Department of Dental Sociology, Kanagawa Dental University Graduate School of Dentistry, 82 Inaoka-cho, Yokosuka, 238-8580 Kanagawa, Japan.
BMC Oral Health. 2013 Dec 29;13:74. doi: 10.1186/1472-6831-13-74.
One of the dental health goals of Health Japan 21, in which the Japanese government clarified its health policy, was to ensure the use of fluoride toothpaste in 90% or more of schoolchildren. This goal was not achieved. The aim of this cross-sectional questionnaire study was to evaluate the characteristics of parents whose children use non-fluoride toothpaste.
In December 2010, questionnaire forms were sent to 18 elementary schools or school dentists. Students (6-12 years old) were asked to take the forms home for their parents to fill in, and to bring the completed questionnaire to school. The collected questionnaires were mailed from schools to the author's institution by the end of March 2011. The relationship between fluoride in toothpaste and reasons for choice of toothpaste, the child's toothbrushing habits, and attitude toward child caries prevention was examined in the 6,069 respondents who answered all the questions for the analyses and indicated that their children use toothpaste.
Non-fluoride toothpaste users accounted for 5.1% of all toothpaste users. Among the children using non-fluoride toothpaste, significantly greater numbers gave 'anti-gingivitis', 'halitosis prevention' or 'tartar control' as reasons for choice of toothpaste; did not give 'has fluoride', 'is cheaper' or 'tastes good' as reasons for choice of toothpaste; or used toothpaste sometimes, or were in 4th - 6th grades. There was no significant relationship between use of non-fluoride toothpaste and measures taken for caries prevention in children. Multilevel (first level: individual, second level: school) logistic regression analysis indicated that use of non-fluoride toothpaste was significantly related to: giving 'anti-gingivitis' (odds ratio: 1.44) as a reason for choice of toothpaste; not giving 'has fluoride' (0.40), 'tastes good' (0.49) or 'is cheaper' (0.50) as the reason for choice of toothpaste; to toothbrushing less often (twice a day: 1.34, once a day or less: 1.46) and to using toothpaste less often (sometimes: 1.39).
It is necessary to teach parents that dental caries is the dental health issue with the highest priority for children, and therefore fluoride toothpaste should be used.
《健康日本 21》是日本政府明确其健康政策的一项内容，其中规定了 90%以上的学童应使用含氟牙膏，然而这一目标并未实现。本横断面问卷调查旨在评估使用无氟牙膏儿童的家长的特点。
2010 年 12 月，向 18 所小学或学校牙医发放问卷表。让学生（6-12 岁）将问卷带回家让家长填写，并将填写完毕的问卷交回学校。2011 年 3 月底前，学校将收集到的问卷寄至作者所在机构。对回答了所有问题并表明其子女使用牙膏的 6069 名应答者进行了牙膏中含氟化物与选择牙膏原因、儿童刷牙习惯和儿童龋齿预防态度之间的关系分析。
所有牙膏使用者中，5.1%使用无氟牙膏。在使用无氟牙膏的儿童中，选择牙膏的原因中“预防牙龈炎”、“预防口臭”或“控制牙垢”的比例显著较高；选择牙膏的原因中“含氟化物”、“更便宜”或“口味好”的比例显著较低；或偶尔使用牙膏，或处于 4-6 年级。使用无氟牙膏与儿童龋齿预防措施之间无显著关系。多水平（一级：个体，二级：学校）逻辑回归分析表明，使用无氟牙膏与以下因素显著相关：选择牙膏的原因中“预防牙龈炎”（比值比：1.44）；选择牙膏的原因中“含氟化物”（0.40）、“口味好”（0.49）或“更便宜”（0.50）；刷牙频率较低（每天两次：1.34，每天一次或更少：1.46）；使用牙膏频率较低（偶尔：1.39）。
有必要教育家长，儿童最优先考虑的口腔健康问题是龋齿，因此应使用含氟牙膏。
