Count data with excess zeros often occurs in areas such as public health, epidemiology, psychology, sociology, engineering, and agriculture. Zero-inflated Poisson (ZIP) regression and zero-inflated negative binomial (ZINB) regression are useful for modeling such data, but because of hierarchical study design or the data collection procedure, zero-inflation and correlation may occur simultaneously. To overcome these challenges ZIP or ZINB may still be used. In this paper, multilevel ZINB regression is used to overcome these problems. The method of parameter estimation is an expectation-maximization algorithm in conjunction with the penalized likelihood and restricted maximum likelihood estimates for variance components. Alternative modeling strategies, namely the ZIP distribution are also considered. An application of the proposed model is shown on decayed, missing, and filled teeth of children aged 12 years old.count data, EM algorithm, multilevel, negative binomial regression, Poisson regression, zero-inflation,
Objective: Dental caries is one of the most common infectious diseases worldwide. Saliva has many functions in the oral cavity and is the first line defense against dental caries. Oxidative stress can affect initiation and progression of many inflammatory and infectious diseases such as dental caries. Thus the aim of this study was to evaluate the relationship between total antioxidant capacity (TAC) of saliva and dental caries.
Study Design: 100 healthy high school students (50 female and 50 male) with age range of 15 -17 years were randomly selected, divided to four groups. Unstimulated whole saliva specimens were collected at the morning. TAC of saliva was evaluated by spectrophotometric assay. Statistical comparisons were performed using Student’s t-test, by SPSS 13.
Results: The level of TAC was significantly higher in the saliva of caries active group relative to the caries free subjects. Statistical analysis for male and female groups showed a statistically significant reduction of TAC level in female group.
Conclusion: TAC was higher in caries active group. Thus this result showed that total antioxidant capacity may influence in dental caries and activity can be measured by salivary factors and this may be helpful in preventive dentistry.
Key words:Dental caries, saliva, total antioxidant capacity.
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