Assessment of knowledge, attitude, and practice of fluorosis among Indian dentists: a cross-sectional questionnaire-based study

Srushti Mandanka; Jayasankar P. Pillai; Tilomi Desai; Yash Modi

doi:10.18203/2394-6040.ijcmph20241833

Authors

Srushti Mandanka Department Oral Pathology and Oral Microbiology, Govt. Dental College and Hospital, Ahmedabad, Gujarat, India
Jayasankar P. Pillai Department Oral Pathology and Oral Microbiology, Govt. Dental College and Hospital, Ahmedabad, Gujarat, India
Tilomi Desai Department Oral Pathology and Oral Microbiology, Govt. Dental College and Hospital, Ahmedabad, Gujarat, India
Yash Modi Department Oral Pathology and Oral Microbiology, Govt. Dental College and Hospital, Ahmedabad, Gujarat, India

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20241833

Keywords:

Fluoride exposure, Preventive measures, Treatment modalities, Diagnostic techniques, Dental fluorosis

Abstract

Background: Dental fluorosis is a significant public health problem in India as drinking water with high fluoride is widespread throughout the country. Although dentists are key players in the prevention and management of the condition, little is known about their knowledge, attitudes and practices (KAP) related to fluorosis.

Methods: A cross-sectional study on an Indian dentist population was conducted. A 13-question survey was completed by participants in January 2023 - April 2023 using simple random sampling. The questionnaire included some demographic data and information on the source of knowledge and risk factors of fluorosis, related diseases, proper diagnostic measures and treatment and the point of view concerning prophylaxis. Data analysis was done using SPSS Version 23.

Results: Nearly half were aware of drinking water as a key source of fluoride, however all had gaps in knowledge regarding additional sources and adequate level of fluoride. Most of dentists wanted bleaching and veneers; preferences varied while attitudes towards prevention were positive, the study found a gap in applying sections of the essential knowledge and identified that competence in fluorosis management should be improved with educational interventions.

Conclusions: Knowledge and practices regarding fluorosis are variable among Indian dentists, with significant gaps in understanding of this condition and its diagnosis. There is a need for educational programs, interdisciplinary work and public awareness in these areas to improve management of fluorosis and oral health. Integration of the subject of fluorosis in the undergraduate courses are recommended to fill the gaps of knowledge and competence in health professionals.

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References

Gitte S, Sabat R, Kamble K. Epidemiological survey of fluorosis in a village of Bastar division of Chhattisgarh state, India. Int J Med Public Health. 2015;5(3):232.

Nanjundan K, Ramalingam B. Awareness, Knowledge and attitude towards dental fluorosis among the public living in Dharmapuri district, Tamilnadu, India after implementation of fluorosis mitigation project. IOSR J Dent Medical Sciences. 2018;17(2):5-9.

Rustagi N, Rathore AS, Meena JK, Chugh A, Pal R. Neglected health literacy undermining fluorosis control efforts: A pilot study among schoolchildren in an endemic village of rural Rajasthan, India. J Family Med Prim Care. 2017;6(3):533-7.

Duguma FK. Assessment on knowledge, attitude and practice towards dental fluorosis and its impact among Goro secondary school students in Adama Town, Ethiopia. ADOH. 2019;11(2):42-9.

Pahuja M, Pradhan S, Nagar V. Knowledge, attitude, and esthetic perceptions about dental fluorosis amongst the rural population in Meerut District, Uttar Pradesh. Indian J Dent Sci. 2019;11:12.

Levallois P, Grondin J, Gingras S. Knowledge, Perception and Behaviour of the General Public Concerning the Addition of Fluoride in Drinking Water. Can J Public Health. 1998;89(3):162-5.

Aoba T, Fejerskov O. Dental fluorosis: Chemistry and biology. Critical Reviews in Oral Biology & Medicine. 2002;13(2):155-70.

Buzalaf MAR, Pessan JP, Honório HM, Ten Cate JM. Mechanisms of action of fluoride for caries control. Monographs in Oral Science. 2011;22:97-114.

Burt BA, Eklund SA. Dentistry, dental practice, and the community. Elsevier Health Sciences. 2005.

Dean JA, Avery DR, McDonald RE. Dentistry for the Child and Adolescent. Elsevier Health Sciences. 2001.

Dunipace AJ, Zhang W, Noblitt TW, Li Y, Stookey GK, Levy SM. Evaluation of fluoride exposure in the US population. Journal of Dental Research. 1995;74(7):1319-27.

Edmunds WM, Smedley PL. Fluoride in natural waters. In Essentials of Medical Geology. Springer, Dordrecht; 2013:311-336.

Everett ET. Fluoride’s effects on the formation of teeth and bones, and the influence of genetics. Journal of Dental Research. 2011;90(5):552-60.

Fawell J, Bailey K, Chilton J, Dahi E, Magara Y, Jackson P. Fluoride in drinking-water. IWA Publishing. 2006.

Griffin SO, Beltrán ED, Lockwood SA, Barker LK. Esthetically objectionable fluorosis attributable to water fluoridation. Community Dentistry and Oral Epidemiology. 2001;30(3):199-209.

Iida H, Kumar JV. The association between enamel fluorosis and dental caries in US schoolchildren. Journal of the American Dental Association. 2013;133(11):1579-86.

McCafferty JA, Wolt T, Feinberg D. Treatment of dental fluorosis using microabrasion and bleaching: a case report. Journal of Esthetic and Restorative Dentistry. 2016;28(4):251-6.

McDonagh MS, Whiting PF, Wilson PM, Sutton AJ, Chestnutt I, Cooper J. Systematic review of water fluoridation. BMJ. 2000;321(7265):855-9.

Paris S, Meyer-Lueckel H, Kielbassa AM. Resin infiltration of natural caries lesions: a benign treatment option. Journal of Esthetic and Restorative Dentistry. 2010;22(6):382-90.

Petersen PE, Lennon MA. Effective use of fluorides for the prevention of dental caries in the 21st century: the WHO approach. Community Dentistry and Oral Epidemiology. 2004;32(5):319-21.

Rugg-Gunn A, Villa AE, Buzalaf MAR, Fletcher ES. Sources of dietary fluoride intake. In Fluoride and the oral environment. Karger Publishers. 2016;22:82-94.

Susheela AK. A treatise on fluorosis. Fluorosis Research and Rural Development Foundation. 2003.

Whitford GM. The metabolism and toxicity of fluoride. Karger Medical and Scientific Publishers. 1996.

WHO. Guidelines for drinking-water quality. World Health Organization. 2011.

Wong MCM, Clarkson J, Glenny AM, Lo ECM, Marinho VCC, Tsang BWK, et al. Cochrane reviews on the benefits/risks of fluoride toothpastes. Journal of Dental Research. 2014;93(1):8-14.