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Marques RB, Lima CCB, de Abreu Costa MLV, et al. Fluoridated water impact on tooth decay and fluorosis in 17-20-year-olds exposed to fluoride toothpaste. J Public Health Dent. 2021;doi: 10.1111/jphd.12472.
Marques, R. B., Lima, C. C. B., de Abreu Costa, M. L. V., de Deus Moura de Lima, M., de Fátima Almeida de Deus Moura, L., Tabchoury, C. P. M., & de Moura, M. S. (2021). Fluoridated water impact on tooth decay and fluorosis in 17-20-year-olds exposed to fluoride toothpaste. Journal of public health dentistry, . https://doi.org/10.1111/jphd.12472
Marques, Ravena Brito, et al. "Fluoridated water impact on tooth decay and fluorosis in 17-20-year-olds exposed to fluoride toothpaste." Journal of public health dentistry vol. (2021). doi: https://doi.org/10.1111/jphd.12472
Marques RB, Lima CCB, de Abreu Costa MLV, de Deus Moura de Lima M, de Fátima Almeida de Deus Moura L, Tabchoury CPM, de Moura MS. Fluoridated water impact on tooth decay and fluorosis in 17-20-year-olds exposed to fluoride toothpaste. J Public Health Dent. 2021 Aug 05; doi: 10.1111/jphd.12472. Epub 2021 Aug 05. PMID: 34350986.
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J Public Health Dent. 2021 Aug 05; doi: 10.1111/jphd.12472. Epub 2021 Aug 05.

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

Journal of public health dentistry

Ravena Brito Marques, Cacilda Castelo Branco Lima, Marina Lua Vieira de Abreu Costa, Marina de Deus Moura de Lima, Lúcia de Fátima Almeida de Deus Moura, Cinthia Pereira Machado Tabchoury, Marcoeli Silva de Moura

Affiliations

  1. Department of Pathology and Dental Clinic, Universidade Federal do Piauí, Teresina, Piauí, Brazil.
  2. Faculdade de Odontologia de Piaracaba, Universidade de Campinas, Piracicaba, São Paulo, Brazil.
  3. Rua Estudante Danilo Romero, Horto Florestal, Teresina, Piauí, Brazil.

PMID: 34350986 DOI: 10.1111/jphd.12472

Abstract

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.

© 2021 American Association of Public Health Dentistry.

Keywords: adolescent; dental caries; dental fluorosis; drinking water; fluorides; young adult

References

  1. Iheozor-Ejiofor Z, Worthington HV, Walsh T, O'Malley L, Clarkson JE, Macey R, et al. Water fluoridation for the prevention of dental caries. Cochrane Database Syst Rev. 2015;2015:CD010856. - PubMed
  2. Rugg-Gunn AJ, Spencer AJ, Whelton HP, Jones C, Beal JF, Castle P, et al. Critique of the review of 'Water fluoridation for the prevention of dental caries' published by the Cochrane collaboration in 2015. Br Dent J. 2016;220:335-40. - PubMed
  3. O'Mullane DM, Baez RJ, Jones S, Lennon MA, Petersen PE, Rugg-Gunn AJ, et al. Fluoride and oral health. Community Dent Health. 2016;33:69-99. - PubMed
  4. Goldman AS, Yee R, Holmgren CJ, Benzian H. Global affordability of fluoride toothpaste. Glob Health. 2008 Jun 13;4:7. - PubMed
  5. Moore D, Poynton M, Broadbent JM, Thomson WM. The costs and benefits of water fluoridation in NZ. BMC Oral Health. 2017;17:134. - PubMed
  6. Spencer AJ, Liu P, Armfield JM, Do LG. Preventive benefit of access to fluoridated water for young adults. J Public Health Dent. 2017;77:263-71. - PubMed
  7. Dalla Nora Â, Dalmolin A, Gindri LD, Moreira CHC, Alves LS, Zenkner JEDA. Oral health status of schoolchildren living in rural and urban areas in southern Brazil. Braz Oral Res. 2020;34:e060. - PubMed
  8. Cruz MGBD, Narvai PC. Caries and fluoridated water in two Brazilian municipalities with low prevalence of the disease. Rev Saude Publica. 2018;52:28. - PubMed
  9. Idon PI, Enabulele JE. Prevalence, severity, and request for treatment of dental fluorosis among adults in an endemic region of northern Nigeria. Eur J Dent. 2018;12:184-90. - PubMed
  10. Cury JA, Ricomini-Filho AP, Berti FLP, Tabchoury CP. Systemic effects (risks) of water fluoridation. Braz Dent J. 2019;30:421-8. - PubMed
  11. Angulo M, Cuitiño E, Molina-Frechero N, Emilson CG. The association between the prevalence of dental fluorosis and the socio-economic status and area of residence of 12-year-old students in Uruguay. Acta Odontol Scand. 2020;78:26-30. - PubMed
  12. Shyam R, Bhadravathi Chaluvaiah M, Kumar A, Pahwa M, Rani G, Phogat R. 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). Int Dent J. 2020;70:340-6. - PubMed
  13. Curtis AM, Levy SM, Cavanaugh JE, Warren JJ, Kolker JL, Weber-Gasparoni K. Decline in dental fluorosis severity during adolescence: a cohort study. J Dent Res. 2020;99:388-94. - PubMed
  14. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP, et al. The strengthening the reporting of observational studies in epidemiology (STROBE) statement: guidelines for reporting observational studies. Int J Surg. 2014;12:1495-9. - PubMed
  15. Brasil, IBGE. Censo demográfico. 2017. Available: www.ibge.gov.br. - PubMed
  16. Lima CV, Cury JA, Vale GC, Lima MD, Moura Lde F, Moura MS. Total fluoride intake by children from a tropical Brazilian City. Caries Res. 2015;49:640-6. - PubMed
  17. Lima CV, Pierote JJ, de Santana Neta HA, et al. Caries, Toothbrushing habits, and fluoride intake from toothpaste by Brazilian children according to socioeconomic status. Pediatr Dent. 2016;38:305-10. - PubMed
  18. Peres MA, Peres KG, Barbato PR, Höfelmann DA. Access to fluoridated water and adult dental caries: a natural experiment. J Dent Res. 2016;95:868-74. - PubMed
  19. World Health Organization (WHO). Geneva: World Health Organization; 2013. - PubMed
  20. Thylstrup A, Fejerskov O. Clinical appearance of dental fluorosis in permanent teeth in relation to histologic changes. Community Dent Oral Epidemiol. 1978;6:315-28. - PubMed
  21. Macpherson LM, Conway DI, Gilmour WH, Petersson LG, Stephen KW. Photographic assessment of fluorosis in children from naturally fluoridated Kungsbacka and non-fluoridated Halmstad, Sweden. Acta Odontol Scand. 2007;65:149-55. - PubMed
  22. Chankanka O, Levy SM, Warren JJ, Chalmers JM. A literature review of aesthetic perceptions of dental fluorosis and relationships with psychosocial aspects/oral health-related quality of life. Community Dent Oral Epidemiol. 2010 Apr;38:97-109. - PubMed
  23. de Moura MS, Barbosa PR, Nunes-Dos-Santos DL, Dantas-Neta NB, Moura Lde F, de Lima Mde D. Vigilância epidemiológica da fluorose dentária em município de clima tropical com água de abastecimento público fluoretada [Epidemiological surveillance of dental fluorosis in a city with a tropical climate with a fluoridated public drinking water supply]. Cien Saude Colet. 2016;21(4):1247-54. Portuguese. - PubMed
  24. Drachev SN, Brenn T, Trovik TA. Oral health-related quality of life in young adults: a survey of Russian undergraduate students. Int J Environ Res Public Health. 2018;15:719. - PubMed
  25. Shaffer JR, Leslie EJ, Feingold E, Govil M, McNeil DW, Crout RJ, et al. Caries experience differs between females and males across age groups in northern Appalachia. Int J Dent. 2015;2015:938213. - PubMed
  26. Cury JA, Caldarelli PG, Tenuta LM. Necessity to review the Brazilian regulation about fluoride toothpastes. Rev Saude Publica. 2015;49:74. - PubMed
  27. Pucca GA Jr, Gabriel M, de Araujo ME, de Almeida FC. Ten years of a National Oral Health Policy in Brazil: innovation, boldness, and numerous challenges. J Dent Res. 2015 Oct;94:1333-7. - PubMed
  28. Do LG, Ha DH, Spencer AJ. Natural history and long-term impact of dental fluorosis: a prospective cohort study. Med J Aust. 2016;204:25. - PubMed

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