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[委内瑞拉 Vargas 州迈基蒂亚地区饮用不同氟浓度水的儿童的龋齿与氟中毒情况]

[Dental caries and fluorosis in children consuming water with different fluoride concentrations in Maiquetia, Vargas State, Venezuela].

作者信息

Montero Maglynert, Rojas-Sanchez Fátima, Socorro Mairobys, Torres José, Acevedo Ana María

机构信息

Laboratorio de Bioquímica, Instituto de Investigaciones Odontológicas Raúl Vincentelli, Facultad de Odontologia, Universidad Central de Venezuela, Caracas, Venezuela.

出版信息

Invest Clin. 2007 Mar;48(1):5-19.

Abstract

The objective of this study was to determine the experience of fluorosis and dental caries in 8- 12 year old children that drink water with different fluoride concentrations, from Maiquetía, Vargas State. Four hundred and twenty-one children were evaluated and divided in groups of 84 children each, according with their age (8-9-10-11) but 85 for the age 12. This evaluation was developed by a calibrated dentist using Dean's Index for dental fluorosis examining only the six upper anterior teeth and DMFT/dmft index to determine dental caries, following the criteria established by the WHO. In addition, a social status questionnaire was given to the subjects and samples of water and salt from the communities were collected. Thirty-three per cent of the children in this study were males and 67% were females. Results indicated that the mean DMFT and dmft were 0.91 and 1.88, respectively, showing a total of 2.17 teeth with dental caries being the decayed component, the highest component observed in both dentitions. The mean prevalence of dental fluorosis for the studied population was 16.6%, where the very mild category (8.5%) predominated. Maria May was the most affected school with dental fluorosis (41.5%) and the fluoride concentration in drinking water after analyses was 1.58%. The results of this study indicate the presence of an inverse relationship between fluoride concentrations in the water collected at the schools and the prevalence of dental fluorosis in the permanent dentition of school children, but not in the primary dentition.

摘要

本研究的目的是确定来自 Vargas 州迈奎蒂亚、饮用不同氟浓度水的 8 - 12 岁儿童的氟中毒和龋齿情况。对 421 名儿童进行了评估,并根据年龄(8 - 9 - 10 - 11 岁)将他们分成每组 84 名儿童的小组,但 12 岁组有 85 名儿童。该评估由一名经过校准的牙医进行,使用迪恩氟中毒指数仅检查六颗上前牙,并使用 DMFT/dmft 指数按照世界卫生组织制定的标准来确定龋齿情况。此外,还向受试者发放了社会地位问卷,并收集了社区的水和盐样本。本研究中 33%的儿童为男性,67%为女性。结果表明,平均 DMFT 和 dmft 分别为 0.91 和 1.88,共有 2.17 颗龋齿,其中龋坏部分是观察到的两种牙列中最高的部分。所研究人群的氟中毒平均患病率为 16.6%,其中非常轻度类别(8.5%)占主导。玛丽亚·梅学校受氟中毒影响最大(41.5%),分析后饮用水中的氟浓度为 1.58%。本研究结果表明,学校采集的水中氟浓度与学龄儿童恒牙列中氟中毒患病率之间存在负相关关系,但在乳牙列中不存在这种关系。

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