March 2013

Volume 30, Issue 1

Fluoridation and dental caries severity in young children treated under general anaesthesia: an analysis of treatment records in a 10-year case series

Authors: M.S. Kamel W.M. Thomson B.K. Drummond
doi: 10.1922/CDH_2894Thomson04


Objective: To compare the severity of dental caries in the primary dentitions of children under 7 years (who received comprehensive restorative treatment under general anaesthesia, GA) from an optimally fluoridated area (0.85ppmF) and a low-fluoride area (~0.1ppmF). Research design: Consecutive clinical case series: clinical details (diagnoses and the treatments provided) were recorded for children who had received comprehensive dental care under GA between 2000 and 2009. Age, gender, ethnicity, socio-economic status and fluoridation status (determined from the residential address) were also recorded. Results: Of the 1396 treated children, 55.7% came from fluoridated areas and 52.5% were male. On average, children from low-fluoride areas were 2.4 months younger and presented with more decayed deciduous teeth than those from fluoridated areas (4.9 and 3.9 teeth respectively; p<0.0001). For each tooth type, the mean number of carious teeth at presentation was greater among the children from low-fluoride areas. In the multivariate model, the number of deciduous teeth affected by caries was lower among older children, those residing in a fluoridated area and among those seen after 2001. It was higher among those not living in high-SES areas. Conclusions: Children with severe dental caries had statistically significantly lower numbers of lesions if they lived in a fluoridated area. The lower treatment need in such high-risk children has important implications for publicly-funded dental care. Key words: Dental caries; Children; Fluoridation; Residence characteristics

£10 single article

Other articles in this issue

Article Pages Access
Editorial - The British Association for the Study of Community Dentistry at forty: our professional project 2-4 £10 single article
Acknowledgement of Referees 5-5 £10 single article
Dental Public Health in Action - Challenges encountered when conducting a dental health needs assessment of older people resident in care homes: experience from England 6-9 £10 single article
Rare diseases with oral components: care course and quality of life 10-14 £10 single article
Fluoridation and dental caries severity in young children treated under general anaesthesia: an analysis of treatment records in a 10-year case series 15-18 £10 single article
Measuring determinants of oral health behaviour in parents of preschool children 19-25 £10 single article
The self-reported oral health status and dental attendance of smokers and non-smokers 26-29 £10 single article
Attitudes towards the use of fluorides for oral health among Islamic clerics in Kelantan Province, Malaysia 30-33 £10 single article
The views of examiners on the use of intra-oral photographs to detect dental caries in epidemiological studies 34-38 £10 single article
Caries experience and treatment need in adults with intellectual disabilities in two German regions 39-44 Download
Attitudes towards establishing a daily supervised school-based toothbrushing programme - determined by Q-sort methodology 45-51 £10 single article
Oral health literacy comparisons between Indigenous Australians and American Indians 52-57 £10 single article
Associations between oral health and height in an Indigenous Australian birth cohort 58-64 £10 single article


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