CC BY-NC-ND 4.0 · Eur J Dent 2018; 12(01): 015-020
DOI: 10.4103/ejd.ejd_187_17
Original Article
Dental Investigation Society

Dental caries prevalence and its association with fluoride level in drinking water in Sana’a, Yemen

Ameen Abdullah Al-Akwa
1   Department of Preventive and Pediatric Dentistry, Sana’a University, Sana’a, Yemen
,
Sadeq Ali Al-Maweri
2   Department of Oral Medicine and Diagnosis, Sana’a University, Sana’a, Yemen
3   Department of Oral Medicine and Diagnostic Sciences, Alfarabi Colleges, Riyadh, Saudi Arabia
› Author Affiliations
Further Information

Publication History

Publication Date:
13 September 2019 (online)

ABSTRACT

Objectives Dental caries is the most prevalent chronic condition affecting schoolchildren worldwide. This study is aimed to assess the prevalence of dental caries among schoolchildren in urban and rural districts of Sana’a governorate, Yemen, and to investigate the correlation between caries experience and level of fluoride in drinking water, age, gender, and residence. Materials and Methods This school-based survey involved 17,599 schoolchildren (aged 6-12 years), of whom 9623 were boys and 7976 were girls. We used decay-missing-filled teeth/decay-filled teeth (DMFT/dft) indices to evaluate dental caries experience. In addition, fluoride concentration in drinking water was investigated. Results Around 67.6% of children had dental caries. Children residing in urban districts had significantly higher mean scores of DMFT/dft than those in rural areas (P < 0.05). A significant negative correlation between caries experience and fluoride level was found (P < 0.05), with the lowest dft/DMFT scores at the optimum fluoride level of 0.61-2 ppm and the highest at two extremes, 0.0–0.4 ppm and >2 ppm. Conclusion: This survey found a very high prevalence of caries among schoolchildren in Yemen. There was also an inverse relation between dental caries experience and fluoride levels.

 
  • REFERENCES

  • 1 Petersen PE, Bourgeois D, Ogawa H, Estupinan-Day S, Ndiaye C. The global burden of oral diseases and risks to oral health. Bull World Health Organ 2005; 83: 661-9
  • 2 Petersen PE, Lennon MA. Effective use of fluorides for the prevention of dental caries in the 21st century: The WHO approach. Community Dent Oral Epidemiol 2004; 32: 319-21
  • 3 Marinho VC. Cochrane reviews of randomized trials of fluoride therapies for preventing dental caries. Eur Arch Paediatr Dent 2009; 10: 183-91
  • 4 Zimmer S, Jahn KR, Barthel CR. Recommendations for the use of fluoride in caries prevention. Oral Health Prev Dent 2003; 1: 45-51
  • 5 Al-Haddad KA, Al-Hebshi NN, Al-Ak'hali MS. Oral health status and treatment needs among school children in Sana'a city, Yemen. Int J Dent Hyg 2010; 8: 80-5
  • 6 Al-Maweri SA, Al-Soneidar WA, Halboub ES. Oral lesions and dental status among institutionalized orphans in Yemen: A matched case-control study. Contemp Clin Dent 2014; 5: 81-4
  • 7 World Health Organization. Oral Health Surveys: Basic Methods. 4th ed. Geneva: World Health Organization; 1997
  • 8 Yabao RN, Duante CA, Velandria FV, Lucas M, Kassu A, Nakamori M. et al. Prevalence of dental caries and sugar consumption among 6-12-year-old schoolchildren in la Trinidad, Benguet, Philippines. Eur J Clin Nutr 2005; 59: 1429-38
  • 9 Ahmed NA, Astrøm AN, Skaug N, Petersen PE. Dental caries prevalence and risk factors among 12-year old schoolchildren from Baghdad, Iraq: A post-war survey. Int Dent J 2007; 57: 36-44
  • 10 Nurelhuda NM, Trovik TA, Ali RW, Ahmed MF. Oral health status of 12-year-old school children in Khartoum state, the Sudan; a school-based survey. BMC Oral Health 2009; 9: 15
  • 11 AlDosari AM, Akpata ES, Khan N. Associations among dental caries experience, fluorosis, and fluoride exposure from drinking water sources in Saudi Arabia. J Public Health Dent 2010; 70: 220-6
  • 12 Hashim R, Williams SM, Thomson WM, Awad MA. Caries prevalence and intra-oral pattern among young children in Ajman. Community Dent Health 2010; 27: 109-13
  • 13 Rajab LD, Petersen PE, Baqain Z, Bakaeen G. Oral health status among 6- and 12-year-old Jordanian schoolchildren. Oral Health Prev Dent 2014; 12: 99-107
  • 14 Schwendicke F, Doost F, Hopfenmüller W, Meyer-Lueckel H, Paris S. Dental caries, fluorosis, and oral health behavior of children from Herat, Afghanistan. Community Dent Oral Epidemiol 2015; 43: 521-31
  • 15 Weusmann J, Mahmoodi B, Azaripour A, Kordsmeyer K, Walter C, Willershausen B. et al. Epidemiological investigation of caries prevalence in first grade school children in Rhineland-Palatinate, Germany. Head Face Med 2015; 11: 33
  • 16 Aggeryd T. Goals for oral health in the year 2000: Cooperation between WHO, FDI and the national dental associations. Int Dent J 1983; 33: 55-9
  • 17 Al Dosari AM, Wyne AH, Akpata ES, Khan NB. Caries prevalence and its relation to water fluoride levels among schoolchildren in central province of Saudi Arabia. Int Dent J 2004; 54: 424-8
  • 18 Gugushe TS, du Plessis JB. Regional urban-rural distribution of dental caries experience in Swaziland. SADJ 1998; 53: 409-12
  • 19 Bajomo AS, Rudolph MJ, Ogunbodede EO. Dental caries in six, 12 and 15 year old Venda children in South Africa. East Afr Med J 2004; 81: 236-43
  • 20 Al-Maweri SA, Al-Jamaei AA, Halboub ES, Al-Soneidar WA, Tarakji B, Alsalhani A. et al. Fissure sealants: Knowledge and practice of Yemeni dental practitioners. Eur J Dent 2016; 10: 234-8
  • 21 Al-Maweri SA, Zimmer S. Oral health survey of 6-14-year-old children with disabilities attending special schools Yemen. J Clin Pediatr Dent 2015; 39: 272-6
  • 22 Bårdsen A, Bjorvatn K, Selvig KA. Variability in fluoride content of subsurface water reservoirs. Acta Odontol Scand 1996; 54: 343-7
  • 23 Armfield JM. Public water fluoridation and dental health in New South Wales. Aust N Z J Public Health 2005; 29: 477-83
  • 24 Meyer-Lueckel H, Bitter K, Khorrami G, Kielbassa AM, Paris S. Relationship of caries and fluorosis in adolescents from high- and low-fluoride areas in Iran. Community Dent Health 2011; 28: 248-52
  • 25 Hosur MB, Puranik RS, Vanaki S, Puranik SR. Study of thyroid hormones free triiodothyronine (FT3), free thyroxine (FT4) and thyroid stimulating hormone (TSH) in subjects with dental fluorosis. Eur J Dent 2012; 6: 184-90