0190/2015 - Vigilância epidemiológica da fluorose dentária em município de clima tropical com água de abastecimento público fluoretada Epidemiological surveillance of dental fluorosis in tropical city with fluoridated drink water
O objetivo deste estudo foi avaliar a prevalência e severidade de fluorose dentária em escolares de 11 a 14 anos de idade em Teresina-PI, Brasil, município de clima tropical com água de abastecimento público fluoretada. Estudo do tipo observacional transversal no qual foram avaliadas 571 crianças distribuídas nas redes pública e particular de ensino. A coleta de dados foi realizada nas unidades escolares, após recolhimento do Termo de Consentimento Livre e Esclarecido (TCLE) e questionário respondido pelos pais referentes às condições socioeconômicas, demográficas e hábitos de higiene bucal. O exame clínico dentário foi realizado por um cirurgião-dentista calibrado (coeficiente Kappa=0,83). O índice aplicado foi o Thylstrup e Fejerskov (TF). A prevalência de fluorose foi de 78,3%, e apenas 12,5% das crianças acometidas apresentaram TF≥ 3, grau com comprometimento estético. Nascer e morar em Teresina aumentou as chances em 2,70 (IC 95%=1,04-7,00) vezes de ter fluorose mais severa (TF≥3) e estudar em escola estadual aumentou as chances de ter fluorose em 2,82 (IC 95%=1,39-5,72). Assim, concluiu-se que a prevalência de fluorose foi alta, mas com baixa severidade. É necessário o monitoramento periódico dessa alteração dentária e recomendável o controle da fluoretação da água de abastecimento.
The aim of this study was to evaluate the prevalence and the severity of dental fluorosis of individuals among 11-14 year olds in Teresina, PI, Brazil, tropical city with fluoridated drink water. This was a cross-sectional observational study. The sample consisted of 571 students of public and private schools. The consent for the data collection was obtained and the exams were carried out at the schools. Data were registered in a form answered by the parents, regarding the socioeconomic, demographic characteristics and the oral hygiene habits of the sample.The used Thylstrup Fejerskov (TF) index was used (kappa coefficient = 0.83). The prevalence of fluorosis was 78.3%, and only 12.5% of the affected children had TF≥ 3 (with aesthetic compromising). To be born and to live in Teresina increased the odds 2.70 times (95% CI = 1.04 to 7.00) of having severe fluorosis (TF≥3) and to study in public school increased the chances of having fluorosis in 2,82 times (95% CI = 1.39 to 5.72). Thus, the prevalence of fluorosis was high, but the severity was low. It is necessary to have a periodic monitoring of this dental condition and to control of the fluoridation level of the drinking
Epidemiological surveillance of dental fluorosis in tropical city with fluoridated drink water
Resumo (abstract):
The aim of this study was to evaluate the prevalence and the severity of dental fluorosis of individuals among 11-14 year olds in Teresina, PI, Brazil, tropical city with fluoridated drink water. This was a cross-sectional observational study. The sample consisted of 571 students of public and private schools. The consent for the data collection was obtained and the exams were carried out at the schools. Data were registered in a form answered by the parents, regarding the socioeconomic, demographic characteristics and the oral hygiene habits of the sample.The used Thylstrup Fejerskov (TF) index was used (kappa coefficient = 0.83). The prevalence of fluorosis was 78.3%, and only 12.5% of the affected children had TF≥ 3 (with aesthetic compromising). To be born and to live in Teresina increased the odds 2.70 times (95% CI = 1.04 to 7.00) of having severe fluorosis (TF≥3) and to study in public school increased the chances of having fluorosis in 2,82 times (95% CI = 1.39 to 5.72). Thus, the prevalence of fluorosis was high, but the severity was low. It is necessary to have a periodic monitoring of this dental condition and to control of the fluoridation level of the drinking
Moura, M.S.. Vigilância epidemiológica da fluorose dentária em município de clima tropical com água de abastecimento público fluoretada. Cien Saude Colet [periódico na internet] (2015/ago). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/vigilancia-epidemiologica-da-fluorose-dentaria-em-municipio-de-clima-tropical-com-agua-de-abastecimento-publico-fluoretada/15262?id=15262
