Association between coronal caries and malocclusion in an adult population

Abstract

Purpose Only a few but conflicting results have been reported on the association between malocclusions and caries. We investigated this association using data from the population-based cross-sectional Study of Health in Pomerania (SHIP). Methods Sagittal, vertical and transversal intermaxillary relationship, space conditions and sociodemographic parameters of 1210 dentate subjects (median age 30 years, interquartile range 25–35 years) were collected. Caries was assessed with the Decayed-Missing-Filled Surfaces index but analyzed as ordered outcome (four levels: sound, enamel caries, caries, tooth loss) in ordinal multilevel models, taking into account subject, jaw, and tooth level simultaneously. Results Anterior open bite ≤3 mm (odds ratio [OR] = 2.08, 95% confidence interval [CI]: 1.19–3.61), increased sagittal overjet of 4–6 mm (OR = 1.31, CI: 1.05–1.64), distal occlusion of ½ premolar width (OR = 1.27, CI: 1.05–1.53) and distal 1 premolar width (OR = 1.31, CI: 1.06–1.63) were associated with adjusted increased odds for a higher outcome level (caries). Anterior spacing (OR = 0.24, CI: 0.17–0.33), posterior spacing, (OR = 0.69, CI: 0.5–0.95), posterior crowding (OR = 0.57, CI: 0.49–0.66) and buccal nonocclusion (OR = 0.54, CI: 0.33–0.87) were associated with a lower outcome level (caries). Conclusion The results from this population-based study suggest that a connection between caries and malocclusion exists to a limited extent in young adults. The associations with caries are contradictory for several malocclusion variables. Distal occlusion (OR = 1.31, CI: 1.06–1.63) and related skeletal anomalies displayed positive associations with caries whereas crowding did not. Orthodontic treatment of anterior crowding would probably not interfere with caries experience. These aspects should be considered for patient information and in treatment decisions.

Relationship between the need for orthodontic treatment and DMFT index in adults

“…Mientras que en otro estudio concluyeron que la maloclusión puede aumentar el riesgo de caries dental y enfermedad periodontal 3 . Sin embargo, el apiñamiento anterior no se asoció positivamente con la caries 5 .…”

“…La caries dental es una de las patologías bucales que más afecta la Calidad de Vida Relacionada con la Salud Oral (CVRSO), especialmente durante la etapa de lactancia hasta la adolescencia, mientras que la maloclusión afecta generalmente a adolescentes, adultos jóvenes y mayores 1 . Por otro lado, se ha encontrado que individuos con niveles elevados del índice CPO-D fueron más propensos a requerir tratamiento de ortodoncia 2 , pues en diversos estudios se ha encontrado que existe relación entre la presencia de maloclusión y caries dental [3][4][5] .…”

Effects of Dental Crowding on Oral Hygiene Index-Simplified(OHI-S) score in Adult Population of Lahore: An Analytical Study

“…In a recent study, it was discovered that, albeit with periodic dental hygiene maintenance, crowded places in the dentition may increase the colonization of microflora because they provide a replicating as well as nourishing environment for them 4 . It is worthy to note that the present literature on the influence of dental crowding on oral hygiene is inadequate in comparison to the effect of dental crowding on the development of dental caries 3 . Numerous studies have been undertaken on the association between crowding and the likelihood of developing periodontal diseases and malocclusion, with or without it.…”

Versorgungsforschung in der Zahnmedizin in Deutschland

“…Durch ihre Integration in die SHIP-Studie sind die Lehrstühle für Parodontologie, Zahnerhaltung und Prothetik in Greifswald hochaktiv in der universitären Versorgungsforschung [ 13 ]. Auch der Lehrstuhl für Zahnärztliche Prothetik der TU Dresden ist seit 2015 am jährlichen, mit Schwerpunktthemen publizierten Zahnreport der Barmer in der Versorgungsforschung sichtbar.…”