Premature loss of primary molars in children from highly endemic fluoride district of telangana, india: A cross-sectional study

Abstract

Aims and objectives: Premature loss of primary molars in children predisposes to future orthodontic treatment needs, which may affect the child both nutritionally and psychologically. The main aim of this study was to evaluate the prevalence of premature loss of primary molars in 5–9-year-old school children of Highly Endemic Fluoride District from Telangana state, India. Materials and methods: A single calibrated examiner performed all clinical examinations under natural light using a mouth mirror and probe. A total of 1,124 children (562 boys and 562 girls) aged between 5 years and 10 years were included in the study. Data including age, carious teeth, and missing teeth were collected. These data were then statistically analyzed. Results: The results showed that 7.82% of sample children had an early loss of primary teeth with boys showing an increased incidence of loss of primary teeth (5.33%) and the children in the age group of 7–8 years had greater prevalence. The most common missing tooth was the primary first molar (58.4%) followed by the primary second molar (41.5%). Conclusion: In endemic fluoride areas, the prevalence of early loss of primary teeth was less when compared with other studies done in non-fluoride areas. Clinical significance: Educational and preventive programs about oral health should be implemented in schools which would further reduce premature loss of primary teeth and eventually reduce malocclusion problems in children.