{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:34:38Z","timestamp":1787762078955,"version":"build-2784847793"},"reference-count":14,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"Suppl 1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,7]]},"abstract":"<jats:title>\n                    A\n                    <jats:sc>BSTRACT<\/jats:sc>\n                  <\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The present study was conducted to assess the relationship between drinking water fluoride (F) levels, dental fluorosis dental caries, and associated risk factors in the elderly population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods:<\/jats:title>\n                    <jats:p>A cross-sectional analytical study was conducted on 50 patients aged 25\u201360 years, selected by stratified random sampling from different areas with different levels of naturally occurring F in drinking water. The patients were assessed for dental fluorosis according to WHO basic survey guidelines. The overall oral health status of the patients was assessed by decayed missing filled teeth DMFT index and the bacterial count of saliva was calculated using the Caries Risk Test (CRT). Statistical analysis was done using mean, standard deviation, standard error, Z-test, Mann-Whitney U Test, and Chi-square test.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>The results of the present study revealed that the prevalence of fluorosis was 24%. The number of patients with dental fluorosis was highest in those who consumed water with high groundwater fluoride levels irrespective of the source of drinking water. Caries prevalence in the study population was about 5.56 \u00b1 1.95.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>There was a moderate prevalence of fluorosis in patients, and caries prevalence is high in areas below optimal F areas. Caries prevalence and mean DMFT scores were least common in patients with optimal fluoride levels in drinking water and highest in those with below optimal fluoride in drinking water.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/jpbs.jpbs_24_23","type":"journal-article","created":{"date-parts":[[2023,7,12]],"date-time":"2023-07-12T02:07:24Z","timestamp":1689127644000},"page":"S651-S655","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":3,"title":["A Cross-Sectional Study to Find the Correlation between the Level of Fluoride in Drinking Water, Dental Fluorosis and Associated Risk Factors- A Original Research"],"prefix":"10.4103","volume":"15","author":[{"given":"Saranya","family":"Manikandan","sequence":"first","affiliation":[{"name":"Department of Oral Pathology, Vivekanandha Dental College for Women, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maya","family":"Ramesh","sequence":"additional","affiliation":[{"name":"Department of Oral Pathology Vinayaka Mission\u2019s Sankarachariyar Dental College, Vinayaka Mission\u2019s Research Foundation - Deemed to be University, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thuckanaickenpalayam Ragunathan","family":"Yoithapprabhunath","sequence":"additional","affiliation":[{"name":"Department of Oral Pathology, Vivekanandha Dental College for Women, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiruthika","family":"Kandasamy","sequence":"additional","affiliation":[{"name":"Department of Microbiology, Vivekanandha Dental College for Women, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priyadharsana","family":"Ponnusamy","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, RVS Dental College and Hospital, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aparna","family":"Vishnuvarthan","sequence":"additional","affiliation":[{"name":"Department of Dentistry, BDS Under Graduate Student, Vivekanandha Dental College for Women, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,7,5]]},"reference":[{"key":"R1-20240829","doi-asserted-by":"crossref","first-page":"319","DOI":"10.1111\/j.1600-0528.2004.00175.x","article-title":"Effective use of fluorides for the prevention of dental caries in the 21st century:The WHO approach","volume":"32","author":"Petersen","year":"2004","journal-title":"Community Dent Oral Epidemiol"},{"key":"R2-20240829","first-page":"408","article-title":"The aesthetic management of severe dental fluorosis in the young patient","volume":"24","author":"Rodd","year":"1997","journal-title":"Dent Update"},{"key":"R3-20240829","first-page":"106","article-title":"Shanthi MRelationship Between Drinking Water Fluoride Levels, Dental Fluorosis, Dental Caries and Associated Risk Factors in 9-12 Years Old School Children of Nelakondapally Mandal of Khammam District, Andhra Pradesh, India:A Cross-sectional Survey","volume":"6","year":"2014","journal-title":"J Int Oral Health"},{"key":"R4-20240829","doi-asserted-by":"crossref","first-page":"433","DOI":"10.1080\/10643380600678112","article-title":"Fluoride in drinking water:A review on the status and stress effects","volume":"36","author":"Ayoob","year":"2006","journal-title":"Crit Rev Environ Sci Technol"},{"key":"R5-20240829","doi-asserted-by":"crossref","DOI":"10.1177\/00220345900690S141","article-title":"Recent trends in dental caries in U. 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