Fluoride ingestion from food items and dentifrice in 2–6‐year‐old Brazilian children living in a fluoridated area using a semiquantitative food frequency questionnaire

Miziara, Ana Paula Borges; Philippi, Sônia Tucunduva; Levy, Flávia Mauad; Buzalaf, Marília Afonso Rabelo

doi:10.1111/j.1600-0528.2009.00477.x

Cited by 21 publications

(32 citation statements)

References 35 publications

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“…Despite considering that these factors are important in etiology of dental fluorosis [26,27], the consumption of these foods is, probably smaller in São Francisco and Verdelândia than in urban regions. Moreover, the cities pertain to one of the poorest regions in the state and, the consumption of toothpaste in childhood may be not relevant for endemic dental fluorosis [28].…”

Section: Resultsmentioning

confidence: 99%

Factors Associated to Endemic Dental Fluorosis in Brazilian Rural Communities

Ferreira

Vargas

Castilho

et al. 2010

IJERPH

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The present paper examines the relationship between hydrochemical characteristics and endemic dental fluorosis, controlling for variables with information on an individual level. An epidemiological survey was carried out in seven rural communities in two municipalities in the state of Minas Gerais, Brazil. The Thystrup & Fejerskov index was employed by a single examiner for the diagnosis of dental fluorosis. A sampling campaign of deep groundwater in the rural communities of interest was carried out concomitantly to the epidemiological survey for the determination of physiochemical parameters. Multilevel modeling of 276 individuals from seven rural communities was achieved using the non-linear logit link function. Parameters were estimated using the restricted maximum likelihood method. Analysis was carried out considering two response variables: presence (TF 1 to 9) or absence (TF = 0) of any degree of dental fluorosis; and presence (TF ≥ 5—with loss of enamel structure) or absence of severe dental fluorosis (TF ≤ 4—with no loss of enamel structure). Hydrogeological analyses revealed that dental fluorosis is influenced by the concentration of fluoride (OR = 2.59 CI95% 1.07–6.27; p = 0.073) and bicarbonate (OR = 1.02 CI95% 1.01–1.03; p = 0.060) in the water of deep wells. No other variable was associated with this prevalence (p > 0.05). More severe dental fluorosis (TF ≥ 5) was only associated with age group (p < 0.05). No other variable was associated to the severe dental fluorosis (p > 0.05). Dental fluorosis was found to be highly prevalent and severe. A chemical element besides fluoride was found to be associated (p > 0.05) to the prevalence of dental fluorosis, although this last finding should be interpreted with caution due to its p value.

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Section: Resultsmentioning

confidence: 99%

Factors Associated to Endemic Dental Fluorosis in Brazilian Rural Communities

Ferreira

Vargas

Castilho

et al. 2010

IJERPH

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“…According to the latest national 30 Although the average fluoride intake was low, probably due to the low ingestion of toothpaste, some children exceeded the safety threshold. One way to reduce the intake of fluoride from toothpaste is through the orientation on the needed amount of toothpaste to be placed on the brush and parent supervision when brushing, 20,26 to prevent children from swallowing. Moreover, it is important to periodically control the fluoridation of the public water supply.…”

Section: Discussionmentioning

confidence: 99%

Is the fluoride intake by diet and toothpaste in children living in tropical semi-arid city safe?

et al. 2018

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Data about total fluoride intake in children living in a tropical semi-arid climate city is scarce, thus we conducted this study. Fifty-eight children aged two to five years, living in a Brazilian tropical city with optimally fluoridated water were selected. Dietary samples were collected using the duplicate diet method on two non-consecutive days in the children's home. Water was collected separately from the other drinks. The intake from toothpaste was determined by subtracting the amount of fluoride recovered after brushing from the amount placed on the toothbrush. The mean total dose (SD) of fluoride intake was 0.043(0.016) mg F·kg, with the major (60.6%) contribution from water. The factors associated with the ingestion of fluoride from toothpaste were fluoride concentration of the toothpaste (p = 0.03) and the use of kids toothpaste (p = 0.02). The findings suggest that children have a low fluoride intake, measured by at-home meals and use of fluoride toothpaste; drinking water is the main source of fluoride ingestion.

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“…Hay estudios que mencionan que el trio de la dieta, el dentífrico y suplementos pueden conducir a exceder los niveles óptimos de la ingesta de flúor [29]; otras investigaciones soportan contenidos de flúor en alimentos, siendo prácticamente imposible que la dieta normal, alimenticia de cualquier persona en cualquier lugar del mundo, esté exenta de un mínimo contenido de flúor [30,31], adicionalmente, los alimentos preparados con sal fluorada, aumenta las concentraciones de fluoruro en la ingesta. Uno de los problemas radica en que el flúor está abarcando una distribución en grandes cantidades dentro de las cadenas de alimentos y bebidas para los seres humanos, tal como lo mostraron Wondwossen y otros.…”

Section: Discussionunclassified

Factores de riesgo ambientales y alimentarios para la fluorosis dental, Andes, Antioquia, 2015

Posada-Jaramillo¹,

Restrepo-Puerta²

2017

Rev. Fac. Nac. Salud Pública

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Fluoride ingestion from food items and dentifrice in 2–6‐year‐old Brazilian children living in a fluoridated area using a semiquantitative food frequency questionnaire

Cited by 21 publications

References 35 publications

Factors Associated to Endemic Dental Fluorosis in Brazilian Rural Communities

Factors Associated to Endemic Dental Fluorosis in Brazilian Rural Communities

Is the fluoride intake by diet and toothpaste in children living in tropical semi-arid city safe?

Factores de riesgo ambientales y alimentarios para la fluorosis dental, Andes, Antioquia, 2015

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