Healthy Individuals Clinical Trial
Official title:
Fluoride Intake From Tooth Brushing With Children's and Regular Toothpastes: a Study With Preschooler Children
There are controversial data about fluoride intake by children when tooth brushing with children's or regular toothpastes. However, a study have showed that children were exposed to a dose of 0.051 mg F/Kg/day and 0.046 mg F/kg/day by tooth brushing with children's and and regular toothpaste, respectively. Fluorides doses were too close and is questioned if there is a real clinical relevance in terms of risk of dental fluorosis. It is important to evaluate if children's toothpastes does really represent a risk of fluoride intake when compared to the regular toothpastes in terms of risk of dental fluorosis. The hypothesis is that both children's and regular toothpastes can represente risks of development of dental fluorosis and can represent similar fluoride exposure by children.
Subjects: Children at age of development of dental fluorosis (up to 4 years) enrolled at day
care centres from the city of Montes Claros (0.7 ppm F), Brazil.
The study design has two phases:
1. In the first phase, children are required to bring at the day care centres the tooth
brush and the toothpaste used at home. There is no randomization, since the inclusion
in either children's or regular toothpaste groups will be done based on each child's
preference. The children are requested to tooth brush as the usual manner that the
parent and the child do at home. Saliva expectorates are collected as the protocol
described by Guha-Chowdhury et al. (1996). No instructions are provided in this phase
or interventions by the researcher. Saliva expectorates are collected for further
laboratory analysis. Toothpastes are collected for laboratory analysis.
2. In the second phase, children are required to toothbrush with other type of toothbrush
following the same tooth brushing protocol. For example, children that previously used
children's toothpaste will be provided a regular toothpaste, and vice-versa.
Parents are requested to answer a questionnaire regarding their children's tooth brushing
habits and socioeconomic factors.
Laboratory analysis provides estimation of fluoride intake from tooth brushing with both
toothpastes.
Analysis will base on dose of fluoride intake (mg F/Kg body weight/day) considering
children's and regular toothpastes.
;
Allocation: Non-Randomized, Endpoint Classification: Safety Study, Intervention Model: Crossover Assignment, Masking: Single Blind (Outcomes Assessor), Primary Purpose: Prevention
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