Change in <scp>FS</scp>‐<scp>T</scp> index in adults in the <scp>G</scp>erman national oral health surveys between 1989 and 2005

Holtfreter, Birte; Berg, Marie; Kocher, Thomas; Schiffner, Ulrich; Hoffmann, Thomas; Micheelis, Wolfgang

doi:10.1111/j.1600-0528.2012.00739.x

Cited by 6 publications

(5 citation statements)

References 33 publications

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“…However, when considering functional dentition as an outcome amongst elderly people, there was more inequality in 2002. In German adults despite an overall improvement measured by the increase in functioning teeth, oral health was less equally distributed in 2005 compared with previous surveys, in terms of educational level .…”

Section: Discussionmentioning

confidence: 63%

Socially unequal improvements in dental caries levels in Brazilian adolescents between 2003 and 2010

Roncalli

Sheiham

Tsakos

et al. 2015

Comm Dent Oral Epid

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Section: Discussionmentioning

confidence: 63%

Socially unequal improvements in dental caries levels in Brazilian adolescents between 2003 and 2010

Roncalli

Sheiham

Tsakos

et al. 2015

Comm Dent Oral Epid

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“…Since the cross-sectional DMS studies are repeated for the fourth time they can be used for trend analyses to monitor disease trends and to monitor the change of risk factors. So performed with several DMS study data demonstrating trends in dental health of adults in West and East Germany after reunification [ 34 ], or identifying changes in determinants of functional health in adults in DMS studies between 1989 and 2005 [ 9 ]. As limitation of those secondary analyses it must be stated that de facto life span conclusions might be confounded due to several reasons.…”

Section: Discussionmentioning

confidence: 99%

“…In the Eastern German federal states, respective epidemiologic data declined from 3.4 to 1.1 [ 8 ], also demonstrating that still differences in oral health between old West German states and newly-formed German states exist [ 5 ]. With regard to adult oral health, a clear increase in natural tooth preservation can be ascertained within the last decades [ 9 ]. On the other hand, these oral health developments have the consequence that the treatment burden of periodontal disease and of root caries may increase because more teeth are retained in seniors and aged persons [ 10 ].…”

Section: Introductionmentioning

confidence: 99%

The Fifth German Oral Health Study (Fünfte Deutsche Mundgesundheitsstudie, DMS V) – rationale, design, and methods

Jordan¹,

et al. 2014

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BackgroundOral diseases rank among the most prevalent non-communicable diseases in modern societies. In Germany, oral epidemiological data show that both dental caries and periodontal diseases are highly prevalent, though significant improvements in oral health has been taking in the population within the last decades, particularly in children. It is, therefore, the aim of the Fifth German Oral Health Study (DMS V) to actualize the data on current oral health status and to gather information on oral health behavior and risk factors. In addition to current oral health monitoring, the study will also permit conclusions about trends in the development of oral health in Germany between 1989 and 2014.Methods/DesignDMS V is a cross-sectional, multi-center, nationwide representative, socio-epidemiological study to investigate the oral health status und behavior of the German resident population in four age cohorts. Study participants are children (12-year-olds), adults (35- to 44-year-olds), young olds (65- to 74-year-olds), and old olds (75- to 100-year-olds) who are drawn from local residents’ registration offices. Social-science investigation parameters concern subjective perceptions and attitudes regarding oral health and nutrition, sense of coherence, and socio-demographic data. Clinical oral parameters are tooth loss, caries and periodontitis, prosthodontic status, further developmental and acquired dental hard tissue and mucosal lesions. To ensure reproducibility, the dental investigators are trained and calibrated by experts and multiple reliability checks are performed throughout the field phase. Statistical analyses are calculated according to a detailed statistical analysis plan.DiscussionThe DMS studies first performed in 1989, 1992 and repeated in 1997 and 2005 are the only cross-sectional oral health studies conducted in Germany on a population-based national representative level. Updated prevalence and trend analyses of key oral diseases are, therefore, of major epidemiological and health services research interest.Trial registrationGerman Health Services Research Data Bank VfD_DMSV_13_002152

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Section: Methodsmentioning

confidence: 99%

“…Furthermore, it has an increased model performance and might be more effective than the DMFT index in describing social, demographic, and behavioural factors associated with caries experience in adults. 20 Questionnaire A structured self-administered questionnaire was completed by participants before the clinical examination. To guarantee anonymity, the questionnaire was printed on one side of a sheet of paper, and the clinical chart was on the other side.…”

Section: Dmft Scores Quesɵonnairementioning

confidence: 99%

Does a social/behavioural gradient in dental health exist among adults? A cross-sectional study

et al. 2017

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ObjectiveTo explore the potential presence of a social/behavioural gradient in dental health among Italian adults using a cross-sectional study.MethodsCaries indices were recorded among 480 subjects (52.9% men, 47.1% women) who also completed a structured self-administered social and behavioural questionnaire. A social/behavioural gradient was generated as the sum of the worst circumstances recorded on the questionnaire (cariogenic diet, smoking, lowest occupational profile, brushing teeth < twice daily, lowest educational level, uneven dental examination attendance).ResultsCaries figures (DMFT) and the number of filled sound teeth (FS-T) were statistically significantly linked to the social/behavioural gradient (DMFT: χ2(9) = 20.17 p = 0.02, Z = 0.02 p = 0.99; FS-T: χ2(9) = 25.68 p < 0.01, Z = −4.31 p < 0.01). DMFT was statistically significantly associated with gender and with social and behavioural variables. FS-T was higher in women (p = 0.03) and was linked to smoking (p < 0.01).ConclusionsThe proposed social/behavioural gradient demonstrated how subjects reporting the worst circumstances on the questionnaire exhibited the worst dental health. The use of the gradient demonstrates that health promotion and prevention cannot be compartmentalized.

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Change in FS‐T index in adults in the German national oral health surveys between 1989 and 2005

Abstract: Dental health assessed as the number of functioning teeth improved between 1989/92 and 2005 in both German parts and across all educational levels. However, considering the educational level, dental health was less equally distributed in 2005 compared with previous surveys.

Cited by 6 publications

References 33 publications

Socially unequal improvements in dental caries levels in Brazilian adolescents between 2003 and 2010

Socially unequal improvements in dental caries levels in Brazilian adolescents between 2003 and 2010

The Fifth German Oral Health Study (Fünfte Deutsche Mundgesundheitsstudie, DMS V) – rationale, design, and methods

Does a social/behavioural gradient in dental health exist among adults? A cross-sectional study

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