FACTORS ASSOCIATED WITH DENTAL FLUOROSIS IN CHILDREN AND TEENAGERS FROM THE CITY OF MONTERÍA, COLOMBIA

Keywords: Dental fluorosis, Dental caries, Fluoride, Epidemiological surveillance

Abstract

Introduction: dental fluorosis is the hypomineralization of enamel produced as a result of fluoride intake for a prolonged period during enamel formation. The aim of the present study was to identify the factors associated with dental fluorosis in children and teenagers from the city of Montería, Colombia. Methods: a quantitative, descriptive and retrospective study was conducted in a sample of 136 dental fluorosis cases in schoolchildren aged 6, 12, 15 and 18 years reported to the Surveillance and Control System from January to December 2016. Results: there was fluoride exposure in 81.6% of schoolchildren covered by the subsidized health system—the mechanism by which the poorest population, with not enough resources to pay, can access health services through a subsidy offered by the state in Colombia—. 89% were from the municipal center, defined by Colombia’s National Administrative Department of Statistics (Departamento Administrativo Nacional de Estadística, DANE) as the geographical area bounded by an urban perimeter, where the administrative headquarters of a municipality are located. 47% of patients had cavities. Tooth brushing in a frequency higher than three times a day was predominant with 48.5%, and the use of toothpaste on more than 3/4 of the brush with 52%. 71.3% of patients said they did not swallow toothpaste, and 93.4% did not swallow mouthwash. 82.4% of patients did not receive topical fluoride in the last year. Conclusions: several factors are more highly associated with dental fluorosis, such as the amount of toothpaste during brushing, the habit of brushing three or more times a day, consumption of diet salt, and unintentional intakeof toothpaste at an early age. Most schoolchildren had a moderate degree of dental fluorosis.

|Abstract
= 225 veces | PDF
= 33 veces|

Downloads

Download data is not yet available.

Author Biographies

Enalbis Esther Espitia Cabralez, Universidad de Cordoba

Nurse, Universidad de Córdoba, Montería. Specialist in Health Management, Universidad CES, Medellín. Specialist in Distance Higher
Education, Universidad Nacional Abierta y a Distancia, Bogotá. Master in Organizational Administration, Universidad Nacional Abierta
y a Distancia, Bogotá. Professor, School of Health Sciences, Department of Public Health, Universidad de Córdoba

Milena Cecilia Lozano Flores, Universidad de Cordoba

DDS, Universidad del Bosque, Bogotá. Specialist in Health Management, Universidad de Córdoba, Montería. Specialist in Quality
Auditing, Universidad de Cartagena. Master in Public Health, Universidad de Córdoba, Montería. Municipal Board of Health, Oral
Health Section, Montería – Córdoba

Martha Elena Montoya Vega, Universidad de Cordoba

DDS, Universidad de Cartagena. Specialist in Health Management, Universidad de Córdoba, Montería. Specialist in Corporate Audit in
Health Quality, Universidad de Córdoba, Montería. Master in Public Health, Universidad de Córdoba, Montería. Professor, School of
Health Sciences, Department of Public Health, Universidad de Córdoba.

References

Singh A, Jolly S, Bansal B, Mathur C. Endemic fluorosis: epidemiological, clinical and biochemical study of chronic fluorine intoxication in Panjaei (India). Medicine (Baltimore).1963; 42(3): 229–46.

Martignon S, Granados O. Prevalencia de fluorosis dental y análisis de asociación a factores de riesgo en escolares de Bogotá. Rev Cient. 2002; 8(1): 19–27.

Briceño A. Historia de la fluorización: importancia histórica. Rev ADM. 2001; 57(5): 192–4.

Bogotá. Alcaldía, Subdirección de Vigilancia en Salud Pública. Informe vigilancia en salud pública Bogotá 2015. Bogotá: Alcaldía Mayor de Bogotá; 2016.

Vieira A, Hancock R, Limeback H, Maia R, Grynpas M. Is fluoride concentration in dentin and enamel a good indicator of dental fluorosis? J Dent Res. 2004; 83(1): 76–80. DOI: https://doi.org/10.1177/154405910408300115

Colombia. Ministerio de Salud. III Estudio Nacional de Salud Bucal ENSAB III. Bogotá: MINSALUD; 1999.

Colombia. Ministerio de Salud. IV estudio nacional de salud bucal – ENSAB IV: situación en salud bucal. Bogotá: Minsalud; 2014.

Colombia. Ministerio de Salud y Protección Social. Documento técnico política de flúor vs caries y fluorosis

dental en Colombia. Bogotá D.C.: Minsalud; 2016.

Colombia. Instituto Nacional de Salud. Protocolo de vigilancia en salud pública: exposición a flúor (centinela). Colombia: INS; 2017.

Ramírez, P.; Franco, A.; Sierra, J. Fluorosis dental en escolares y exploración de factores de riesgo. Municipio de Frontino, 2003. Rev Fac Odont Univ. Ant, 2006; 17 (2): 26-33.

Cuenca E. Baca P. Odontología preventiva y comunitaria: principios, métodos y aplicaciones. Barcelona: Elsevier Health Sciences; 2013.

Colombia. Sistema Nacional de Vigilancia en Salud Pública. Subsistema de información-SIVIGILA. Ficha de notificación individual Cod INS 228. Available in: https://www.ins.gov.co/Direcciones/Vigilancia/Paginas/ SIVIGILA.aspx#

Colombia. Instituto Nacional de Salud. Boletín epidemiológico N° 16. Colombia: INS; 2016

ADA American Dental Association. Mouth healthy. [Internet]. Available in: https://www.mouthhealthy.

org/en/az-topics/t/tmj

Arrieta K, González F, Luna L. Exploración del riesgo para fluorosis dental en niños de las clínicas odontológicas Universidad de Cartagena. Rev Salud Pública. 2011; 13(4): 672-83.

Moreno A, Moreno S, Corcho A. Principales medidas en epidemiología. Salud pública Méx. 2000; 42(4): 337-48.

Instituto Nacional de Salud. Protocolo de vigilancia en salud pública: Exposición a flúor (Centinela). Colombia: INS; 2017.

OMS. Salud bucodental [Internet]. Available in: https://www.who.int/mediacentre/factsheets/fs318/es/

Ministerio de Salud y Protección social. Documento técnico política de flúor vs caries y fluorosis dental en Colombia Bogotá D.C. Colombia: 2016.

Instituto Nacional de Salud. Protocolo de vigilancia en Salud Pública: Exposición a flúor (Centinela). Colombia: INS; 2017.

González F, Arrieta K, Fortich N. Factores familiares asociados con la prevalencia de fluorosis dental en niños escolares en Cartagena-Colombia. Rev. Clin Med Fam, 2012; 5(3): 182-90.

Ramírez B, Franco A, Ochoa E, Fluorosis dental en escolares de 6 a 13 años de instituciones educativas públicas de Medellín, Colombia. Rev. Salud Pública, 2009; 11 (4): 631-40.

Agudelo-Suárez, A., Martínez-Flórez, L., Madrid-Gutiérrez, L., Vivares-Builes, A., & Rocha-Buelvas, A. Panorama de la fluorosis dental en Colombia: una revisión exploratoria de la literatura. Univ Odontol. 2013; 32(68): 133-45.

Published
2019-12-17
How to Cite
Espitia Cabralez, E. E., Lozano Flores, M. C., & Montoya Vega, M. E. (2019). FACTORS ASSOCIATED WITH DENTAL FLUOROSIS IN CHILDREN AND TEENAGERS FROM THE CITY OF MONTERÍA, COLOMBIA. Revista Facultad De Odontología Universidad De Antioquia, 31(1-2). https://doi.org/10.17533/udea.rfo.v31n1-2a2