Prevalencia de fluorosis dental y fuentes adicionales de exposición a fluoruro como factores de riesgo a fluorosis dental en escolares de Campeche, México

Translated title of the contribution: Prevalence of dental fluorosis and additional sources of exposure to fluoride as risk factors to dental fluorosis in schoolchildren of Campeche, Mexico

Perla Rubí Beltrán-Valladares, Héctor Cocom-Tun, Juan Fernando Casanova-Rosado, Ana Alicia Vallejos-Sánchez, Carlo Eduardo Medina-Solís, Gerardo Maupome

Research output: Contribution to journalArticle

24 Citations (Scopus)

Abstract

Objective. To determine the prevalence and severity of dental fluorosis, and to evaluate supplementary fluoride sources as potential risk factors to fluorosis in school children aged 6-9. Material and methods. A cross-sectional study was carried out in 320 children attending elementary schools protected by a public preventive dental program in the city of Campeche, Mexico. A self-administered questionnaire directed to the mothers was delivered through the schools and collected in the same way. The examiners were trained and calibrated (kappa > 0.90) in modified Dean's Index. The fluorosis community index (FCI) was calculated. Bivariate analyses were made with χ2 test; odds ratios (OR) and 95% confidence intervals were calculated. Logistic regression was used in the final model. Results. Fluorosis prevalence was 56.3%, with very mild fluorosis present in 45% of children, mild in 10%, and severe in just 1.3%. The FCI was 0.7. The multivariate model showed that the effect of the supplementary fluoride sources was different between children that started brushing with toothpaste before two years of age (OR = 6.15; IC 95% = 2.03-18.67) and after (OR = 2.14; IC 95% = 1.16-3.94). Conclusions. Fluorosis prevalence was high for mild modalities, and low for more severe levels. According to FCI the dental fluorosis constitute a public health problem in the studied sample. Exposure to diverse fluoride sources -above and beyond the fluoridated salt program- was a risk factor for dental fluorosis in this community. Results suggest that toothpaste use in children two years of age and younger should be cautious, limited to follow current guidelines, and supervised by parents to minimize the risk of dental fluorosis.

Original languageSpanish
Pages (from-to)532-539
Number of pages8
JournalRevista de Investigacion Clinica
Volume57
Issue number4
StatePublished - Jul 2005
Externally publishedYes

Fingerprint

Dental Fluorosis
Mexico
Fluorides
Toothpastes
Odds Ratio
Preventive Health Services
Tooth
Public Health
Salts
Cross-Sectional Studies
Parents
Logistic Models
Mothers
Guidelines
Confidence Intervals

Keywords

  • Dental fluorosis
  • Epidemiology
  • Mexico
  • Oral health
  • School children

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Beltrán-Valladares, P. R., Cocom-Tun, H., Casanova-Rosado, J. F., Vallejos-Sánchez, A. A., Medina-Solís, C. E., & Maupome, G. (2005). Prevalencia de fluorosis dental y fuentes adicionales de exposición a fluoruro como factores de riesgo a fluorosis dental en escolares de Campeche, México. Revista de Investigacion Clinica, 57(4), 532-539.

Prevalencia de fluorosis dental y fuentes adicionales de exposición a fluoruro como factores de riesgo a fluorosis dental en escolares de Campeche, México. / Beltrán-Valladares, Perla Rubí; Cocom-Tun, Héctor; Casanova-Rosado, Juan Fernando; Vallejos-Sánchez, Ana Alicia; Medina-Solís, Carlo Eduardo; Maupome, Gerardo.

In: Revista de Investigacion Clinica, Vol. 57, No. 4, 07.2005, p. 532-539.

Research output: Contribution to journalArticle

Beltrán-Valladares, PR, Cocom-Tun, H, Casanova-Rosado, JF, Vallejos-Sánchez, AA, Medina-Solís, CE & Maupome, G 2005, 'Prevalencia de fluorosis dental y fuentes adicionales de exposición a fluoruro como factores de riesgo a fluorosis dental en escolares de Campeche, México', Revista de Investigacion Clinica, vol. 57, no. 4, pp. 532-539.
Beltrán-Valladares, Perla Rubí ; Cocom-Tun, Héctor ; Casanova-Rosado, Juan Fernando ; Vallejos-Sánchez, Ana Alicia ; Medina-Solís, Carlo Eduardo ; Maupome, Gerardo. / Prevalencia de fluorosis dental y fuentes adicionales de exposición a fluoruro como factores de riesgo a fluorosis dental en escolares de Campeche, México. In: Revista de Investigacion Clinica. 2005 ; Vol. 57, No. 4. pp. 532-539.
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abstract = "Objective. To determine the prevalence and severity of dental fluorosis, and to evaluate supplementary fluoride sources as potential risk factors to fluorosis in school children aged 6-9. Material and methods. A cross-sectional study was carried out in 320 children attending elementary schools protected by a public preventive dental program in the city of Campeche, Mexico. A self-administered questionnaire directed to the mothers was delivered through the schools and collected in the same way. The examiners were trained and calibrated (kappa > 0.90) in modified Dean's Index. The fluorosis community index (FCI) was calculated. Bivariate analyses were made with χ2 test; odds ratios (OR) and 95{\%} confidence intervals were calculated. Logistic regression was used in the final model. Results. Fluorosis prevalence was 56.3{\%}, with very mild fluorosis present in 45{\%} of children, mild in 10{\%}, and severe in just 1.3{\%}. The FCI was 0.7. The multivariate model showed that the effect of the supplementary fluoride sources was different between children that started brushing with toothpaste before two years of age (OR = 6.15; IC 95{\%} = 2.03-18.67) and after (OR = 2.14; IC 95{\%} = 1.16-3.94). Conclusions. Fluorosis prevalence was high for mild modalities, and low for more severe levels. According to FCI the dental fluorosis constitute a public health problem in the studied sample. Exposure to diverse fluoride sources -above and beyond the fluoridated salt program- was a risk factor for dental fluorosis in this community. Results suggest that toothpaste use in children two years of age and younger should be cautious, limited to follow current guidelines, and supervised by parents to minimize the risk of dental fluorosis.",
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AU - Cocom-Tun, Héctor

AU - Casanova-Rosado, Juan Fernando

AU - Vallejos-Sánchez, Ana Alicia

AU - Medina-Solís, Carlo Eduardo

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N2 - Objective. To determine the prevalence and severity of dental fluorosis, and to evaluate supplementary fluoride sources as potential risk factors to fluorosis in school children aged 6-9. Material and methods. A cross-sectional study was carried out in 320 children attending elementary schools protected by a public preventive dental program in the city of Campeche, Mexico. A self-administered questionnaire directed to the mothers was delivered through the schools and collected in the same way. The examiners were trained and calibrated (kappa > 0.90) in modified Dean's Index. The fluorosis community index (FCI) was calculated. Bivariate analyses were made with χ2 test; odds ratios (OR) and 95% confidence intervals were calculated. Logistic regression was used in the final model. Results. Fluorosis prevalence was 56.3%, with very mild fluorosis present in 45% of children, mild in 10%, and severe in just 1.3%. The FCI was 0.7. The multivariate model showed that the effect of the supplementary fluoride sources was different between children that started brushing with toothpaste before two years of age (OR = 6.15; IC 95% = 2.03-18.67) and after (OR = 2.14; IC 95% = 1.16-3.94). Conclusions. Fluorosis prevalence was high for mild modalities, and low for more severe levels. According to FCI the dental fluorosis constitute a public health problem in the studied sample. Exposure to diverse fluoride sources -above and beyond the fluoridated salt program- was a risk factor for dental fluorosis in this community. Results suggest that toothpaste use in children two years of age and younger should be cautious, limited to follow current guidelines, and supervised by parents to minimize the risk of dental fluorosis.

AB - Objective. To determine the prevalence and severity of dental fluorosis, and to evaluate supplementary fluoride sources as potential risk factors to fluorosis in school children aged 6-9. Material and methods. A cross-sectional study was carried out in 320 children attending elementary schools protected by a public preventive dental program in the city of Campeche, Mexico. A self-administered questionnaire directed to the mothers was delivered through the schools and collected in the same way. The examiners were trained and calibrated (kappa > 0.90) in modified Dean's Index. The fluorosis community index (FCI) was calculated. Bivariate analyses were made with χ2 test; odds ratios (OR) and 95% confidence intervals were calculated. Logistic regression was used in the final model. Results. Fluorosis prevalence was 56.3%, with very mild fluorosis present in 45% of children, mild in 10%, and severe in just 1.3%. The FCI was 0.7. The multivariate model showed that the effect of the supplementary fluoride sources was different between children that started brushing with toothpaste before two years of age (OR = 6.15; IC 95% = 2.03-18.67) and after (OR = 2.14; IC 95% = 1.16-3.94). Conclusions. Fluorosis prevalence was high for mild modalities, and low for more severe levels. According to FCI the dental fluorosis constitute a public health problem in the studied sample. Exposure to diverse fluoride sources -above and beyond the fluoridated salt program- was a risk factor for dental fluorosis in this community. Results suggest that toothpaste use in children two years of age and younger should be cautious, limited to follow current guidelines, and supervised by parents to minimize the risk of dental fluorosis.

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