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巴西圣保罗州鲍鲁市一个周边地区公共供水的氟化处理与氟斑牙患病率

Fluoridation of the public water supply and prevalence of dental fluorosis in a peripheral district of the municipality of Bauru, SP.

作者信息

Ramires Irene, Olympio Kelly Polido Kaneshiro, Maria Andréa Gutierrez, Pessan Juliano Pelim, Cardoso Vanessa Eid Silva, Lodi Carolina Simonetti, Buzalaf Marília Afonso Rabelo

机构信息

Bauru Dental School, University of São Paulo, Bauru, SP, Brazil.

出版信息

J Appl Oral Sci. 2006 Apr;14(2):136-41. doi: 10.1590/s1678-77572006000200013.

Abstract

OBJECTIVES

The objectives of this study were to assess the fluoride concentration in the public water supply and the prevalence of dental fluorosis in schoolchildren between 7 and 15 years old, living in a peripheral district of the municipality of Bauru.

MATERIAL AND METHODS

For this, fifty two water samples were collected on three different days of one week. These samples were analyzed for fluoride by means of the ion-sensitive electrode method (Orion 9609) coupled to a potentiometer (Procyon, model 720). In this method, 1.0 mL of TISAB II (Orion) was added to 1.0 mL of the sample. For the epidemiological survey of fluorosis, 52 schoolchildren of both genders, aged between 7 and 15 were assessed, with prior authorization from their caretakers. Only one person examined the children, after supervised toothbrushing and drying with cotton wool rolls. The TF index was used.

RESULTS

The fluoride concentrations in the water samples ranged from 0.62 to 1.20 mg/L, with a mean of 0.9 mg/L. The prevalence of dental fluorosis was 33%, with severity ranging from TF1 to TF4 (Kappa of 0.73 and concordance of 83.33%).

CONCLUSIONS

The results from the analysis of water samples indicated a fluoride concentration greater than recommended for Bauru. The fluorosis levels found were higher than expected for a peripheral district, in which water is one of the few sources of fluoride.

摘要

目的

本研究的目的是评估居住在包鲁市一个外围地区的7至15岁学童的公共供水氟浓度以及氟斑牙患病率。

材料与方法

为此,在一周的三个不同日期采集了52份水样。这些样品通过与电位计(Procyon,720型)联用的离子敏感电极法(Orion 9609)进行氟分析。在该方法中,向1.0 mL样品中加入1.0 mL TISAB II(Orion)。对于氟斑牙的流行病学调查,在获得其监护人的事先授权后,对52名年龄在7至15岁之间的男女学童进行了评估。在监督刷牙并用棉卷擦干后,仅由一人对儿童进行检查。使用TF指数。

结果

水样中的氟浓度范围为0.62至1.20 mg/L,平均为0.9 mg/L。氟斑牙患病率为33%,严重程度从TF1到TF4(kappa值为0.73,一致性为83.33%)。

结论

水样分析结果表明,氟浓度高于包鲁市的推荐值。发现的氟斑牙水平高于外围地区的预期,在该地区水是少数几种氟来源之一。

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本文引用的文献

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[Dental fluorosis: epidemiological fiction?].[氟斑牙:流行病学虚构?]
Rev Panam Salud Publica. 2002 Nov;12(5):339-46. doi: 10.1590/s1020-49892002001100008.
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Fluctuations in public water fluoride level in Bauru, Brazil.巴西包鲁市公共用水氟化物水平的波动情况。
J Public Health Dent. 2002 Summer;62(3):173-6. doi: 10.1111/j.1752-7325.2002.tb03440.x.
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[Dental fluorosis in Brazil: a critical review].[巴西的氟斑牙:批判性综述]
Cad Saude Publica. 2002 Jan-Feb;18(1):7-15. doi: 10.1590/s0102-311x2002000100002.
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[Fluoride intake by children from water and dentifrice].[儿童通过水和牙膏摄入氟化物的情况]
Rev Saude Publica. 2001 Dec;35(6):576-81. doi: 10.1590/s0034-89102001000600012.
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Systematic review of water fluoridation.水氟化的系统评价。
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