Dental fluorosis and caries prevalence in the fluorosis endemic area of Asembagus, Indonesia.
Dental fluorosis and caries prevalence in the fluorosis endemic area of Asembagus, Indonesia.
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DOI：
10.1046/j.1365-263x.2002.00398.x
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发表时间：
2002-11-01
影响因子：
3.8
通讯作者：
Kuntari, S
中科院分区：
文献类型：
--
作者：
Budipramana, E S;Hapsoro, A;Kuntari, S
目的：了解地方性氟中毒病区饮水氟含量在0.51~3.15ppm范围内氟斑牙和龋病的患病率和患龋率。材料和方法：随机抽取阿森巴古斯区10个村各1所小学的474名6~12岁儿童。根据饮用水中氟含量将村分为4组：A组：0.41~0.50；B组：0.73~0.90；C组：2.01~2.41；D组：3.07~3.25。氟斑牙检查采用Bischoff‘s改良(1976)，按WHO标准1997进行龋病评分。结果：D(T)由A组的0.46、0.55、0.66升至1.03，d(T)由0.89、0.87、0.86降至0.32。CFI从1.36、1.67、2.03上升至1.80。Kruskal-Wallis单因素方差分析显示，水氟含量与CFI、D(T)、d(T)的关系显著。水氟含量与d(T)、d(T)无显著线性关系，与CFI呈正相关。该小区恒牙的患龋率为62%，乳牙的患龋率为68%。氟中毒患病率为96%，CFI平均值为1.71。结论：A、B村CFI值较高，分别为1.36和1.67，可能与两村主食配菜有关。其中88%含有鱼类，68%含有咸鱼干，61%是本地采集的贝类海产。
OBJECTIVES: The aim of this study was to determine the prevalence and severity of dental fluorosis and caries in a fluorosis endemic area, with fluoride content in drinking water ranging from 0.51 to 3.15 ppm.MATERIALS AND METHODS: Children (n = 474), aged 6-12 years, were randomly selected from one primary school in each of ten villages in the subdistrict of Asembagus. The villages were grouped into four according to the fluoride content in the drinking water: Group A: 0.41-0.50; Group B: 0.73-0.90; Group C: 2.01-2.41 and Group D: 3.07-3.25. Fluorosis examination used Bischoff's modification (1976), which was based on Dean's classifications, and caries was scored according to WHO standard 1997.RESULTS: D(T) from Group A to D increased from 0.46, 0.55, 0.66 to 1.03; while d(T) decreased from 0.89, 0.87, 0.86 to 0.32. CFI increased from 1.36, 1.67, 2.03 to 1.80. Kruskal-Wallis one-way ANOVA was significant for the relationship between fluoride water content and CFI, D(T), and d(T). There was no significant linear relationship between fluoride water content and D(T) or d(T), but there was a positive correlation with CFI. Caries prevalence in the subdistrict was 62% for permanent teeth and 68% for primary teeth. Fluorosis prevalence was 96% with a mean CFI of 1.71.CONCLUSIONS: The high CFI values of 1.36 and 1.67 in villages A and B may relate to the main side-dishes eaten in the two villages. Of these, 88% contained fish, 68% dried salted fish and 61% a type of shellfish gathered locally.