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CC BY 4.0 · European Journal of General Dentistry 2023; 12(03): 183-188
DOI: 10.1055/s-0043-1776320
Original Article

Toothpaste Consumption: Implications for Health and Sustainability in Oral Care

Fabiana Nicita 
1   Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
2   Department of Biomolecular Strategies, Genetics and Cutting-Edge Therapies, I.E.ME.S.T., Palermo, Italy
,
Cesare D'Amico
1   Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
,
Giuseppe Minervini
3   Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy
,
Gabriele Cervino 
1   Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
,
Luca Fiorillo
1   Department of Biomedical and Dental Sciences and Morphofunctional Imaging, University of Messina, Messina, Italy
3   Multidisciplinary Department of Medical-Surgical and Dental Specialties, University of Campania Luigi Vanvitelli, Naples, Italy
4   Department of Public Health Dentistry, Dr D.Y. Patil Dental College and Hospital, Dr D.Y. Patil Vidyapeeth, Pune, Maharashtra, India
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Abstract

Objective Toothpaste is a crucial component of daily oral hygiene routines and is significant in maintaining oral health. This study aimed to assess the amount of toothpaste consumed during tooth brushing and investigate the influence of toothbrush type on toothpaste consumption.

Materials and Methods Ten volunteer students of dentistry who regularly practiced oral hygiene at home were enrolled. Participants used a 15-mL tube of toothpaste with manual and electric toothbrushes and the amount consumed was recorded three times daily.

Statistical Analysis Variance analysis for repeated measures was applied for differences within groups for toothbrush types while the t-test was carried out to compare the mean quantities between groups. Statistical significance was set at p < 0.05.

Results The findings revealed no significant difference in toothpaste consumption across different time intervals for both manual and electric toothbrushes. However, a significant difference in toothpaste consumption was observed when comparing toothbrush types. Participants using electric toothbrushes consumed less toothpaste compared to those using manual toothbrushes.

Conclusion The observed differences in toothpaste consumption highlight the importance of considering toothbrush type when promoting appropriate usage. With their advanced brushing mechanisms, electric toothbrushes may enhance cleaning efficiency and reduce the need for a large amount of toothpaste. Reducing toothpaste consumption benefits oral health and contributes to environmental sustainability. It minimizes packaging waste, conserves energy and resources, promotes water conservation, preserves ecosystems, and encourages a culture of ecological responsibility. By embracing a more conscious approach to toothpaste usage, individuals can contribute to a greener and more sustainable future.

Keywords

oral hygiene - toothpaste consumption - sustainability - oral care


Publication History

Article published online:
26 December 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Jardim JJ, Alves LS, Maltz M. The history and global market of oral home-care products. Braz Oral Res 2009; 23 (Suppl. 01) 17-22
    CrossrefPubMedSearch in Google Scholar
  • 2 Cury JA, Tenuta LMA. Evidence-based recommendation on toothpaste use. Braz Oral Res 2014; 28 (Spec No): 1-7
    CrossrefPubMedSearch in Google Scholar
  • 3 Fluoride toothpaste. Lancet 1971; 2 (7726) 703-704
    PubMedSearch in Google Scholar
  • 4 Regulation UNIONP. (EC) No 1223/2009 of the European Parliament and of the council. Off J Eur Union L 2009; 342: 59
    Search in Google Scholar
  • 5 Pollick H. The role of fluoride in the prevention of tooth decay. Pediatr Clin North Am 2018; 65 (05) 923-940
    CrossrefPubMedSearch in Google Scholar
  • 6 Walsh T, Worthington HV, Glenny AM, Marinho VC, Jeroncic A. Fluoride toothpastes of different concentrations for preventing dental caries. Cochrane Database Syst Rev 2019; 3 (03) CD007868
    PubMedSearch in Google Scholar
  • 7 Attin T, Hornecker E. Tooth brushing and oral health: how frequently and when should tooth brushing be performed?. Oral Health Prev Dent 2005; 3 (03) 135-140
    PubMedSearch in Google Scholar
  • 8 O'Mullane DM, Baez RJ, Jones S. et al. Fluoride and oral health. Community Dent Health 2016; 33 (02) 69-99
    PubMedSearch in Google Scholar
  • 9 Marinho VCC. Cochrane reviews of randomized trials of fluoride therapies for preventing dental caries. Eur Arch Paediatr Dent 2009; 10 (03) 183-191
    CrossrefPubMedSearch in Google Scholar
  • 10 ten Cate JM. Current concepts on the theories of the mechanism of action of fluoride. Acta Odontol Scand 1999; 57 (06) 325-329
    CrossrefPubMedSearch in Google Scholar
  • 11 Ekambaram M, Itthagarun A, King NM. Ingestion of fluoride from dentifrices by young children and fluorosis of the teeth–a literature review. J Clin Pediatr Dent 2011; 36 (02) 111-121
    CrossrefPubMedSearch in Google Scholar
  • 12 Pendrys DG, Haugejorden O, Bårdsen A, Wang NJ, Gustavsen F. The risk of enamel fluorosis and caries among Norwegian children: implications for Norway and the United States. J Am Dent Assoc 2010; 141 (04) 401-414
    CrossrefPubMedSearch in Google Scholar
  • 13 Scientific Committee on Cosmetic Products and Non-Food Products intended for Consumers (SCCNFP). The safety of fluorine compounds in oral hygiene products for children under the age of 6 years. 24-25 June 2003, SCCNFP/0653/03
  • 14 Cochran JA, Ketley CE, Duckworth RM. et al. Development of a standardized method for comparing fluoride ingested from toothpaste by 1.5-3.5-year-old children in seven European countries. Part 1: field work. Community Dent Oral Epidemiol 2004; 32 (Suppl. 01) 39-46
    CrossrefPubMedSearch in Google Scholar
  • 15 Creeth J, Bosma ML, Govier K. How much is a ‘pea-sized amount’? A study of dentifrice dosing by parents in three countries. Int Dent J 2013; 63 Suppl 2 (Suppl. 02) 25-30
    CrossrefPubMedSearch in Google Scholar
  • 16 McNamara C, Rohan D, Golden D. et al. Probabilistic modelling of European consumer exposure to cosmetic products. Food Chem Toxicol 2007; 45 (11) 2086-2096
    CrossrefPubMedSearch in Google Scholar
  • 17 Hall B, Tozer S, Safford B. et al. European consumer exposure to cosmetic products, a framework for conducting population exposure assessments. Food Chem Toxicol 2007; 45 (11) 2097-2108
    CrossrefPubMedSearch in Google Scholar
  • 18 Hall B, Steiling W, Safford B. et al. European consumer exposure to cosmetic products, a framework for conducting population exposure assessments Part 2. Food Chem Toxicol 2011; 49 (02) 408-422
    CrossrefPubMedSearch in Google Scholar
  • 19 SCCS members, Other experts. The SCCS Notes of Guidance for the testing of cosmetic ingredients and their safety evaluation, 11th revision, 30-31 March 2021, SCCS/1628/21. Regul Toxicol Pharmacol 2021; 127: 105052
    CrossrefPubMedSearch in Google Scholar
  • 20 Ficheux AS, Wesolek N, Chevillotte G, Roudot AC. Consumption of cosmetic products by the French population. First part: frequency data. Food Chem Toxicol 2015; 78: 159-169
    CrossrefPubMedSearch in Google Scholar
  • 21 Ficheux AS, Chevillotte G, Wesolek N. et al. Consumption of cosmetic products by the French population second part: amount data. Food Chem Toxicol 2016; 90: 130-141
    CrossrefPubMedSearch in Google Scholar
  • 22 Garcia-Hidalgo E, von Goetz N, Siegrist M, Hungerbühler K. Use-patterns of personal care and household cleaning products in Switzerland. Food Chem Toxicol 2017; 99: 24-39
    CrossrefPubMedSearch in Google Scholar
  • 23 Dornic N, Ficheux AS, Roudot AC. Consumption of cosmetic products by the French population. Third part: product exposure amount. Food Chem Toxicol 2017; 106 (Pt A): 209-222
    CrossrefPubMedSearch in Google Scholar
  • 24 Bernard A, Dornic N, Roudot A, Ficheux A. Probabilistic exposure assessment to face and oral care cosmetic products by the French population. Food Chem Toxicol 2018; 111: 511-524
    CrossrefPubMedSearch in Google Scholar
  • 25 Ng C, Tsoi JKH, Lo ECM, Matinlinna AJP. Safety and design aspects of powered toothbrush-a narrative review. Dent J 2020; 8 (01) 15
    CrossrefPubMedSearch in Google Scholar
  • 26 Adam R. Introducing the Oral-B iO electric toothbrush: next generation oscillating-rotating technology. Int Dent J 2020; 70 Suppl 1 (Suppl. 01) S1-S6
    CrossrefPubMedSearch in Google Scholar
  • 27 de Silva AM, Hegde S, Akudo Nwagbara B. et al. Community-based population-level interventions for promoting child oral health. Cochrane Database Syst Rev 2016; 9 (09) CD009837
    PubMedSearch in Google Scholar
  • 28 Kedzierski M, Frère D, Le Maguer G, Bruzaud S. Why is there plastic packaging in the natural environment? Understanding the roots of our individual plastic waste management behaviours. Sci Total Environ 2020; 740: 139985
    CrossrefPubMedSearch in Google Scholar
  • 29 Porta R, Sabbah M, Di Pierro P. Bio-based materials for packaging. Int J Mol Sci 2022; 23 (07) 3611
    CrossrefPubMedSearch in Google Scholar
  • 30 Madhumitha CT, Karmegam N, Biruntha M. et al. Extraction, identification, and environmental risk assessment of microplastics in commercial toothpaste. Chemosphere 2022; 296: 133976
    CrossrefPubMedSearch in Google Scholar
  • 31 Ustabasi GS, Baysal A. Bacterial interactions of microplastics extracted from toothpaste under controlled conditions and the influence of seawater. Sci Total Environ 2020; 703: 135024
    CrossrefPubMedSearch in Google Scholar
  • 32 Bhagat J, Nishimura N, Shimada Y. Toxicological interactions of microplastics/nanoplastics and environmental contaminants: current knowledge and future perspectives. J Hazard Mater 2021; 405: 123913
    CrossrefPubMedSearch in Google Scholar
  • 33 Suppipat S, Hu AH, Trinh LTK, Kuo CH, Huang LH. A comparative life cycle assessment of toothpaste cream versus toothpaste tablets. Sustain Prod Consum 2022; 29: 357-369
    CrossrefSearch in Google Scholar
  • 34 Heink U, Kowarik I. What are indicators? On the definition of indicators in ecology and environmental planning. Ecol Indic 2010; 10 (03) 584-593
    CrossrefSearch in Google Scholar