Fluorosis prevalence among schoolchildren in a fluoridated community in Malaysia

Tan, B.S. and Razak, I.A. and Foo, L.C. (2005) Fluorosis prevalence among schoolchildren in a fluoridated community in Malaysia. Community Dental Health, 22 (1). pp. 35-39. ISSN 0265-539X,


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Objectives This study aims to assess the magnitude of the problem Of fluorosis among 10-11 year old schoolchildren in a fluoridated area in Malaysia. Methods An analytical cross-sectional design was adopted. Sampling of subjects was by a 2-stage systematic random sampling technique in Selangor, a fully fluoridated area. 1,343 10-11 year olds were assessed for fluorosis using the Dean's index. Results The prevalence of fluorosis was 58.7 (788 subjects); 478 (35.6) subjects exhibited very mild fluorosis, 196 (14.6) mild, 102 (7.6) moderate, 12 (0.9) severe and 555 (41.3) no fluorosis. Tooth prevalence was 30.1. Overall, the Community Fluorosis Index (CFI) was 0.96 and ranged from 0.23 to 1.72. Fifteen out of 30 schools had CFI > 1.0 (medium public health significance). Conclusions The prevalence of dental fluorosis in Malaysia (mostly very mild to mild) at 58.7 is indicative of slightly above optimal levels of exposure. There were pockets of areas where fluorosis were of medium public health significance (CFI > 1.0). It must be cautioned that, fluorosis if not monitored closely, can become an increasing Public health concern.

Item Type: Article
Additional Information: ISI Document Delivery No.: 981VV Times Cited: 1 Cited Reference Count: 31 Cited References: Angelillo IF, 1999, CARIES RES, V33, P114, DOI 10.1159/000016504 BROUWER ID, 1988, LANCET, V1, P223 Chen M, 1997, COMP ORAL HLTH CARE CLARKSON J, 1989, J DENT RES, V68, P445, DOI 10.1177/00220345890680030201 CLARKSON JJ, 1992, COMMUNITY DENT ORAL, V20, P196, DOI 10.1111/j.1600-0528.1992.tb01715.x Cutress T W, 1985, N Z Dent J, V81, P12 Dean HT, 1942, PUBLIC HEALTH REP, V57, P1155, DOI 10.2307/4584182 DEAN H. T., 1941, PUBL HEALTH REPTS, V56, P761, DOI 10.2307/4583693 ESA R, 2001, ANN DENT U MALAYA, V8, P20 EVANS RW, 1991, J PUBLIC HEALTH DENT, V51, P91, DOI 10.1111/j.1752-7325.1991.tb02187.x FDI Federation Dentaire Internationale, 1982, INT DENT J, V32, P159 HEIFETZ SB, 1988, J AM DENT ASSOC, V116, P490 Kumar JV, 1999, COMMUNITY DENT ORAL, V27, P171, DOI 10.1111/j.1600-0528.1999.tb02007.x Lo GL, 1996, COMMUNITY DENT ORAL, V24, P25, DOI 10.1111/j.1600-0528.1996.tb00807.x Lwanga SK, 1991, SAMPLE SIZE DETERMIN MAJID ZA, 1995, J DENT MALAYSIA, V16, P33 Majid Z A, 1996, Singapore Dent J, V21, P11 NORIAH Y, 2001, FDI ANN WORLD DENT C RAZAK IA, 1986, DENT J MALAYSIA, V9, P23 Rozier R G, 1994, Adv Dent Res, V8, P39 RUSELL AL, 1961, PUBLIC HLTH REP, V21, P143 RUZAK IA, 1988, FLUORIDES DENT HLTH SUJAK SL, 1997, THESIS U MALAYA SZPUNAR SM, 1987, J PUBLIC HEALTH DENT, V47, P71, DOI 10.1111/j.1752-7325.1987.tb01980.x Villa AE, 1998, COMMUNITY DENT ORAL, V26, P249, DOI 10.1111/j.1600-0528.1998.tb01958.x WENZEL A, 1982, CARIES RES, V16, P340 *DEN DIV MIN HLTH, 1971, REP COMM APP INQ REP *DENT DIV JOH MAL, 1986, EP SURV DEV DEF DENT *MIN HLTH MAL OR H, 2001, FLUOR EN OP 16 YEAR *MIN HLTH OR HLTH, 1998, NOHSS 97 *WHO, 1997, OR HLTH SURV BAS MET Tan, BS Razak, IA Foo, LC F d i world dental press ltd Lowestoft
Uncontrolled Keywords: Dean's Index fluorosis Malaysia dental fluorosis drinking-water enamel defects caries areas
Subjects: R Medicine > RK Dentistry
Divisions: Faculty of Dentistry > Dept of Community Dentistry
Depositing User: Mr Ahmad Azwan Azman
Date Deposited: 08 Jan 2013 02:59
Last Modified: 08 Jan 2013 02:59
URI: http://eprints.um.edu.my/id/eprint/4264

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