December 2016

Volume 33, Issue 4

Prevalence and severity of dental fluorosis in four English cities

Authors: I.A. Pretty N. Boothman J. Morris L. MacKay Z. Liu M. McGrady M. Goodwin
doi: 10.1922/CDH_3930Pretty05

Abstract

Objective:  To assess the prevalence and severity of dental fluorosis in four city-based populations using a robust photographic method with TF index reporting; and to record the aesthetic satisfaction scores of children in all four cities. Basic research design: Cross sectional epidemiological survey (surveillance). Participants: 1,904 children aged 11-14 years, in four English cities. Interventions: Two cities were served by community water fluoridation schemes supplying water at 1mg/l F. The other two cities did not have water fluoridation schemes and had low levels of fluoride naturally present. Main outcome measures: The prevalence and severity of dental fluorosis. Scoring was undertaken using high quality digital images by a single calibrated examiner. Results: Data suggest that the prevalence of fluorosis at levels greater than TF2 are broadly similar to previous studies (F 10%, NF 2%), with an apparent increase in the total number of TF1 cases across both fluoridated (41%) and non-fluoridated cities (32%) with a commensurate decrease in TF0 (F 39%, NF 63%). Data suggest that the proportion of children expressing dissatisfaction with the appearance of their teeth is the same in fluoridated and non-fluoridated communities although the reasons for this may differ. Conclusions: The levels of fluorosis that might be considered of aesthetic concern are low and stable while the increase in TF1 may be due to an increase in self- and professionally-applied fluoride products or the increased sensitivity afforded by the digital imaging system. It is not however a public health problem or concern. Further monitoring appears justified. Key words: dental fluorosis, TF index, water fluoridation, dental health survey, England

Download

Other articles in this issue

Article Pages Access
Abstracts from the 21st Congress of the European Association of Dental Public Health, 29th September - 1st October, 2016, Budapest, Hungary 0-0 Download
Valedictory Editorial: The past six years 1-1 Download
An intervention study to assess the effectiveness of a reminder telephone call in improving patient appointment attendance at a Community Dental Service clinic 239-241 £10 single article
The acceptability of healthcare: from satisfaction to trust 242-251 Download
Patient characteristics in relation to dental care payment model: capitation vs fee for service 252-256 Download
Payment systems and oral health in Swedish dental care: Observations over six years 257-261 Download
A summary of knowledge about the oral health of older people in England and Wales 262-266 £10 single article
The use of diet diaries in general dental practice in England 267-273 £10 single article
Psychometric properties of the English version of the Oral Health Literacy Adults Questionnaire - OHL-AQ 274-280 £10 single article
Approximal caries increment in relation to baseline approximal caries prevalence among adolescents in Sweden with and without a school-based fluoride varnish programme 281-285 Download
Variation in methods used to determine national mean DMFT scores for 12-year-old children in European countries 286-291 £10 single article
Prevalence and severity of dental fluorosis in four English cities 292-296 Download
The relationship between maternal smoking during pregnancy and parental-reported experience of dental caries in Indigenous Australian children 297-302 £10 single article
Dental problems and Familismo: social network discussion of oral health issues among adults of Mexican origin living in the Midwest United States 303-308 £10 single article

Subscribe

Print
£130
Online (Single user only)
£130
Print & Online (Single user only)
£150
Institution Online (IP address validation)
£220

Back issues may be obtained from the publisher

Consider recommending subscription to your institution's library

You can view Open Access papers without a subscription.