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Evaluation of community water fluoridation program on dental caries prevention in Ulsan

울산광역시 수돗물불소농도조정사업의 치아우식예방 효과평가

  • Kim, Min-Ji (Department of Dental Hygiene, Division of Health Sciences, Dongseo University) ;
  • An, Se-Ho (Department of Preventive & Community Dentistry, School of Dentistry, Pusan National University) ;
  • Han, Dong-Hun (Department of Preventive & Social Dentistry, School of Dentistry, Seoul National University) ;
  • Kim, Han-Na (Department of Preventive & Community Dentistry, School of Dentistry, Pusan National University) ;
  • Jun, Eun-Joo (Department of Preventive & Community Dentistry, School of Dentistry, Pusan National University) ;
  • Jeong, Seung-Hwa (Department of Preventive & Community Dentistry, School of Dentistry, Pusan National University) ;
  • Kim, Jin-Bom (Department of Preventive & Community Dentistry, School of Dentistry, Pusan National University)
  • 김민지 (동서대학교 치위생학과) ;
  • 안세호 (부산대학교 치의학전문대학원 예방치과학교실) ;
  • 한동헌 (서울대학교 치의학대학원 예방치학교실) ;
  • 김한나 (부산대학교 치의학전문대학원 예방치과학교실) ;
  • 전은주 (부산대학교 치의학전문대학원 예방치과학교실) ;
  • 정승화 (부산대학교 치의학전문대학원 예방치과학교실) ;
  • 김진범 (부산대학교 치의학전문대학원 예방치과학교실)
  • Received : 2014.11.20
  • Accepted : 2015.04.06
  • Published : 2015.04.30

Abstract

Objectives: The aim of this study was to investigate the effect of water fluoridation program(WFP) on dental caries prevention in Ulsan, Korea. Methods: The data of control group were extracted from 2012 Korean National Oral Health Survey(KNOHS). Since 1998, WFP was implemented in Ulsan. The subjects were 670 subjects including 10 to 12-years old children in 2009. The control subjects were 4,871 people in non-fluoridated metropolitan cities comparable to Ulsan. The control subjects were selected from 2012 KNOHS. A self-reported questionnaire was completed by the variables including oral health behaviors on daily frequency of toothbrushing, eating snacks and beverages. Oral health examination was carried out by two dentists who received a training in KNOHS with an inter-examiner-agreement. Caries preventive fraction was calculated by the difference of DMFT and DMFS index. The preventive effects of the WFP program were focused on gender, number of fissure sealed teeth, daily frequency of toothbrushing, eating snacks and beverages. Data were analyzed using SPSS $19.0^{(R)}$(SPSS Inc., Chicago, IL, USA) statistical package. Results: DMFT indices of 12-year-old subjects(n=670) in WFP and control population(n=4,871) were 2.11 and 1.23, respectively with an estimated prevention effect of 41.7%. Conclusions: WFP in Ulsan reduced the prevalence of dental caries. WFP should be recommended for the public oral health program in other metropolitan cities.

Keywords

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