Dental fluorosis and associated risk factors in early adolescents in India
-
Sandeep Kumar
,
Astha Chauhan
Abstract
Background
Dental fluorosis has a negative impact on the facial esthetics of adolescents and is a worldwide oral health concern.
Objective
To assess the prevalence and associated risk factors for dental fluorosis in early adolescents in India.
Methods
This was a cross-sectional study carried out on 800 adolescent school children selected from the Jhabua and Dhar districts of Madhya Pradesh, India. The children were in the of 12–15-year age group. A total of eight schools from both Jhabua and Dhar districts were included in the study. A self-administered questionnaire collected information on demographic characteristics, oral hygiene practices and various risk factors for dental fluorosis. Water samples were collected from each zone and sent to a laboratory for water fluoride estimation. Dental fluorosis was assessed using the Dean index. Chi-squared (χ2) and logistic regression analysis were performed.
Results
The overall prevalence of dental fluorosis was found to be 40.5% in early adolescents. The prevalence of dental fluorosis was found to be 45% in the Jhabua district and 36% in the Dhar district. The water fluoride content was found to be the strongest predictor for dental fluorosis followed by the method of water storage.
Conclusion
Dental fluorosis affects a large number of adolescents in both the Jhabua and Dhar districts of Madhya Pradesh. Effective policies focusing on oral health education and prevention of dental fluorosis need to be drafted.
Conflict of Interest: The authors declare that they have reviewed and approved the manuscript and there is no conflict of interest amongst the authors.
Funding: There was no financial or personal relationship with other people or organizations or companies while this study was conducted that might influence the results. There was no funding accepted from any organizations or any companies that might influence the results.
References
[1] Fejerskov O, Manji F, Baelum V. The nature and mechanisms of dental fluorosis in man. J Dent Res. 1990;(69 Spec No):692–700.10.1177/00220345900690S135Search in Google Scholar PubMed
[2] Szpunar SM, Burt BA. Dental caries, fluorosis, and fluoride exposure in Michigan schoolchildren. J Dent Res. 1988;67(5):802–6.10.1177/00220345880670050101Search in Google Scholar PubMed
[3] Dean HT, Elvove E. Some epidemiological aspects of chronic endemic dental fluorosis. Am J Public Health. 1936;26:567–75.10.2105/AJPH.26.6.567Search in Google Scholar
[4] Gopalakrishnan P, Vasan RS, Sarma PS, Nair KS, Thankappan KR. Prevalence of dental fluorosis and associated risk factors in Alappuzha district, Kerala. Natl Med J India. 1999;12(3):99–103.Search in Google Scholar
[5] Osuji OO, Leake JL, Chipman ML, Nikiforuk G, Locker D, Levine N. Risk factors for dental fluorosis in a fluoridated community. J Dent Res. 1988;67(12):1488–92.10.1177/00220345880670120901Search in Google Scholar PubMed
[6] Levy SM. Review of fluoride exposures and ingestion. Community Dent Oral Epidemiol. 1994;22(3):173–80.10.1111/j.1600-0528.1994.tb01836.xSearch in Google Scholar PubMed
[7] Olsson B. Dental caries and fluorosis in Arussi province, Ethiopia. Community Dent Oral Epidemiol. 1978;6(6):338–43.10.1111/j.1600-0528.1978.tb01175.xSearch in Google Scholar PubMed
[8] Awadia AK, Bjorvatn K, Birkeland JM, Haugejorden O. Weaning food and magadi associated with dental fluorosis in Northern Tanzania. Acta Odontol Scand. 2000;58(1):1–7.10.1080/000163500429352Search in Google Scholar PubMed
[9] Manji F, Baelum V, Fejerskov O. Fluoride, altitude and dental fluorosis. Caries Res. 1986;20(5):473–80.10.1159/000260977Search in Google Scholar PubMed
[10] Rwenyonyi C, Bjorvatn K, Birkeland J, Haugejorden O. Altitude as a risk indicator of dental fluorosis in children residing in areas with 0.5 and 2.5 mg fluoride per litre in drinking water. Caries Res. 1999;33(4):267–74.10.1159/000016528Search in Google Scholar PubMed
[11] http://www.fluorideandfluorosis.com/fluorosis/districts.html [cited 2015 Jun 17].Search in Google Scholar
[12] World Health Organization. Oral health surveys, basic methods. 4th ed. Geneva: World Health Organization, AITBS Publishers; 1999.Search in Google Scholar
[13] Rozier RG. Epidemiologic indices for measuring the clinical manifestations of dental fluorosis: overview and critique. Adv Dent Res. 1994;8:39–55.10.1177/08959374940080010901Search in Google Scholar PubMed
[14] Handa S, Prasad S, Rajashekharappa CB, Garg A, Ryana HK, Khurana C. Oral health status of rural and urban population of Gurgaon block, Gurgaon district using WHO assessment form through multistage sampling technique. J Clin Diagn Res. 2016;10(5):ZC43–51.10.7860/JCDR/2016/19048.7756Search in Google Scholar PubMed PubMed Central
[15] Ramesh M, Narasimhan M, Krishnan R, Chalakkal P, Aruna RM, Kuruvilah S. The prevalence of dental fluorosis and its associated factors in Salem district. Contemp Clin Dent. 2016;7(2):203–8.10.4103/0976-237X.183061Search in Google Scholar PubMed PubMed Central
[16] Raju PK, Vasanti D, Kumar JR, Niranjani K, Kumar MS. Oral hygiene levels in children of tribal population of Eastern Ghats: an epidemiological study. J Int Oral Health. 2015;7(7):108–10.Search in Google Scholar
[17] Okunseri C, Chattopadhyay A, Lugo RI, McGrath C. Pilot survey of oral health-related quality of life: a cross sectional study of adults in Benin City, Edo State, Nigeria. BMC Oral Health 2005;5:7.10.1186/1472-6831-5-7Search in Google Scholar PubMed PubMed Central
[18] Pentapati KC, Acharya S, Bhat M, Rao SK, Singh S. Oral health impact, dental caries, and oral health behaviors among the National Cadets Corps in South India. J Invest Clin Dent 2013;4:39–43.10.1111/j.2041-1626.2012.00134.xSearch in Google Scholar PubMed
[19] Kumar S, Kumar A, Badiyani B, Kumar A, Basak D, Ismail MB. Oral health impact, dental caries experience, and associated factors in 12–15-year-old school children in India. Int J Adolesc Med Health. 2017;29(2). DOI: 10.1515/ijamh-2015-0041.Search in Google Scholar PubMed
[20] Naidu GM, Rahamthullah SA, Kopuri RK, Kumar YA, Suman SV, Balaga RN. Prevalence and self perception of dental fluorosis among 15 year old school children in Prakasham district of south India. J Int Oral Health. 2013;5(6):67–71.Search in Google Scholar
[21] Reddy KS, Puppala R, Kethineni B, Reddy H, Reddy A, Kalyan VS. Prevalence of dental fluorosis among 6–12 year old school children of Mahabubnagar district, Telangana State, India- A cross sectional study. J Indian Assoc Public Health Dent. 2017;15:42–7.10.4103/jiaphd.jiaphd_82_17Search in Google Scholar
[22] Saravanan S, Kalyani C, Vijayarani M, Jayakodi P, Felix A, Nagarajan S, Arunmozhi P, Krishnan V. Prevalence of dental fluorosis among primary school children in rural areas of Chidambaramtaluk, Cuddalore district, Tamil Nadu, India. Indian J Community Med. 2008;33(3):146–50.10.4103/0970-0218.42047Search in Google Scholar PubMed PubMed Central
[23] Mahantesha T, Dixit UB, Nayakar RP, Ashwin D, Ramagoni NK, KamavaramEllore VP. Prevalence of dental fluorosis and associated risk factors in Bagalkot district, Karnataka, India. Int J ClinPediatr Dent. 2016;9(3):256–23.10.5005/jp-journals-10005-1373Search in Google Scholar PubMed PubMed Central
[24] Hauge S, Osterberg R, Bjorvatn K, Selvig KA. Defluoridation of drinking water with pottery: effect of firing temperature. Scand J Dent Res. 1994;102(6):329–33.10.1111/j.1600-0722.1994.tb01479.xSearch in Google Scholar PubMed
[25] Crini G. Non-conventional low-cost adsorbents for dye removal: a review. Bioresour Technol. 2006;97(9):1061–85.10.1016/j.biortech.2005.05.001Search in Google Scholar PubMed
[26] Kandavel S, Iyenkani NB, Madan Kumar PD, Junaid M. Effect of boiling and storage in five different commonly used cooking vessels on water fluoride concentration. Der Pharmacia Lettre. 2015;7(6):192–7.Search in Google Scholar
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- Relationship between adaptation and self-esteem in addicted female prisoners in the south east of Iran
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