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

Arrica, Mariantonietta; Carta, Giovanna; Cocco, Fabio; Cagetti, Maria Grazia; Sale, Silvana; Ierardo, Gaetano; Strohmenger, L; Ottolenghi, Livia; Campus, Guglielmo

doi:10.1177/0300060516675682

Cited by 28 publications

(30 citation statements)

References 26 publications

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“…Although there was not a statistically significant association between lesion depth and patient risk, it is interesting to note that persons at elevated risk had a high percentage of their lesions into dentin (67%; n=204), with small percentages of their SOCLs with no caries (3%; n=8), inactive caries (5%; n=16), or into the enamel only (25%; n=77). These findings are consistent with other studies that have shown that patients in elevated-risk categories are at greater risk for future caries and this is an important factor to consider when developing a treatment plan 32–33 . Our results suggest that patient risk influenced decisions to open lesions, as elevated-risk prevalence was higher among opened lesions (52%; n=305) than in the overall sample (35%; n=554).…”

Section: Discussionsupporting

confidence: 92%

Surface characteristics and lesion depth and activity of suspicious occlusal carious lesions

Makhija¹,

Shugars²,

Gilbert³

et al. 2017

The Journal of the American Dental Association

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Background A lesion on an occlusal tooth surface with no cavitation and no radiographic radiolucency, but where caries is suspected due to surface roughness, opacities, or staining can be defined as a suspicious occlusal carious lesion (SOCL). Our objective was to quantify the characteristics of SOCLs and their relationship to lesion depth/activity after surgically opening these lesions. Methods Ninety-three dentists participated. When consented patients presented with a SOCL, information was recorded about the tooth, lesion, treatment(s) done and, if the SOCL was opened surgically, its lesion depth. The Rao-Scott cluster-adjusted chi-square test was used to evaluate associations between lesion depth and color, roughness, patient risk, and luster. Results 1593 SOCLs were analyzed. Lesion color varied from yellow/light brown (40%) to dark brown/black (47%), with 13% other color. A majority (69%) of SOCLs had a rough surface when examined with an explorer. Over 1/3 of the SOCLs (39%) were treated surgically. Of the surgically treated SOCLs (n=585), 61% had dentinal caries. There were statistically significant associations between lesion depth and color (p=0.03), luster (p=0.04) and roughness (p=0.01). 52% of patients were classified as being at elevated caries risk. There were no significant associations between lesion depth and patient risk (p=0.07). Conclusion Although statistically significant, the clinical characteristics studied do not provide accurate guidance for making definitive treatment decisions, and result in high rates of false positives. Practical implications Given that 39% of opened lesions did not have dentinal caries or were inactive, evidence-based preventive management is an appropriate alternative to surgical intervention.

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Section: Discussionsupporting

confidence: 92%

Surface characteristics and lesion depth and activity of suspicious occlusal carious lesions

Makhija¹,

Shugars²,

Gilbert³

et al. 2017

The Journal of the American Dental Association

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“…34 Arrica ve ark.nın çalışmasında, sigara kullananların DMFT oranının (11,36) sigara kullanmayanlardan yüksek (9,56) olduğu ve DMFT oranı ile sigara kullanımı arasında istatistiksel olarak anlamlı ilişki olduğu ifade edilmiştir. 35 Al-Habashneh ve ark.nın çalışmasında, sigara kullanımı ile DMFT oranı arasında istatistiksel anlamlı bir ilişki olduğu belirtilmiştir. 36 Aguilar-Zinser ve ark.nın çalışmasında, sigara kullananların DMFT oranının 8,80, sigara kullanmayanların ise 8,55 olduğu ve sigara içen ve kötü oral hijyene sahip bireylerde çok sayıda diş çürükleri ve eksik dişler bulunduğu belirtilmiştir.…”

Section: Discussionunclassified

The Evaluation of the Effect of Tooth Brushing and Smoking Habits on DMFT Ratio with Respect to Demographic Data

Karaoğlanoğlu¹,

Aydın²,

Oktay³

et al. 2018

Turkiye Klinikleri J Dental Sci

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Ö ÖZ ZE ET T A Am ma aç ç: : Çalışmamızın amacı, 75. Yıl Ankara Ağız Diş Sağlığı Hastanesine başvuran, yaş aralığı 18-80 yıl olan bireylerde diş fırçalama, sigara içme alışkanlıklarını demografik verilere göresaptayarak çürük, kayıp, dolgulu dişler (DMFT) oranının yaş, diş fırçalama, eğitim durumu ve sigara kullanımı ile ilişkisini incelemektir. Yaş, cinsiyet, eğitim durumu ve gelir düzeyi ile diş fırçalama arasında ilişki olup olmadığını araştırmaktır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Araştırma kapsamında 251 (%57) kadın, 189 (%43) erkek toplam 440 hasta muayene edildi. Hastaların diş fırçalama sıklığı, sigara kullanım durumu, DMFT indeksini içeren ağız ve diş sağlığı muayene formları hazırlandı. Hastaların cinsiyet, yaş, eğitim durumu, aylık ortalama gelir düzeyi gibi sosyodemografik verileri kaydedildi. Pearson Ki-kare ve ANOVA testi istatistiksel karşılaştırmada kullanıldı (p<0,05). B Bu ul lg gu ul la ar r: : Araştırmamızdaki istatistiksel sonuçlara göre; yaş, diş fırçalama, eğitim durumu ve sigara kullanımı ile DMF-T oranı arasında istatistiksel olarak anlamlı bir ilişki var iken (p<0,05), cinsiyet, gelir ve içilen sigara adeti ile anlamlı bir ilişki bulunmamaktadır (p>0,05). Diş fırçalama ile ilgili yapılan istatistiksel analizlerde yaş, cinsiyet ve eğitim durumu arasında istatistiksel olarak anlamlı bir ilişki var iken (p<0,05); gelir ile anlamlı bir ilişki yoktur (p>0,05). S So on nu uç ç: : Elde edilen bulgular sonucunda, diş fırçalama alışkanlığının yanı sıra toplumun eğitim seviyesinin yükseltilmesi ve sigara kullanımının azaltılmasının DMFT oranı üzerinde olumlu etki yapacağı düşünülmektedir. Ülke düzeyinde diş çürük durumunu ve tedavi gereksinimini gösteren verilerin elde edilmesi ağız ve diş sağlığı düzeyini artıracak, koruyucu ve tedavi edici politikaların geliştirilmesinde hedeflerin belirlenmesini sağlayacaktır.A An na ah h t ta ar r K Ke e l li i m me e l le er r: : DMF indeksi; diş çürükleri; sigara içme A AB BS S T TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The aim of this study is to investigate the relationship between decayed, missing, filled teeth (DMFT) ratio and age, education level, tooth brushing and smoking habits of 18-80 years of age patients who referred to 75 th year Oral and Dental Health Care Hospital. The relationship between tooth brushing and demographic variables such as age, gender, education level and income is investigated. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : A total of 440 patients, 251 (57%) women and 189 (43%) men were examined. The frequency of tooth brushing, smoking status, DMFT indexes were recorded to examination forms. Sociodemographical data such as gender, age, education level and monthly income were collected. Pearson Chi-Square and ANOVA tests were performed for comparisons as statistical analysis (p<0.05). R Re es su ul lt ts s: : Statistically significant relation between DMF-T ratios and age, tooth brushing, education level, smoking was found (p<0.05) whereas relationship between DMFT and gender, income, numb...

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“…The mean DMFT scores varied largely between 6.6 and 17.6, as shown in Figure 1. The median of the reported DMFT scores for all countries was 12.1 [Skudutyte et al, 2000;Vrbic, 2000;Menghini et al, 2002;Ivanković et al, 2003;Tubert-Jeannin et al, 2004;Broukal et al, 2006;Madléna DOI: 10.1159/000492676 et al, 2008Suominen-Taipale et al, 2008;Gökalp et al, 2010;Kuzmina et al, 2010;Holst and Schuller, 2011;Pashayev et al, 2011;Yudina et al, 2011;Damyanov et al, 2012;Llodra Calvo, 2012;Mamai-Homata et al, 2012;Kongstad et al, 2013;Bernabé and Sheiham, 2014;Schuller et al, 2014;Bottenberg et al, 2015;Calado et al, 2015;Jordan and Micheelis, 2016;Arrica et al, 2017].…”

Section: Mean Number Of Dmft Scores In Adultsmentioning

confidence: 99%

Dental Caries in European Adults and Senior Citizens 1996–2016: ORCA Saturday Afternoon Symposium in Greifswald, Germany – Part II

Carvalho

Schiffner

2018

Caries Res

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This review assesses the development of oral health habits and status in European adults (35–44 years old) and senior citizens (65–74 years old) over the period of 1996–2016. There seem to be good opportunities for improving oral health habits by brushing twice daily with fluoride toothpaste among adults, as only 33–85% reported doing so. Caries experience was extensive among adults (≥92%). In adults of 23 countries, the mean DMFT score ranged from 6.6 to 17.6 (median 12.1). In senior citizens of 21 countries, the mean DMFT score varied from 14.7 to 25.5 (median 22.0). Repeated cross-sectional studies on caries trends in adults revealed a reduction of the DMFT value by 20%, referring to country-wide data. Among senior citizens, the corresponding reduction was 13%, with a shift in the DMFT components, i.e., with lower MT and higher FT scores. Edentulousness in the age group of 35- to 44-year-olds started disappearing in Europe from the year 2000, and had been markedly reduced in some countries during the last decade. However, the eradication of edentulousness among 65- to 74-year-olds has not yet been reported. Further epidemiological surveys should apply caries diagnostic criteria that, besides representing our contemporary understanding of oral health care, allow comparisons with previous surveys using the WHO criteria. In conclusion, in the last two decades, a decline in caries was observed among European adults, and to a lesser extent among senior citizens. It is expected that the decline in caries will contribute to better oral health of individuals.

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

Cited by 28 publications

References 26 publications

Surface characteristics and lesion depth and activity of suspicious occlusal carious lesions

Surface characteristics and lesion depth and activity of suspicious occlusal carious lesions

The Evaluation of the Effect of Tooth Brushing and Smoking Habits on DMFT Ratio with Respect to Demographic Data

Dental Caries in European Adults and Senior Citizens 1996–2016: ORCA Saturday Afternoon Symposium in Greifswald, Germany – Part II

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