Dental fluorosis prevalence in Saudi Arabia

Aim: In order to improve the understanding of dental fluorosis prevalence in Saudi Arabia and have a good idea of the quality of the studies that have been conducted, a systematic review was conducted to evaluate the prevalence of dental fluorosis among people who live in Saudi Arabia. Methods: Onli...

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Main Authors: Falah R Alshammari, Marwan Aljohani, Lubomir Botev, Lucy O'malley, Anne.Marie Glenny
Format: Article
Language:English
Published: Springer 2021-11-01
Series:Saudi Dental Journal
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1013905221000341
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author Falah R Alshammari
Marwan Aljohani
Lubomir Botev
Lucy O'malley
Anne.Marie Glenny
author_facet Falah R Alshammari
Marwan Aljohani
Lubomir Botev
Lucy O'malley
Anne.Marie Glenny
author_sort Falah R Alshammari
collection DOAJ
description Aim: In order to improve the understanding of dental fluorosis prevalence in Saudi Arabia and have a good idea of the quality of the studies that have been conducted, a systematic review was conducted to evaluate the prevalence of dental fluorosis among people who live in Saudi Arabia. Methods: Online databases EMBASE and MEDLINE and the Cochrane Library were searched, without any restriction regarding age. In addition, there were no study design filters applied to the search engine. Study selection and data extraction were conducted in duplicate. Studies were included if they were conducted in Saudi Arabia on any population (adults and children) and collected dental fluorosis data. The Newcastle-Ottawa Scale (NOS) was used to assess the quality of the studies. A narrative synthesis was conducted. Results: Seven cross-sectional studies were identified. Areas of weakness in study design/conduct were low response rates, and identification and handling of confounding factors. Statistical pooling of data was not appropriate due to substantial heterogeneity, due in part to variation in sample size, variation of water fluoridation concentration, index used, targeted population and age group. Seven studies present dental fluorosis at any level. The proportion of dental fluorosis prevalence at any level ranged from 0.00 to 0.91. Six studies explored the prevalence of dental fluorosis of aesthetic-only level of concern. The proportion of dental fluorosis in this category ranged from 0.07 to 0.76. Conclusion: The proportion of dental fluorosis at any level ranged from 0.00 to 0.91 and fluorosis at aesthetics level ranged from 0.07 to 0.76. However, current data does not provide a complete assessment of dental fluorosis across Saudi Arabia. Existing studies are limited in terms of the population covered. The included studies had methodological flaws.
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spelling doaj-art-e0cb91cc020e42ea8bc99a88fa584dfd2025-08-20T01:56:06ZengSpringerSaudi Dental Journal1013-90522021-11-0133740441210.1016/j.sdentj.2021.03.007Dental fluorosis prevalence in Saudi ArabiaFalah R Alshammari0Marwan Aljohani1Lubomir Botev2Lucy O'malley3Anne.Marie Glenny4PhD in Dental Public Health and Community Dentistry, Hail University, Hail City, Saudi Arabia; Corresponding author.Oral and Maxillofacial Surgery, Department of Oral and Maxillofacial Surgery, College of Dentistry, Taibah University, Madinah Al-Munawwarah, Saudi ArabiaSchool of Mathematics, the University of Manchester, United KingdomFaculty of Biology, Medicine and Health, Division of Dentistry, the University of Manchester, United KingdomFaculty of Biology, Medicine and Health, Division of Dentistry, the University of Manchester, United KingdomAim: In order to improve the understanding of dental fluorosis prevalence in Saudi Arabia and have a good idea of the quality of the studies that have been conducted, a systematic review was conducted to evaluate the prevalence of dental fluorosis among people who live in Saudi Arabia. Methods: Online databases EMBASE and MEDLINE and the Cochrane Library were searched, without any restriction regarding age. In addition, there were no study design filters applied to the search engine. Study selection and data extraction were conducted in duplicate. Studies were included if they were conducted in Saudi Arabia on any population (adults and children) and collected dental fluorosis data. The Newcastle-Ottawa Scale (NOS) was used to assess the quality of the studies. A narrative synthesis was conducted. Results: Seven cross-sectional studies were identified. Areas of weakness in study design/conduct were low response rates, and identification and handling of confounding factors. Statistical pooling of data was not appropriate due to substantial heterogeneity, due in part to variation in sample size, variation of water fluoridation concentration, index used, targeted population and age group. Seven studies present dental fluorosis at any level. The proportion of dental fluorosis prevalence at any level ranged from 0.00 to 0.91. Six studies explored the prevalence of dental fluorosis of aesthetic-only level of concern. The proportion of dental fluorosis in this category ranged from 0.07 to 0.76. Conclusion: The proportion of dental fluorosis at any level ranged from 0.00 to 0.91 and fluorosis at aesthetics level ranged from 0.07 to 0.76. However, current data does not provide a complete assessment of dental fluorosis across Saudi Arabia. Existing studies are limited in terms of the population covered. The included studies had methodological flaws.http://www.sciencedirect.com/science/article/pii/S1013905221000341Dental fluorosisWater fluoridationSaudi Arabia
spellingShingle Falah R Alshammari
Marwan Aljohani
Lubomir Botev
Lucy O'malley
Anne.Marie Glenny
Dental fluorosis prevalence in Saudi Arabia
Saudi Dental Journal
Dental fluorosis
Water fluoridation
Saudi Arabia
title Dental fluorosis prevalence in Saudi Arabia
title_full Dental fluorosis prevalence in Saudi Arabia
title_fullStr Dental fluorosis prevalence in Saudi Arabia
title_full_unstemmed Dental fluorosis prevalence in Saudi Arabia
title_short Dental fluorosis prevalence in Saudi Arabia
title_sort dental fluorosis prevalence in saudi arabia
topic Dental fluorosis
Water fluoridation
Saudi Arabia
url http://www.sciencedirect.com/science/article/pii/S1013905221000341
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AT marwanaljohani dentalfluorosisprevalenceinsaudiarabia
AT lubomirbotev dentalfluorosisprevalenceinsaudiarabia
AT lucyomalley dentalfluorosisprevalenceinsaudiarabia
AT annemarieglenny dentalfluorosisprevalenceinsaudiarabia