Clark D C, Hann H J, Williamson M F, Berkowitz J
Department of Clinical Dental Sciences, Faculty of Dentistry, University of British Columbia, Vancouver, Canada.
Community Dent Oral Epidemiol. 1993 Dec;21(6):360-4. doi: 10.1111/j.1600-0528.1993.tb01099.x.
Increasing prevalence of dental fluorosis for children both from fluoridated and non-fluoridated communities are now well documented. Along with recent studies purporting possible adverse health effects from fluorides, this proven public health intervention is again being challenged. This study was undertaken to determine the prevalence of dental fluorosis for children from fluoridated and non-fluoridated areas in British Columbia. In addition, children and parents were provided with an opportunity to express concerns about the aesthetics of the child's anterior teeth. Children from representative schools in two communities were surveyed using the Tooth Surface Index of Fluorosis (TSIF). Questionnaires were sent home to parents to detail their child's use of various fluoride preventive practices and residence histories. Completed questionnaires were returned and exams were performed on 1131 children. Of those examined, 60% had dental fluorosis on at least two tooth surfaces, only 8% had scores ranging from "2" to "6", and 52% were classified with a score of "1". Parental and child ratings on the aesthetics or color of the child's teeth suggests that there are few children with aesthetic problems in the TSIF category of "1". While concerns of parents were more common, the actual source of those concerns was not assessed in the questionnaire. Not unexpectedly, children with fluorosis on anterior teeth ranging between TSIF scores of "2" to "6" appear to have increased concerns about tooth color. Data from children with confirmed residence histories from fluoridated communities suggest that the occurrence of aesthetic problems in these children is rare.
儿童氟斑牙在有氟化物社区和无氟化物社区的患病率均呈上升趋势，这一点现已得到充分记录。随着近期一些研究声称氟化物可能对健康产生不良影响，这种已被证实的公共卫生干预措施再次受到挑战。本研究旨在确定不列颠哥伦比亚省有氟化物地区和无氟化物地区儿童的氟斑牙患病率。此外，还为儿童及其家长提供了一个机会，让他们表达对孩子前牙美观的担忧。使用氟斑牙表面指数（TSIF）对两个社区代表性学校的儿童进行了调查。向家长发放问卷，详细了解孩子使用各种氟化物预防措施的情况以及居住史。共收回1131名儿童填写的问卷并对他们进行了检查。在接受检查的儿童中，60%至少有两个牙面出现氟斑牙，只有8%的儿童得分在“2”至“6”之间，52%的儿童得分被归类为“1”。家长和孩子对孩子牙齿美观或颜色的评分表明，在TSIF评分为“1”的类别中，只有少数儿童存在美观问题。虽然家长的担忧更为常见，但问卷中并未评估这些担忧的实际来源。不出所料，TSIF评分在“2”至“6”之间的前牙有氟斑牙的儿童似乎对牙齿颜色的担忧有所增加。来自有氟化物社区且居住史得到确认的儿童的数据表明，这些儿童出现美观问题的情况很少见。
