Water fluoridation, poverty and tooth decay in 12-year-old children

Jones, Colwyn; Worthington, Helen V

doi:10.1016/s0300-5712(00)00005-1

Cited by 56 publications

(31 citation statements)

References 6 publications

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“…23 Studies in the United Kingdom have shown that water fluoridation may reduce social inequalities in caries experience, in both deciduous and permanent teeth. 24,25 The notion that water fluoridation is an environmental variable that would not be affected by the position of individuals in the social structure or by income and educational levels 26 would require that it be distributed equally, without any important variation related to consumption sources or fluid intake frequency in different population groups; however, this cannot always be ensured. 27 The implementation of public policies may vary in extent and depth according to the structure of each country.…”

Section: When Structure and Context Mattermentioning

confidence: 99%

Epidemiology of dental caries: when structure and context matter

Frazão

2012

Braz. oral res.

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The widespread expansion of the sugar market drove dental caries prevalence to high levels in several regions of the world. On the other hand, the dissemination of fluoride use is one of the reasons for caries decline at the end of the 20 th century. However, caries remains one of the most prevalent non-communicable chronic diseases in human beings, and an important cause of pain and dental loss, which lead to school and work absenteeism affecting individuals' daily activities and emotional stability. The decline in caries has important implications for research, human resources and oral healthcare. The aim of this study was to summarize the changes in dental caries occurrence in the population, and bring to light the latest research on the role of non-biological determinants in caries distribution.

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Section: When Structure and Context Mattermentioning

confidence: 99%

Epidemiology of dental caries: when structure and context matter

Frazão

2012

Braz. oral res.

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“…A população com acesso a água fluoretada no estado foi obtida pela soma da população com acesso Os mapas temáticos são apresentados de acordo com a data de início da fluoretação para os decênios 1950,1960,1970,1980,1990 A ampliação e consolidação da fluoretação das águas, e a consequente manutenção de altos níveis de acesso à medida no Estado de São Paulo, correlaciona-se negativamente com a prevalência e severidade da cárie dentária nesse território. A literatura sobre o assunto indica que, quanto maior o acesso à água fluoretada, menores a prevalência e a magnitude da doença, em termos populacionais 10,22 .…”

Section: Materials E Métodounclassified

“…O benefício da água fluoretada é extensivo a todos, em todas as idades. Contudo, a força preventiva da medida é maior nos grupos mais vulneráveis ao agravo 9,10 . Para Narvai 11 , os principais interessados na fluoretação das águas de abastecimento público são os segmentos sociais de baixa renda, pois estes são os mais vulneráveis à cárie dentária quando não se faz ou se interrompe a fluoretação.…”

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Evolução do acesso à água fluoretada no Estado de São Paulo, Brasil: dos anos 1950 à primeira década do século XXI

et al. 2012

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Ter acesso à água fluoretada é um reconhecido fator de proteção contra a cárie dentária. No Brasil, a fluoretação da água de abastecimento público tornou-se obrigatória por lei em 1974, seguindo-se a esta regulamentação acentuada expansão da cobertura, sobretudo nas regiões de maior desenvolvimento socioeconômico. A ampliação dessa cobertura em todo o país é uma das prioridades da política nacional de saúde bucal. Neste artigo, sistematizam-se informações sobre a implantação e expansão da fluoretação no Estado de São Paulo, no período de 1956 a 2009, utilizando-se dados secundários obtidos em relatórios técnicos, documentos oficiais e no sistema SISAGUA. Em 2009, a cobertura se estendia por 546 (84,7%) dos 645 municípios paulistas, chegando a 85,1% da população total e a 93,5% da população com acesso à rede de distribuição de água. Tais resultados indicam que a medida está consolidada como parte da política estadual de saúde. No entanto, persiste o desafio de implantar e manter a fluoretação em 99 municípios, beneficiando cerca de 6,2 milhões de habitantes excluídos do benefício.

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“…Data from the UK and USA show that in these countries, a significant difference in the caries level still exists between fluoridated and nonfluoridated areas [Evans et al, 1995;Selwitz et al, 1998;Jones and Worthington, 2000]. Explanations for this apparent controversy may be differences in caries prevalence, social structure of the population and dental health care systems between these countries, although there is no direct data supporting this assumption.…”

Section: Water Fluoridationmentioning

confidence: 99%

The Future of Preventive Programs in Countries with Different Systems for Dental Care

Seppä

2001

Caries Res

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From 1990 onward the decline of caries has leveled off in economically developed countries and the effectiveness of preventive programs seems to have diminished. The aim of this paper is to consider the future of caries prevention in the light of the studies conducted during the past decade. A shift from population-based prevention to a high-risk strategy has been promoted in countries where caries is strongly polarized. In Finland, however, an intensive preventive program targeted to high-risk individuals had little effect on caries increment, which suggests that the utility of a high-risk strategy is questionable. The relative effects of population-based methods have also decreased during the last decades. Although discontinuation of water fluoridation had no effect on caries in Kuopio, Finland, water fluoridation is still effective in countries with a lower level of basic prevention and a less homogenous social structure. From the standpoint of cost-effectiveness, the use of professionally applied fluoride gels has been questioned in children with a low caries rate, and the same is probably true for fluoride varnishes. In countries with a high caries rate, a low level of basic prevention, and an unorganized dental care system any preventive program seems to be effective. The importance of fluoride toothpastes as a cost-effective and feasible method of fluoride delivery is indisputable and will be so in all countries irrespective of the caries level and dental care systems. Population-based dental health education continues to be important, also in the countries where the caries rate has so far been low.

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Water fluoridation, poverty and tooth decay in 12-year-old children

Cited by 56 publications

References 6 publications

Epidemiology of dental caries: when structure and context matter

Epidemiology of dental caries: when structure and context matter

Evolução do acesso à água fluoretada no Estado de São Paulo, Brasil: dos anos 1950 à primeira década do século XXI

The Future of Preventive Programs in Countries with Different Systems for Dental Care

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