June 2023

Volume 40, Issue 2

Toothbrushing practices as risk factors for dental fluorosis in an area with varying fluoride levels in drinking water

Authors: B.K.G Thilakarathne Lilani Ekanayake Stephen Schensul
doi: 10.1922/CDH_00243Thilakarathne05


Background: Despite contributing to a reduction in dental caries, improper use of fluoridated toothpaste could add to the burden of dental fluorosis in children. Aim: To assess the association between tooth-brushing practices such as the type and amount of toothpaste used, frequency of tooth brushing, parental assistance in tooth brushing, timing of tooth brushing and dental fluorosis in school children in Kurunegala district, an endemic area for dental fluorosis in Sri Lanka. Methods: For this case-control study, a sex-matched sample of 15-year-old school children attending government schools in Kurunegala district and who were lifetime residents of the district was selected. Dental fluorosis was measured using the Thylstrup and Ferjeskov (TF) Index. Those children with a TF>1 were considered as cases and those with a TF score of 0 or 1 served as controls. An interview of parents/caregivers of the participants was used to assess risk factors for dental fluorosis. The fluoride concentration in drinking water was measured using spectrophotometry. Data analysis used chi-square tests and conditional logistic regression. Results: Tooth brushing ≥ twice/day, brushing after breakfast and parent/care giver brushing the child’s teeth reduced the likelihood of developing fluorosis. Conclusion: Use of fluoridated toothpaste adhering to the recommended guidelines could prevent dental fluorosis in children in this endemic area. Keywords: Risk factors, dental fluorosis, tooth brushing, water fluoride

£10 single article

Other articles in this issue

Article Pages Access
CDH Board June 2023 67-67 Download
Editorial: The WHO Global Oral Health Action Plan 2023-2030 68-69 Download
The WHO Action Plan for Oral Health – How Can the EADPH Contribute - Opportunities and Challenges 70-74 £10 single article
Dental Public Health in Action: Equity analysis audit of access and utilisation of Special Care Dental Services by ethnicity and social demographic markers 75-78 Download
Effectiveness of an oral health education intervention among 6–12-year-old children: A cluster randomized controlled trial 79-84 £10 single article
The role of Dental Fear, Pain anticipation and Self-efficacy in Endodontic Therapy 85-91 £10 single article
Toothbrushing practices as risk factors for dental fluorosis in an area with varying fluoride levels in drinking water 92-96 £10 single article
Dental professionals participating in a home visiting programme for first-time parents 97-102 £10 single article
Diabetes and dental caries in US adults: an analysis of data from the National Health and Nutrition Examination Survey, 2011-2018 103-108 £10 single article
The Experiences of Patients with Periodontitis and its Treatment: A Qualitative Study 109-113 £10 single article
Impact of socioeconomic status on children and adolescent’s orthodontic treatment; A Systematic Review 114-124 £10 single article
Dental care for people living with dementia: current challenges and planning for the future. The UK perspective 125-130 Download


Online (Single user only)
Institution Online (IP address validation)

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.