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


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


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Abstracts from the 21st Congress of the European Association of Dental Public Health, 29th September - 1st October, 2016, Budapest, Hungary 0-0 Download
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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 Download
The use of diet diaries in general dental practice in England 267-273 Download
Psychometric properties of the English version of the Oral Health Literacy Adults Questionnaire - OHL-AQ 274-280 Download
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 Download
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 Download
Dental problems and Familismo: social network discussion of oral health issues among adults of Mexican origin living in the Midwest United States 303-308 Download


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