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Prevalence of dental fluorosis in Mexico 2005-2015: a literature review
Fátima Del Carmen Aguilar-Díaz1, Federico Morales-Corona1, Aline Cristina Cintra-Viveiro1
1Escuela Nacional de Estudios Superiores Unidad León, Universidad Nacional Autónoma de México. León, Guanajuato, México.
Objective::
To perform a literature review regarding current dental fluorosis prevalence in Mexico reported from 2005 to 2015.
Materials And Methods::
A comprehensive scientific literature review, in both English and Spanish, was performed in four databases up to June 2015. Search terms: fluorosis or dental fluorosis (mesh), prevalence (mesh), distribution (mesh), cases (mesh), epidemiology (mesh), Mexico.
Results::
17 publications were included. Reported prevalence of dental fluorosis in Mexico ranged from 15.5 to 100%. Most of the studies were conducted in areas where water fluoride levels are low or optimal (≤1.5ppmF) and in which a prevalence of 15.5 to 81.7% was observed. In areas with higher levels of naturally fluoridated water (>1.5ppmF), prevalence ranged from 92 to 100%. Fluorosis severity ranged from questionable to severe.
Conclusion::
High prevalence of dental fluorosis was observed even in areas where fluoride concentration in water was low or optimal. In addition to fluoride in groundwater, there are multiple risk factors that should be controlled.
Insights
Dental fluorosis prevalence in Mexico is high, even in areas with optimal water fluoride levels. Other risk factors beyond water fluoride must be controlled to reduce dental fluorosis.
Area of Science:
- Public Health
- Epidemiology
- Dental Research
Background:
- Dental fluorosis is a condition affecting tooth enamel.
- Understanding its prevalence is crucial for public health initiatives.
Purpose of the Study:
- To review current dental fluorosis prevalence in Mexico between 2005 and 2015.
- To identify prevalence patterns in relation to water fluoride levels.
Main Methods:
- A comprehensive literature review was conducted.
- Searches were performed in four databases using terms related to fluorosis, prevalence, and Mexico.
- 17 publications were included in the review.
Main Results:
- Dental fluorosis prevalence in Mexico ranged from 15.5% to 100%.
- High prevalence (15.5%–81.7%) was observed in areas with low or optimal water fluoride (≤1.5ppmF).
- Prevalence reached 92%–100% in areas with naturally high fluoride water (>1.5ppmF).
Conclusions:
- High dental fluorosis prevalence exists in Mexico, even with optimal water fluoride.
- Factors beyond groundwater fluoride concentration contribute to dental fluorosis.
- Controlling multiple risk factors is essential for managing dental fluorosis.
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