Five-Year Incidence Rates and Intraoral Distribution of Root Caries among Community-Dwelling Older Adults

Lawrence, Herenia P.; Hunt, Ronald J.; Beck, James D.; Davies, Glenn

doi:10.1159/000262156

Cited by 33 publications

(32 citation statements)

References 20 publications

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“…This 94% prevalence figure (only the 24-month time point was included, with no assessment of incident change between baseline and 24 months) compares to a 96% prevalence figure at the baseline examination . Our 6% prevalence for recurrent caries is within the range of 2-12% reported by previous studies [Hand et al, 1988a, b;Joshi et al, 1993;Lawrence et al, 1996].…”

Section: Comparisons Of Incidence To Other Studiessupporting

confidence: 87%

Twenty–Four Month Incidence of Root Caries among a Diverse Group of Adults

Gilbert¹,

Duncan²,

Dolan³

et al. 2001

Caries Res

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Objectives: (1) Describe for a diverse sample the 24–month incidence of root caries, and (2) test its association with a broad range of clinical, behavioral, financial, and sociodemographic factors. Methods: The Florida Dental Care Study was a cohort study of randomly selected subjects who had at least 1 tooth and were 45 years or older at baseline. In–person interviews and clinical examinations were conducted at baseline and 24 months, with 6–monthly telephone interviews between those times; 723 subjects participated for both examinations. A multinomial logistic regression was done to predict whether the subject was in one of four mutually exclusive groups [new root decay only (NDO); new root filling(s) only (NFO); both new decay and new filling(s) (BOTH), or had neither (NONE)]. Results: Thirty–six percent of subjects had at least 1 new root decayed and/or filled surface (DFS); 17% were in the NDO group, 14% in the NFO group, and 5% in the BOTH group. When limited to participants who had a nonzero increment, the mean (SD) DFS was 2.7 (2.9). Baseline clinical condition (presence of root decay, root filling(s), coronal decay, noncarious root defects, number of teeth present, percent of teeth with at least 4 mm of attachment loss) was predictive of moving from the NONE group into the NDO, NFO, or BOTH groups. The addition of behavioral, financial, and sociodemographic factors improved model fit. For example, regular dental attenders were significantly more likely to move from the NONE group into the NFO group, but regular attendance was not associated with a lower probability of moving from the NONE group into the NDO or BOTH groups. Conclusions: Root caries is a substantive dental health problem in this diverse sample of adults. These analyses demonstrate the utility of disaggregating caries incidence into four mutually exclusive groups for predictive models.

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Section: Comparisons Of Incidence To Other Studiessupporting

confidence: 87%

Twenty–Four Month Incidence of Root Caries among a Diverse Group of Adults

Gilbert¹,

Duncan²,

Dolan³

et al. 2001

Caries Res

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“…From those reports, dental longitudinal studies of older people in Iowa, North Carolina, Ontario and South Australia were identified which met the entry criteria for this study (extending the searches substituting, in turn, 'follow-up studies', 'longitudinal studies' and 'prospective studies' for the term 'cohort studies' resulted in no further studies being found which met those criteria). There were seven reports identified from those included in the current study, of which two described coronal caries, 7,8 three described root surface caries, [9][10][11] and two presented data on both types of caries. 12,13 All but two of the reports described changes over 3 years; the remaining two covered a 5-year period.…”

Section: Resultsmentioning

confidence: 99%

“…12,13 All but two of the reports described changes over 3 years; the remaining two covered a 5-year period. 9,13 A summary of the baseline estimates for caries prevalence and severity from earlier reports in the Iowa, 14 North Carolina, 15 Ontario 16 and South Australian 17 studies is presented in Table 1. Overall, the dental characteristics at baseline were quite similar, with the notable exception of the North Carolina blacks, who had (on average) fewer teeth present and lower caries experience.…”

Section: Resultsmentioning

confidence: 99%

“…In order to enable calculation of a combined caries increment and facilitate comparison with the other studies, the five-year report from the North Carolina study 9 is not included in the table; however, the South Australian study 13 is included because it reported data on both coronal and root surface caries. Estimates were reported separately for blacks and whites in the North Carolina (NC) study.…”

Section: Resultsmentioning

confidence: 99%

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Dental caries experience in older people over time: what can the large cohort studies tell us?

2004

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Background Little was known of the natural history of dental caries among older adults until recently, but reports from a number of large cohort studies have now enabled better understanding of the nature and determinants of dental caries in older people. The aim of this review is to examine and compare findings from established population-based longitudinal studies of older adults in order to determine their preventive implications. Methods The dental literature was reviewed in order to identify reports on dental caries incidence from large, population-based dental longitudinal studies of older adults (age 50 + ) with at least 3 years of follow-up. Results Reports were identified from four studies (in Iowa, North Carolina, Ontario and South Australia) which met the criteria; four reports dealt with coronal caries, and five with root surface caries. When annualised, coronal and root surface caries increments were combined and compared with those reported for adolescents, the caries experience of older people over time (between 0.8 and 1.2 new surfaces affected per year) exceeded that reported from cohort studies of adolescents (between 0.4 and 1.2 surfaces per year). The only caries risk factor common to all four studies was the wearing of a partial denture (for root surface caries only). Conclusions Older people are a caries-active group, experiencing new disease at a rate which is at least as great as that of adolescents. Practice implications Dentate older people should be the target of intensive monitoring and preventive efforts at both the clinical practice and public health levels. There is no easily identifable 'magic bullet' for preventing caries in that age group, but the use of evidence-based preventive interventions (such as fluoride) should suffice.

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“…In a longitudinal study of the elderly in North Carolina, Blacks were more likely to develop decay in the roots of teeth than Whites (68). In a longitudinal study of Florida adults 45 years and older with at least one tooth, 45% had active decay of the crowns of the teeth, and 10% had one or more infected fragments of broken teeth in the jawbone.…”

Section: Dental Caries Among Adultsmentioning

confidence: 99%

Oral Health in the United States: The Post-Fluoride Generation

Milgrom

Reisine

2000

Annu. Rev. Public Health

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Tremendous strides have been made in reducing the incidence of tooth decay, periodontal diseases, and associated loss of teeth in adults and children since the inception of community water fluoridation programs. Yet the disadvantaged and poor have not fully shared in the benefits. Other challenges to oral health remain. Oral cancer and related smoking and smokeless tobacco use remain major public health problems. Access to preventive and therapeutic dental care is far from universal. Public health programs similar in commitment to the approach of community water fluoridation programs initiated in the 1950s and 1960s are needed to address neglected oral health needs of underserved and high-risk populations in the United States.

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Five-Year Incidence Rates and Intraoral Distribution of Root Caries among Community-Dwelling Older Adults

Cited by 33 publications

References 20 publications

Twenty–Four Month Incidence of Root Caries among a Diverse Group of Adults

Twenty–Four Month Incidence of Root Caries among a Diverse Group of Adults

Dental caries experience in older people over time: what can the large cohort studies tell us?

Oral Health in the United States: The Post-Fluoride Generation

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