Abstract
Context: Fluorosis is an important public health problem in few pockets of some states of India. Aim: The aim was to study the prevalence of fluorosis, mapping the deformities, the type and severity of deformities and to assess the fluoride concentration in prime drinking water sources in the Dimrapal village of Bastar region. Materials and Methods: A cross-sectional study of the Dimrapal village was done by door to door visit and on-site clinical examination of the study population was carried out. This was followed by collection of drinking water samples in selected paras for estimating fluoride levels. Statistical Analysis Used: Analysis was done using prevalence rate, Chi-square test, mean and standard deviation. Results: Overall prevalence of fluorosis cases was found to be 23.10%. The prevalence of dental fluorosis was 12.6% that of skeletal fluorosis was 28.8%, and the combined prevalence of dental and skeletal fluorosis was 1.8%. Dental fluorosis was found to be very common in children and teenagers. Skeletal fluorosis was found to be more common in age group above 45 years, however, it was lower in the children's (6-12) irrespective of the gender. The fluoride level in surveyed ground water sources from various para ranged from 0.1 to 7.30 ppm.
Highlights
Context: Fluorosis is an important public health problem in few pockets of some states of India
Natkolkapara had the highest prevalence of fluorosis even at low fluoride content in prime drinking water source
The prevalence of overall dental fluorosis was 12.6%, which is lower than other provinces in India.[7,10]
Summary
Context: Fluorosis is an important public health problem in few pockets of some states of India. Materials and Methods: A cross-sectional study of the Dimrapal village was done by door to door visit and on-site clinical examination of the study population was carried out This was followed by collection of drinking water samples in selected paras for estimating fluoride levels. Many studies have reported the endemicity of fluorosis in this geographic area where the fluoride content in drinking water is high.[1] Various states have reported endemic fluorosis in India.[2] About 62 million people, including 6 million children are at risk in India suffering from dental, skeletal and/or nonskeletal fluorosis.[3] Fluoride level of >1.5 mg/l in drinking water is considered to be hazardous to health and manifest in the form dental and skeletal fluorosis.[4] The disease may occur in an individual at sub-clinical, chronic or acute levels of manifestation. Present study was carried out as part of disease mapping exercise in selected pocket of a tribal district of Chhattisgarh state with an objective to assess the burden of fluorosis, mapping the deformities and to detect the fluoride concentration in prime drinking water sources
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