The effect of cessation of drinking water fluoridation on dental restorations and crowns in children aged 3-5 years in Israel - a retrospective study.

IF 3.5 4区 医学 Q1 HEALTH POLICY & SERVICES
Shiran Shemesh Nezihovski, Mordechai Findler, Tali Chackartchi, Jonathan Mann, Doron Haim, Guy Tobias
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Abstract

Background: Community water fluoridation began in the 1945 as a public health measure to prevent and control caries and was implemented in Israel in 1981. Community water fluoridation reduced caries significantly, but in 2014, the Ministry of Health decided to stop Community water fluoridation in Israel. The aim of our study was to examine the effect of fluoridation cessation on the dental health of children aged 3-5, treated in "Assuta Tel Aviv" dental clinics, under general anesthesia or deep sedation.

Methods: The computerized Maccabi-Dent database provided data for this retrospective study. Records from the years 2014-2019 including treatment codes for procedures relevant to the study, the number of stainless-steel crowns and restorations of all types were examined. Kruskal-Wallis test was performed to compare the results from before and after fluoridation cessation.

Results: A statistically significant increase in the mean number of treatments in the years after fluoridation cessation (P < 0.05) was found. There was approximately a two-fold increase in the number of all treatments for all ages.

Conclusion: The results of the study emphasize the advantages of water fluoridation and are further proof of the need to restore community water fluoridation in Israel.

停止饮用水氟化对以色列 3-5 岁儿童牙齿修复和牙冠的影响--一项回顾性研究。
背景:社区饮水加氟始于 1945 年,是一项预防和控制龋齿的公共卫生措施,以色列于 1981 年开始实施。社区饮水加氟大大减少了龋齿,但在 2014 年,以色列卫生部决定停止社区饮水加氟。我们的研究旨在考察停止氟化对 3-5 岁儿童牙齿健康的影响,这些儿童在 "特拉维夫 Assuta "牙科诊所接受治疗,并在全身麻醉或深度镇静的情况下接受治疗:计算机化的 Maccabi-Dent 数据库为这项回顾性研究提供了数据。对 2014-2019 年的记录进行了检查,包括与本研究相关的手术治疗代码、不锈钢牙冠和各类修复体的数量。对停氟前后的结果进行了 Kruskal-Wallis 检验:结果:在停止氟化后的几年中,平均治疗次数在统计学上有了明显增加(P 结论:在停止氟化后的几年中,平均治疗次数在统计学上有了明显增加:研究结果强调了水氟化的优势,进一步证明了以色列恢复社区水氟化的必要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
6.20
自引率
4.40%
发文量
38
审稿时长
28 weeks
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