title: Fluoride toothpaste utilization behaviour among preschool children in Perlis, Malaysia.
abstract: BACKGROUND
  Very mild fluorosis is quite prevalent in children and one of the sources may be attributed to poor fluoride toothpaste utilization habits.
  
  
  OBJECTIVE
  To investigate the frequency of toothbrushing, parental supervision, the person who usually applied the toothpaste, toothpaste swallowing and spitting habits, size of toothbrush, type of toothpaste used and amount of toothpaste used by shape and weight.
  
  
  METHODS
  Observational cross-sectional study of a representative random sample of 373 children aged 5-6 year-old. The children were interviewed using a structured close ended questionnaire. Direct observations were made on their toothpaste dispensing habit during a toothbrushing exercise.
  
  
  RESULTS
  All children reported practising toothbrushing with 90% on a daily basis. Almost all used fluoridated toothpaste (91.4%). About one-half (50.7%) reported that their parents never supervised them. More than one-third of children used adult toothpaste and 60.1% of the toothpaste was flavoured. Most (92%) used toothbrush meant for children. About 40% applied a pea-sized amount of toothpaste. The mean weight of toothpaste applied was 0.43 g (SID + 0.35 g).
  
  
  CONCLUSIONS
  The majority used the recommended child-sized toothbrush and toothpaste that contained fluoride but less than one-half of the parents supervised their children. Most children used flavoured children's toothpaste but a sizable proportion used toothpastes meant for adults. The amount applied by shape and weight exceeded the amount recommended by experts.
authors.affiliation: Kangar Dental Clinic, Kangar Perlis, Malaysia. tayhongluk@yahoo.com
authors.forename: H L
authors.initials: HL
authors.lastname: Tay
authors.forename: I S
authors.initials: IS
authors.lastname: Zainudin
authors.forename: N
authors.initials: N
authors.lastname: Jaafar
mesh_terms: D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D009050:Fluorosis, Dental / Q000209:etiology* / Q000517:prevention & control; D006801:Humans; D008296:Malaysia; D008297:Male; D011795:Surveys and Questionnaires; D014099:Toothbrushing / Q000379:methods*; D014100:Toothpastes / Q000008:administration & dosage* / Q000009:adverse effects* / Q000737:chemistry
chemical_list: D014100:Toothpastes