Association between Dietary behaviours and Dental Fluorosis- a Retrospective study
Keywords:
Dental fluorosis; Dean fluorosis index; diet; associationAbstract
Dental fluorosis is considered a major public health problem. Consumption of excess fluoride will lead to conditions like skeletal fluorosis and dental fluorosis. The aim of this study is to determine the association between dietary intake and fluorosis. The present study was conducted among patients who had reported to Saveetha Dental College, from the time period of June 2019 to March 2020. Case records of about 15,000 patients were reviewed and 561 patients were recruited who fulfilled the inclusion and exclusion criteria.Patients with dental fluorosis were included in the study. Patient age ,gender and the diet history and dean fluorosis index score were collected from the case records.Descriptive statistics, cross tabulation and chi-square test were done by SPSS IBM software 20.0. The results of the study showed that 49% of fluorosis patients are with a vegetarian diet and 51% of fluorosis patients are with a mixed diet. In patients with mixed diets the severity of fluorosis was slightly higher compared to vegetarian diet, with a Dean’s fluorosis index score of 4 - severe (5.3%). However it is statistically not significant. [Pearson’s Chi Square value: 4.685a df = 4, p value = 0.321 (>0.05)] Within the limits of the study no significant association was found between diet and fluorosis,however severity of fluorosis in mixed diet seems to be higher.
Downloads
References
Abuhaloob, L. and Abed, Y. (2013) ‘Dietary behaviours and dental fluorosis among Gaza Strip children’, Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al- sihhiyah li-sharq al-mutawassit, 19(7), pp. 657–663.
Aoba, T. and Fejerskov, O. (2002) ‘Dental fluorosis: chemistry and biology’, Critical reviews in oral biology and medicine: an official publication of the American Association of Oral Biologists, 13(2), pp. 155–170.
Arvind, B. A. et al. (2012) ‘Prevalence and severity of dental fluorosis and genu valgum among school children in rural field practice area of a medical college’, Asian Pacific Journal of Tropical Disease, 2(6),
pp. 465–469.
Awadia, A. K. et al. (1999) ‘Vegetarianism and dental fluorosis among children in a high fluoride area of northern Tanzania’, International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry for Children, 9(1), pp. 3–11.
Basir, L. et al. (2006) ‘Comparative investigation on the prevalence of fluorosis and DMFT and their relations with the amount of fluoride in all the three drinking water resources (Maroon, Karoon and Karkheh rivers) among 10-12 school students in Khuzestan in 2002’, Journal of Dentistry, Shahid Beheshti University of Medical Sciences, 24, pp. 14–23.
Brothwell, D. and Limeback, H. (2003) ‘Breastfeeding is protective against dental fluorosis in a nonfluoridated rural area of Ontario, Canada’, Journal of human lactation: official journal of International Lactation Consultant Association, 19(4), pp. 386–390.
Buzalaf, M. A. R. et al. (2004) ‘Risk of fluorosis associated with infant formulas prepared with bottled water’, Journal of dentistry for children , 71(2), pp. 110–113.
Cao, J., Zhao, Y. and Liu, J. (1997) ‘Brick tea consumption as the cause of dental fluorosis among children from Mongol, Kazak and Yugu populations in China’, Food and chemical toxicology: an international journal published for the British Industrial Biological Research Association, 35(8), pp. 827–833.
Choubisa, S. L. et al. (2009) ‘Osteo-dental fluorosis in relation to nutritional status, living habits, and occupation in rural tribal areas of Rajasthan, India’, Fluoride, 42(3), p. 210.
Christabel, S. L. and Gurunathan, D. (2015) ‘Prevalence of type of frenal attachment and morphology of frenum in children, Chennai, Tamil Nadu’, World J Dent, 6(4), pp. 203–207.
De Almeida, B. S., da Silva Cardoso, V. E. and Buzalaf, M. A. R. (2007) ‘Fluoride ingestion from toothpaste and diet in 1-to 3-year-old Brazilian children’, Community dentistry and oral epidemiology, 35(1), pp. 53–63.
Deogade, S., Gupta, P. and Ariga, P. (2018) ‘Effect of monopoly-coating agent on the surface roughness of a tissue conditioner subjected to cleansing and disinfection: A Contact Profilometric In vitro study’, Contemporary Clinical Dentistry, p. 122. doi: 10.4103/ccd.ccd_112_18.
Dua, K. et al. (2019) ‘The potential of siRNA based drug delivery in respiratory disorders: Recent advances and progress’, Drug development research, 80(6), pp. 714–730.
Duraisamy, R. et al. (2019) ‘Compatibility of Nonoriginal Abutments With Implants: Evaluation of Microgap at the Implant-Abutment Interface, With Original and Nonoriginal Abutments’, Implant dentistry, 28(3), pp. 289–295.
Ezhilarasan, D. (2018) ‘Oxidative stress is bane in chronic liver diseases: Clinical and experimental perspective’, Arab journal of gastroenterology: the official publication of the Pan-Arab Association of Gastroenterology, 19(2), pp. 56–64.
Ezhilarasan, D., Apoorva, V. S. and Ashok Vardhan, N. (2019) ‘Syzygium cumini extract induced reactive oxygen species-mediated apoptosis in human oral squamous carcinoma cells’, Journal of oral pathology & medicine: official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, 48(2), pp. 115–121.
Ezhilarasan, D., Sokal, E. and Najimi, M. (2018) ‘Hepatic fibrosis: It is time to go with hepatic stellate cell- specific therapeutic targets’, Hepatobiliary & pancreatic diseases international: HBPD INT, 17(3), pp. 192– 197.
Featherstone, J. D. et al. (1983) ‘Acid reactivity of carbonated apatites with strontium and fluoride substitutions’, Journal of dental research, 62(10), pp. 1049–1053.
‘Fluoride, Fluoridated Toothpaste Efficacy And Its Safety In Children - Review’ (2018) International Journal of Pharmaceutical Research, 10(04). doi: 10.31838/ijpr/2018.10.04.017.
‘Fluorides and oral health. Report of a WHO Expert Committee on Oral Health Status and Fluoride Use’ (1994) World Health Organization technical report series, 846, pp. 1–37.
‘From the Centers for Disease Control and Prevention. Achievements in public health, 1900-1999:fluoridation of drinking water to prevent dental caries’ (2000) JAMA: the journal of the American Medical Association, 283(10), pp. 1283–1286.
Gheena, S. and Ezhilarasan, D. (2019) ‘Syringic acid triggers reactive oxygen species-mediated cytotoxicity in HepG2 cells’, Human & experimental toxicology, 38(6), pp. 694–702.
Gikunju, J. K. et al. (1992) ‘Fluoride in fish from lakes of great Rift Valley, Kenya’, Ecology of food and nutrition, 27(2), pp. 85–90.
Gomathi, A. C. et al. (2020) ‘Anticancer activity of silver nanoparticles synthesized using aqueous fruit shell extract of Tamarindus indica on MCF-7 human breast cancer cell line’, Journal of Drug Delivery Science and Technology, p. 101376. doi: 10.1016/j.jddst.2019.101376.
Gopalakrishnan, P. et al. (1999) ‘Prevalence of dental fluorosis and associated risk factors in Alappuzha district, Kerala’, The National medical journal of India, 12(3), pp. 99–103.
Govindaraju, L. and Gurunathan, D. (2017) ‘Effectiveness of Chewable Tooth Brush in Children-A Prospective Clinical Study’, Journal of clinical and diagnostic research: JCDR, 11(3), pp. ZC31–ZC34.
Govindaraju, L., Jeevanandan, G. and Subramanian, E. (2017) ‘Clinical Evaluation of Quality of Obturation and Instrumentation Time using Two Modified Rotary File Systems with Manual Instrumentation in Primary Teeth’, Journal of clinical and diagnostic research: JCDR, 11(9), pp. ZC55–ZC58.
Govindaraju, L., Jeevanandan, G. and Subramanian, E. M. G. (2017a) ‘Comparison of quality of obturation and instrumentation time using hand files and two rotary file systems in primary molars: A single-blinded randomized controlled trial’, European Journal of Dentistry, pp. 376–379. doi: 10.4103/ejd.ejd_345_16.
Govindaraju, L., Jeevanandan, G. and Subramanian, E. M. G. (2017b) ‘Knowledge and practice of rotary instrumentation in primary teeth among indian dentists: A questionnaire survey’, Journal of International Oral Health, 9(2), p. 45.
Goyal, A., Gauba, K. and Tewari, A. (1988) ‘Fluoride content of commonly consumed North Indian beverages’, Journal of the Indian Society of Pedodontics and Preventive Dentistry, 6(1), pp. 23–29.
Gurunathan, D. and Shanmugaavel, A. K. (2016) ‘Dental neglect among children in Chennai’, Journal of the Indian Society of Pedodontics and Preventive Dentistry, 34(4), pp. 364–369.
Haritash, A. K. et al. (2018) ‘Assessment of fluoride in groundwater and urine, and prevalence of fluorosis among school children in Haryana, India’, Applied Water Science, 8(2), p. 52.
Honarmand, M. et al. (2012) ‘Epidemiology of dental fluorosis in 7-10 years old students attending to community dentistry center of Zahedan’, Iranian Journal of Epidemiology, 7(4), pp. 66–72.
Jeevanandan, G. (2017) ‘Kedo-S Paediatric Rotary Files for Root Canal Preparation in Primary Teeth - Case Report’, Journal of clinical and diagnostic research: JCDR, 11(3), pp. ZR03–ZR05.
Jeevanandan, G. and Govindaraju, L. (2018) ‘Clinical comparison of Kedo-S paediatric rotary files vs manual instrumentation for root canal preparation in primary molars: a double blinded randomised clinical trial’, European archives of paediatric dentistry: official journal of the European Academy of Paediatric Dentistry, 19(4), pp. 273–278.
J, P. C. et al. (2018) ‘Prevalence and measurement of anterior loop of the mandibular canal using CBCT: A cross sectional study’, Clinical implant dentistry and related research, 20(4), pp. 531–534.
Karthikeyan, G., Pius, A. and Apparao, B. V. (1996) ‘Contribution of fluoride in water and food to the prevalence of fluorosis in areas of Tamil Nadu in South India’, Fluoride, 29(3), pp. 151–155.
Kebede, A., Retta, N., et al. (2016) ‘Dietary Fluoride Intake and Associated Skeletal and Dental Fluorosis in School Age Children in Rural Ethiopian Rift Valley’, International journal of environmental research and public health, 13(8). doi: 10.3390/ijerph13080756.
Kebede, A., Retta, N., et al. (2016) ‘Minimizing bioavailability of fluoride through addition of calcium- magnesium citrate or a calcium and magnesium-containing vegetable to the diets of growing rats’, Int. J. Biochem. Res. Rev, 10, pp. 1–8.
Kotecha, P. V. et al. (2012) ‘Prevalence of dental fluorosis & dental caries in association with high levels of drinking water fluoride content in a district of Gujarat, India’, The Indian journal of medical research, 135(6), p. 873.
Mahantesha, T. et al. (2016) ‘Prevalence of Dental Fluorosis and associated Risk Factors in Bagalkot District, Karnataka, India’, International journal of clinical pediatric dentistry, 9(3), pp. 256–263.
Malde, M. K. et al. (1997) ‘Fluoride Content in Selected Food Items from Five Areas in East Africa’, Journal of food composition and analysis: an official publication of the United Nations University, International Network of Food Data Systems, 10(3), pp. 233–245.
Malde, M. K. et al. (2003) ‘Fluoride intake in children living in a high-fluoride area in Ethiopia - intake through beverages’, International Journal of Paediatric Dentistry, pp. 27–34. doi: 10.1046/j.1365- 263x.2003.00422.x.
Malde, M. K. et al. (2004) ‘Fluoride, calcium and magnesium intake in children living in a high-fluoride area in Ethiopia. Intake through food’, International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry for Children, 14(3), pp. 167–174.
Malde, M. K. et al. (2011) ‘Substance flow analysis: a case study of fluoride exposure through food and beverages in young children living in Ethiopia’, Environmental health perspectives, 119(4), pp. 579–584.
Malli Sureshbabu, N. et al. (2019) ‘Concentrated Growth Factors as an Ingenious Biomaterial in Regeneration of Bony Defects after Periapical Surgery: A Report of Two Cases’, Case reports in dentistry, 2019, p. 7046203.
Marshall, T. A. et al. (2004) ‘Associations between Intakes of fluoride from beverages during infancy and dental fluorosis of primary teeth’, Journal of the American College of Nutrition, 23(2), pp. 108–116.
Martinez-Mier, E. A. (2018) ‘Guidelines for Fluoride Intake: First Discussant’, Advances in dental research, pp. 177–178.
Mathew, M. G. et al. (2020) ‘Evaluation of adhesion of Streptococcus mutans, plaque accumulation on zirconia and stainless steel crowns, and surrounding gingival inflammation in primary …’, Clinical oral investigations. Available at: https://link.springer.com/article/10.1007/s00784-020-03204-9.
Mehta, M. et al. (2019) ‘Oligonucleotide therapy: An emerging focus area for drug delivery in chronic inflammatory respiratory diseases’, Chemico-biological interactions, 308, pp. 206–215.
Menon, S. et al. (2018) ‘Selenium nanoparticles: A potent chemotherapeutic agent and an elucidation of its mechanism’, Colloids and Surfaces B: Biointerfaces, pp. 280–292. doi: 10.1016/j.colsurfb.2018.06.006.
Miziara, A. P. B. et al. (2009) ‘Fluoride ingestion from food items and dentifrice in 2--6-year-old Brazilian children living in a fluoridated area using a semiquantitative food frequency questionnaire’, Community dentistry and oral epidemiology, 37(4), pp. 305–315.
Motebennur, D. S. S. D. S. S. et al. (2012) ‘Impact of Irrigation on Agricultural Development in Dharwad District of Karnataka State’, International Journal of Scientific Research, pp. 119–121. doi: 10.15373/22778179/jan2013/42.
Nair, M. et al. (2018) ‘Comparative evaluation of post-operative pain after pulpectomy with k-files, kedo-s files and mtwo files in deciduous molars -a randomized clinical trial’, Brazilian Dental Science, p. 411. doi: 10.14295/bds.2018.v21i4.1617.
Okazaki, M., Takahashi, J. and Kimura, H. (1985) ‘F----Uptake Inhibition by Excess Phosphate during Fluoridated Apatite Formation’, Caries research, 19(4), pp. 342–347.
Packiri, S., Gurunathan, D. and Selvarasu, K. (2017) ‘Management of Paediatric Oral Ranula: A Systematic Review’, Journal of clinical and diagnostic research: JCDR, 11(9), pp. ZE06–ZE09.
Panchal, V., Jeevanandan, G. and Subramanian, E. (2019) ‘Comparison of instrumentation time and obturation quality between hand K-file, H-files, and rotary Kedo-S in root canal treatment of primary teeth: A randomized controlled trial’, Journal of the Indian Society of Pedodontics and Preventive Dentistry, 37(1), pp. 75–79.
Panchal, V., Jeevanandan, G. and Subramanian, E. M. G. (2019) ‘Comparison of post-operative pain after root canal instrumentation with hand K-files, H-files and rotary Kedo-S files in primary teeth: a randomised clinical trial’, European archives of paediatric dentistry: official journal of the European Academy of Paediatric Dentistry, 20(5), pp. 467–472.
Pc, J., Marimuthu, T. and Devadoss, P. (2018) ‘Prevalence and measurement of anterior loop of the mandibular canal using CBCT: A cross sectional study’, Clinical implant dentistry and related research. Available at: https://europepmc.org/article/med/29624863.
Prabakar, J. et al. (2018) ‘Comparative Evaluation of Retention, Cariostatic Effect and Discoloration of Conventional and Hydrophilic Sealants - A Single Blinded Randomized Split Mouth Clinical Trial’, Contemporary clinical dentistry, 9(Suppl 2), pp. S233–S239.
Rajendran, R. et al. (2019) ‘Comparative Evaluation of Remineralizing Potential of a Paste Containing Bioactive Glass and a Topical Cream Containing Casein Phosphopeptide-Amorphous Calcium Phosphate: An in Vitro Study’, Pesquisa Brasileira em Odontopediatria e Clínica Integrada, pp. 1–10. doi: 10.4034/pboci.2019.191.61.
Rajeshkumar, S. et al. (2018) ‘Biosynthesis of zinc oxide nanoparticles usingMangifera indica leaves and evaluation of their antioxidant and cytotoxic properties in lung cancer (A549) cells’, Enzyme and microbial technology, 117, pp. 91–95.
Rajeshkumar, S. et al. (2019) ‘Antibacterial and antioxidant potential of biosynthesized copper nanoparticles mediated through Cissus arnotiana plant extract’, Journal of photochemistry and photobiology. B, Biology, 197, p. 111531.
Ramadurai, N. et al. (2019) ‘Effectiveness of 2% Articaine as an anesthetic agent in children: randomized controlled trial’, Clinical oral investigations, 23(9), pp. 3543–3550.
Ramakrishnan, M., Dhanalakshmi, R. and Subramanian, E. M. G. (2019) ‘Survival rate of different fixed posterior space maintainers used in Paediatric Dentistry - A systematic review’, The Saudi dental journal, 31(2), pp. 165–172.
Ramesh, A. et al. (2018) ‘Comparative estimation of sulfiredoxin levels between chronic periodontitis and healthy patients - A case-control study’, Journal of periodontology, 89(10), pp. 1241–1248.
Rao, K. V. and Mahajan, C. L. (1990) ‘Fluoride content of some common South Indian foods and their contribution to fluorosis’, Journal of the science of food and agriculture, 51(2), pp. 275–279.
Ravikumar, D., Jeevanandan, G. and Subramanian, E. M. G. (2017) ‘Evaluation of knowledge among general dentists in treatment of traumatic injuries in primary teeth: A cross-sectional questionnaire study’, European journal of dentistry, 11(2), pp. 232–237.
Rodrigues, M. H. C. et al. (2009) ‘Dietary fluoride intake by children receiving different sources of systemic fluoride’, Journal of dental research, 88(2), pp. 142–145.
Roman, F. (2010) ‘Dental fluorosis. Impact on quality of life and treatment need among adolescents with dental fluorosis in an endemic area, Kilimanjaro Region, Tanzania’. Available at: http://dspace.muhas.ac.tz:8080/xmlui/handle/123456789/1196.
Rugg-Gunn, A. J., Al-Mohammadi, S. M. and Butler, T. J. (1997) ‘Effects of Fluoride Level in Drinking Water, Nutritional Status, and Socio- Economic Status on the Prevalence of Developmental Defects of Dental Enamel in Permanent Teeth in Saudi 14-Year-0ld Boys’, Caries Research, pp. 259–267. doi: 10.1159/000262409.
Rugg-Gunn, F. V. Z. A. J., Zohouri, F. V. and Rugg-Gunn, A. J. (2000) ‘Sources of dietary fluoride intake in 4-year-old children residing in low, medium and high fluoride areas in Iran’, International Journal of Food Sciences and Nutrition, pp. 317–326. doi: 10.1080/096374800426911.
Rustagi, N. et al. (2017) ‘Neglected health literacy undermining fluorosis control efforts: A pilot study among schoolchildren in an endemic village of rural Rajasthan, India’, Journal of family medicine and primary care, 6(3), pp. 533–537.
Samuel, S. R., Acharya, S. and Rao, J. C. (2020) ‘School Interventions-based Prevention of Early- Childhood Caries among 3-5-year-old children from very low socioeconomic status: Two-year randomized trial’, Journal of public health dentistry, 80(1), pp. 51–60.
Sharma, P. et al. (2019) ‘Emerging trends in the novel drug delivery approaches for the treatment of lung cancer’, Chemico-biological interactions, 309, p. 108720.
Siddiqui, A. H. (1972) ‘DENTAL FLUOROSIS IN AN INDIAN AREA WITH HIGH NATURAL FLUORIDE CONTENT OF WATER’, FLUORIDE OFFICIAL QUARTERLY JOURNAL OF INTERNATIONAL SOCIETY FOR FLUORIDE RESEARCH, 5(1), p. 21.
Somasundaram, S. et al. (2015) ‘Fluoride Content of Bottled Drinking Water in Chennai, Tamilnadu’, Journal of clinical and diagnostic research: JCDR, 9(10), pp. ZC32–4.
Sridharan, G. et al. (2019) ‘Evaluation of salivary metabolomics in oral leukoplakia and oral squamous cell carcinoma’, Journal of oral pathology & medicine: official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, 48(4), pp. 299–306.
Subramanyam, D. et al. (2018) ‘Comparative evaluation of salivary malondialdehyde levels as a marker of lipid peroxidation in early childhood caries’, European journal of dentistry, 12(1), pp. 67–70.
Tavss, E. A. et al. (1997) ‘High-potency sodium fluoride: a literature review’, The Compendium of continuing education in dentistry, 18(2 Spec), pp. 31–36.
Teixeira, A. K. et al. (2010) ‘Analysis of protection or risk factors for dental fluorosis in 6 to 8 year-old children in Fortaleza, Brazil’, Revista panamericana de salud publica= Pan American journal of public health, 28(6), pp. 421–428.
Tellez, M. et al. (2012) ‘Dental fluorosis, dental caries, and quality of life factors among schoolchildren in a Colombian fluorotic area’, Community dental health, 29(1), pp. 95–99.
Varghese, S. S., Ramesh, A. and Veeraiyan, D. N. (2019) ‘Blended Module-Based Teaching in Biostatistics and Research Methodology: A Retrospective Study with Postgraduate Dental Students’, Journal of dental education, 83(4), pp. 445–450.
Vijayashree Priyadharsini, J. (2019) ‘In silico validation of the non-antibiotic drugs acetaminophen and ibuprofen as antibacterial agents against red complex pathogens’, Journal of periodontology, 90(12), pp. 1441–1448.
Vishnu Prasad, S. et al. (2018) ‘Report on oral health status and treatment needs of 5-15 years old children with sensory deficits in Chennai, India’, Special care in dentistry: official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry, 38(1), pp. 58–59.
Wahab, P. U. A. et al. (2018) ‘Scalpel Versus Diathermy in Wound Healing After Mucosal Incisions: A Split-Mouth Study’, Journal of oral and maxillofacial surgery: official journal of the American Association of Oral and Maxillofacial Surgeons, 76(6), pp. 1160–1164.
Whitford, G. M. (1996) ‘The metabolism and toxicity of fluoride’, Monographs in oral science, 16 Re2, pp. 1–153.
‘WHO | Guidelines for drinking-water quality, fourth edition’ (2015). Available at: https://www.who.int/water_sanitation_health/publications/2011/dwq_guidelines/en/ (Accessed: 17 June 2020).
‘WHO | Water-related diseases’ (2016). Available at: https://www.who.int/water_sanitation_health/diseases-risks/diseases/fluorosis/en/ (Accessed: 17 June 2020).
Wondwossen, F. et al. (2006) ‘Sociodemographic and behavioural correlates of severe dental fluorosis’, International journal of paediatric dentistry / the British Paedodontic Society [and] the International Association of Dentistry for Children, 16(2), pp. 95–103.
Downloads
Published
How to Cite
Issue
Section
License
You are free to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially.
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
- The licensor cannot revoke these freedoms as long as you follow the license terms.
Under the following terms:
- Attribution — You must give appropriate credit , provide a link to the license, and indicate if changes were made . You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
Notices:
You do not have to comply with the license for elements of the material in the public domain or where your use is permitted by an applicable exception or limitation .
No warranties are given. The license may not give you all of the permissions necessary for your intended use. For example, other rights such as publicity, privacy, or moral rights may limit how you use the material.