Dental health status and its indicators in adult Brazilian Indians without exposition to drinking water fluoridation: a cross-sectional study

Water fluoridation is considered a cost-effective and practical method for controlling and preventing dental caries in the general population. The objective of this study was to evaluate the dental health status and risk indicators for dental caries in adult Brazilian Indians without exposition to d...

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Veröffentlicht in:Environmental science and pollution research international 2019-11, Vol.26 (33), p.34440-34447
Hauptverfasser: Montanha-Andrade, Katia, Maia, Wolf, Pimentel, Ana Caroline Pereira, Arsati, Ynara Bosco De Oliveira Lima, Santos, Jean Nunes Dos, Cury, Patricia Ramos
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container_end_page 34447
container_issue 33
container_start_page 34440
container_title Environmental science and pollution research international
container_volume 26
creator Montanha-Andrade, Katia
Maia, Wolf
Pimentel, Ana Caroline Pereira
Arsati, Ynara Bosco De Oliveira Lima
Santos, Jean Nunes Dos
Cury, Patricia Ramos
description Water fluoridation is considered a cost-effective and practical method for controlling and preventing dental caries in the general population. The objective of this study was to evaluate the dental health status and risk indicators for dental caries in adult Brazilian Indians without exposition to dental caries–preventive effects of water fluoridation. Decayed (DT), missing (MT), and filled (FT) permanent teeth (DMFT), as well as plaque index, unstimulated salivary flow rate, salivary buffering capacity, and fasting blood glucose were examined in 225 adult Indians. Smoking habits and sociodemographic data were evaluated using a structured questionnaire. Drinking water samples from 10 Indian villages were analyzed for the natural fluoride concentration. The mean DMFT was 10.33 ± 6.91 (DT, 4.19 ± 3.99; MT, 4.99 ± 5.64; FT, 1.14 ± 1.75). DMFT index ≥ 9 was associated with age ≥ 35 years ( p = 0.000), lower education ( p = 0.03), and plaque index > 40% ( p = 0.003). DT was associated only with plaque index ( p = 0.03). MT was associated with age ( p < 0.001) and plaque index ( p = 0.01). FT was negatively associated with age ( p = 0.02) and income ( p = 0.02). Fluoride concentration varied from 0.01 to 0.07 mg/L and was not associated with dental health status ( p ≥ 0.29). In conclusion, poorer dental health status was associated with older age, higher plaque index, and lower education and income levels. The fluoride level in the drinking water of Kiriri villages was lower than the level recommended for preventing dental caries. Water fluoridation may be recommended for this population.
doi_str_mv 10.1007/s11356-019-06571-3
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The objective of this study was to evaluate the dental health status and risk indicators for dental caries in adult Brazilian Indians without exposition to dental caries–preventive effects of water fluoridation. Decayed (DT), missing (MT), and filled (FT) permanent teeth (DMFT), as well as plaque index, unstimulated salivary flow rate, salivary buffering capacity, and fasting blood glucose were examined in 225 adult Indians. Smoking habits and sociodemographic data were evaluated using a structured questionnaire. Drinking water samples from 10 Indian villages were analyzed for the natural fluoride concentration. The mean DMFT was 10.33 ± 6.91 (DT, 4.19 ± 3.99; MT, 4.99 ± 5.64; FT, 1.14 ± 1.75). DMFT index ≥ 9 was associated with age ≥ 35 years ( p = 0.000), lower education ( p = 0.03), and plaque index &gt; 40% ( p = 0.003). DT was associated only with plaque index ( p = 0.03). MT was associated with age ( p &lt; 0.001) and plaque index ( p = 0.01). FT was negatively associated with age ( p = 0.02) and income ( p = 0.02). Fluoride concentration varied from 0.01 to 0.07 mg/L and was not associated with dental health status ( p ≥ 0.29). In conclusion, poorer dental health status was associated with older age, higher plaque index, and lower education and income levels. The fluoride level in the drinking water of Kiriri villages was lower than the level recommended for preventing dental caries. 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FT was negatively associated with age ( p = 0.02) and income ( p = 0.02). Fluoride concentration varied from 0.01 to 0.07 mg/L and was not associated with dental health status ( p ≥ 0.29). In conclusion, poorer dental health status was associated with older age, higher plaque index, and lower education and income levels. The fluoride level in the drinking water of Kiriri villages was lower than the level recommended for preventing dental caries. 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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Adolescent
Adult
Age
Aged
Aquatic Pollution
Atmospheric Protection/Air Quality Control/Air Pollution
Brazil - ethnology
Child
Cross-Sectional Studies
Dental Caries
Dental health
DMF Index
Drinking water
Earth and Environmental Science
Ecotoxicology
Education
Environment
Environmental Chemistry
Environmental Health
Environmental science
Evaluation
Female
Flow velocity
Fluoridation
Fluorides
Health Status
Humans
Income
Indicators
Male
Oral Health
Plaque index
Population Groups
Research Article
Risk Factors
Surveys and Questionnaires
Teeth
Waste Water Technology
Water analysis
Water Management
Water Pollution Control
Water sampling
title Dental health status and its indicators in adult Brazilian Indians without exposition to drinking water fluoridation: a cross-sectional study
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