Anuradha K P, Chadrashekar J, Ramesh N
Department of Community Dentistry, Bapuji Dental College & Hospital, Davangere 577 004, India.
Indian J Dent Res. 2002 Jan-Mar;13(1):15-9.
Success of fluoride in combating dental caries led to study of fluoride on periodontal disease, but studies are less reported in literature and results are varied in nature. To address this issue, the study was conducted to assess severity of periodontal disease among (n = 283) 36-45 years old adults residing in area of different concentration of fluoride in drinking water. The villages selected were having fluoride concentration in their drinking water are Shamnur (0.5 PPMF), Kundawada (1.1 ppmF) and Halebathi (3.17 ppm). Ion Selective Electrode Method (OrionUSA) estimated fluoride in drinking water. Community Periodontal Index (WHO, 1997) and Plaque Index (Silness and Loe, 1967) was used to assess periodontal status. There was consistent decrease in mean plaque score from 1.45+ _0.024 at 0.51 ppm, 1.21+ _0.009 at 1.1 ppm, and 1.12+ _0.08 at 3.17 ppm fluoride area. This difference was significant statistically (P < 0.001). As the fluoride concentration in drinking water increased there was decrease in severity of prevalence of periodontitis. This difference in observation was significant statistically (P < 0.05). There were no effects of fluoride on calculus, since little variability was found in three different fluoride areas. Thus it was concluded from the study results that the increase in fluoride concentration decreased the plaque accumulation. decreased the shallow and deep pockets. Hence lower prevalence and severity of periodontal disease.
氟化物在防治龋齿方面的成功促使人们对其在牙周疾病中的作用展开研究,但相关研究在文献中的报道较少,且结果在性质上存在差异。为解决这一问题,本研究旨在评估居住在饮用水氟浓度不同地区的(n = 283名)36至45岁成年人的牙周疾病严重程度。所选村庄的饮用水氟浓度分别为沙姆努尔(0.5 PPMF)、昆德瓦达(1.1 ppmF)和哈勒巴蒂(3.17 ppm)。采用离子选择电极法(美国奥立龙公司)测定饮用水中的氟含量。使用社区牙周指数(世界卫生组织,1997年)和菌斑指数(西尔尼斯和勒,1967年)评估牙周状况。在氟含量为0.51 ppm的地区,平均菌斑评分从1.45 ± 0.024降至氟含量为1.1 ppm时的1.21 ± 0.009,在氟含量为3.17 ppm的地区降至1.12 ± 0.08。这种差异具有统计学意义(P < 0.001)。随着饮用水中氟浓度的增加,牙周炎患病率的严重程度有所降低。这一观察结果的差异具有统计学意义(P < 0.05)。氟化物对牙石没有影响,因为在三个不同氟含量地区未发现明显差异。因此,从研究结果可以得出结论,氟浓度的增加减少了菌斑堆积,减少了浅袋和深袋,从而降低了牙周疾病的患病率和严重程度。