Fluoride concentrations in water consumed in the Region of Murcia are not sufficient to prevent dental caries
Abstract
Introduction: Dental caries remains the most frequent chronic disease in childhood and is considered a public health problem. Fluoride has proven effectiveness in the prevention of caries and drinking water is the main source of fluoride intake. The objective of this study was to determine fluoride concentrations in tap water from 10 areas and in 10 bottled waters sold in the Region of Murcia.
Materials and Methods: The concentration of fluoride in water was determined using a fluoride ion-selective electrode with a direct technique previously calibrated with standard fluoride concentrations prepared with TISAB II.
Results: In tap water, fluoride concentrations from 0.09 to 0.18 mgF/L (ppm) were detected; in bottled waters the concentration of fluoride varied from 0.04 to 0.50 ppm.
Conclusion: Fluoride is present in the water consumed in the Region of Murcia but in concentrations that do not prevent dental caries. Fluoride supplements should be prescribed in children at high risk of caries, and for this, all external sources of fluoride intake, including water, must be accounted for.
Downloads
References
Corrêa-Faria P, Paixão-Gonçalves S, Paiva SM, Pordeus IA. Incidence of dental caries in primary dentition and risk factors: a longitudinal study. Braz Oral Res. 2016;30(1). Disponible en: http://dx.doi.org/10.1590/1807-3107BOR-2016.vol30.0059
Alkhtib A, Ghanim A, Temple-Smith M, Messer LB, Pirotta M, Morgan M. Prevalence of early childhood caries and enamel defects in four and five-year old Qatari preschool children. BMC Oral Health. 2016;16(1):73. Disponible en: http://dx.doi.org/10.1186/s12903-016-0267-z
Kassebaum NJ, Smith AGC, Bernabé E, et al. Global, Regional, and National Prevalence, Incidence, and Disability-Adjusted Life Years for Oral Conditions for 195 Countries, 1990-2015: A Systematic Analysis for the Global Burden of Diseases, Injuries, and Risk Factors. J Dent Res. 2017;96(4):380-387. Disponible en: http://dx.doi.org/10.1177/0022034517693566
Bravo Pérez M, Almerich Silla JM, Ausina Márquez V, Avilés Gutiérrez P, Blanco González JM, Canorea Díaz E., et al. Encuesta de Salud Oral en España 2015. Published online June 1, 2016. Accessed May 8, 2020. Disponible en: http://diposit.ub.edu/dspace/handle/2445/103211
Pepelascov DE, Fujimaki M, Cury JA, Tabchoury CPM, Villalobos JUG, Terada RSS. Fluoride concentration and labeling requirements of mineral bottled water from Brazil. Vigilância Sanitária Em Debate Soc Ciênc Tecnol. 2017;5(3):24-29. Disponible en: http://dx.doi.org/10.22239/2317-269x.00871
Burt BA. The changing patterns of systemic fluoride intake. J Dent Res. 1992;71(5):1228-1237. Disponible en: http://dx.doi.org/10.1177/00220345920710051601
Ramires I, Grec RH da C, Cattan L, Moura PG de, Lauris JRP, Buzalaf MAR. Evaluation of the fluoride concentration and consumption of mineral water. Rev Saude Publica. 2004;38(3):459-465. Disponible en: http://dx.doi.org/101590/s0034-89102004000300018
Maraver F, Vitoria I, Almerich-Silla JM, Armijo F. Fluoride content of bottled natural mineral waters in Spain and prevention of dental caries. Aten Primaria. 2015;47(1):15-24. Disponible en: http://dx.doi.org/10.1016/j.aprim.2014.04.003
BP_FluorideTherapy.pdf. Accessed May 8, 2020. https://www.aapd.org/media/Policies_Guidelines/BP_FluorideTherapy.pdf
Real Decreto 1798/2010, de 30 de diciembre, por el que se regula la explotación y comercialización de aguas minerales naturales y aguas de manantial envasadas para consumo humano. :27. Gobierno de España: Ministerio de la Presidencia, relaciones con las cortes e igualdad. Disponible en:https://www.boe.es/buscar/act.php?id=BOE-A-2011-971; 2011 [consultado 21.03.2020].
Marín Camaches MD, Pacheco Martínez F, Martínez Gambín R, Gómez Campoy E, Gutierrez Molina C. [Water fluoridation in the Region of Murcia]. Rev Esp Salud Publica. 1998;72(2):91-101. Disponible en: https://www.ncbi.nlm.nih.gov/pubmed/9643064
Kanduti D, Sterbenk P, Artnik B. Fluoride: a review of use and effects on health. Mater Socio-Medica. 2016;28(2):133-137. Disponible en: http://dx.doi.org/10.5455/msm.2016.28.133-137
Real Decreto 140/2003, de 7 de febrero, por el que se establecen los criterios sanitarios de la calidad del agua de consumo humano. :41. Gobierno de España: Ministerio de la Presidencia, relaciones con las cortes e igualdad; Disponible en: https://www.boe.es/buscar/act.php?id=BOE-A-2003-3596; 2003 [consultado 21.03.2020].
FAO/OMS. Programa conjunto FAO/OMS sobre normas alimentarias. Comisión del Codex Alimentarius [sede Web]. Roma: FAO/OMS; 1999. CX 5/40. Disponible en: http://www.fao.org/tempref/codex/Reports/Alinorm06/al2903As.pdf. [consultado 12.04.2020]
Lalumandier JA, Ayers LW. Fluoride and bacterial content of bottled water vs tap water. Arch Fam Med. 2000;9(3):246-250. Disponible en: http://dx.doi.org/10.1001/archfami.9.3.246
Cochrane NJ, Saranathan S, Morgan MV, Dashper SG. Fluoride content of still bottled water in Australia. Aust Dent J. 2006;51(3):242-244. Disponible en: http://dx.doi.org/10.1111/j.1834-7819.2006.tb00436.x
Mythri H, Chandu GN, Prashant GM, Subba Reddy VV. Fluoride and bacterial content of bottled drinking water versus municipal tap water. Indian J Dent. 2010;21(4):515-517. Disponible en: http://dx.doi.org/10.4103/0970-9290.74223
The works published in this magazine are subject to the following terms:
1. The Publications Service of the University of Murcia (the publisher) preserves the copyright of the published works, and encourages and allows the reuse of the works under the license for use stated in point 2.
© Servicio de Publicaciones, Universidad de Murcia, 2011 (© Publications Service, University of Murcia, 2011)
2. The works are published in the electronic edition of the journal under Creative Commons Reconocimiento-NoComercial-SinObraDerivada 3.0 España(texto legal) “ a Attribution-NonCommercial-NoDerivatives 3.0 Spain license (legal text)”. They can be copied, used, broadcasted, transmitted and publicly displayed, provided that: i) the authorship and original source of their publication (journal, publisher and URL) are cited; (ii) are not used for commercial purposes; iii) the existence and specifications of this license is mentioned.
3. Conditions of self-archiving. Authors are allowed and encouraged to electronically disseminate the pre-print (pre-reviewed ) and / or post-print (reviewed and accepted for publication) versions of their works prior to publication, as it ensures a wider circulation and dissemination which may lead to a possible increase in its mention and a higher scope among the academic community. RoMEO color: green.