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Year : 2023  |  Volume : 8  |  Issue : 1  |  Page : 1-6

Prevalence of dental fluorosis and dental caries among people consuming water in urban Vadodara: A cross-sectional study

1 Department of Community Medicine, Medical College Baroda, Vadodara, Gujarat, India
2 Gujarat Ecological Society, Vadodara, Gujarat, India
3 GCS Medical College, Ahmedabad, Gujarat, India

Correspondence Address:
Sangita Vashrambhai Patel
5, Gokul Society, Sindhwaimata Road, Pratapnagar, Baroda - 390 004, Gujarat
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ed.ed_22_22

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Introduction: High fluoride concentration in groundwater can result in endemic fluorosis and is a major public health problem in India. Aim: To know the association between prevalence of dental fluorosis and dental caries and fluoride level in the water in urban Vadodara. Methodology: An analytical ecological cross-sectional study was conducted in 4 zones of Vadodara district. Thirty-eight water samples were sent to Gujarat Ecology Society in Vadodara for chemical analysis to test fluoride levels. The data collection was made by house-to-house visit twice during the study involving 2,609 participant interviews. These participants included 449 children belonging to the age group of <15 years. Examination for dental fluorosis and dental caries using Dean's criteria was done. Chi-Square and Mental Hensel Chi-Square were applied for statistical analysis. Results: The prevalence of dental fluorosis was 17.36% in high-fluoride areas and 22.46% in normal-fluoride areas among children (<15 years of age). There was no statistically significant association in dental fluorosis between high-fluoride areas and normal-fluoride areas (P = 0.2533). The prevalence of dental caries was 29.26% in high-fluoride areas and 75.36% in normal-fluoride areas. There was a statistically significant association in dental caries between high-fluoride areas and normal-fluoride areas (P ≤ 0.0001). Conclusions: The risk of dental caries was clearly higher in the areas showing normal-fluoride content compared to places with high fluoride levels in drinking water. The risk of dental fluorosis was higher in area with high-fluoride level but the difference was not statistically significant.

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