scholarly journals Dental caries and its association with increasing water fluoride concentration in district Rudraprayag, Uttarakhand

2021 ◽  
Vol 8 (8) ◽  
pp. 4005
Author(s):  
Nidhi Sharma ◽  
Vartika Saxena ◽  
Manisha Naithani
Keyword(s):  
Drinking Water ◽  
Dental Caries ◽  
Dental Fluorosis ◽  
Fluoride Concentration ◽  
World Health ◽  
Therapeutic Window ◽  
Caries Experience ◽  
Fluoride Level ◽  
Cross Sectional ◽  
Water Fluoride

Background: Evidence from scientific literature confirms both beneficial and detrimental effects of fluoride on human health with only a narrow range between intakes associated with these effects. The limits of this range have been controversial among researchers since the 1930s. Considering this, the World Health Organization (WHO) permissible limit of fluoride in India has been reduced from 1.5 to 1.0 mg/l in 1998. This study aimed to evaluate the association between increasing water fluoride levels and dental caries prevention on permanent teeth.Methods: This cross-sectional study involved 1400 children (aged 6–19 years). Caries experience and dental fluorosis were recorded using DMFT/deft and Dean's index respectively. Also, fluoride concentration in drinking water was analyzed. Around 14.4% of children had dental caries with maximum frequency among 9-10 years of age. A significant negative correlation between caries experience and water fluoride level was found (p<0.05), with the lowest DMFT scores at the fluoride level of 0.61–2 mg/l and the highest at 0.0–0.3 mg/l. Whereas, high prevalence of dental fluorosis was observed above 0.7 mg/l.Results: The study revealed that the presence of 0.3-0.7 mg/l fluoride in drinking water reduces dental caries, without an objectionable rise in dental fluorosis.Conclusions: It can be suggested that fluoride has anticaries property but due to a ‘narrow therapeutic window’ of 0.3-0.7 mg/l, in a country like India where endemic fluorosis is prevalent, its topical application should be encouraged which is almost equally effective with less systemic adverse effects.

Fluoride Revolution and Dental Caries: Evolution of Policies for Global Use

2019 ◽  
Vol 98 (8) ◽  
pp. 837-846 ◽  
Author(s):  
H.P. Whelton ◽  
A.J. Spencer ◽  
L.G. Do ◽  
A.J. Rugg-Gunn
Keyword(s):  
Dental Caries ◽  
Public Perception ◽  
Tooth Development ◽  
Dental Fluorosis ◽  
Fluoride Concentration ◽  
Caries Prevention ◽  
World Health ◽  
Caries Experience ◽  
Water Fluoridation ◽  
Fluoride Exposure

Epidemiological studies over 70 y ago provided the basis for the use of fluoride in caries prevention. They revealed the clear relation between water fluoride concentration, and therefore fluoride exposure, and prevalence and severity of dental fluorosis and dental caries. After successful trials, programs for water fluoridation were introduced, and industry developed effective fluoride-containing toothpastes and other fluoride vehicles. Reductions in caries experience were recorded in many countries, attributable to the widespread use of fluoride. This is a considerable success story; oral health for many was radically improved. While previously, water had been the only significant source of fluoride, now there are many, and this led to an increase in the occurrence of dental fluorosis. Risks identified for dental fluorosis were ingestion of fluoride-containing toothpaste, water fluoridation, fluoride tablets (which were sometimes ingested in areas with water fluoridation), and infant formula feeds. Policies were introduced to reduce excessive fluoride exposure during the period of tooth development, and these were successful in reducing dental fluorosis without compromising caries prevention. There is now a much better understanding of the public perception of dental fluorosis, with mild fluorosis being of no aesthetic concern. The advantages of water fluoridation are that it provides substantial lifelong caries prevention, is economic, and reduces health inequalities: it reaches a substantial number of people worldwide. Fluoride-containing toothpastes are by far the most important way of delivering the beneficial effect of fluoride worldwide. The preventive effects of conjoint exposure (e.g., use of fluoride toothpaste in a fluoridated area) are additive. The World Health Organization has informed member states of the benefits of the appropriate use of fluoride. Many countries have policies to maximize the benefits of fluoride, but many have yet to do so.

Fluoride level in drinking water and prevalence of dental fluorosis and dental caries among the school children A descriptive cross-sectional study

2017 ◽  
Vol 4 (4) ◽  
pp. 155-159
Author(s):  
Abdulrahman Hamoud Alanazi ◽  
◽  
Fahad Abdullah Alsaab ◽  
Saud Sulaiman Alatallah ◽  
Suliman Fahad Alfahaid ◽  
...  
Keyword(s):  
Drinking Water ◽  
Dental Caries ◽  
School Children ◽  
Dental Fluorosis ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Fluoride Level ◽  
Cross Sectional

scholarly journals Dental caries prevalence and its association with fluoride level in drinking water in Sana’a, Yemen

2018 ◽  
Vol 12 (01) ◽  
pp. 015-020 ◽  
Author(s):  
Ameen Abdullah Al-Akwa ◽  
Sadeq Ali Al-Maweri
Keyword(s):  
Drinking Water ◽  
Dental Caries ◽  
Rural Areas ◽  
Fluoride Concentration ◽  
Significant Negative Correlation ◽  
Caries Experience ◽  
Water Age ◽  
Fluoride Level ◽  
Rural Districts ◽  
High Prevalence

ABSTRACT Objectives Dental caries is the most prevalent chronic condition affecting schoolchildren worldwide. This study is aimed to assess the prevalence of dental caries among schoolchildren in urban and rural districts of Sana’a governorate, Yemen, and to investigate the correlation between caries experience and level of fluoride in drinking water, age, gender, and residence. Materials and Methods This school-based survey involved 17,599 schoolchildren (aged 6-12 years), of whom 9623 were boys and 7976 were girls. We used decay-missing-filled teeth/decay-filled teeth (DMFT/dft) indices to evaluate dental caries experience. In addition, fluoride concentration in drinking water was investigated. Results Around 67.6% of children had dental caries. Children residing in urban districts had significantly higher mean scores of DMFT/dft than those in rural areas (P < 0.05). A significant negative correlation between caries experience and fluoride level was found (P < 0.05), with the lowest dft/DMFT scores at the optimum fluoride level of 0.61-2 ppm and the highest at two extremes, 0.0–0.4 ppm and >2 ppm. Conclusion: This survey found a very high prevalence of caries among schoolchildren in Yemen. There was also an inverse relation between dental caries experience and fluoride levels.

Fluoride removal from drinking water in Senegal: laboratory and pilot experimentation on bone char-based treatment

2011 ◽  
Vol 1 (4) ◽  
pp. 213-223 ◽  
Author(s):  
Sabrina Sorlini ◽  
Daniela Palazzini ◽  
Carlo Collivignarelli
Keyword(s):  
Drinking Water ◽  
Dental Fluorosis ◽  
Low Cost ◽  
Fluoride Concentration ◽  
Pilot Scale ◽  
Appropriate Technology ◽  
World Health ◽  
Fluoride Removal ◽  
Process Conditions ◽  
Bone Char

In Senegal there are four regions where fluoride concentration in drinking water exceeds the World Health Organization guide value of 1.5 mg/L. This generates permanent damages to the teeth (dental fluorosis) and to the skeleton (skeletal fluorosis). A safe, efficient, simple and low-cost effective defluoridation technique is not available yet and needs to be developed in order to prevent the occurrence of fluorosis. This experimental research was carried out in order to define an appropriate technology for fluoride removal from groundwater in Senegal. Batch tests and filtration tests at laboratory and pilot scale were carried out using animal bone char as adsorbent material for fluoride removal. Possible influencing parameters, such as specific ions in Senegalese drinking water, were investigated and the best process conditions were defined for the application in Senegal. The results attest to the efficacy of bone char in removing fluoride from Senegalese water: at pilot scale the mean specific adsorption was 2.7 mg F−/g of bone char, corresponding to a total treated volume of 4,000 L and a filter life of nearly three months.

Salt Fluoridation and General Health

1995 ◽  
Vol 9 (2) ◽  
pp. 138-143 ◽  
Author(s):  
K.E. Bergmann ◽  
R.L. Bergmann
Keyword(s):  
Drinking Water ◽  
Salt Intake ◽  
Dental Fluorosis ◽  
Fluoride Concentration ◽  
Mineral Waters ◽  
Table Salt ◽  
Fluoride Level ◽  
Individual Level ◽  
Salt Consumption ◽  
Fluoride Intake

Salt fluoridation is a systemic form of fluoride supplementation, leaving it to the consumer whether he wants fluoride supplements or not, but thereafter not requiring special dependability for daily compliance. Most German drinking water has low fluoride concentrations. The estimated fluoride intake in German children is between 100 and 300 μg/day, and in adults, between 400 and 600 μg/day. Male subjects have higher mean intakes than females. From 70 to 90% of the salt intake of 10 to 13.5 g/day in German adults comes from commercially prepared foods. This leaves about 1 to 4 g of salt to be added as table salt at the individual level and to become the source of supplementary fluoride. To increase fluoride intake by at least 500 μg/d, and to prevent an additional intake of more than 3000 μg/day, it may be necessary to have salt at a fluoride level of around 500 μg/g or to include one commercial food to be prepared with fluoridated salt, e.g., bread. A salt fluoride concentration of 250 μg/g does not present a risk of dental fluorosis. However, clear recommendations about systemic fluoride supplementation must be given as long as there are fluoride tablets, fluoride-rich mineral waters, and fluoridated table salt available simultaneously. Persons at risk for hypertension from salt consumption require different means of fluoride supplementation. By and large, in areas of low drinking water fluoride, fluoridated table salt has the potential to become a means of systemic supplementation comparable with drinking water fluoridation.

scholarly journals Fluoride Concentration in Ground Water and Prevalence of Dental Fluorosis in Ethiopian Rift Valley: Systematic Review and Meta-Analysis

2019 ◽  
Author(s):  
Habtamu Demelash Enyew ◽  
Abebe Hailu Beyene ◽  
Zewdu Abebe ◽  
Addisu Dagnaw Melese
Keyword(s):  
Drinking Water ◽  
Ground Water ◽  
Rift Valley ◽  
Dental Fluorosis ◽  
Fluoride Concentration ◽  
Ethiopian Rift ◽  
Fluoride Level ◽  
Pooled Prevalence ◽  
Standard Value ◽  
The Mean

Abstract Background: The concentration of fluoride in ground drinking water greater than the world health organization standard value imposes a serious health, social and economic problem in developing countries. In the Ethiopian Rift Valley where deep wells are the major source of drinking water, high fluoride level is expected. Though many epidemiological studies on fluoride concentration and its adverse effects have been conducted in the region, the result is highly scattered and needs systematically summarized for better utilization. Objective: This research is aimed at estimating the pooled level of fluoride concentration in ground drinking water and the prevalence of dental fluorosis among Ethiopian rift valley residences. Methods: Cochrane library, MEDLINE/PubMed and Google scholar databases were searched for studies reporting the mean concentration of fluoride in ground water and prevalence of dental fluorosis in Ethiopian Rift valley. Search terms were identified by extracting key terms from reviews and selected relevant papers and review medical subject headings for relevant terms. Results: The mean fluoride level in ground water and the prevalence of dental fluorosis were pooled from eleven and nine primary studies conducted in Ethiopian Rift Valley respectively. The pooled mean level of fluoride in ground water therefore was 6.03 mg/l (95% CI; 4.72–7.72, p < 0.001) and the pooled prevalence of dental fluorosis among residents in Ethiopian rift valley was 32% (95% CI: 25, 39%, p<0.001), 29% (95% CI: 22, 36%, p<0.001) and 24% (95% CI: 17, 32%, p<0.001 for mild, moderate and sever dental fluorosis respectively. The overall prevalence of dental fluorosis is 28% (95% CI: 24, 32%, p<0.001). Conclusions: Though, the concentration level varies across different part of the rift valley region, still the level of fluoride in ground drinking water is greater than the WHO standard value (1.5mg/l). Relatively high-level pooled prevalence of dental fluorosis was also seen in Ethiopian rift valley. Therefore, further studies covering the temperature, exposure time and other intake path ways with large sample size is recommended. Interventional projects should be implemented to decrease the concentration of fluoride in the ground drinking water source. Key words: Dental fluorosis, Fluoride, Concentration, Rift Valley, Ethiopia

scholarly journals Fluoride Concentration in Ground Water and Prevalence of Dental Fluorosis in Ethiopian Rift Valley: Systematic Review and Meta-Analysis

2019 ◽  
Author(s):  
Habtamu Demelash Enyew ◽  
Abebe Hailu Beyene ◽  
Zewdu Abebe ◽  
Addisu Dagnaw Melese
Keyword(s):  
Drinking Water ◽  
Ground Water ◽  
Rift Valley ◽  
Dental Fluorosis ◽  
Fluoride Concentration ◽  
Ethiopian Rift ◽  
Fluoride Level ◽  
Pooled Prevalence ◽  
Standard Value ◽  
The Mean

Abstract Background: The concentration of fluoride in ground drinking water greater than the world health organization standard value imposes a serious health, social and economic problem in developing countries. In the Ethiopian Rift Valley where deep wells are the major source of drinking water, high fluoride level is expected. Though many epidemiological studies on fluoride concentration and its adverse effects have been conducted in the region, the result is highly scattered and needs systematically summarized for better utilization. Objective: This research is aimed at estimating the pooled level of fluoride concentration in ground drinking water and the prevalence of dental fluorosis among Ethiopian rift valley residences. Methods: Cochrane library, MEDLINE/PubMed and Google scholar databases were searched for studies reporting the mean concentration of fluoride in ground water and prevalence of dental fluorosis in Ethiopian Rift valley. Search terms were identified by extracting key terms from reviews and selected relevant papers and review medical subject headings for relevant terms. Results: The mean fluoride level in ground water and the prevalence of dental fluorosis were pooled from eleven and nine primary studies conducted in Ethiopian Rift Valley respectively. The pooled mean level of fluoride in ground water therefore was 6.03 mg/l (95% CI; 4.72–7.72, p < 0.001) and the pooled prevalence of dental fluorosis among residents in Ethiopian rift valley was 32% (95% CI: 25, 39%, p<0.001), 29% (95% CI: 22, 36%, p<0.001) and 24% (95% CI: 17, 32%, p<0.001 for mild, moderate and sever dental fluorosis respectively. The overall prevalence of dental fluorosis is 28% (95% CI: 24, 32%, p<0.001). Conclusions: Though, the concentration level varies across different part of the rift valley region, still the level of fluoride in ground drinking water is greater than the WHO standard value (1.5mg/l). Relatively high-level pooled prevalence of dental fluorosis was also seen in Ethiopian rift valley. Therefore, further studies covering the temperature, exposure time and other intake path ways with large sample size is recommended. Interventional projects should be implemented to decrease the concentration of fluoride in the ground drinking water source. Key words: Dental fluorosis, Fluoride, Concentration, Rift Valley, Ethiopia

scholarly journals Dental caries and endemic dental fluorosis in rural communities, Minas Gerais, Brazil

2013 ◽  
Vol 16 (4) ◽  
pp. 1021-1028 ◽  
Author(s):  
Simone de Melo Costa ◽  
Mauro Henrique Nogueira Guimarães Abreu ◽  
Andréa Maria Duarte Vargas ◽  
Mara Vasconcelos ◽  
Efigênia Ferreira e Ferreira ◽  
...  
Keyword(s):  
Rural Communities ◽  
Dental Caries ◽  
Dental Fluorosis ◽  
Minas Gerais ◽  
World Health ◽  
Cross Sectional ◽  
The North ◽  
Decay Component ◽  
Adolescents And Adults ◽  
Health Organization

It is observational, analytical and cross-sectional aimed to evaluate the association between severity and prevalence of fluorosis and dental caries in rural communities with endemic dental fluorosis in the north state of Minas Gerais, Brazil, with fluoride concentrations in water up to 4.8 mg/L. Data were collected by one examiner (intra-examiner kappa, 0.96 to 0,95 for caries and fluorosis) after toothbrushing. The study included 511 individuals aged 7 - 22 years, categorized according to age: 7 - 9 years (n = 227), 10 to 12 years (n = 153), 13 to 15 years (n = 92), 16 to 22 years (n = 39). For the diagnosis of dental caries used the criteria of the World Health Organization to measure indices DMFT. For fluorosis used the index Thylstrup and Fejerskov (TF), dichotomized according to prevalence (TF = 0 and TF > 0) and severity (TF < 4 and TF > 5). In the two younger groups, the DMFT and its decay component were higher in the group with more severe fluorosis (p < 0.001). This association was not found among adolescents and adults (p > 0.05). The association was found between the conditions more severe fluorosis and caries in individuals under 12 years.

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