Rezki Sri, Sunardi Sunardi, Aripin Dudi, Khayan Khayan, Pawarti Pawarti, Noeriman Aisya Rezki
Doctor Programme of Environmental Science, Padjadjaran University, Bandung, Indonesia.
Department of Dental Nursing, Pontianak Health Polytechnic, Pontianak, Indonesia.
J Int Soc Prev Community Dent. 2023 Dec 27;13(6):509-515. doi: 10.4103/jispcd.JISPCD_127_23. eCollection 2023 Nov-Dec.
Humans get fluoride from food and water available in their environment. The source of clean water in peatlands comes from rainwater with a low mineral content, especially fluoride. The objective of this study was to investigate the correlation between the fluoride level in drinking water and salivary fluoride levels, as well as their potential impact on dental and oral health conditions.
It is a causal-comparative study with a cross-sectional approach at the Health Polytechnics of Pontianak and Yogyakarta. The population were indigenous people in peat land (Pontianak) and non-peat land (Yogyakarta). The data were pH and mineral content in drinking water, saliva, the number of colonies, dental caries rates, and gingivitis.
Drinking water fluoride is only significantly correlated with salivary fluoride on non-peat land. If these data are combined, it can be seen that drinking water fluoride is positively correlated ( 0.05; CI 95%) with pH water, fluoride water, and pH saliva. Increased levels of fluoride in drinking water were negatively correlated with gingivitis, dental caries, and .
Drinking water fluoride is negatively correlated with dental caries and gingivitis in peatland and non-peatland communities, but would be significantly associated with dental caries and gingivitis if both peatland and non-peatland data were analyzed together. This is due to the low content of fluoride in the drinking water of peatland. Therefore, it is necessary to add fluoride gel to the teeth to prevent the development of dental caries.
人类从其环境中可得的食物和水中获取氟化物。泥炭地的清洁水源来自矿物质含量低的雨水，尤其是氟化物含量低。本研究的目的是调查饮用水中氟化物水平与唾液氟化物水平之间的相关性，以及它们对牙齿和口腔健康状况的潜在影响。
这是一项采用横断面研究方法的因果比较研究，在坤甸和日惹的卫生理工学院进行。研究对象是泥炭地（坤甸）和非泥炭地（日惹）的原住民。数据包括饮用水、唾液的pH值和矿物质含量、菌落数量、龋齿率和牙龈炎情况。
仅在非泥炭地，饮用水中的氟化物与唾液中的氟化物有显著相关性。如果将这些数据合并，可以看出饮用水中的氟化物与水的pH值、水中氟化物以及唾液pH值呈正相关（P<0.05；95%置信区间）。饮用水中氟化物水平的升高与牙龈炎、龋齿呈负相关。
泥炭地和非泥炭地社区中，饮用水中的氟化物与龋齿和牙龈炎呈负相关，但如果将泥炭地和非泥炭地的数据一起分析，饮用水中的氟化物与龋齿和牙龈炎将有显著关联。这是由于泥炭地饮用水中氟化物含量低。因此，有必要在牙齿上添加氟化物凝胶以预防龋齿的发生。
