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Toothbrushing Advice — ORE Part 1 MCQ

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EasyDental Public Health & EpidemiologyToothbrushing AdviceORE Part 1

Which toothbrushing advice for adults is recommended in Delivering Better Oral Health?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: BBrush twice daily with 1,350–1,500 ppm fluoride toothpaste; brush before bed and once more daily

Option B is correct. Delivering Better Oral Health advises adults to brush all tooth surfaces at least twice daily with fluoride toothpaste: last thing at night or before bed and on at least one other occasion. Standard family toothpaste should contain 1,350–1,500 ppm fluoride. Excess toothpaste should be spat out; the associated preventive message is not to rinse after brushing. Option C has inadequate brushing frequency. Option A omits fluoride, which is central to caries prevention. Option E includes fluoride but adds routine rinsing, which reduces retained fluoride, and does not reflect the standard twice-daily advice. Option D gives neither an adequate frequency nor appropriate post-brushing advice.

Reference: Department of Health and Social Care, NHS England, Welsh Government and Department of Health Northern Ireland. Delivering Better Oral Health: an evidence-based toolkit for prevention, Chapter 8: Oral hygiene, updated 10 September 2025. https://www.gov.uk/government/publications/delivering-better-oral-health-an-evidence-based-toolkit-for-prevention/chapter-8-oral-hygiene