A comparison of dental fluorosis in adult populations with and without lifetime exposure to water fluoridation

Objectives: There is a lack of evidence on the proportion and severity of fluorosis in adult populations exposed and not exposed to fluoridated water over their lifetimes. The aim of this study was to compare the proportion and severity of fluorosis in adults with lifetime exposure to water fluorida...

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Bibliographic Details
Main Authors: Macey, R. (Author), MacKay, L. (Author), McGrady, M. (Author), Pretty, I.A (Author), Tickle, M. (Author)
Format: Article
Language:English
Published: Blackwell Munksgaard 2018
Subjects:
age
Online Access:View Fulltext in Publisher
LEADER 03077nam a2200529Ia 4500
001 10.1111-cdoe.12411
008 220706s2018 CNT 000 0 und d
020 |a 03015661 (ISSN) 
245 1 0 |a A comparison of dental fluorosis in adult populations with and without lifetime exposure to water fluoridation 
260 0 |b Blackwell Munksgaard  |c 2018 
856 |z View Fulltext in Publisher  |u https://doi.org/10.1111/cdoe.12411 
520 3 |a Objectives: There is a lack of evidence on the proportion and severity of fluorosis in adult populations exposed and not exposed to fluoridated water over their lifetimes. The aim of this study was to compare the proportion and severity of fluorosis in adults with lifetime exposure to water fluoridation with a nonexposed sample. A secondary aim was to report the gradient of fluorosis severity by age. Methods: A cross-sectional study recruited a sample with lifetime exposure to water fluoridation and a matched, nonexposed group. 580 participants, aged 18-52 years (mean 34.3, SD 9.4) and 64% female, were recruited in general dental practices located in fluoridated (Birmingham and County Durham) and nonfluoridated areas (Manchester). Three digital images were taken of their incisors and an experienced examiner who was blind to exposure status viewed the images remotely and allocated fluorosis scores using the Thylstrup and Fejerskov (TF) scale. Results: At TF ≥ 1 (any fluorosis), a significantly higher proportion of participants from the fluoridated area had fluorosis (F 39% NF 21.3%, P < 0.001), at the threshold TF ≥ 3 (“aesthetic concern”), the difference was no longer statistically significant (F 4.1%, NF 2.2%, P = 0.25). There was a gradient by age, whereby fluorosis was highest in the youngest and lowest in the oldest age group. Conclusions: Although fluorosis is more common in adults with lifetime exposure to water fluoridation than those with no exposure, the aesthetic impact of fluorosis seems to diminish with age. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd 
650 0 4 |a adolescent 
650 0 4 |a Adolescent 
650 0 4 |a adult 
650 0 4 |a Adult 
650 0 4 |a adults 
650 0 4 |a adverse event 
650 0 4 |a age 
650 0 4 |a Age Factors 
650 0 4 |a case control study 
650 0 4 |a Case-Control Studies 
650 0 4 |a dental fluorosis 
650 0 4 |a female 
650 0 4 |a Female 
650 0 4 |a fluoridation 
650 0 4 |a Fluoridation 
650 0 4 |a fluoride 
650 0 4 |a fluorosis 
650 0 4 |a Fluorosis, Dental 
650 0 4 |a human 
650 0 4 |a Humans 
650 0 4 |a male 
650 0 4 |a Male 
650 0 4 |a middle aged 
650 0 4 |a Middle Aged 
650 0 4 |a public health 
650 0 4 |a severity of illness index 
650 0 4 |a Severity of Illness Index 
650 0 4 |a young adult 
650 0 4 |a Young Adult 
700 1 |a Macey, R.  |e author 
700 1 |a MacKay, L.  |e author 
700 1 |a McGrady, M.  |e author 
700 1 |a Pretty, I.A.  |e author 
700 1 |a Tickle, M.  |e author 
773 |t Community Dentistry and Oral Epidemiology