Fluoride removal and its impact on oral health in Sri Lanka's dry zone: Discussion and recommendation

Fifty percent of the dry zone areas in Sri Lanka have fluoride levels above 1 ppm. This paper discusses the ground conditions and recommends an appropriate range of fluoride in drinking water which can support preventive practices for improving the oral health of children 8-years old and younger. In efforts to address the Chronic Kidney Disease of Unknown etiology (CKDU), water treatment to reduce contaminant level in potable water has been implemented. Such treatment would also remove fluoride and has resulted in potable water with various fluoride levels, depending on concentrations in the raw water. While it is important to reduce fluoride levels, it is important to have appropriate residual levels for prevention of dental caries. It needs, however, to be noted fluoride in excess can cause dental fluorosis. In Sri Lanka's dry zone areas increasing prevalence of dental fluorosis with decreasing prevalence of dental caries has been noted. Consumption of tea and powdered milk could increase total intake of fluoride. Fluoridated toothpaste, when used properly, may, however, result in negligible intake of fluoride. Sri Lanka's hot tropical climate which results in substantial intake of fluids reinforces the need to consider reduction in water fluoride. Consideration of local studies and international standards indicate fluoride levels should be in the range of 0.225–0.500 ppm. In the range of 0.225–0.500 ppm, the prevalence of dental fluorosis and caries was only 14% and 8%, respectively, in an endemic district. When fluoride levels are above 0.500 ppm, the issue of dental fluorosis shall need to be addressed. When levels are below 0.225 ppm, oral health care services shall need to be directed at preventing dental caries.     

茶防龋研究进展

从流行病学和临床效果、防龋物质及作用机制、模拟实验和动物实验几个方面对国内外茶防龋研究进行综述,提出研究中亟待解决的问题,预示了茶防龋今后的发展方向和前景。     

炼铝作业氟化物接触剂量与发病关系的分析

目的 了解炼铝作业氟的危害状况,为工业性氟病的防治提供依据.方法 对氟作业环境作职业卫生学调查.采用剂量患病率寿命表法对866名电解铝作业工人工业性氟病的发病情况进行流行病学调查,并作相关回归分析.结果 该厂接氟工人工业性氟病的总患病率为1.73%,且患病率随累积接氟量的增加而升高,呈高度正相关(r＝0.997,P＜0.01).并据所求得回归方程(y＝10.34InD-18.21)推算出接氟工人控制患病率时的允许连续工作年限和今后的发病趋势.结论 该厂电解铝车间氟危害较重,应加强卫生防护措施,并建议将车间氟最高容许浓度从目前1 mg/m3降为0.5 mg/m3为宜.     

饮水的化学组分与地氟病的关系

饮水的化学成分分析结果表明，徐州地区居民饮用水中的氟含量ｐＨ，Ｎａ＾＋，ＨＣＯ＾－３，Ａｓ，Ｂ和矿化度呈正相关关系，与Ｋ＾＋，Ｃａ＾２＋，Ａｌ＾３＋，Ｂａ＾２＋，Ｓｉ＾４＋呈负相关关系。地氟病的发病率不仅与饮水的氟含量密切相关，而且受饮水中其它组份的制榴，饮水中Ｃａ＾２＋，Ａｌ＾３＋，Ｓｒ＾２＋，Ｂ，Ｓｉ＾４＋，Ｋ＾＋，Ｇｅ＾４＋等组分的增高可抑制或减缓地氟病的发生。     

浙江省中部萤石产区氟环境与地方性氟病

通过对浙江省中部萤石产区氟地球化学环境的初步研究，探讨了该区地方性氟病的成因和分布规律，指出了地方性氟病与高氟环境的关系。     

一种赤腹松鼠种群数量的估计方法

赤腹松鼠剥食树皮的行为对林木危害严重,根据野外长期的观察和研究发现,赤腹松鼠在剥落树皮上遗留下来的上门齿齿印间距具有个体差异,可以用作个体识别的依据.对2003年监测样地内赤腹松鼠在剥落树皮上的齿印间距测量记录,并统计分析以估计赤腹松鼠的个体数量.结果表明:种群数量与危害率的相关系数为0.876,P=0.01,表现出很强的正相关关系;显示在较小面积内,该方法可以用来估计赤腹松鼠的个体数量.同时对该方法的基本条件和局限进行了讨论.图2表4参10     

丰沛铜地氟病区大气环境中氟的分布

利用石灰滤纸法和滤膜电极法测试了徐州丰沛铜地区大气环境中的氟含量,结果表明：由城区至城效到农村,大气环境中的氟含量趋向下降,采煤、煤的燃烧和铝厂等企业是大气中氟的主要污染源,该区地氟病与大气环境中的氟含量未见明显联系,不属燃煤污染型     

Fluoride distribution in groundwater and survey of dental fluorosis among school children in the villages of the Jhajjar District of Haryana,India

Fluoride concentration of groundwater reserves occurs in many places in the world. A critical area for such contamination in India is alluvial soil of the plain region, consisting of five blocks (Jhajjar, Bahadurgarh, Beri, Matanhail, and Sahalawas) of the Jhajjar District adjacent to the National Capital Territory of India, New Delhi. The purpose of this study was to assess the association between water fluoride levels and prevalence of dental fluorosis among school children of the Jhajjar District of Haryana, India. The fluoride content in underground drinking water sources was found to vary in villages. Hence, the villages were categorized as high-fluoride villages (1.52–4.0 mg F/l) and low/normal-fluoride villages (0.30–1.0 mg F/l). The source of dental fluorosis data was school-going children (7–15 years) showing different stages and types of fluorosis who were permanent resident of these villages. The fraction of dental fluorosis-affected children varied from 30% to 94.85% in the high-fluoride villages and from 8.80% to 28.20% in the low/normal-fluoride villages. The results of the present study revealed that there existed a significant positive correlation between fluoride concentration in drinking water and dental fluorosis in high-fluoride villages (r = 0.508; p < 0.001) and insignificant correlation in low-fluoride villages.     

Potential fluorosis problems around Chandidongri, Madhya Pradesh, India

The area around Chandidongri (latitude 21 deg 02 prime N and longitude 80 deg 37 prime E) is covered by granitic gneisses and amphibolites of the Amgaon Group and granites and rhyolites of the Dongargarh super group. The granites which cover the major portion of the area have been intruded into by a number of dolerite and epidiorite dykes and traversed by a few N–S trending shear zones. A well-known fluorite deposit is located along the Lamtidongri–Kotnapani shear zone. Besides this deposit, the authors have located a few occurrences of fluorite along other shear zones where epidiorite dykes are in association with granites. A number of cases of fluorosis have been reported from those parts of Rajasthan and Andhra Pradesh which are covered by granitic rocks and also from the eastern parts of Bhandara district which are adjacent to the area described here. The Chandidongri area is mainly covered by granitic rocks, which at places show the presence of fluorite mineralisation. Taking into consideration these facts, the authors have investigated the area to study the cases of fluorosis if any, and the impact of geology and fluorite mining on the water quality in this region. During the survey, we have not come across any cases of fluorosis in this region. The pH is more than 7 and the fluoride concentration is within the permissible limit.