Prevalence of dental fluorosis in the primary dentition

J J Warren; S M Levy; M J Kanellis

doi:10.1111/j.1752-7325.2001.tb03371.x

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Prevalence of dental fluorosis in the primary dentition

Journal article

Peer reviewed

Prevalence of dental fluorosis in the primary dentition

J J Warren, S M Levy and M J Kanellis

Journal of public health dentistry, Vol.61(2), pp.87-91

2001

DOI: 10.1111/j.1752-7325.2001.tb03371.x

PMID: 11474919

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Abstract

This paper presents data on the prevalence of primary tooth fluorosis among children residing in Iowa, and the relationships between fluorosis prevalence and selected measures of fluoride exposures. Children in the study cohort were followed prospectively during the first year of life. This study assessed their home water fluoride concentrations and use of fluoride dentifrice or dietary fluoride supplements. A total of 637 children (320 females and 317 males) were examined for fluorosis using a modification of the TSIF index at age 4 1/2 to 5 years, with 90.4 percent having intact primary dentitions. 74 children (11.6%) had fluorosis present on one or more of their primary teeth, and 71 children (11.1%) had two or more teeth affected. Nearly all fluorosis was mild, with the primary second molar teeth most commonly affected. Fluorosis was significantly associated with higher water fluoride concentration, but not with the use of dentifrice or fluoride supplements. The results of this study show that primary tooth fluorosis is relatively uncommon, but is most frequently seen on the posterior teeth, particularly the primary second molars, which form at later stages of development. This finding suggests that primary tooth fluorosis is mostly a postnatal phenomenon, and is associated with higher water fluoride levels.

Cariostatic Agents - analysis

Prevalence

Prospective Studies

Cariostatic Agents - therapeutic use

Follow-Up Studies

Humans

Child, Preschool

Male

Molar

Statistics as Topic

Chi-Square Distribution

Dietary Supplements - statistics & numerical data

Fluorosis, Dental - epidemiology

Fluorides - analysis

Fluorides - therapeutic use

Female

Iowa - epidemiology

Tooth, Deciduous

Dentifrices - therapeutic use

Water Supply - analysis

Cohort Studies

Fluorosis, Dental - classification

Details

Title: Subtitle: Prevalence of dental fluorosis in the primary dentition
Creators: J J Warren - N-337 Dental Science Building, University of Iowa, Iowa City, IA 52242-1010, USA. john-warren@uiowa.edu
S M Levy
M J Kanellis
Resource Type: Journal article
Publication Details: Journal of public health dentistry, Vol.61(2), pp.87-91
Publisher: United States
DOI: 10.1111/j.1752-7325.2001.tb03371.x
PMID: 11474919
ISSN: 0022-4006
eISSN: 1752-7325
Grant note: 2P30-10126 / PHS HHS 2R01-DE09551 / NIDCR NIH HHS CRC-RR00059 / NCRR NIH HHS
Language: English
Date published: 2001
Academic Unit: Preventive and Community Dentistry; Epidemiology; Dental Clinic Administration; Pediatric Dentistry
Record Identifier: 9983917791202771

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