{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T00:51:50Z","timestamp":1787014310331,"version":"build-2736575974"},"reference-count":42,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,5,21]],"date-time":"2024-05-21T00:00:00Z","timestamp":1716249600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100005375","name":"Latvijas Zin\u0101tnes Padome","doi-asserted-by":"publisher","award":["lzp\u20102022\/1\u20100047"],"award-info":[{"award-number":["lzp\u20102022\/1\u20100047"]}],"id":[{"id":"10.13039\/501100005375","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010661","name":"Horizon 2020 Framework Programme","doi-asserted-by":"publisher","award":["857287"],"award-info":[{"award-number":["857287"]}],"id":[{"id":"10.13039\/100010661","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dental Hygiene"],"published-print":{"date-parts":[[2025,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Toothpastes available in Europe contain a range of fluoride concentrations, with some meeting the recommended level for caries prevention (&gt;1000\u2009ppm fluoride (ppm)) and others containing low or no fluoride. This study evaluated toothpaste fluoride concentrations in Latvia and Lithuania to inform targeted public health strategies in regions with a high prevalence of dental caries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This cross\u2010sectional study was conducted from May 2019 to May 2020, using a validated questionnaire in Latvia and Lithuania. Nationally representative samples (1309 families and 5436 members) provided data through a mixed\u2010mode survey (paper and online) on sociodemographic information, toothpaste type, brand, and type. Descriptive statistics and chi\u2010square tests (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05) were used for analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Fifteen percent of families used non\u2010fluoridated toothpaste and 12% used &lt;1000 part per million (ppm) fluoride. In Latvia, 56.8% of preschoolers and 28.7% of schoolchildren used &lt;1000\u2009ppm or non\u2010fluoride toothpaste, whereas in Lithuania, 47.2% of preschoolers and 29.1% of schoolchildren used &lt;1000\u2009ppm or non\u2010fluoride toothpaste; 63% of adolescents and 73% of adults used toothpaste with optimal fluoride content (\u22651000\u2009ppm). Of the 228 registered toothpaste types, 62% contained more than 1000\u2009ppm, which is optimal for caries prevention; 29% of Latvian and 24% of Lithuanian families used at least one non\u2010fluoridated toothpaste.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study revealed significant gaps in the use of fluoride toothpaste among families in Latvia and Lithuania, especially among children. To effectively prevent dental caries, targeted interventions, and education must promote optimal fluoride toothpaste use, particularly among vulnerable populations.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/idh.12827","type":"journal-article","created":{"date-parts":[[2024,5,22]],"date-time":"2024-05-22T02:45:06Z","timestamp":1716345906000},"page":"124-132","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Should we be concerned about the use of non\u2010fluoride toothpaste? A survey study in two European countries"],"prefix":"10.1111","volume":"23","author":[{"given":"Ilze","family":"Maldupa","sequence":"first","affiliation":[{"name":"Department of Conservative Dentistry and Oral Health Riga Stradins University  Riga Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julija","family":"Narbutaite","sequence":"additional","affiliation":[{"name":"Lithuanian University of Health Sciences  Kaunas Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Egle","family":"Stanceviciene","sequence":"additional","affiliation":[{"name":"Lithuanian University of Health Sciences  Kaunas Lithuania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilona","family":"Viduskalne","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Oral Health Riga Stradins University  Riga Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julija","family":"Kalnina","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Oral Health Riga Stradins University  Riga Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liga","family":"Kronina","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Oral Health Riga Stradins University  Riga Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anda","family":"Brinkmane","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Oral Health Riga Stradins University  Riga Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Egita","family":"Senakola","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Oral Health Riga Stradins University  Riga Latvia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0684-2025","authenticated-orcid":false,"given":"Sergio E.","family":"Uribe","sequence":"additional","affiliation":[{"name":"Department of Conservative Dentistry and Oral Health Riga Stradins University  Riga Latvia"},{"name":"Baltic Biomaterials Centre of Excellence Headquarters at Riga Technical University  Riga Latvia"},{"name":"Faculty of Dentistry Universidad de Valparaiso  Valparaiso Chile"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,5,21]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"Global oral health status report: towards universal health coverage for oral health by 2030 [Internet]","author":"World Health Organization","year":"2022"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/ipd.12783"},{"key":"e_1_2_12_4_1","volume-title":"WHO\/Europe calls for urgent action on oral disease as highest rates globally are recorded in European region [Internet]","author":"WHO","year":"2023"},{"key":"e_1_2_12_5_1","unstructured":"World Health Organization.WHO model list of essential medicines \u2013 22nd list. 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