Community water fluoridation and health outcomes in England: a cross‐sectional study

Young, N. J.; Newton, John; Morris, John; Morris, Joan K.; Langford, John; Iloya, Jonathan; Edwards, Diane; Makhani, Semina; Verne, Julia

doi:10.1111/cdoe.12180

Cited by 16 publications

(10 citation statements)

References 27 publications

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“…The finding of a 46% lower PPDH rate in 0- to 4-y-olds living in fluoridated compared to nonfluoridated postcodes, when adjusting for SES, is similar to that reported in recent studies. In England, lower dental hospitalization rates of 45% and 55%, when adjusting for deprivation, were found in 1- to 4-y-olds living in fluoridated areas compared to nonfluoridated areas (Public Health England 2014; Young et al 2015). In addition, Klivitsky and colleagues (2015) found a 53% lower dental hospitalization rate in 0- to 18-y-olds living in fluoridated compared to nonfluoridated Israeli cities.…”

Section: Discussionmentioning

confidence: 99%

“…Australian studies have shown that child PPDH rates are associated with low socioeconomic status (SES) (Department of Human Services [DHS] 2007; Rogers and Morgan 2012; Butler et al 2013), no access to community water fluoridation (CWF) (DHS 2007), and residence in geographically remote locations where there is limited availability of oral health professionals (OHPs) (AIHW 2016a). The impact on child DGAs of CWF and SES has been shown in 3 published studies: in Israel among under 18-y-olds (Klivitsky et al 2015) and in studies in England among under 5-y-olds (Public Health England 2014; Young et al 2015). These studies did not focus on PPDHs or control for availability of dental care.…”

Section: Introductionmentioning

confidence: 97%

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Reducing Potentially Preventable Dental Hospitalizations of Young Children: A Community-Level Analysis

Rogers

Adams

Wright

et al. 2018

JDR Clinical & Translational Research

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An increasing number of Australians are being admitted to hospitals and day procedure centers to have dental treatment under a dental general anesthetic (DGA). Children younger than 2 y are having DGAs. These operations are costly and, although there have been improvements in safety, are not without risk. Most DGAs in children are to treat dental caries and have been defined as potentially preventable dental hospitalizations (PPDHs). This article reports on an analysis of the impact of access to community water fluoridation (CWF), availability of oral health professionals (OHPs), and socioeconomic status (SES) on PPDHs of 0-to 4-y-olds in 2012-2013 in Victoria, Australia. Data on these variables were obtained at the community (postcode) level. From the negative binomial multivariate analysis, each of the 3 independent variables was independently significantly associated with PPDHs at the postcode level. Children residing in postcodes without CWF on average had 59% higher rates than those with access (incident rate ratio [IRR], 1.59; P < 0.0001), children in postcodes with the lowest level of availability of OHPs had 65% higher rates than those with the highest access (IRR, 1.65; P < 0.0001), and children living in the most disadvantaged SES quintiles had 57% higher rates than children in the most advantaged quintiles (IRR, 1.57; P < 0.0001). There was a stepwise social gradient by SES quintile. In analysis of access to CWF and SES status, children without access to CWF had 86% higher PPDH rates than children with access

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 97%

Reducing Potentially Preventable Dental Hospitalizations of Young Children: A Community-Level Analysis

Rogers

Adams

Wright

et al. 2018

JDR Clinical & Translational Research

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“…Such surveillance 19 has also been recommended in other countries including Australia, New Zealand, the USA, Canada, Israel and England. 20,21 In all of these countries, scientifically robust evaluations have been made and published, recording the continued effectiveness of water fluoridation. These are cross-sectional studies, which have compared the caries experience of people, of various ages, with a history of exposure, partial exposure, or no exposure to water fluoridation.…”

Section: Exclusion Of Modern Methods Of Surveillance Of Water Fluoridmentioning

confidence: 99%

Critique of the review of 'Water fluoridation for the prevention of dental caries' published by the Cochrane Collaboration in 2015

et al. 2016

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“…Young et al 21 in the United Kingdom found a lower prevalence of caries and lower rates of tooth extractions in children with access to fluoridated drinking water. Also, in New Zealand, another study found some significant differences between Maori and non-Maori children with and without access to fluoridated drinking water 22 .…”

Section: Contemporary Evidencementioning

confidence: 98%

Bioethical considerations about water fluoridation: a critical review

Quinteros

2016

J Oral Res

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Dental caries is one of the oral pathologies with greater burden of disease in the Chilean population. Fluoridation of drinking water has been used as a caries prevention strategy. However, its application as a public policy has been questioned since its implementation. The aim of this article is to analyze whether fluoridation of drinking water is a justified measure in reducing the incidence and prevalence of caries from the perspective of bioethics, taking into account the current evidence on its effectiveness. The arguments reviewed are based on the belief that water fluoridation is effective and, in general terms, ethically acceptable. A recent systematic review concludes that there is not enough evidence to support fluoridation as a public policy. There is a gap of knowledge that ought to be closed so that public health authorities can assess the significance of the intervention and make a democratic decision on its continuation or suspension based on scientific evidence. This decision should be informed and disseminated within the community.

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Community water fluoridation and health outcomes in England: a cross‐sectional study

Cited by 16 publications

References 27 publications

Reducing Potentially Preventable Dental Hospitalizations of Young Children: A Community-Level Analysis

Reducing Potentially Preventable Dental Hospitalizations of Young Children: A Community-Level Analysis

Critique of the review of 'Water fluoridation for the prevention of dental caries' published by the Cochrane Collaboration in 2015

Bioethical considerations about water fluoridation: a critical review

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