Case-control study in young people living in fluoridated and non-fluoridated regions
DOI:
https://doi.org/10.33448/rsd-v10i6.15646Keywords:
Epidemiology; Oral Health; Dental Caries; Fluoridation.Abstract
The objective of this study was to verify the prevalence and severity of dental caries in 12-year-olds from a municipality that regularly performs fluoridation of public water supply, since 1972, comparing oral health conditions among young people born and unborn at the site. This is a case-control study, carried out on 164 12-year-old schoolchildren enrolled in public schools in a municipality that continuously performs fluoridation of the water in the public water supply system. The control group was composed of young people with DMFT=0 (n=82) and the case group was composed of young people with DMFT>0 (n=82). The fact that he was not always born and lived in the municipality was considered the exposure factor. The evaluation of the dental condition was performed using the DMFT index. It was found that the average DMFT index of 164 students was 1.00±1.24. There was a statistically significant association (p=0.001) between dental caries experience and the exposure factor, with odds ratio=3.0134 (95% CI=1.5944 - 5.6595). The means of the DMFT index (unexposed=0.44±0.67; exposed=1.31±1.32), of the decayed teeth component (unexposed=0.12±0.34; exposed=0.49±0.89) and the filled teeth component (unexposed=0.40±0.73; exposed=0.83±1.05) were significantly lower (p<0.05) in the adolescents who were born and lived always in the municipality that regularly carries out the fluoridation of public water supply, compared to those born in another municipality. It was concluded that there was an association between access to fluoridated water regularly since birth and lower prevalence and severity of dental caries.
References
Abanto, J., Tsakos, G., Paiva, S. M., Carvalho, T. S., Raggio, D. P., & Bönecker, M. (2014). Impact of dental caries and trauma on quality of life among 5- to 6-year-old children: perceptions of parents and children. Community Dentistry and Oral Epidemiology, 42(5), 385-394. https://doi.org/10.1111/cdoe.12099
Araújo, P. C., Vettore, M. V., Baker, S. R., Garbin, C. A. S., Moimaz, S. A. S., & Arcieri, R. M. (2018). Oral health knowledge among Brazilian preschoolers and their carers receiving and not receiving healthpromotion. Bioscience Journal, 34(2), 514-524. https://doi.org/10.14393/BJ-v34n2a2018-39508
Baghlaf, K., Muirhead, V., Moynihan, P., Weston-Price, S., & Pine, C. (2018). Free sugars consumption around bedtime and dental caries in children: a systematic review. JDR Clinical and Translational Research, 3(2), 118-129. https://doi.org/10.1177/2380084417749215
Brasil. (2012). SB Brasil 2010: Pesquisa Nacional de Saúde Bucal: resultados principais. Ministério da Saúde.
Carolino, R. A., Silva, G. G., Silva, M. E. C., Silva, T. A. F., Silva, I. P. A., Paiva, D. F. F., Xerez, M. C., Pinheiro, J. C., Silva, R. U. O., Medeiros, R. F. S. B., Souza, L. C., & Moura, C. (2020). Evaluation of the impact of oral health conditions on the quality of life of schoolchildren: An exploratory study. Research, Society and Development, 9(10), e2849108683. https://doi.org/10.33448/rsd-v9i10.8683
Centro Colaborador do Ministério da Saúde em Vigilância da Saúde Bucal. (2011). Consenso técnico sobre classificação de águas de abastecimento público segundo o teor de flúor. São Paulo: Faculdade de Saúde Pública da Universidade de São Paulo.
Cesa, K., Abegg, C., & Aerts, D. (2011). A vigilância da fluoretação de águas nas capitais brasileiras. Epidemiologia e Serviços de Saúde, 20, 547-555.
Dye, B. A., Hsu, K. L., & Afful, J. (2015). Prevalence and measurement of dental caries in young children. Pediatric Dentistry, 37(3), 200-216.
Ferreira, M. C., Goursand, D., Bendo, C. B., Ramos-Jorge, M. L., Pordeus, I. A., & Paiva, S. M. (2012). Agreement between adolescents' and their mothers' reports of oral health–related quality of life. Brazilian Oral Research, 26(2), 112-118. http://dx.doi.org/10.1590/S1806-83242012000200005
Frazão, P. (2012). Epidemiology of dental caries: when structure and context matter. Brazilian Oral Research, 26(spe1), 108-114. https://doi.org/10.1590/S1806-83242012000700016
Garbin, C. A. S., Santos, L. F. P., Garbin, A. J. I., Moimaz, S. A. S., & Saliba, O. (2017). Fluoridation of public water supply: bioethical, legal and political approach. Revista Bioética, 25(2), 328-337. https://doi.org/10.1590/1983-80422017252193
Gomes, D., & Ros, M. A. D. The etiology of carie: the construction of a thought-style. (2008). Ciência & Saúde Coletiva, 13(3), 1081-1090. https://doi.org/10.1590/S1413-81232008000300031
Hall-Scullin, E., Whitehead, H., Milsom, K., Tickle, M., Su, T. L., & Walsh, T. (2017). Longitudinal study of caries development from childhood to adolescence. Journal of Dental Research, 96(7), 762-767. https://doi.org/10.1177/0022034517696457
Iheozor-Ejiofor, Z., Worthington, H. V., Walsh, T., O'Malley, L., Clarkson, J. E., Macey, R., Alam, R., Tugwell, P., Welch, V., & Glenny, A. M. (2015). Water fluoridation for the prevention of dental caries. The Cochrane Database of Systematic Reviews, 2015(6), CD010856. https://doi.org/10.1002/14651858.CD010856.pub2
Instituto Brasileiro de Geografia e Estatística. (2021). Cidades e estados: Araçatuba. https://www.ibge.gov.br/cidades-e-estados/sp/aracatuba.html
Malta, M., Cardoso, L. O., Bastos, F. I., Magnanini, M. M., & Silva, C. M. F. (2010). STROBE initiative: guidelines on reporting observational studies. Revista de Saúde Pública, 44(3), 559-565. https://doi.org/10.1590/S0034-89102010000300021
McDonagh, M. S., Whiting, P. F., Wilson, P. M., Sutton, A. J., Chestnutt, I., Cooper, J., Misso, K., Bradley, M., Treasure, E., & Kleijnen, J. (2000). Systematic review of water fluoridation. British Medical Journal, 321(7265), 855-859. https://doi.org/10.1136/bmj.321.7265.855
Moimaz, S. A. S., & Santos, L. F. P. (2015). Estudo longitudinal da fluoretação das águas em município com complexa rede de distribuição: dez anos de estudo. Archives of Health Investigation, 4(5), 11-16.
Moimaz, S. A. S., Garbin, C. A. S., Iglesias, G. F., Chiba, F. Y., Sumida, D. H., & Saliba, O. (2015). Dificuldades enfrentadas no processo de fluoretação das águas de abastecimento público. Revista Brasileira de Pesquisa em Saúde, 17(1), 87–94.
Moimaz, S. A. S., Santos, L. F. P., Saliba, N. A., & Saliba, O. (2017). Eleven years of monitoring fluoride content in public water supplies: methods, products, and importance to public health. Bioscience Journal, 33(3), 799-808. https://doi.org/10.14393/BJ-v33n3-36328
Moimaz, S. A. S., Santos, L. F. P., Saliba, T. A., Saliba, N. A., & Saliba, O. (2020). Health surveillance: public water supply fluoridation in 40 municipalities of São Paulo, Brazil. Ciência & Saúde Coletiva, 25(7), 2653-2662. https://doi.org/10.1590/1413-81232020257.03972018
Moimaz, S. A. S., Santos, L. F. P., Saliba, T. A., Saliba, N. A., & Saliba, O. (2018). Heterocontrole do flúor nas águas de abastecimento público: resultados e experiência de 13 anos de vigilância. Archives of Health Investigation, 7(7), 262-268. https://doi.org/10.21270/archi.v7i7.3037
Mota, K. R., Oliveira, A. C. N., Heimer, M. V., Moreira, A. R. O., Pugliesi, D. M. C., & Santos Junior, V. E. (2020). Public oral health policies for children: historical perspective, state of the art and future challenges. Research, Society and Development, 9(11), e3529119869. https://doi.org/10.33448/rsd-v9i11.9869
Rebelo, M. A., Vieira, J. M. R., Pereira, J. V., Quadros, L. N., & Vettore, M. V. (2019). Does oral health influence school performance and school attendance? A systematic review and meta‐analysis. International Journal of Paediatric Dentistry, 29(2), 138–48. https://doi.org/10.1111/ipd.12441
Righolt, A. J., Jevdjevic, M., Marcenes, W., & Listl, S. (2018). Global-, regional-, and country-level economic impacts of dental diseases in 2015. Journal of Dental Research, 97(5), 501–507. https://doi.org/10.1177/0022034517750572
Rosin-Grget, K., Peros, K., Sutej, I., & Bašić, K. (2013). The cariostatic mechanisms of fluoride. Acta Medica Academica, 42(2), 179-188. http://dx.doi.org/10.5644/ama2006-124.85
Silva, M. H. A., Fernandes, E. C., Monteiro, A. K. A. P., & Santos, P. B. D. (2020). Knowledge of parents, teachers and dentists about fluoride toothpaste in children under 7 years. Research, Society and Development, 9(8), e78985351. http://dx.doi.org/10.33448/rsd-v9i8.5351
Souza, J. G. S., Souza, S. E., Noronha, M. S., Ferreira, E. F., & Martins, A. M. E. B. L. (2017). Impact of untreated dental caries on the daily activities of children. Journal of Public Health Dentistry, 78(3), 197-202. https://doi.org/10.1111/jphd.12259
World Health Organization. (2003). The World Oral Health Report 2003. Continuous improvement of oral health in the 21st century: the approach of the WHO Global Oral Health Programme. Geneva: WHO.
World Health Organization. (2013). Oral health surveys: basic methods. (5a ed.), WHO.
World Health Organization. (2015). Prevention is better than treatment. Bulletin of the World Health Organization, 93, 594-595. http://dx.doi.org/10.2471/BLT.15.020915
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Copyright (c) 2021 Suzely Adas Saliba Moimaz; Luís Felipe Pupim dos Santos; Tânia Adas Saliba; Nemre Adas Saliba; Fernando Yamamoto Chiba; Orlando Saliba
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