Dietary and Environmental Risk Factors Associated with Dental Fluorosis, Andes, Antioquia 2015

Authors

  • Gustavo A. Posada Jaramillo CES university
  • Alina M. Restrepo Puerta CES university

DOI:

https://doi.org/10.17533/udea.rfnsp.v35n1a09

Keywords:

dental fluorosis, fluoride, epidemiology

Abstract

Objective: to determine the environmental and dietary factors related to dental fluorosis in the population aged 12 to 15 in the municipality of Andes in 2015 in order to generate oral health intervention proposals.
Methodology: a case-control study with a control for each case in a population of 206 teenagers aged 12 to 15. Selection criteria: teenagers having been diagnosed with dental fluorosis between 2012 and 2014 who
had been reported in the Epidemiological Surveillance System. People who didn’t have erupted teeth in more than 50%, had undergone extensive restorations or had extensive cavities, fractured teeth and total edentulous were excluded. The cases were selected by simple random sampling while the controls were chosen by convenience. A clinical examination was carried out to classify the presence and level of dental fluorosis according to the Dean Index. A survey was applied on parents to find out information about their self-care habits, and to identify possible sources of exposure to fluoride. Sociodemographic, alimentary, behavioral, environmental and clinical variables were analyzed. Pearson’s Chi2 and OR with 95% confidence
intervals were also used. A fluoride concentration analysis was performed on samples of agrochemicals, food, water for human consumption, salt, toothpaste and soils. Results: through binary logistic regression using the stepwise method, the results showed an association between agrochemical manipulation and dental fluorosis (OR = 2.093, 95% 1.017 and 4.307). Conclusion: the manipulation of agrochemicals is a
risk factor for the development of dental fluorosis among the teenagers from the municipality of Andes.
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Author Biographies

Gustavo A. Posada Jaramillo, CES university

Master in Epidemiology, Dentist. CES University. Colombia.

Alina M. Restrepo Puerta, CES university

Master in Epidemiology, Psychologist. CES University. Colombia.

References

(1). Instituto Nacional de Salud, Sandra Misnaza Castrillón, Grupo de Enfermedades Crónicas no transmisibles. Protocolo de vigilancia y control centinela de la exposición a flúor. Instituto Nacional de Salud. Colombia; 2011.

(2). Jolly SS, Sing BM, Mathur OC. Endemic fluorosis in Punjab (India). Am J Med. octubre de 1969; 47:553-63.

(3). Instituto Nacional de Salud. Protocolo de vigilancia en salud publica exposición a flúor (centinela) [Internet]. 2014. Disponible en: http://www.ins.gov.co/lineas-de-accion/SubdireccionVigilancia/sivigila/Protocolos%20SIVIGILA/PRO%20Exposicion%20Fluor%20(centinela).pdf.

(4). Murray JJ. Uso correcto de fluoruros en salud pública [Internet]. World Health Organization; 1986. Disponible en: http://apps.who.int/bookorders/anglais/detart1.jsp?codlan=3&codcol=15&codcch=241.

(5). Iruretagoyena MA. El Fluoruro en el agua: Una apreciación global [Internet]. Salud dental para todos. [citado 22 de marzo de 2014]. Disponible en: http://www.sdpt.net/SAP/fluoruro_en_el_agua.htm.

(6). Ministerio de Salud y Protección Social. IV Estudio Nacional de Salud Bucal - ENSAB IV [Internet]. Colombia: Ministerio de Salud y Protección Social; 2013 p. 381. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/ PP/ENSAB-IV-Situacion-Bucal-Actual.pdf.

(7). Sánchez H, Parra J, Cardona D. Fluorosis dental en escolares del departamento de Caldas, Colombia. Biomédica. 2005;1(25):46-54.

(8). Ramírez B, Franco A, Gómez A, Corrales D. Fluorosis dental en escolares de instituciones educativas privadas. Medellín, Colombia, 2007. Rev Fac Odontol Univ Antioquia [Internet]. 2010;21(2). Disponible en: http://aprendeenlinea.udea.edu.co/revistas/index.php/odont/article/view/2592.

(9). Universidad Antonio Nariño, Secretaría Departamental de Salud del Tolima. Municipios afectados por fluorosis dental, soluciones, implantación y seguimiento de las mismas. Primera Fase. Alvarado - Tolima 2008. 2008.

(10). Universidad Antonio Nariño, Secretaría Departamental de Salud del Quindío. Municipios afectados por fluorosis dental, soluciones, implantación y seguimiento de las mismas. Primera Fase. California, Cepitá, Suratá - Santander 2007. 2007.

(11). Universidad del Valle, Grupo de investigación Pacifico siglo XXI. Fluorosis dental en el departamento del Valle del Cauca. 2009.

(12). Arrieta - Vergara KM, González Martínez F, Luna Ricardo L. Exploración del riesgo para fluorosis dental en niños de las clínicas odontológicas Universidad de Cartagena. Revista de salud pública. 2011;13(4):672-83.

(13). Bordoni N, Escobar Rojas A, Castillo Mercado R. Odontología Pediátrica. La salud bucal del niño y el adolescente en el mundo actual. 1a. Buenos Aires: Médica Panamericana S.A; 2010. 1142 p.

(14). Iliana Hidalgo-Gato Fuentes, Johany Duque de Estrada Riverón, Félix Mayor Hernández, Javier Domingo Zamora Díaz. Fluorosis dental: no solo un problema estético. Revista Cubana de Estomatología. diciembre de 2007;44(4).

(15). Sivigila Secretaría Seccional de Salud y Protección Social de Antioquia. Reporte evento 228 Fluorosis Dental 2012-2013. Antioquia: Secretaría Seccional de Salud y Protección Social de Antioquia.

(16). Beltrán M. Investigar las consecuencias del efecto acumulativo del flúor, una necesidad imperante de la profesión odontológica. Rev Colomb Investig En Odontol [Internet]. 2012;3(7). Disponible en: http://www.rcio.org/index.php/rcio/article/view/86/190

(17). Yazdi SM, Sharifian A, Dehghani-Beshne M, Momeni VR, Aminian O. Effects of fluoride on psychomotor performance and memory of aluminum potroom workers. Research report Fluoride. 2011; 44:158-62.

(18). Valdez-Jiménez L, Soria Fregozo C, Miranda Beltrán M., Gutiérrez Coronado O, Pérez Vega M. Efectos del flúor sobre el sistema nervioso central. Elsevier. 2011; 26: 297-300.

(19). Ravula S, Harinarayan C, Prasad U, Ramalakshmi T, Rupungudi A, Madrol V. Effect of fluoride on reactive oxygen species and bone metabolism in postmenopausal women. Research report Fluoride. 2012;45(2):108-15.

(20). Kurdi MS. Chronic fluorosis: The disease and its anaesthetic implications. Indian J Anaesrhesia. 2016;60(3):157-62.

(21). Watanabe T, Kondo T, Asanuma S, Ando M, Tamura K, Sakuragi S, et al. Skeletal fluorosis from indoor burning of coal in southwestern China. 2000;33(3):135-9.

(22). Otten JJ, Pitzi Hellwig J, Meyers LD. Dietary Reference Intakes: The Essential Guide to Nutrient Requirements. Washington, D.C.: National Academy of Sciences; 2006. 560 p.

(23). Franco A., Martignon S, Saldarriaga A, Gonzales M., Arbeláez M, Ocampo A, et al. Total fluoride intake in children aged 22–35 months in four Colombian cities. Community Dent Oral Epidemiol. 2005;33:1-8.

(24). Mascarenhas AK. Risk factors for dental fluorosis: A review of the recent literature. Am Acad Pediatr Dent. 2000; 22: 269-77.

(25). Pandey J, Pandey U. Fluoride Contamination and Fluorosis in Rural Community in the Vicinity of a Phosphate Fertilizer Factory in India. Bull Environ Contam Toxicol. 2011;87(3):245-9.

(26). Castells V, Vicente E, Gomez Catalan J, Llobet Mallafré JM, Perelló Berenguer G, Domingo Roig JL. Contaminantes químicos. Estudio de dieta total en Cataluña 2008 [Internet]. Cataluña: Agència Catalana de Seguretat Alimentària; 2012 dic p. 98. Disponible en: http://www.gencat.cat/salut/acsa/html/es/dir1593/edt2008es.pdf

(27). Kaczewer J. Uso de agroquímicos en las fumigaciones periurbanas y su efecto nocivo sobre la salud humana [Internet]. 2015. Disponible en: http://ecoscordoba.com.ar/uso-de-agroquimicosen-las-fumigaciones-periurbanas-y-su-efecto-nocivo-sobre-lasalud-humana/

(28). Ministerio de Salud, INVIMA. Acta 26 de la Comisión Revisora de Productos Farmacéuticos, cosméticos, productos naturales y varios y demás productos que inciden en la salud individual y colectiva de las personas y del ambiente. 2001.

(29). Almeida B, da Silva Cardoso V, Buzalaf M. Fluoride ingestion from toothpaste and diet in 1- to 3-year-old Brazilian children. Community Dent Oral Epidemiol. 2007; 35: 53-63.

(30). Miziara APB, Philippi ST, Levy FM, Buzalaf MAR. 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 Dent Oral Epidemiol. 2009;37(4):305-15.

(31). McGrady MG, Ellwood RP, Srisilapanan P, Korwanich N, Worthington HV, Pretty IA. Dental fluorosis in populations from Chiang Mai, Thailand with different fluoride exposures – Paper 1: assessing fluorosis risk, predictors of fluorosis and the potential role of food preparation. BMC Oral Health. 2012;12(1):1-12.

(32). Wondwossen F, Åstrøm A, Bjorvatn K, Bårdsen A. Sociodemographic and behavioural correlates of severe dental fluorosis. Int J Paediatr Dent. 2006; 16: 95-103.

(33). Abuhaloob L, Maguire A, Moynihan P. Total daily fluoride intake and the relative contributions of foods, drinks and toothpaste by 3- to 4-year-old children in the Gaza Strip – Palestine. Int J Paediatr Dent. 2015; 25: 127-35.

(34). Choi et al. Association of lifetime exposure to fluoride and cognitive functions in chinese children: a pilot study. Neurotoxicol Teratol. 2015; 47: 96-101.

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Published

2017-01-20

How to Cite

1.
Posada Jaramillo GA, Restrepo Puerta AM. Dietary and Environmental Risk Factors Associated with Dental Fluorosis, Andes, Antioquia 2015. Rev. Fac. Nac. Salud Pública [Internet]. 2017 Jan. 20 [cited 2025 Apr. 9];35(1):79-90. Available from: https://revistas.udea.edu.co/index.php/fnsp/article/view/27086

Issue

Vol. 35 No. 1 (2017): Enero-Abril

Section

Research

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