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 |
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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 |
format | Article |
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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.</description><identifier>ISSN: 0944-1344</identifier><identifier>EISSN: 1614-7499</identifier><identifier>DOI: 10.1007/s11356-019-06571-3</identifier><identifier>PMID: 31637613</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>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</subject><ispartof>Environmental science and pollution research international, 2019-11, Vol.26 (33), p.34440-34447</ispartof><rights>Springer-Verlag GmbH Germany, part of Springer Nature 2019</rights><rights>Environmental Science and Pollution Research is a copyright of Springer, (2019). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c433t-f601be9b4b049ba938652171ca5512f8a902a2e771b8e0c64a1241c0d89ce4733</citedby><cites>FETCH-LOGICAL-c433t-f601be9b4b049ba938652171ca5512f8a902a2e771b8e0c64a1241c0d89ce4733</cites><orcidid>0000-0001-8907-0483</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11356-019-06571-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11356-019-06571-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,27925,27926,41489,42558,51320</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31637613$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Montanha-Andrade, Katia</creatorcontrib><creatorcontrib>Maia, Wolf</creatorcontrib><creatorcontrib>Pimentel, Ana Caroline Pereira</creatorcontrib><creatorcontrib>Arsati, Ynara Bosco De Oliveira Lima</creatorcontrib><creatorcontrib>Santos, Jean Nunes Dos</creatorcontrib><creatorcontrib>Cury, Patricia Ramos</creatorcontrib><title>Dental health status and its indicators in adult Brazilian Indians without exposition to drinking water fluoridation: a cross-sectional study</title><title>Environmental science and pollution research international</title><addtitle>Environ Sci Pollut Res</addtitle><addtitle>Environ Sci Pollut Res Int</addtitle><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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Aquatic Pollution</subject><subject>Atmospheric Protection/Air Quality Control/Air Pollution</subject><subject>Brazil - ethnology</subject><subject>Child</subject><subject>Cross-Sectional Studies</subject><subject>Dental Caries</subject><subject>Dental health</subject><subject>DMF Index</subject><subject>Drinking water</subject><subject>Earth and Environmental Science</subject><subject>Ecotoxicology</subject><subject>Education</subject><subject>Environment</subject><subject>Environmental Chemistry</subject><subject>Environmental Health</subject><subject>Environmental science</subject><subject>Evaluation</subject><subject>Female</subject><subject>Flow velocity</subject><subject>Fluoridation</subject><subject>Fluorides</subject><subject>Health Status</subject><subject>Humans</subject><subject>Income</subject><subject>Indicators</subject><subject>Male</subject><subject>Oral Health</subject><subject>Plaque index</subject><subject>Population Groups</subject><subject>Research Article</subject><subject>Risk Factors</subject><subject>Surveys and Questionnaires</subject><subject>Teeth</subject><subject>Waste Water Technology</subject><subject>Water analysis</subject><subject>Water Management</subject><subject>Water Pollution Control</subject><subject>Water sampling</subject><issn>0944-1344</issn><issn>1614-7499</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNp9kc1u1DAUhS0EotPCC7BAltiwCfjajj1mR0uBSpW6gXV04zgdl4w9-EelvAPvTNIprcSiK1_5fPf4WIeQV8DeAWP6fQYQrWoYmIapVkMjnpAVKJCNlsY8JStmpGxASHlADnO-Yowzw_VzciBACa1ArMifTy4UnOjG4VQ2NBcsNVMMA_UlUx8Gb7HEtIwUhzoVepzwt588Bno2qxgyvfZlE2uh7tcuZl98DLREOiQffvhwSa-xuETHqcbkB1zkDxSpTTHnJju7XMwBcqnDzQvybMQpu5d35xH5_vn028nX5vziy9nJx_PGSiFKMyoGvTO97Jk0PRqxVi0HDRbbFvi4RsM4cqc19GvHrJIIXIJlw9pYJ7UQR-Tt3neX4s_qcum2Pls3TRhcrLnjgmktDEA7o2_-Q69iTXPiheIgtAGhZorvqdtvJTd2u-S3mG46YN1SVrcvq5vL6m7L6pYUr--sa791w_3Kv3ZmQOyBPEvh0qWHtx-x_QvxbqFA</recordid><startdate>20191101</startdate><enddate>20191101</enddate><creator>Montanha-Andrade, Katia</creator><creator>Maia, Wolf</creator><creator>Pimentel, Ana Caroline Pereira</creator><creator>Arsati, Ynara Bosco De Oliveira Lima</creator><creator>Santos, Jean Nunes Dos</creator><creator>Cury, Patricia Ramos</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QL</scope><scope>7SN</scope><scope>7T7</scope><scope>7TV</scope><scope>7U7</scope><scope>7WY</scope><scope>7WZ</scope><scope>7X7</scope><scope>7XB</scope><scope>87Z</scope><scope>88E</scope><scope>88I</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8FL</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BEZIV</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FRNLG</scope><scope>FYUFA</scope><scope>F~G</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K60</scope><scope>K6~</scope><scope>K9.</scope><scope>L.-</scope><scope>M0C</scope><scope>M0S</scope><scope>M1P</scope><scope>M2P</scope><scope>M7N</scope><scope>P64</scope><scope>PATMY</scope><scope>PQBIZ</scope><scope>PQBZA</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PYCSY</scope><scope>Q9U</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8907-0483</orcidid></search><sort><creationdate>20191101</creationdate><title>Dental health status and its indicators in adult Brazilian Indians without exposition to drinking water fluoridation: a cross-sectional study</title><author>Montanha-Andrade, Katia ; Maia, Wolf ; Pimentel, Ana Caroline Pereira ; Arsati, Ynara Bosco De Oliveira Lima ; Santos, Jean Nunes Dos ; Cury, Patricia Ramos</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c433t-f601be9b4b049ba938652171ca5512f8a902a2e771b8e0c64a1241c0d89ce4733</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Aquatic Pollution</topic><topic>Atmospheric Protection/Air Quality Control/Air Pollution</topic><topic>Brazil - ethnology</topic><topic>Child</topic><topic>Cross-Sectional Studies</topic><topic>Dental Caries</topic><topic>Dental health</topic><topic>DMF Index</topic><topic>Drinking water</topic><topic>Earth and Environmental Science</topic><topic>Ecotoxicology</topic><topic>Education</topic><topic>Environment</topic><topic>Environmental Chemistry</topic><topic>Environmental Health</topic><topic>Environmental science</topic><topic>Evaluation</topic><topic>Female</topic><topic>Flow velocity</topic><topic>Fluoridation</topic><topic>Fluorides</topic><topic>Health Status</topic><topic>Humans</topic><topic>Income</topic><topic>Indicators</topic><topic>Male</topic><topic>Oral Health</topic><topic>Plaque index</topic><topic>Population Groups</topic><topic>Research Article</topic><topic>Risk Factors</topic><topic>Surveys and Questionnaires</topic><topic>Teeth</topic><topic>Waste Water Technology</topic><topic>Water analysis</topic><topic>Water Management</topic><topic>Water Pollution Control</topic><topic>Water sampling</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Montanha-Andrade, Katia</creatorcontrib><creatorcontrib>Maia, Wolf</creatorcontrib><creatorcontrib>Pimentel, Ana Caroline Pereira</creatorcontrib><creatorcontrib>Arsati, Ynara Bosco De Oliveira Lima</creatorcontrib><creatorcontrib>Santos, Jean Nunes Dos</creatorcontrib><creatorcontrib>Cury, Patricia Ramos</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Ecology Abstracts</collection><collection>Industrial and Applied Microbiology Abstracts (Microbiology A)</collection><collection>Pollution Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Access via ABI/INFORM (ProQuest)</collection><collection>ABI/INFORM Global (PDF only)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>ABI/INFORM Global (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Science Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ABI/INFORM Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Business Premium Collection</collection><collection>Natural Science Collection</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Engineering Research Database</collection><collection>Business Premium Collection (Alumni)</collection><collection>Health Research Premium Collection</collection><collection>ABI/INFORM Global (Corporate)</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Business Collection (Alumni Edition)</collection><collection>ProQuest Business Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>ABI/INFORM Professional Advanced</collection><collection>ABI/INFORM Global</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Science Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>ProQuest One Business</collection><collection>ProQuest One Business (Alumni)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Environmental Science Collection</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Environmental science and pollution research international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Montanha-Andrade, Katia</au><au>Maia, Wolf</au><au>Pimentel, Ana Caroline Pereira</au><au>Arsati, Ynara Bosco De Oliveira Lima</au><au>Santos, Jean Nunes Dos</au><au>Cury, Patricia Ramos</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dental health status and its indicators in adult Brazilian Indians without exposition to drinking water fluoridation: a cross-sectional study</atitle><jtitle>Environmental science and pollution research international</jtitle><stitle>Environ Sci Pollut Res</stitle><addtitle>Environ Sci Pollut Res Int</addtitle><date>2019-11-01</date><risdate>2019</risdate><volume>26</volume><issue>33</issue><spage>34440</spage><epage>34447</epage><pages>34440-34447</pages><issn>0944-1344</issn><eissn>1614-7499</eissn><abstract>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.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>31637613</pmid><doi>10.1007/s11356-019-06571-3</doi><tpages>8</tpages><orcidid>https://orcid.org/0000-0001-8907-0483</orcidid></addata></record> |
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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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