Comparison of oral health indicators between two places of endemic dental fluorosis in Jordan

Introduction: Excessive fluoride intake during tooth development causes dental fluorosis. Aim: This study aimed to (1) determine the prevalence of dental fluorosis in association with fluoride concentrations in drinking water, (2) explore the effects of altitude on the severity of fluorosis in two t...

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Autores principales:	Salah A. Al-Omoush, Sandra Al-Tarawneh, Motausm Abu-Awwad, Samiha Sartawi, Wijdan Elmanaseer, Firas Alsoleihat
Formato:	article
Lenguaje:	EN
Publicado:	Elsevier 2021
Materias:	Dental fluorosis Altitude Dean’s index DMFT index Oral hygiene Medicine R Dentistry RK1-715
Acceso en línea:	https://doaj.org/article/317b59b8685c4df88f5117d11117a1e2
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spelling	oai:doaj.org-article:317b59b8685c4df88f5117d11117a1e22021-11-10T04:18:31ZComparison of oral health indicators between two places of endemic dental fluorosis in Jordan1013-905210.1016/j.sdentj.2020.04.004https://doaj.org/article/317b59b8685c4df88f5117d11117a1e22021-11-01T00:00:00Zhttp://www.sciencedirect.com/science/article/pii/S101390522030033Xhttps://doaj.org/toc/1013-9052Introduction: Excessive fluoride intake during tooth development causes dental fluorosis. Aim: This study aimed to (1) determine the prevalence of dental fluorosis in association with fluoride concentrations in drinking water, (2) explore the effects of altitude on the severity of fluorosis in two towns with high fluoride levels in the drinking water, and (3) assess decayed, missing, and filled teeth (DMFT) and oral hygiene practices among participants. Material and methods: The sample consisted of 100 and 141 schoolchildren, aged 15.3 ± 1.4 and 16.1 ± 1.3 years, living in Ruwaished and Kuraymah, respectively. Oral examinations were carried out, and dental fluorosis was assessed using the Dean’s index. The DMFT index was also used for assessment. Samples of drinking water were analyzed using a fluoride-ion selective electrode. SPSS was used to analyze the data. Results: Two-thirds (68.8%) of adults from Kuraymah had moderate to severe fluorosis, with only 7% being unaffected. In Ruwaished, 50% of the sample had severe fluorosis, 22% showed moderate fluorosis, and none were unaffected. The average DMFT scores were 3.18 ± 1.81 and 3.81 ± 1.41 for Kuraymah and Ruwaished, respectively. In both towns, males had significantly higher caries scores than females. Oral hygiene was poor, as 64% and 57% of the participants from Kuraymah and Ruwaished, respectively, did not brush their teeth. A significant correlation was found between poor oral hygiene and increased DMFT scores. Conclusions: This study concluded that higher fluorosis incidence and severity were present in the higher-altitude location (Ruwaished). Moreover, this study also indicated that fluorosed teeth are not immune to caries, and the preventive management of dental fluorosis should be directed to de-fluoridation of drinking water in endemic areas.Salah A. Al-OmoushSandra Al-TarawnehMotausm Abu-AwwadSamiha SartawiWijdan ElmanaseerFiras AlsoleihatElsevierarticleDental fluorosisAltitudeDean’s indexDMFT indexOral hygieneMedicineRDentistryRK1-715ENSaudi Dental Journal, Vol 33, Iss 7, Pp 707-712 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Dental fluorosis Altitude Dean’s index DMFT index Oral hygiene Medicine R Dentistry RK1-715
spellingShingle	Dental fluorosis Altitude Dean’s index DMFT index Oral hygiene Medicine R Dentistry RK1-715 Salah A. Al-Omoush Sandra Al-Tarawneh Motausm Abu-Awwad Samiha Sartawi Wijdan Elmanaseer Firas Alsoleihat Comparison of oral health indicators between two places of endemic dental fluorosis in Jordan
description	Introduction: Excessive fluoride intake during tooth development causes dental fluorosis. Aim: This study aimed to (1) determine the prevalence of dental fluorosis in association with fluoride concentrations in drinking water, (2) explore the effects of altitude on the severity of fluorosis in two towns with high fluoride levels in the drinking water, and (3) assess decayed, missing, and filled teeth (DMFT) and oral hygiene practices among participants. Material and methods: The sample consisted of 100 and 141 schoolchildren, aged 15.3 ± 1.4 and 16.1 ± 1.3 years, living in Ruwaished and Kuraymah, respectively. Oral examinations were carried out, and dental fluorosis was assessed using the Dean’s index. The DMFT index was also used for assessment. Samples of drinking water were analyzed using a fluoride-ion selective electrode. SPSS was used to analyze the data. Results: Two-thirds (68.8%) of adults from Kuraymah had moderate to severe fluorosis, with only 7% being unaffected. In Ruwaished, 50% of the sample had severe fluorosis, 22% showed moderate fluorosis, and none were unaffected. The average DMFT scores were 3.18 ± 1.81 and 3.81 ± 1.41 for Kuraymah and Ruwaished, respectively. In both towns, males had significantly higher caries scores than females. Oral hygiene was poor, as 64% and 57% of the participants from Kuraymah and Ruwaished, respectively, did not brush their teeth. A significant correlation was found between poor oral hygiene and increased DMFT scores. Conclusions: This study concluded that higher fluorosis incidence and severity were present in the higher-altitude location (Ruwaished). Moreover, this study also indicated that fluorosed teeth are not immune to caries, and the preventive management of dental fluorosis should be directed to de-fluoridation of drinking water in endemic areas.
format	article
author	Salah A. Al-Omoush Sandra Al-Tarawneh Motausm Abu-Awwad Samiha Sartawi Wijdan Elmanaseer Firas Alsoleihat
author_facet	Salah A. Al-Omoush Sandra Al-Tarawneh Motausm Abu-Awwad Samiha Sartawi Wijdan Elmanaseer Firas Alsoleihat
author_sort	Salah A. Al-Omoush
title	Comparison of oral health indicators between two places of endemic dental fluorosis in Jordan
title_short	Comparison of oral health indicators between two places of endemic dental fluorosis in Jordan
title_full	Comparison of oral health indicators between two places of endemic dental fluorosis in Jordan
title_fullStr	Comparison of oral health indicators between two places of endemic dental fluorosis in Jordan
title_full_unstemmed	Comparison of oral health indicators between two places of endemic dental fluorosis in Jordan
title_sort	comparison of oral health indicators between two places of endemic dental fluorosis in jordan
publisher	Elsevier
publishDate	2021
url	https://doaj.org/article/317b59b8685c4df88f5117d11117a1e2
work_keys_str_mv	AT salahaalomoush comparisonoforalhealthindicatorsbetweentwoplacesofendemicdentalfluorosisinjordan AT sandraaltarawneh comparisonoforalhealthindicatorsbetweentwoplacesofendemicdentalfluorosisinjordan AT motausmabuawwad comparisonoforalhealthindicatorsbetweentwoplacesofendemicdentalfluorosisinjordan AT samihasartawi comparisonoforalhealthindicatorsbetweentwoplacesofendemicdentalfluorosisinjordan AT wijdanelmanaseer comparisonoforalhealthindicatorsbetweentwoplacesofendemicdentalfluorosisinjordan AT firasalsoleihat comparisonoforalhealthindicatorsbetweentwoplacesofendemicdentalfluorosisinjordan
_version_	1718440636956278784

Comparison of oral health indicators between two places of endemic dental fluorosis in Jordan

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