Australian Research Centre for Population Oral Health, The University of Adelaide, Adelaide, SA, Australia.
Aust Dent J. 2020 Jun;65 Suppl 1:S47-S51. doi: 10.1111/adj.12764.
The use of fluoride involves a balance between protection against caries and risk of dental fluorosis. Prevalence and trend of dental fluorosis in the adult population are not frequently reported.
To describe the prevalence of dental fluorosis in the Australian adult population.
Data from the National Study of Adult Oral Health (NSAOH) 2004-06 and 2017-18 were used. Prevalence of fluorosis was reported using data from the NSAOH 2017-18. Case definitions of fluorosis were as follows: having a TF score of 2+ (TF2+) or a TF score of 3+ (TF3+) on one or more maxillary central incisors. Synthetic cohorts were constructed by year of birth allowing for time trend analysis.
One in ten Australian adults were found to have dental fluorosis at TF2+. The prevalence of TF3 + was low. Time trend analysis revealed an increase in the prevalence and severity of fluorosis among those born during 1970s to 1980s decade. Such prevalence declined among those who were born after measures were introduced in early 1990s to reduce exposure to discretionary fluorides.
The prevalence of dental fluorosis in the Australian adult population was found to be related to population-level changes in fluoride exposure.
氟化物的使用涉及到预防龋齿和氟斑牙风险之间的平衡。氟斑牙在成年人群中的流行率和趋势并不经常被报道。
描述澳大利亚成年人群中氟斑牙的流行率。
使用了 2004-06 年和 2017-18 年国家成人口腔健康研究(NSAOH)的数据。使用 2017-18 年 NSAOH 的数据报告氟斑牙的流行率。氟斑牙的病例定义如下:上颌中切牙有一个或多个 TF 评分为 2+(TF2+)或 TF 评分为 3+(TF3+)。通过出生年份构建合成队列,以允许进行时间趋势分析。
十分之一的澳大利亚成年人被发现有 TF2+的氟斑牙。TF3+的流行率较低。时间趋势分析显示,在 20 世纪 70 年代至 80 年代出生的人群中,氟斑牙的流行率和严重程度有所增加。自 90 年代初采取措施减少可自由使用的氟化物暴露以来,出生于此后的人群中,氟斑牙的流行率有所下降。
澳大利亚成年人群中氟斑牙的流行率与人群中氟化物暴露水平的变化有关。