Prevalence of dental caries and dental fluorosis in areas with negligible, optimal, and above-optimal fluoride concentrations in drinking water

Driscoll, William S.; Horowitz, Herschel S.; Meyers, Rhea J.; Heifetz, Stanley B.; Kingman, Albert; Zimmerman, Eugene R.

doi:10.14219/jada.archive.1986.0141

Cited by 85 publications

(63 citation statements)

References 8 publications

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“…Both scores, although significantly different, show that the prevalence of fluorosis in the two communities might not be considered a public health problem by Dean's criterion. This finding is consistent with past and present findings [Driscoll et al, 1986;Leverett, 1986;Ismail et al, 1993;Jackson et al, 1995].…”

Section: Discussionsupporting

confidence: 94%

“…Indeed, the DMFS value in the low-fluoride area was significantly higher, and our result indicates that water fluoride may continue to provide protection even in the presence of a low prevalence of dental caries. This finding is in accordance with results from previous studies that have shown an additional benefit in caries reduction when comparing a low-to a high-fluoride community [Driscoll et al, 1983[Driscoll et al, , 1986Angelillo et al, 1990;Ismail et al, 1993;Jackson et al, 1995].…”

Section: Discussionsupporting

confidence: 92%

“…Indeed, fluorosis was almost absent with only 2.9% of the children examined showing any definite signs of the condition and a Dean's index of 0.1 [Driscoll et al, 1986]. Moreover, Leverett [1986] found a prevalence of 10.1% and Kumar et al [1989] a value of 9.4% and a Dean's score of 0.23.…”

Section: Discussionmentioning

confidence: 95%

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Caries and Fluorosis Prevalence in Communities with Different Concentrations of Fluoride in the Water

et al. 1999

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The need to defluoridate and fluoridate the water supplies in areas with drinking water naturally containing above–optimal (≥2.5 mg/l) and suboptimal (≤0.3 mg/l) fluoride concentration and caries and fluorosis prevalence of 12–year–old schoolchildren were assessed in Italy. In the low–fluoride area, 48.4% children were caries–free (DMFT = 0) and the DMFT and DMFS were 1.5 and 2.6; in the high–fluoride area, 46.8% had a DMFT = 0 and the values of the indices were 1.4 and 1.6, respectively. Multiple logistic regression analysis showed a significant association in the caries–free status according to parents' employment status (OR = 1.2, 95% CI = 1.1–1.3) and children's sweets consumption, since children who consumed sweets at least once a day had an adjusted odds ratio of 1.8 (95% CI = 1.4–2.3) compared to those with a lower consumption. Multiple linear regression analysis showed that DMFT and DMFS were significantly higher in children with a lower socioeconomic status and in those who consumed sweets at least once a day, with the DMFS significantly associated also with the area of residence. DT and FT scores were higher in the high– and low–fluoride areas, respectively. No evidence of fluorosis was reported in 94.5 and 55.3% of children in the low– and high–fluoride areas, respectively. The Community Fluorosis Index (CFI) for all permanent teeth was significantly higher in the high–fluoride area, 0.8, than the value, 0.1, found in the low–fluoride community. Our results substantiate the difficulties in defining universal guidelines for the fluoridation or defluoridation of drinking water and the need for an epidemiological approach to the decision as to fluoridate and defluoridate the water supply.

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Section: Discussionsupporting

confidence: 94%

Section: Discussionsupporting

confidence: 92%

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Caries and Fluorosis Prevalence in Communities with Different Concentrations of Fluoride in the Water

et al. 1999

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“…8 Driscoll and colleagues found a higher proportion of teeth with severe fluorosis were decayed or filled, and attributed it to pitting of the teeth, staining or both. 9 On the other hand, a study conducted in the US on schoolchildren…”

Section: Introductionmentioning

confidence: 99%

Relative fluoride response of caries lesions created in fluorotic and sound teeth studied under remineralizing conditions

Alhawij

Lippert

Mier

2015

Journal of Dentistry

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“…At the same time, the growing population exposure to fluorides has raised concerns about po tential toxicological side effects. No increase in the prevalence of fluorosis related to dentifrice ingestion has been reported [Holm and Andersson, 1982;Soparkar and DePaola, 1985;Driscoll et al, 1986]. Nevertheless, chronical ingestion of fluoride denti frice constitutes a potential fluorosis risk in age-sus ceptible children, particularly when combined with other fluoride supplements [Whitford et al, 1987].…”

Section: Introductionmentioning

confidence: 99%

Caries-Preventive Effect of Fluoride Dentifrices with and without Anticalculus Agents: A 3-Year Controlled Clinical Trial

Koch¹,

Bergmann-Arnadottir

Bjarnason

et al. 1990

Caries Res

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A 3-year, double-blind, randomized caries trial was conducted to evaluate the relative anticaries efficacy of four sodium fluoride dentifrices containing 250 ppm fluoride, 1,000 ppm fluoride in combination with 1% disodium 1-hydroxyethylidene-1.1-bisphosphonate (HEBP), and 1,000 ppm fluoride in combination with 1% disodium azacycloheptylidene-2.2-bisphosphonate (AHBP). As a positive control, a monofluorophosphate dentifrice (1,000 ppm fluoride) was used. At outset 1,161 Icelandic children, 11 and 12 years of age, were randomly assigned to one of the five treatment groups and 1,035 subjects completed the trial. After 3 years of unsupervised brushing, the dentifrice containing 250 ppm fluoride was significantly less effective in controlling the caries increment. The combination of sodium fluoride and AHBP was significantly more effective than the positive control.

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Prevalence of dental caries and dental fluorosis in areas with negligible, optimal, and above-optimal fluoride concentrations in drinking water

Cited by 85 publications

References 8 publications

Caries and Fluorosis Prevalence in Communities with Different Concentrations of Fluoride in the Water

Caries and Fluorosis Prevalence in Communities with Different Concentrations of Fluoride in the Water

Relative fluoride response of caries lesions created in fluorotic and sound teeth studied under remineralizing conditions

Caries-Preventive Effect of Fluoride Dentifrices with and without Anticalculus Agents: A 3-Year Controlled Clinical Trial

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