Abstract

An epidemiological survey on the prevalence of dental caries, enamel opacities and enamel hypoplasia was conducted on 1399 persons in four districts in Uganda with fluoride in the drinking water varying from 0.11 to 3.00 ppm. The dental caries experience was found to be very low (0.0–0.9 DMF-T per person in the 5–9 yr age group and 0.4–2.8 DMF-T per person in the age group ∗> 40 yr ). The expected inverse relationship between the prevalence of dental caries and the fluoride content of the drinking water was demonstrated. The optimum fluoride concentration in the drinking water in Uganda was calculated to be approximately 0.6 ppm F. The dental caries experience was higher in Asians than in Africans and higher in the primary than in the permanent dentition. The prevalence of non-fluoride enamel opacities and hypoplasia was found to be lower in high-fluoride areas in comparison with low-fluoride areas. The importance of the immediate introduction of preventive measures is stressed.

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