Effect of fluoridated water on dental caries and fluorosis in schoolchildren who use fluoridated dentifrice

Abstract This cross-sectional study evaluated the prevalence and severity of dental caries and fluorosis in children and adolescents using fluoridated toothpaste, from areas with and without fluoridated water. Parents of 5-year-old children and 12-year-old adolescents from neighbourhoods that are supplied with and without fluoridated water answered questionnaires for determining socio-economic and demographic characteristics and habits related to oral health. The individuals were examined, and dental caries and fluorosis were measured by dmft/DMFT and TF indexes, respectively. Descriptive, bivariate and logistic regression analyses were performed (p < 0.05). Of 692 participants, 47.7% were 5-year-olds and 52.3% were 12-year-olds. The mean dmft/DMFT in the 5-year-olds/ 12-year-olds from Exposed and Not Exposed fluoridated water groups was 1.53 (± 2.47) and 3.54 (± 4.10) / 1.53 (± 1.81) and 3.54 (± 3.82), respectively. Children (OR = 2.86, 95% CI = 1.71-4.75) and adolescents (OR = 1.95, 95% CI = 1.24-3.05), who did not consume fluoridated water, had greater caries experience. Among adolescents, there was an association between fluoridated water and the prevalence of very mild/mild fluorosis (OR = 5.45, 95% CI: 3.23-9.19) and moderate fluorosis (OR = 11.11, 95% CI = 4.43-27.87). Children and adolescents, who consumed fluoridated water, presented lower prevalence and severity of dental caries compared to those who used only fluoridated toothpaste as the source of fluoride. There is an association between water fluoridation and very mild/mild and moderate fluorosis in adolescents.

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Free Sugars Intake among Chinese Adolescents and Its Association with Dental Caries: A Cross-Sectional Study

Nutrients ◽

10.3390/nu13030765 ◽

2021 ◽

Vol 13 (3) ◽

pp. 765

Author(s):

Qiping Yang ◽

Yue Xi ◽

Hanmei Liu ◽

Jing Luo ◽

Yufeng Ouyang ◽

...

Keyword(s):

Oral Health ◽

Dental Caries ◽

Cross Sectional Study ◽

Chinese Adolescents ◽

Food Sources ◽

Caries Experience ◽

Sectional Study ◽

Cross Sectional ◽

Free Sugars ◽

Targeted Interventions

This study aims to estimate the free sugars intake, identify the primary food sources of free sugars, and explore the relationship between free sugars intake and dental caries among Chinese adolescents. This cross-sectional study included 1517 middle-school students aged 12–14 years in Changsha city, China. Adolescents completed a 12-item Food Frequency Questionnaire (FFQ) and oral health assessment. The students’ dental caries experience was available as DMFT score (number of decayed, missing, and filled permanent teeth). Statistical analyses included the Mann–Whitney test, Kruskal–Wallis test, Chi-square test, and binary logistic regression model. The average intake of free sugars was 53.1 g/d in adolescents, and 43.2% of the students consumed more than 50 g of free sugars daily. The primary contributor to free sugars was sugar-sweetened beverages (SSBs). Age, boarders, and high family income were risk factors for excessive free sugars intake (p < 0.05), and increased free sugars intake was a risk factor for dental caries (odds ratio, OR = 1.446, 95% confidence interval: 1.138–1.839). Both the free sugars intake and dental caries prevalence in Chinese adolescents were high. Targeted interventions are urgently needed to address the excessive consumption of free sugars and improve Chinese adolescents’ oral health.

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Experience and Prevalence of Dental Caries in 6 to 12-Year-Old School Children in an Agricultural Community: A Cross-Sectional Study

Children ◽

10.3390/children8020099 ◽

2021 ◽

Vol 8 (2) ◽

pp. 99

Author(s):

Juan José Villalobos-Rodelo ◽

Martha Mendoza-Rodríguez ◽

Rosalina Islas-Zarazúa ◽

Sonia Márquez-Rodríguez ◽

Mariana Mora-Acosta ◽

...

Keyword(s):

Dental Caries ◽

School Children ◽

Cross Sectional Study ◽

Caries Experience ◽

Sectional Study ◽

Caries Prevalence ◽

Migrant Group ◽

Cross Sectional ◽

Agricultural Worker ◽

Dmft Index

Objective: To describe the experience and prevalence of dental caries in schoolchildren aged 6–12 years belonging to agricultural manual worker households. Material and Methods: A comparative cross-sectional study was conducted in two groups of schoolchildren: One considered “children of agricultural worker migrant parents” (n = 157) and the other “children of agricultural worker non-migrant parents” (n = 164). Epidemiological indices for dental caries were calculated for primary (dmft) and permanent (DMFT) dentitions, and compared in terms of age, sex, and the Simplified Oral Hygiene Index (SOHI). Two binary logistic regression models for caries prevalence in primary and permanent dentitions were generated in Stata. Results: For primary dentition, we observed the following dmft index: Non-migrants = 1.73 ± 2.18 vs. migrants = 1.68 ± 2.14. Additionally, we recorded the following caries prevalence: Non-migrants = 59.1% vs. migrants = 51.3%. For permanent dentition, we observed the following DMFT index: Non-migrants = 0.32 ± 0.81 vs. migrants = 0.29 ± 0.95. Further, we recorded the following caries prevalence: Non-migrants = 17.6% vs. migrants = 12.8%. No differences were observed for either dentition (p > 0.05) in caries indices and their components or in caries prevalence. When both caries indices (dmft and DMFT) were combined, the non-migrant group had a higher level of caries experience than the migrant group (p < 0.05). No relationship (p > 0.05) with migrant status was observed in either multivariate models of caries prevalence. However, age did exhibit an association (p < 0.05) with caries. Only the plaque component of SOHI was associated (p < 0.05) with caries in permanent dentition. Conclusions: Although over half of school children from agricultural manual worker households had caries in either or both dentitions and a considerable proportion were untreated lesions, the prevalence levels were somewhat lower than other reports from Mexico in similar age groups. No statistically significant differences were found in caries experience or prevalence in either dentition between non-migrant and migrant groups.

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Comparison Of Dental Caries Experience Among 35-40 Year Old Population Using Dmft And Dmfs Index - An Institution Based Cross Sectional Study

Journal of Contemporary Issues in Business and Government ◽

10.47750/cibg.2021.27.02.331 ◽

2021 ◽

Vol 27 (02) ◽

Keyword(s):

Dental Caries ◽

Cross Sectional Study ◽

Caries Experience ◽

Sectional Study ◽

Cross Sectional

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Assessment of Salivary Bacterial Level and Dental Caries Experience in a Group of Egyptian Children with Black Stained Teeth: (A Cross Sectional Study)

Egyptian Dental Journal ◽

10.21608/edj.2021.58997.1461 ◽

2021 ◽

Vol 67 (2) ◽

pp. 1025-1032

Author(s):

Joanna William ◽

hany saber ◽

Norhan Eldokky

Keyword(s):

Dental Caries ◽

Cross Sectional Study ◽

Caries Experience ◽

Sectional Study ◽

Cross Sectional ◽

Egyptian Children

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The Oral Health Situation of 12-Year-Old School Children in the Rural Region of Ilembula in Southwestern Tanzania: A Cross-Sectional Study

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph182212237 ◽

2021 ◽

Vol 18 (22) ◽

pp. 12237

Author(s):

Lisa Zumpe ◽

Tobias Bensel ◽

Andreas Wienke ◽

Matilda Mtaya-Mlangwa ◽

Jeremias Hey

Keyword(s):

Dental Caries ◽

Rural Areas ◽

Primary Schools ◽

Cross Sectional Study ◽

Risk Indicators ◽

Sectional Study ◽

Cross Sectional ◽

Factors Associated ◽

Prophylactic Measures ◽

The Mean

There has been no research on the prevalence of and factors associated with dental caries in rural southwestern Tanzania among schoolchildren. Determining the prevalence of and factors associated with dental caries will help to assess the need for dental intervention and prophylactic measures among children in the region. In February 2020, a cross-sectional study was conducted in the Wanging’ombe District of the Ilembula Ward. The data were collected through clinical examinations and personal interviews at two primary schools. Univariable and multivariable logistic regression analyses were performed to identify potential risk indicators for caries. The study included 319 students aged 11–12 years (average 11.92 ± 0.27 years). The mean Decayed, Missing and Filled Teeth index was 0.24 ± 0.68, and the mean Specific affected Caries Index was 1.66 ± 0.9. The greatest influences on the caries risk were poor oral hygiene (OR 8.05, 95% CI 0.49–133.23), low tooth brushing frequency (OR 3.03, 95% CI 1.26–7.26) and low level of education in parents (OR 2.63, 95% CI 0.99–6.98). Dental caries was low among students in rural areas in the Wanging’ombe District.

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Factors influencing the dental caries in pregnant women: a cross-sectional study

Research Society and Development ◽

10.33448/rsd-v10i1.12226 ◽

2021 ◽

Vol 10 (1) ◽

pp. e32810111226

Author(s):

Gabriela Bohrer Bolsson ◽

Jessica Klöckner Knorst ◽

Marília Cunha Maroneze ◽

Maísa Casarin ◽

Patrícia Pasquali Dotto ◽

...

Keyword(s):

Dental Caries ◽

Pregnant Women ◽

Basic Research ◽

Cross Sectional Study ◽

Mean Value ◽

Sectional Study ◽

Cross Sectional ◽

The Mean ◽

The City ◽

Santa Maria

Objective: To assess factors associated with the average number of dental caries in pregnant women. Method: Basic research design: This cross-sectional study was performed between January 2017 and December 2018 in Santa Maria, Brazil. Clinical setting and participants: Multistage random sampling resulted in the recruitment of 256 pregnant women from public health centers across the city. Clinical exams and semi-structured questionnaires including demographic, socioeconomic and behavioral questions were performed by trained interviewers. Main outcome measure: The experience of dental caries was evaluated through the mean value of the Decay, Missing, and Filled Surface Index (DMFS) by 4 trained and calibrated examiners. Multilevel Poisson regression models were used to evaluate the influence of different variables on the average number of dental caries. Rate ratio (RR) and respective 95% confidence intervals were calculated (CI 95%). Results: The prevalence of untreated dental caries was 62.7% in the sample, while the mean DMFS index was 10.27 (± 10.92). Women who smoked during pregnancy had a higher mean DMFS (RR 1.41; 95% CI 1.25-1.57). Furthermore, pregnant women who had poor self-ratings of oral health had a higher average DMFS (RR 1.21; 95% CI 1.10-1.32). Conclusions: The results showed that older age, ethnicity, fewer years in education and the presence of dental plaque resulted in higher means of DMFS.

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