The use of fluoride-free toothpaste: motivations and experiences of patients and perspectives of providers
The use of fluoride-free toothpaste seems to be on the increase in recent years, despite the proven effectiveness of fluorides in preventing dental caries. Adults often choose fluoride-free toothpaste because they consider fluoride harmful or unnecessary, prefer organic or natural products, and avoid artificial additives. Oral healthcare providers generally recommend fluoride toothpaste due to its proven effectiveness but consider it important to approach patients with doubts or objections respectfully. By regularly asking about toothpaste use in a non-judgmental way, they are better able to address individual preferences. Exploring alternatives such as hydroxyapatite or adjusting fluoride levels can contribute to shared decision-making. Educational materials and a practical guide can support oral healthcare providers in their communication and advice regarding toothpaste.