Shi X. Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents. Cochrane Database Syst Rev. 2010; 20;(1):CD007868. http://doi.org/10.1002/14651858.CD007868.pub2
Cury JA, Oliveira MJL, Martins CC, Tenuta LMA, Paiva SM. Available fluoride in toothpastes used by Brazilian children. Braz Dent J. 2010;21(5):396-400. http://doi.org/10.1590/s0103-64402010000500003
MERCOSUL/GMC/RES No 48/02. Regulamento técnico MERCOSUL sobre lista de ele m os s que os ele m os de higiene pessoal, cosméticos e perfumes não devem conter, exceto nas condições e com as restrições estabelecidas. Brasília: Sistema de Infor- mação do Comércio Exterior; 2002. Consultada a 16 de agosto de 2015, disponible en : http://www.sice.oas.org/trade/mrcsrs/resolutions/res4802p.asp
European Union. Statutory Instruments. Consumer Protection: The Cosmetic Products (Sa- fety) Regulations 2008: No 1284. London: Stationery Office; 2008. Consultada a 16 de agosto de 2015, disponible en: http://www.legislation.gov.uk/uksi/2008/1284/pdfs/ uksi_20081284_en.pdf
Ministério da Saúde, Agência Nacional de Vigilância Sanitária. Portaria no 729, de 28 de agosto de 2000. Diário Oficial União. 2000;1415-1537.
Ministerio de Sanidad y Consumo. RD 1599/1997 de 17 de octubre sobre productos cosméticos. Disponible en: https://www.boe.es/buscar/pdf/1997/BOE-A-1997-23067-consolidado.pdf
Martínez-Mier EA, Tenuta LVA, Carey CM, Cury JA, Loveren CV, Ekstrand KR et al. European Organization for Caries Researhc Workshop: methodology for determination of potentially available fluoride in toothpastes. Caries Res. 2019; 53:119-136. http://doi.org/10.1159/000490196
Falcão A, Tenuta LMA, Cury JA. Fluoride gastrointestinal absorption from Na2FPO3/CaCO3 and NaF/SiO2-based toothpastes. Caries Res. 2013;47(3):226-233. http://doi.org/10.1159/000346006
Fernández CE, Carrera CA, Muñoz Sandoval C, Cury JA, Giacaman RA. Stability of chemically available fluoride in Chilean toothpastes. International Journal of Paediatric Dentistry. 2017. http://doi.org/10.1111/ipd.12288
Coelho CCS, Cury JA, Tabchoury CPM. Chemically Soluble fluoride in Na2FPO3/CaCO3- based toothpaste as an indicator or fluoride bioavailability in saliva during and after toothbrusing. Caries Res. 2020; 54:185-193. http://doi.org/10.1159/000506439
Soysa NS, Cury JA, Alles CNRA. Fluoride concentration and stability in commonly used dentifrices in Sri Lanka. Brazilian Journal of Oral Science. 2018; 17:1-11.
Giacaman RA, Carrera CA, Muñoz-Sandoval C, Fernandez C, Cury JA. Fluoride content in toothpastes commercialized for children in Chile and discussion on profesional recomendations in use. In J Paediatr Dent 2013; 23:77-83. http://doi.org/10.1111/j.1365-263X.2012.01226.x
Marin LM, Castiblanco GA, Usuga-Vacca M, Cury JA, Martignon S. Fluoride concentration of the six most sold toothpastes brands in Colombia. Caries Res 2015; 49:25. http://doi.org/10.1159/000447270
Ricomini Filho AP, Tenuta LM, Fernandes FS, Calvo AF, Kusano SC, Cury JA. Fluoride concen- tration in the top-selling Brazilian toothpastes purchased at different regions. Braz Dent. 2012; 23:45-48. http://doi.org/10.1590/s0103-64402012000100008
Conde, Rebelo MA, Cury JA. Evaluation of the fluoride stability of dentifrices sold in Manaus, AM, Brazil. Pesqui Odontol Bras 2003;17(3):247-253. http://doi.org/10.1590/s1517-74912003000300009
Sebastian ST, Siddanna S. Total and free fluoride concentration in various brands of toothpastes marketed in India. J Clin Diagn Res. 2015; 9(10):ZC09-12. http://doi.org/10.7860/JCDR/2015/13382.6578
Hashizume LN, Lima YB, Kawaguchi Y, Cury JA. Fluoride availability and stability of Japanese dentifrices. J Oral Sci. 2003; 45(4):193-9.
Pearce EI. A laboratory evaluation of New Zealand fluoride toothpastes. N Z Dent J 1974; 70:98-108.
Cury JA, Tenuta LM, Ribeiro CC, Paes Leme AF. The importance of fluoride dentifrices to the current dental caries prevalence in Brazil. Braz Den J 2004; 15:167-174.https:/doi.org/10.1590/s0103-64402004000300001
Toumba KJ, Twetman S, Splieth C, Parnell C, Loveren CV, Lygidakis NA et al. Guidelines on the use of fluoride for caries prevention in children: an updated EAPD policy document.2019; 20:507-516. http://doi.org/10.1007/s40368-019-00464-2
Splieth CH, Banerjee A, Bottenberg P, Breschi L, Campus G, Ekstrand KR et al. How to intervene in the caries proess in children: A Joint ORCA and EFCD Expert Delphy Consensus Statement. Caries Res 2020; 54:297-305. http://doi.org/10.1159/000507692
Noguerol B, Llodra JC, Sicilia A, Follana M. La salud bucodental en España 1994. Antecedentes y perspectivas de futuro. Madrid: Ediciones Avances, 1995.
Bravo Pérez M, Almerich Silla JM, Canorea Díaz E, Casal Peidro E, Cortés Martinicorea FJ, Expósito Delgado AJ et al. Encuesta de Salud Oral en España 2020. RCOE 2020. Disponible en: https://rcoe.es/articulo/115/encuesta-de-salud-oral-en-espaa-2020
Maraver F, Vitoria I, Almerich-Silla JM, Armijo F. Fluoruro en aguas minerales naturales envasadas en España y prevención de la caries dental. Aten Primaria 2015;47:15- 24. http://doi.org/10.1016/j.aprim.2014.04.003
Gallego Reyes SM, Martínez Beneyto Y, Serna-Muñoz C, Perez-Silva A, Aparecido Cury J, Ortiz Ruiz AJ. Fluoride and heavy metals concentration in bottled waters: barrier measures against dental caries and fluorosis. Rev Esp Salud Publica. 2019; dec 17; 93:e20191211.0.
Oliveira MJ, Martins CC, Paiva SM, Tenuta LM, Cury JA. Estimated fluoride doses from toothpastes should be based on total soluble fluoride. Int J Environ Res Public Health. 2013 Nov 1;10(11):5726-5736. http://doi.org/10.3390/ijerph10115726
MINSAL. Resolución exenta nº 784 “Uso de fluoruros en la prevención odontológica. Ministerio de Salud de Chile. 2015. Disponible en: http://odontopediatria.cl/wp-content/uploads/2015/08/nueva-normapastas-dentales.pd
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