Department of Community Dentistry, Faculty of Dental Medicine, Hebrew University of Jerusalem, Hadassah Medical Center, Jerusalem, Israel.
Dental Research Unit - Maccabi-Dent, Maccabi Healthcare Fund, Tel-Aviv, Israel.
Isr J Health Policy Res. 2024 Sep 20;13(1):50. doi: 10.1186/s13584-024-00637-5.
Community water fluoridation began in the 1945 as a public health measure to prevent and control caries and was implemented in Israel in 1981. Community water fluoridation reduced caries significantly, but in 2014, the Ministry of Health decided to stop Community water fluoridation in Israel. The aim of our study was to examine the effect of fluoridation cessation on the dental health of children aged 3-5, treated in "Assuta Tel Aviv" dental clinics, under general anesthesia or deep sedation.
The computerized Maccabi-Dent database provided data for this retrospective study. Records from the years 2014-2019 including treatment codes for procedures relevant to the study, the number of stainless-steel crowns and restorations of all types were examined. Kruskal-Wallis test was performed to compare the results from before and after fluoridation cessation.
A statistically significant increase in the mean number of treatments in the years after fluoridation cessation (P < 0.05) was found. There was approximately a two-fold increase in the number of all treatments for all ages.
The results of the study emphasize the advantages of water fluoridation and are further proof of the need to restore community water fluoridation in Israel.
社区饮水氟化始于 1945 年，作为预防和控制龋齿的公共卫生措施，并于 1981 年在以色列实施。社区饮水氟化显著降低了龋齿的发病率，但 2014 年，卫生部决定停止以色列的社区饮水氟化。我们研究的目的是检查氟化停止对在“Assuta Tel Aviv”牙科诊所接受全身麻醉或深度镇静治疗的 3-5 岁儿童的牙齿健康的影响。
计算机化的 Maccabi-Dent 数据库为这项回顾性研究提供了数据。检查了 2014 年至 2019 年的记录，包括与研究相关程序的治疗代码、不锈钢冠和各种类型修复体的数量。使用 Kruskal-Wallis 检验比较氟化停止前后的结果。
发现氟化停止后平均治疗次数呈统计学显著增加（P<0.05）。所有年龄段的所有治疗的数量都增加了大约两倍。
研究结果强调了水氟化的优势，进一步证明了在以色列恢复社区水氟化的必要性。
