• Journal of Korean society of Dental Hygiene
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• v.12 no.5
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• pp.871-879
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• 2012

Objectives : The purpose of this study was to investigate the factors related to the awareness level of community water fluoridation program. Methods : 700 subjects were surveyed among the residents living in Incheon Metropolitan City. Data were collected on awareness of community water fluoridation program, general factors, oral health behavior, self-reported oral health and oral health interest. The factors related to the awareness level of community water fluoridation program were analyzed by t-test, a one way ANOVA and multiple linear regression analysis. Results : 1. Subjects' ages were 40~59 years, monthly average incomes were more than 3 million won and higher their educational levels had a higher awareness level of community water fluoridation program(p<0.01). 2. People who brushed their teeth more than three times a day, used oral hygiene devices, and had periodic oral examination and removed plaques were had higher awareness level of community water fluoridation program(p<0.01). Especially, the use of oral hygiene devices was the strongest factor in relation with the awareness level of community water fluoridation program(p<0.01). 3. People who had a fine self-reported oral health, highly interested in dental hygiene and made an effort to keep oral health were had higher awareness level of community water fluoridation program(p<0.001). Conclusions : The awareness level of community water fluoridation program was related to oral health behavior, self-reported oral health and oral health interest. So, in order to expand the areas for community water fluoridation program, it is important to educate to the right information about objectives, safety, dental caries preventing effect of the community water fluoridation program. And the education and publicity on general oral health will have an affirmative effect on expanding community water fluoridation program.

• Journal of Korean society of Dental Hygiene
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• v.10 no.3
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• pp.483-493
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• 2010

Objectives : The purpose of this study was to obtain the information for the improvement of the support in oder to expand the adjusted water fluoridation program to Myeong-dong water treatment plant in Gimhae city, Korea. Methods : Questionnaires were distributed to the parents of elementary schoolchildren and their responses were collected. All collected data were analyzed using the SPSS program. Results : The percentage of respondents using the tap water was 47.0% for drinking and 54.4% for cooking, respectively. The percentage of respondents using the water purified the tap water with the home water purifier was 45.1% for drinking and 36.2% for cooking, respectively. Respondents who knew the adjusted water fluoridation program was 48.3%. Respondents who knew the implementation of the adjusted water fluoridation program at the moment in Gimhae was 27.0%. 90.2% of residents agreed on the expansion of the adjusted water fluoridation program to Myeong-dong water treatment plant, Significant variables in the approval rates of the adjusted water fluoridation program were age, residence period, occupation, recognition of the program. Conclusions : It is desirable to expand the adjusted water fluoridation program to Myeong-dong water treatment plant in Gimhae as the percentage of respondents who agreed on the introduction of the program was high.

• Journal of Environmental Health Sciences
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• v.31 no.6
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• pp.475-482
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• 2005

This study aimed to determine the fluoride intakes in 120 preschool children aged 3 to 6 residing in Jumunjin (community water fluoridation area) and Gangneung (non-fluoridation area). The parents were asked to collect 24-hour urine samples and to duplicate the samples of all the diets that their children ingested in the day of urine collection. The acid-diffusible fluoride in the food and non-carbonate beverages were isolated by the acid-diffusion technique and then measured with a fluoride electrode. The fluoride in carbonate beverages, drinking waters and urine samples were measured directly with a fluoride electrode. The geometric mean (geometric standard deviation) of daily fluoride intakes from all kinds of diet was 5.99 (2.27) $\mu$g/kg/day in the children in Gangneung and that of the children in Jumunjin was 18.36 (2.69). The amount of fluoride intake by food and drinking water in fluoridation area were significantly larger than that in non-fluoridation area but the statistical difference of fluoride intake by beverages between two areas was not observed. The GMs (GSDs) of daily fluoride excretion by urine of children in non-fluoridation area and in fluoridation area were 8.39 (1.73) and 18.62 (1.77) $\mu$g/kg/day, respectively. The correlation between fluoride intake from diet excluding beverage and urinary excretion was statistically significant. It is concluded that the amount of fluoride intake of children living in fluoridation area did not exceed the upper intake level to avoid the risk of dental fluorosis (2.2 mg/day in 4- to 8-year-olds) and urinary excretion of fluoride was good indicator of fluoride intake from diets.

• The Journal of the Korean dental association
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• v.38 no.1 s.368
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• pp.86-93
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• 2000

Water fluoridation in conjunstion with wide use of fluoride dentifrices has been a major factor responsible for the decline in dental caries during the second half of the 20th century throughout the world. The history of water of water fluoridation is a classic public health program leading to epidemiologic investigation and community-based public health dentistry program. Although other fluoride-containing products are available, water fluoridation remains as the most safe and cost-effective method of delivering fluoride to omost communities. regardless of age. educational attainment. or income levels,. This review deals with pros and cons of water fluoridation and prospective analysis of state-of-the-art on issues related to the use of fluoride. An "optimal" fluoride concentration of 0.7-1.2 ppm has been recommended for preventing dental caries with a minimal dental fluorosis and no systemic health consequences.

• Korean Journal of Health Education and Promotion
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• v.27 no.4
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• pp.113-121
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• 2010

Objectives: The study sought to identify the perception of schoolchildren's parents concerning an approval on the expansion implementation of community water fluoridation program in Gimhae, Korea. Methods: Questionnaires were distributed to schoolchildren's parents in Gimhae in 2008. Responses were collected from 1,703 parents. The standard questionnaire of Ministry of Health and Welfare was used and items were socioeconomic variables, water used for drinking and cooking, awareness on the fluoridation program and approval on the expansion implementation of fluoridation program at the region of Myeongdong water plant. Significance was analyzed by chi-square test and multiple logistic analysis. Results: Of parents, 1.9% used plain tap water and 39.8% used boiled tap water for drinking and 50.0% used tap water for cooking. 58.0% of parents were aware of fluoridation program with 27.1% being aware of the implementation of the program in Gimhae. 74.5% approved the expansion implementation of the program to the region of Myeong-dong water plant. Significant variables associated to approving the expansion implementation of program were age, gender, residence period in Gimhae, occupation and awareness of the program. Conclusion: The expansion implementation of fluoridation program in Gimhae is desirable for caries prevention because of the majority of schoolchildren's parents' approval.

• Health Policy and Management
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• v.13 no.1
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• pp.23-45
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• 2003

This study was performed to evaluate economic effect of the water fluoridation program in Cheong-Ju City from 1982 to 2010. To study this economic effect, this study used cost-benefit analysis methodology from eight years old to fourteen years old in Cheong-Ju City. Major findings were as follows; First, total cost of fluoridation program in Cheong-Ju City was 1,384,164,734 korean won and total benefit was 15,057,426,621 Korean won from 1982 to 2010. Second, total cost which was converted by present value 2000 year was 1,687,412,718 won and total benefit which was converted by present value 2000 year was 14,582,548,519 Korean won. Cost-benefit ratio was 8.64. Net present value which happened from 1982 to 2000 was 7,990,710,155 Korean won and cost benefit ratio was 7.47. In conclusion, by the above result, economic impact of the water fluoridation program was very effective for children in some area of Cheong-Ju city.

• Environmental Analysis Health and Toxicology
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• v.13 no.1_2
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• pp.19-26
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• 1998

In Korea, fluoride was first introduced into the drinking water of residents of Jinhae, KyungNam in 1981 for the prevention of dental caries. Ever since, growing numbers of communities favor fluoridation. The mechanism of F prevention of tooth decay is well known: fluoride ions substitute for hydroxyl ions in hydroxyapatite of hard tissues, which result in crystal perfection, with consequent reduction in dental caries. Soluble fluorides such as sodium fluoride are almost completely absorbed from the gastrointestinal tract. However, the presence of divalent or trivalent cations such as aluminum, magnesium, and calcium that can complex with F can reduce the degree of absorption. In U.S.A., over 7000 communities are now adding F to their drinking water. However, some portion of population oppose fluoridation, voicing both concern about the safety of fluoridation as well as for personal choice. Thus, This paper reviews the interaction of fluoride and cations as well as fluoride and suggests possible problems associated with fluoridation, a controversial issue.

• Proceedings of the Korean Environmental Health Society Conference
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• 2005.06a
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• pp.286-288
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• 2005

This study was conducted to compare the fluoride concentrations in urine of preschool children aged 3${\sim}$6 years between residing in community water fluoridation area(Kwangju City) and non-fluoridation area(Sungnam City). The acid-diffusible fluoride in the urine and drinking water was isolated by the acid-diffusion technique and measured with a fluoride electrode. The mean daily fluoride excretion to urine of children residing in Kwangju and Sungnam were $1.27{\pm}0.75mgF^-$/g creatinine and $0.87{\pm}47 mgF^-$/g creatinine, respectively. It is concluded from this investigation that the $F^-$concentration in urine sample of kindergarten and drinking water of children living in Kwanju(fluoridated areas) were significantly higher than that of children living in Sungnam(non-fluoridated areas).

• Journal of Korean Society of Water and Wastewater
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• v.14 no.2
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• pp.164-173
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• 2000

Fluoridation of drinking water to a level of about 0.8mg/l (below 1.5mg/l) for reducing the incidence of tooth decay is recommended. However, concerns about potential problems of unknown effects and overdosing hinders the fluoridation. This study describes the work performed to obtain information on the behavior of fluoride under various conditions in the process of water fluoridation. Effects of water treatment chemicals, water treatment unit, and water distribution on water fluoridation were investigated at both lab and an actual water treatment plant. Residual fluoride concentration was not affected by lime and chlorine dosage up to 20mg/l. Flocculation with PAC slightly decreased the residual fluoride concentration as PAC dosage increased. Average fluoride concentration of 0.87mg/l at an intake basin was decreased to 0.83mg/l by sedimentation, 0.81mg/l by dual media(sand+anthracite) filtration, and 0.79mg/l by granular activated carbon filtration in the water treatment plant.

• Journal of dental hygiene science
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• v.5 no.2
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• pp.71-76
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• 2005

This study tried to understand influence of water fluoridation program on oral health status and get the basic data of water fluoridation program in the future. Sangdang-gu in Cheongju City, fluoridated community and Manan-gu in Anyang City, non-fluoridated community were the surveyed area of the study. And from July 3, 2003 to July 22, 2003, using questionnaire, we surveyed opinions of parents of the fifth and sixth grade students of C elementary school in Sangdang-gu, Cheongju City and A elementary school in Manan-gu, Anyang City about water fluoridation program, and made an oral examination on the fifth and sixth grade students. The results are as follows : 1. DMFT index was lower for Cheongju, fluoridated community with Cheongju 1.69, Anyang 2.11(P = .010). 2. DMFT rate was lower for Cheongju, fluoridated community with Cheongju 6.72%, Anyang 7.94%. 3. Health level of the first molar was higher for Cheongju, fluoridated community with Cheongju 95.54%, Anyang 94.10%(P = .002). This study intends to understand the effects of fluoridation program on oral status by analyzing the effects of water fluoridation program and present basic materials for improving oral health. Improving national oral health is thought to be associated with expense retrenchment of oral health insurance financial. So it may need to extend using tap water to all the area of the country and additionally establish confidence through an active public relations and education of water fluoridation program.