Wondwossen Fantaye, Astrøm Anne Nordrehaug, Bårdsen Asgeir, Bjorvatn Kjell
Faculty of Medicine (Fluoride Project), Addis Ababa University, Ethiopia.
Acta Odontol Scand. 2003 Apr;61(2):81-6. doi: 10.1080/00016350310001415.
This study was conducted in three Ethiopian Rift Valley villages known for endemic fluorosis. Three-hundred-and-six adolescents (12-15 years) and 233 mothers participated. The aim was to study dental fluorosis in the youngsters and to assess the extent of agreement between clinical and self-rated discoloration and pitting of teeth, and also the level at which dental fluorosis is perceived as a problem both by children and their mothers. The children (154 M and 152 F) gave a simple self-assessment of tooth-color and quality of their teeth, and were subsequently examined for dental fluorosis. Finally, four color photographs of teeth with dental fluorosis (TF-scores 2, 3, 5, and 7) were used as references during a structured oral interview of the children, as well as their mothers. At TF score > or = 2, the prevalence of dental fluorosis on maxillary central incisors was 72% and 37% at TF score > or = 4. The mean TF score was significantly higher among boys than among girls of unemployed fathers compared to children of employed fathers. The likelihood of reporting problems with dental appearance increased with increasing individual TF scores. The child/mother pairs found teeth with TF scores 2 and 3 esthetically acceptable, while teeth with TF scores 5 and 7 were considered unacceptable. Mothers were more critical of severe fluorosis than were their children.
本研究在埃塞俄比亚裂谷地区三个以地方性氟中毒而闻名的村庄开展。306名青少年（12至15岁）和233名母亲参与了研究。目的是研究青少年的氟斑牙情况，评估临床诊断与自我评定的牙齿变色和牙面凹痕之间的一致程度，以及儿童及其母亲认为氟斑牙成为问题的程度。这些儿童（154名男性和152名女性）对自己牙齿的颜色和质量进行了简单的自我评估，随后接受了氟斑牙检查。最后，在对儿童及其母亲进行结构化口头访谈期间，使用了四张氟斑牙（TF评分2、3、5和7）的彩色牙齿照片作为参考。在TF评分≥2时，上颌中切牙的氟斑牙患病率为72%，在TF评分≥4时为37%。与父亲有工作的儿童相比，父亲失业的男孩的平均TF评分显著高于女孩。报告牙齿外观问题的可能性随个人TF评分的增加而增加。儿童/母亲对发现TF评分为2和3的牙齿在美观上是可以接受的，而TF评分为5和7的牙齿则被认为是不可接受的。母亲们对严重氟斑牙比她们的孩子更为挑剔。
