FLUORIDATED AND NON-FLUORIDATED TOOTHPASTES AVAILABLE IN THE MARKET: A CASE STUDY OF THE NORTH WEST REGION OF PAKISTAN

Fluoride is used both systemically and topically to prevent and treat dental caries but has the potential to cause adverse health effects. Knowing the amount of fluoride in toothpaste is important for estimating risk. The aim of the present study was to examine the labelling of toothpastes, both fluoridated and non-fluoridated, in the market in the North West Region of Pakistan with respect to availability, country of origin, fluoride content, and recommendations for use. Twenty-four toothpastes were identified of which 6 (25%) were recommended for use in children, 3 (12.5%) were for use in both children and adults, and 15 (62.5%) did not specify which age group they were intended for. One toothpaste was labelled with the statement that children below age of seven should use a very small portion of the toothpaste. Almost half of the toothpastes are portrayed as being a remedy for tooth and gum related problems such as tooth decay, tooth sensitivity, tooth whitening, and stain removal including stains due to smoking. Sixteen (66.6%) toothpastes were imported and eight (33.3%) were made in Pakistan. Seventeen (71%) of the toothpastes contained fluoride (sodium monofluorophosphate: 9, sodium fluoride: 5, stannous fluoride: 2, and unspecified: 1). The fluoride concentration was given as a percentage in 10, as mg/g in 1, and not given in 6. It was observed that the toothpastes did not have uniformity or complete information in their labelling and that the responsible authorities should take action to ensure proper labelling.