Water fluoridation in 40 Brazilian cities: 7 year analysis.

dc.contributor.authorMoimaz, Suzely Adas Saliba [UNESP]
dc.contributor.authorSaliba, Nemre Adas [UNESP]
dc.contributor.authorSaliba, Orlando [UNESP]
dc.contributor.authorSumida, Doris Hissako [UNESP]
dc.contributor.authorSouza, Neila Paula de
dc.contributor.authorChiba, Fernando Yamamoto
dc.contributor.authorGarbin, Clea Adas Saliba [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-27T11:27:31Z
dc.date.available2014-05-27T11:27:31Z
dc.date.issued2013-01-01
dc.description.abstractFluoride levels in the public water supplies of 40 Brazilian cities were analyzed and classified on the basis of risk/benefit balance. Samples were collected monthly over a seven-year period from three sites for each water supply source. The samples were analyzed in duplicate in the laboratory of the Center for Research in Public Health - UNESP using an ion analyzer coupled to a fluoride-specific electrode. A total of 19,533 samples were analyzed, of which 18,847 were artificially fluoridated and 686 were not artificially fluoridated. In samples from cities performing water fluoridation, 51.57% (n=9,720) had fluoride levels in the range of 0.55 to 0.84 mg F/L; 30.53% (n=5,754) were below 0.55 mg F/L and 17.90% (n=3,373) were above 0.84 mg F/L (maximum concentration=6.96 mg F/L). Most of the cities performing fluoridation that had a majority of samples with fluoride levels above the recommended parameter had deep wells and more than one source of water supply. There was some variability in the fluoride levels of samples from the same site and between collection sites in the same city. The majority of samples from cities performing fluoridation had fluoride levels within the range that provides the best combination of risks and benefits, minimizing the risk of dental fluorosis while preventing dental caries. The conduction of studies about water distribution systems is suggested in cities with high natural fluoride concentrations in order to optimize the use of natural fluoride for fluoridation costs and avoid the risk of dental fluorosis.en
dc.format.extent13-19
dc.identifierhttp://dx.doi.org/10.1590/1678-7757201302280
dc.identifier.citationJournal of applied oral science : revista FOB, v. 21, n. 1, p. 13-19, 2013.
dc.identifier.doi10.1590/1678-7757201302280
dc.identifier.file2-s2.0-84878638561.pdf
dc.identifier.issn1678-7765
dc.identifier.lattes2799473073030693
dc.identifier.lattes8275401688702343
dc.identifier.lattes9807879196081999
dc.identifier.lattes2482288705631512
dc.identifier.lattes4419158525709686
dc.identifier.orcid0000-0003-1439-4197
dc.identifier.orcid0000-0001-5069-8812
dc.identifier.scieloS1678-7757201302280
dc.identifier.scopus2-s2.0-84878638561
dc.identifier.urihttp://hdl.handle.net/11449/74250
dc.identifier.wosWOS:000317195300003
dc.language.isoeng
dc.relation.ispartofJournal of applied oral science : revista FOB
dc.rights.accessRightsAcesso aberto
dc.sourceScopus
dc.subjectfluoride
dc.subjectBrazil
dc.subjectcity
dc.subjectdental caries
dc.subjectfluoridation
dc.subjecthuman
dc.subjectlongitudinal study
dc.subjectpublic health
dc.subjectrisk assessment
dc.subjectrisk factor
dc.subjectstatistics
dc.subjecttime
dc.subjecttooth disease
dc.subjectCities
dc.subjectDental Caries
dc.subjectFluoridation
dc.subjectFluorides
dc.subjectFluorosis, Dental
dc.subjectHumans
dc.subjectLongitudinal Studies
dc.subjectPublic Health
dc.subjectRisk Assessment
dc.subjectRisk Factors
dc.subjectTime Factors
dc.titleWater fluoridation in 40 Brazilian cities: 7 year analysis.en
dc.typeArtigo
dcterms.licensehttp://www.scielo.br/revistas/jaos/paboutj.htm
unesp.author.lattes2799473073030693
unesp.author.lattes8275401688702343
unesp.author.lattes9807879196081999
unesp.author.lattes2482288705631512[3]
unesp.author.lattes4419158525709686[7]
unesp.author.orcid0000-0001-5069-8812[7]
unesp.author.orcid0000-0003-4406-405X[6]
unesp.author.orcid0000-0003-1439-4197[3]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araçatubapt

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