We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Dental fluorosis in permanent incisor teeth in relation to water fluoridation, social deprivation and toothpaste use in infancy.
- Authors
Tabari, E.; Ellwood, R.; Rugg-Gunn, A.; Evans, D.; Davies, R.; Tabari, E D; Rugg-Gunn, A J; Evans, D J; Davies, R M
- Abstract
<bold>Objectives: </bold>To determine the prevalence and severity of fluorosis in permanent incisor teeth in young children in a fluoridated and a fluoride-deficient community and to establish what relationship, if any, there was between the occurrence of dental fluorosis and the reported use of fluoride toothpaste in childhood.<bold>Design: </bold>A prevalence study of children aged 8-9 years who had been continuous residents in fluoridated Newcastle or fluoride-deficient Northumberland.<bold>Method: </bold>The permanent maxillary central incisor teeth were examined clinically and photographically by one examiner using the Thylstrup-Fejerskov index; the photographs were read blind to child identity and clinical score. A closed-response questionnaire enquired into the child's early experiences of toothbrushing and use of fluoride toothpastes. Social deprivation was measured by a Jarman score. The study took place in 1998.<bold>Outcome Measure: </bold>Prevalence of dental fluorosis measured by the Thylstrup-Fejerskov index.<bold>Results: </bold>Complete data were available for 78% (n = 409) and 79% (n = 403) of eligible sampled children in the two areas, respectively. Clinical and photographic results agreed closely and had high reproducibility. The prevalence of fluorosis was 54% in the fluoridated area and 23% in the fluoride-deficient area when all grades (> 0) of fluorosis were included; percentage prevalence of mild to moderate fluorosis (> or = 3) was 3% and 0.5% in the two areas, respectively. Multivariate analysis indicated that area of residence (odds ratio = 4.5), Jarman score (odds ratio = 0.99 per Jarman unit) and type of toothpaste (odds ratio = 1.6) were statistically significantly related to presence or absence of fluorosis: the risk factors were--fluoridated area, affluence, and use of adult toothpaste.<bold>Conclusions and Recommendations: </bold>The prevalence of aesthetically important dental fluorosis was low, although higher in the fluoridated area. Use of a child's toothpaste (with lower fluoride concentration) could decrease risk in a fluoridated area. Adherence to the guidelines published by the British Society of Paediatric Dentistry is recommended.
- Subjects
FLUOROSIS; PEDIATRIC dentistry
- Publication
British Dental Journal, 2000, Vol 189, Issue 4, p216
- ISSN
0007-0610
- Publication type
journal article
- DOI
10.1038/sj.bdj.4800726a