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Updated: Apr 24, 2026

Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
LLL2: an international global level questionnaire on toothbrushing and use of fluoride toothpaste
Juan Carlos Llodra1, Prathip Phantumvanit, Denis M Bourgeois
1Faculty of Dentistry, Laboratory Health-Individual - Society (SIS, E.A. 4129), Université Claude, Bernard Lyon 1, Lyon, France.
Purpose:
To determine the evolution of toothbrushing frequency and use of fluoridetoothpaste in the FDI-Unilever partnership Live.Learn.Laugh. phase 2 programme using a self-reported questionnaire.
Methods:
The study was conducted in 23 countries. The key focus of this partnership was to educate people about the benefits of twice-daily brushing with fluoride toothpaste and to support people in adopting this important oral health behaviour. The partnership offers a choice of four project options to the local partnership team of the National Dental Association and local Unilever-operating companies. A self-report questionnaire was used in all participating subjects in local projects to evaluate the brushing frequency, the brushing timing and the use of fluoride toothpaste.
Results:
After implementation of the project interventions, a clear improvement in the reported frequency of brushing twice a day, regardless of the type of project, was observed. Subjects also increased day and night brushing and the use of fluoride toothpaste.
Conclusion:
The strategy of using mothers to increase healthy behaviours in oral health achieved the greatest increase in twice-daily toothbrushing, followed by the intervention in schools.
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