Prevalence, severity and factors associated with dental fluorosis among primary school students in Bokluea District, Nan Province
Keywords:
Prevalence, Severity, Dental fluorosis, StudentsAbstract
This study is a cross-sectional study with the objective of examining the prevalence, severity, and factors associated with dental fluorosis among primary school students in Bo Kluea district, Nan Province. The study included a sample of 563 primary school students in grades 4-6. Data were collected using dental examination records and questionnaires completed by parents. Data analysis included frequency, percentage, mean, standard deviation and simple logistic regression analysis.
The results showed a dental fluorosis prevalence of 39.6%. The most common severity (Dean's Index) among those with fluorosis was very mild (38.1%). Factors associated with dental fluorosis included: 1) using water from stream or river (OR = 2.04, 95% CI = 1.26-3.29, p-value = 0.004); 2) using tap water (OR = 2.32, 95% CI = 1.56-3.47, p-value < 0.001); 3) receiving supplemental fluoride through topical fluoride application (fluoride varnish) (OR = 1.59, 95% CI = 1.06-2.39, p-value = 0.024); and 4) using an amount of fluoride toothpaste equal to the length of the toothbrush, as opposed to just wetting the bristles (OR = 2.99, 95% CI = 1.13-7.95, p-value = 0.028).
References
Alvarez, J. A., Rezende, K. M., Marocho, S. M., Alves, F. B., Celiberti, P., & Ciamponi, A. L. (2009). Dental fluorosis: exposure, prevention and management. Medicina oral, patologia oraly cirugia bucal, 14(2), E103-E107.
Bureau of Dental Health. (2008). The 6th National Oral Health Survey (2006-2007). Nonthaburi: Bureau of Dental Health, Department of Health. (in Thai)
Bureau of Dental Health. (2012). The 7th National Oral Health Survey (2012). Nonthaburi: Bureau of Dental Health, Department of Health. (in Thai)
Bureau of Dental Health. (2018). The 8th National Oral Health Survey (2017). Nonthaburi: Bureau of Dental Health, Department of Health. (in Thai)
Chumnanprai, S. (2020). Complete reserch report of Fluoride Monitoring in drinking water in Northern Thailand. Chiang Mai: Intercountry Centre for Oral Health, Department of Health. (in Thai)
Denbesten, P. K., & Thariani, H. (1992). Biological mechanisms of fluorosis and level and timing of systemic exposure to fluoride with respect to fluorosis. Journal of dental research, 71(5), 1238-1243.
Fejerskov, O., Manji, F., & Baelum, V. (1990). The nature and mechanisms of dental fluorosis in man. Journal of dental research, 69 Spec No, 692-721.
Leverett, D. (1986). Prevalence of dental fluorosis in fluoridated and nonfluoridated communities a preliminary investigation. Journal of public health dentistry, 46(4), 184-187.
Mascarenhas, A. K. (2000). Risk factors for dental fluorosis: a review of the recent literature. Pediatric dentistry, 22(4), 269-277.
McGrady, M. G., Ellwood, R. P., Srisilapanan, P., Korwanich, N., Worthington, H. V., & Pretty, I. A. (2012). Dental fluorosis in populations from Chiang Mai, Thailand with different fluoride exposures-paper 1: assessing fluorosis risk, predictors of fluorosis and the potential role of food preparation. BMC oral health, 12, 16.
Mongkolnchaiarunya, S., & Rityu, A. (2005). Guidelines to manage high fluoride in drinking water to prevent dental fluorosis. Retrieved September 4, 2023, from https://dental.anamai.moph.go.th/th/fluoride-lab/downloadid=76856&mid=31305&mkey=m_document&lang=th&did=24808.
Mueankan, S. (2010). Dental fluorosis and behavior towards restraining from high Fluoride in drinking water among people in Ban San Kayom, Ma Kua Chae Subdistrict, Mueang District, Lamphun Province. Thesis of Master of Public Health, Chiang Mai University, Chiang Mai. (in Thai)
Nakornchai, S., Hopattaraput, P., & Vichayanrat, T. (2016). Prevalence, Severity and Factors Associated with Dental Fluorosis among Children aged 8-10 years in Bangkok, Thailand. The Southeast Asian journal of tropical medicine and public health, 47(5), 1105-1111.
Osiriphan, N. (2000). Perception of Dental Fluorosis among people Residing in Tambon Doi Tao Changwat Chiang Mai. Thesis of Master of Public Health, Chiang Mai University, Chiang Mai. (in Thai)
Sriwongchai, K. (2010). Effective Delivery of Topical Fluoride Gel as an Alternative to Tray Application. Thesis of Master of Science (Dentistry), Chulalongkorn University, Bangkok. (in Thai)
Sutthisai, P. (2021). Management to enhance the efficiency of learning and cultural tourism centers of Bokluea in Ban Boluang community, Bokluea Tai Sub District, Bokluea District, Nan Province. Thesis of Master of Arts (Art and Culture Management), Chiang Mai University, Chiang Mai. (in Thai)
The Dental Association of Thailand. (2023). Guideline on Use of Fluoride in Dentistry. Journal of The Dental Association of Thailand. 73(2), 92-103. (in Thai)
Upagan, K., & Mala, T. (2009). Factors Related to Dental Fluorosis in School Aged Children and Water Consumption Behavior. In the Dental Fluorosis Children Family of Tambon Saparn Mai Kaen, Chana District, Songkhla Province. Journal of Preventive Medicine Association of Thailand, 7(2), 160-167. (in Thai)
World Health Organization. (2020). Water Sanitation and Health: Water-related diseases- Fluorosis. Retrieved April 4, 2021, from https://www.who.int/teams/environment-climatechange-and-health/water-sanitation-andhealth/chemical-hazards-in-drinking-water/fluoride
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