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Salt fluoridation in Central and Eastern Europe.
Thomas M Marthaler1, George W Pollak
1Clinic for Preventive Dentistry, Periodontology and Cariology, Center for Dentistry, University of Zurich. tmarthal@zui.unizh.ch
Schweizer Monatsschrift Fur Zahnmedizin = Revue Mensuelle Suisse D'Odonto-Stomatologie = Rivista Mensile Svizzera Di Odontologia E Stomatologia
|September 15, 2005
Summary
Salt fluoridation is a cost-effective method to reduce tooth decay in Central and Eastern Europe. This preventive dentistry approach can improve oral health, especially for lower socio-economic groups lacking access to fluoride toothpaste.
Area of Science:
- Public Health
- Dental Public Health
- Preventive Dentistry
Background:
- Central European countries have a history of interest in preventive dentistry, with past fluoridation schemes abandoned post-1989.
- Despite research, Hungary has had limited success in implementing salt fluoridation.
- Antifluoridation sentiments and economic factors have hindered widespread caries prevention efforts.
Purpose of the Study:
- To review the history and effectiveness of salt fluoridation as a caries prevention strategy in Central and Eastern Europe.
- To assess the potential of salt fluoridation in improving oral health outcomes, particularly in economically disadvantaged populations.
Main Methods:
- Historical review of fluoridation policies in Central and Eastern Europe.
- Analysis of salt fluoridation implementation and market share in the Czech Republic and Slovak Republic.
- Comparison of caries prevalence (DMFT) with Western Europe.
Main Results:
- Salt fluoridation was implemented in the Czech and Slovak Republics in the mid-nineties, reaching a 35% market share in the Czech Republic.
- Caries prevalence in 12-year-old children in the region is higher (1-3 DMFT) than in Western Europe.
- Affordability of fluoride toothpastes remains a challenge for lower socio-economic strata.
Conclusions:
- Salt fluoridation is the most economical method for reducing caries prevalence.
- Implementing salt fluoridation can significantly improve oral health in Central and Eastern Europe, even amidst economic challenges.
- Salt fluoridation, combined with school-based education and topical fluoride, offers a comprehensive preventive strategy.