Impact of dental fluorosis on the oral health related quality of life among 11- to 14-year-old school children in endemic fluoride areas of Haryana (India)

Shyam, Radhey; Chaluvaiah, Manjunath Bhadravathi; Kumar, Adarsh; Pahwa, ManjuBala; Rani, Geeta; Phogat, Ritu

doi:10.1111/idj.12567

Cited by 10 publications

(11 citation statements)

References 28 publications

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“…Since the use of water fluoridation became a public health strategy, and was provided in an ideal concentration, its only adverse effect has been the occurrence of mild dental fluorosis [9,10]. However, most studies have assessed the prevalence and severity of fluorosis in schoolaged children [11,12]. Therefore, these results should not be used for the population of young adults, as this may lead to under or overestimation of these values [13].…”

Section: Introductionmentioning

confidence: 99%

Fluoridated water impact on tooth decay and fluorosis in 17–20‐year‐olds exposed to fluoride toothpaste

Marques

Lima

Costa

et al. 2021

J Public Health Dent

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Objective To determine the impact of water fluoridation on the prevalence and severity of dental caries and fluorosis in individuals aged 17–20 years exposed to fluoride toothpaste. Methods The study population consisted of 660 students from public schools, residents of areas supplied with fluoridated water (exposed group) or not (not exposed group). Students from both groups had access to fluoride toothpaste throughout life. A questionnaire about socioeconomic demographic aspects, conditions related to access and exposure to fluoridated water, and habits related to oral health was applied. Dental caries was measured by the DMFT index and dental fluorosis by the TF index. The chi‐square test, t test, and subsequently logistic regression were applied for data analysis. Results Caries experience (DMFT≠0) was significantly higher in students from areas not exposed to fluoridated water, after adjustments to clinical conditions, demographic socioeconomic profile, and hygiene habits. The DMFT mean (±SD) was significantly higher in students from areas not exposed to fluoridated water than exposed (3.83 [±3.28] and 2.48 [±2.71] respectively). The prevalence of very mild/mild and moderate fluorosis was 41.1% and 21% for students either exposed to fluoridated water or not, respectively. Conclusion Exposure to fluoridated water was associated with a lower prevalence and severity of tooth decay, in spite of the use of fluoridated toothpaste. The prevalence of dental fluorosis at all levels was higher in fluoridated areas, however, in both groups, there were few cases with esthetic implications.

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Section: Introductionmentioning

confidence: 99%

Fluoridated water impact on tooth decay and fluorosis in 17–20‐year‐olds exposed to fluoride toothpaste

Marques

Lima

Costa

et al. 2021

J Public Health Dent

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“…Dental fluorosis and skeletal fluorosis are major public health concerns around the world. Regions with a high prevalence of such illnesses have been recently documented in Asia, particularly in China [1][2][3][4], India [5][6][7][8], Pakistan [9][10][11], and Sri Lanka [12][13][14]. In Africa, dental fluorosis is prevalent mainly in Sub-Saharan countries, including Kenya, Tanzania, Uganda, Ethiopia, Eritrea, Sudan, Ghana, Malawi, Niger, Nigeria, Mozambique, and South Africa [15][16][17].…”

Section: Introductionmentioning

confidence: 99%

Dental Fluorosis in Children from Aguascalientes, Mexico: A Persistent Public Health Problem

Dávila

2021

Water

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This paper estimates the prevalence and severity of dental fluorosis among participants in the first wave of The Aguascalientes Longitudinal Study of Child Development (EDNA). The analytical sample includes 1052 children in 100 public elementary schools. Dental fluorosis is determined using the Modified Dean’s Index. There is a 43% general dental fluorosis prevalence, and the estimated Community Fluorosis Index is 0.99. Five municipalities report average groundwater fluoride concentrations above the official Mexican guideline value of 1.5 mg/L. In those municipalities, there is a 50% average dental fluorosis prevalence. An ordered logistic regression analysis indicates that obesity in participants increases the likelihood of suffering more severe dental fluorosis symptoms compared with normal-weight participants (OR = 1.62, p < 0.05). Households consuming tap water are more likely to have children suffering more severe dental fluorosis symptoms (OR = 1.63, p < 0.05). Children aged 8 years are more likely to present more severe dental fluorosis symptoms than their peers aged 7 years (OR = 1.37, p < 0.05). Dental fluorosis will persist as a public health problem in Aguascalientes State unless appropriate technologies for fluoride removal from water are installed and operated.

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“…6-Questionário apenas de satisfação estética. 7-Não apresentou dados da análise de QV e fluorose, somente o valor de p.Totalizou-se, então, 13 artigos incluídos(10,33,(51)(52)(53)(54)(55)(56)(57)(58)(59)(60)(61), para a síntese qualitativa e 7 deles na síntese quantitativa(10,51,53,(57)(58)(60)(61). A seleção dos estudos pode ser observada no fluxograma da figura 1.…”

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“…fim de minimizar os níveis graves de fluorose com impacto na QVRSB, recomendam-se nesta revisão sistemática algumas medidas como o uso de fluoretos em concentrações ideais (0.6 a 0.9 ppm F no Brasil levando em consideração o clima do local e a quantidade ingerida) (7,64) na água de abastecimento público e a manutenção do rígido heterocontrole (62). Além disso, os dentifrícios devem ser utilizados em concentrações e quantidades adequadas à idade (65) para evitar a ingestão combinada(7) e os níveis mais graves de fluorose com prejuízo estético(60).Essas orientações também foram observadas em uma revisão sistemática sobre a prevalência da fluorose no Brasil(7). Recomenda-se, ainda, o uso do índice TFI para diagnóstico da fluorose, visto que o exame clínico deste índice é realizado após a secagem da superfície dental, diferentemente do índice de Dean, em que o exame é realizado com a superfície molhada onde a fluorose é percebida apenas nos graus mais elevados(7,65).…”

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“…Já em relação à prevalência, a região mais prevalente foi a do estudo realizado na Índia(60), em 2020, com 93,2 % e escore mais prevalente o moderado com 26,1%. Os demais estudos seguem a seguinte ordem decrescente de prevalência e gravidade da afecção: estudo no Brasil em 2014 (55) com 64,7% e escore mais prevalente leve e muito leve 80,3%; estudo no México (53) com 46,9% e escore mais…”

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Impacto da fluorose na qualidade de vida de crianças e adolescentes: uma revisão sistemática e metanálise

Montanher¹

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Este estudo investigou a literatura para avaliar o impacto da fluorose na Qualidade de Vida Relacionada à Saúde Bucal (QVRSB) de crianças e adolescentes. Métodos: Foram selecionados 304 artigos entre a literatura cinzenta, a busca manual e as bases de dados PubMed, Scielo, BVS, Embase, Scopus e Web of Science. Foram incluídos estudos que investigaram o impacto na QVRSB dos grupos com e sem fluorose até abril de 2021. A qualidade metodológica dos estudos foi avaliada com a ferramenta Newcastle-Ottawa (NOS) e Newcastle-Ottawa (NOS) modificada. A metanálise dos dados incluídos para a análise quantitativa foi feita utilizando-se o modelo de efeitos randômicos. Resultados: No total, 13 estudos foram incluídos para síntese qualitativa e 7 para síntese quantitativa. Totalizou-se 10 estudos que apresentaram os graus mais suaves da fluorose e sem efeito sobre a QVRSB. Apenas 3 estudos apresentaram a prevalência da afecção nos níveis mais graves com impacto negativo sobre a QVRSB. A metanálise não apresentou diferenças estatisticamente significativas (p = 0,234) de impacto na QVRSB dos indivíduos nos grupos com fluorose e sem fluorose (Intervalo de confiança 95% -0,06 -0,26; heterogeneidade: valor de p = 0,234, valor de Q 97.064; Tau 0,273; I 2 96,9%). Conclusão: Evidenciouse que a fluorose não causou impacto negativo na QVRSB das populações nos graus suaves, porém, esse efeito aumentou de acordo com a gravidade da afecção. Palavras-chave: Fluorose dentária. Qualidade de vida. Epidemiologia. Saúde Bucal.

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Impact of dental fluorosis on the oral health related quality of life among 11- to 14-year-old school children in endemic fluoride areas of Haryana (India)

Cited by 10 publications

References 28 publications

Fluoridated water impact on tooth decay and fluorosis in 17–20‐year‐olds exposed to fluoride toothpaste

Fluoridated water impact on tooth decay and fluorosis in 17–20‐year‐olds exposed to fluoride toothpaste

Dental Fluorosis in Children from Aguascalientes, Mexico: A Persistent Public Health Problem

Impacto da fluorose na qualidade de vida de crianças e adolescentes: uma revisão sistemática e metanálise

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