The dental health of children eight and fifteen years of age living in Bunbury, Western Australia

Medcalf, G. W.; O'Grady, Martin J.

doi:10.1111/j.1834-7819.1983.tb05273.x

Cited by 9 publications

(2 citation statements)

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“…In the region around the city of Bunbury, 200 km south of Perth, drinking water has never been fluoridated, and natural fluoride levels are low (<0.2 mg/L) (Medcalf and O'Grady, 1983;Stockwell et al, 1990). Here, five DTCs (three in Bunbury, two in outlying smaller towns) were selected, and two classes of children from the nearest school, occasionally supplemented by small numbers of children from other nearby schools, formed the local sample.…”

Section: Methodsmentioning

confidence: 99%

Dental Caries and Fluoride Exposure in Western Australia

Riordan

1991

J Dent Res

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Most water supplies in Western Australia (WA) have been fluoridated since about 1968, but one region has persistently resisted. Supplement use has been encouraged there, and fluoride toothpaste is widely used. Caries prevalence and caries experience in children in Perth (F- 0.8 mg/L) have declined steadily since fluoridation, but in the Bunbury region (F- less than 0.2 mg/L), caries measures remain higher than in Perth. The purpose of this study was to correlate the magnitude and timing of fluoride exposure with caries experience. Altogether, 592 randomly selected children born in 1978 (mean age, 11.8 years) in Perth and the Bunbury region provided residence and fluoride exposure information for the periods from birth to four and from four to 12 years of age. Caries experience was recorded clinically in accordance with DMFT and WHO criteria. Sixty-one percent had been continuous residents of fluoridated areas from birth to four years, and 51% between the ages of four and 12 years. Fluoride supplement use was low. By the age of 1.5 years, 42% had used toothpaste. The prevalence of caries was 0.38 in Perth and 0.61 in the Bunbury region, and mean DMFT scores were 0.89 (SD, 1.39) and 1.57 (SD, 1.60), respectively. Bivariate analysis revealed all fluoride exposure to be associated with reduced caries experience, but there were large correlations between some variables. When unconditional logistic regression analysis was used, the most important (p less than 0.05) odds ratios associated with no caries experience were for residence in a fluoridated area from four to 12 years of age and early use of toothpaste.(ABSTRACT TRUNCATED AT 250 WORDS)

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Section: Methodsmentioning

confidence: 99%

Dental Caries and Fluoride Exposure in Western Australia

Riordan

1991

J Dent Res

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“…Nonetheless, the problems of home-based fluoride tablet supplement compliance have been appreciated for many years, ranging from 2% over only 9 months in England [Smyth and Whithnel. 1974] to 9% at 15 years [Medcalf and O'Grady. 1983] in Australia.…”

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Systemic Fluorides Drops and Tablets

Stephen

1993

Caries Res

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Fluoride drops and tablets are effective caries-inhibiting agents which exercise their benefit through mainly topical means. Results of caries trials in which drops or tablets were used in the home vary from excellent to poor, depending on the compliance rates of both parents and offspring. Delivery in schools has also produced reductions of > 80%, and as poor as 20%, again possibly dependent on teacher vigilance. The pre-natal controversy re fluoride tablet benefits has only recently been tested under a true double-blind protocol and resulted in a non-significant effect, although the trend was in favour of those whose mothers had taken F tablets during pregnancy. Hence, while at the individual level, the slow intra-oral dissolution of fluoride tablets can be of great benefit for coronal caries in children, adolescents and possibly medically compromised adults (with or without root caries), their contribution on a community basis cannot readily be compared with that of water or salt fluoridation. Although fluoride tablets have been held responsible for an increase in fluorosis prevalence, data which were assessed blind now exist to show that a daily dosage of 0.25 mg fluoride from birth is not asssociated with dental fluorosis, if additional fluoride products are not used injudiciously over the same period.

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Oral health of schoolchildren in Western Australia

Arrow

2016

Australian Dental Journal

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The study highlighted poor dental health associated with living in non-fluoridated areas, Aboriginal identity, poor oral hygiene, lower socioeconomic level and having extended intervals between dental checkups. Timely assessments and preventive measures targeted at groups, including extending community water fluoridation, may assist in further improving the oral health of children in Western Australia.

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The dental health of children eight and fifteen years of age living in Bunbury, Western Australia

Cited by 9 publications

References 0 publications

Dental Caries and Fluoride Exposure in Western Australia

Dental Caries and Fluoride Exposure in Western Australia

Systemic Fluorides Drops and Tablets

Oral health of schoolchildren in Western Australia

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