Author/Editor     Besednjak-Kocijančič, L
Title     Zastrupitve s fluorom in preprečevanje zobne gnilobe
Translated title     Fluoride poisoning and caries prevention
Type     članek
Source     Slov Pediatr
Vol. and No.     Letnik 11, št. 1
Publication year     2004
Volume     str. 20-4
Language     slo
Abstract     Background. Fluoride (F) is a trace element that is effective in preventing dental caries. The aim of the report is to review the prevalence of acute and chronic F toxicity and to assess the influence of media information about F toxicity on the prevalence of dental caries in 3-year-old children from the northern part of Primorje, the coastal region of Slovenia. Methods. The study involved two groups of children who were included in the programme of caries prevention with fluoride supplements: group A- without parental consent and group B-only with parental consent. Data on preventative dental treatment and acute and chronic fluoride poisoning were obtained from the child's records. The presence of caries was ascertained at the age of 3 years. The chi-square test was used to assess significant differences in the prevalence of caries between the two groups (Mantel- Haenszel chisquare test; Epi. Info, version 6,05). Results. 70.5% of children from group A and 20.6% from group B regularly received fluoride supplements for the prevention of dental caries (p<0.001). Dental caries were more frequent in children without F protection (p<0.0001). No cases of acute toxicity and skeletal fluorosis were found in the two groups. In group A 0.77%, and in group B 0.9% of children had dental fluorosis. Conclusion. Results of the study confirmed that some media information had an unfavourable influence on carrying out preventative measures for dental caries and that dental caries has increased among 3-year-old children.
Summary     Izhodišča. V stomatologiji se desetletja uporablja fluor (F) kot sredstvo za preprečevanje zobne gnilobe. Namen raziskave je prikaz pogostosti zastrupitev s F in ugotoviti, ali so objave v medijih o škodljivih učinkih F vplivale na pojav zobne gnilobe pri triletnih otrocih iz severno-primorske regije. Metode. Raziskava obravnava otroke, vključene v program preventive zobne gnilobe: skupina A - brez soglasja staršev; skupina B - le s soglasjem staršev. Podatki o izvajanju preventivnega zdravljenja in o akutnih ter kroničnih zastrupitvah so bili povzeti iz otrokove dokumentacije. Prisotnost zobne gnilobe se je ugotavljala na sistematskem pregledu ob tretjem letu starosti. Pri obdelavi podatkov smo uporabili analitično deskriptivno metodo, pomembnejše ugotovitve pa smo podprli s testom hi-kvadrat (Mantel-Haenszel hi-kvadrat test; Epi. Info.V 6,05). Rezultati. Redno je izvajalo preventivno zdravljenje 70,3% otrok iz skupine A in le 20,6% otrok iz skupine B (p<0,001). Zobne gnilobe je bilo več med otroki, ki preventivnega zdravljenja s F niso izvajali (p<0,0001). Akutnih zastrupitev in fluoroze skeleta nismo opažali. Obarvane zobe je imelo 0,77% otrok iz skupine A in 0,9% otrok iz skupine B. Zaključek. Raziskava potrjuje, da so medijske objave o škodljivih učinkih F neugodno vplivale na izvajanje preventivnega zdravljenja in zvečale prisotnost zobne gnilobe.
Descriptors     DENTAL CARIES
FLUORIDES, TOPICAL
FLUOROSIS, DENTAL
CHILD