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Caries preventive effect from community water fluoridation program

J Korean Dent Assoc > Volume 56(4); 2018 > Article
The Journal of The Korean Dental Association 2018;56(4):194-207.
Published online April 30, 2018.
수돗물불소농도조정사업의 치아우식 예방효과
하태규1, 공욱성2, 김세연3, 김지수4, 이정하5, 김한나6, 김진범7
1부산대학교 치의학전문대학원 예방과사회치의학교실
2부산대학교 치의학전문대학원 예방과사회치의학교실
3부산대학교 치의학전문대학원 예방과사회치의학교실
4부산대학교 치의학전문대학원 예방과사회치의학교실
5부산대학교 치의학전문대학원 예방과사회치의학교실
6청주대학교 보건의료과학대학 치위생학과
7부산대학교 치의학전문대학원 예방과사회치의학교실
Caries preventive effect from community water fluoridation program
Tae-Gyu Ha1, Wook-Sung Kong2, Se-Yeon Kim3, Ji-Soo Kim4, Jung-Ha Lee5, Han-Na Kim6, Jin-Bom Kim7
1Department of Preventive & Community Dentistry, School of Dentistry, Pusan National University
2Department of Preventive & Community Dentistry, School of Dentistry, Pusan National University
3Department of Preventive & Community Dentistry, School of Dentistry, Pusan National University
4Department of Preventive & Community Dentistry, School of Dentistry, Pusan National University
5Department of Preventive & Community Dentistry, School of Dentistry, Pusan National University
6Department of Dental Hygiene, College of Health Science, Cheonju University
7Department of Preventive & Community Dentistry, School of Dentistry, Pusan National University
Abstract
Objectives
The water fluoridation program has been implemented since 2008 at the Daesan water treatment plant, Changwon City. The aim of this study is to evaluate caries preventive effect of permanent teeth from community water fluoridation program Methods: Evaluation surveys were conducted on 8-, 10- and 12-year olds in the fluoridated and non-fluoridated area of Uichang-gu and Seongsan-gu, Changwon City in 2015. The number of the subjects in 2015 was 722 in fluoridated area and 707 in non-fluoridated area. The caries preventive effect of permanent teeth by community water fluoridation was estimated by the differences in adjusted DMFT and DMFS scores between the program and control groups. Cofounders of mean number of fissure-sealed teeth or surfaces, and number of subjects by gender were adjusted to estimate the caries preventive effect of permanent teeth. Results: The mean DMFT score or DMFS score of children aged 8-, 10- and 12-years adjusted for the number of fissure-sealed teeth or surfaces in fluoridated area were significantly lower than those in non-fluoridated area in 2015. The caries preventive effect of permanent teeth estimated based on the difference of mean DMFT scores adjusted for fissure-sealed teeth, age and number of subjects by gender between control and program group among children was 37.3%. Conclusions: These results suggest that the caries preventive effect of permanent teeth from water fluoridation program at Daesan water treatment plant, Changwon City was so high that the water fluoridation program should be developed in other regions in Korea.
Key Words: Dental caries;Fluoride;Permanent teeth;Prevention;Water fluoridation;
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