Risk factors or indicators for dental caries and tooth wear and their relative importance in adults according to age

Objectives: To explore the risk factors for dental caries (DC) and tooth wear (TW) and assess their importance according to age in random French adult patients with >1 partial coronal restoration. Methods: The data stem from a prospective observational multicentre cross-sectional study and were collected through interviews and clinical examinations. The study involved 96 dentists from 76 hospital and private clinics and included 822 patients. The data analysed in three age groups (18-29, 30-59, and >= 60). Univariate logistic regressions were performed and predictions of DC or TW described using decision trees. Results: The study confirmed the major influences of oral hygiene, acceptable sugary/acidic beverage consumption and regular dental visits in reducing DC and TW. Further, it exposed age-related risk factors for DC such being a "new patient" and having an "excessive sugary/acidic beverage consumption" in the youngest adults, or "irregular dental visits" in middle-aged adults and in the oldest. Conclusions: For appropriate preventive counselling, risk factor assessment should be extensive and age- and dental history-oriented because of unexpected age-related risk factors or risk factor combinations. Clinical significance: These results are likely to make better-grounded new recommendations given to young adults since their first visits and throughout their dental clinical pathway.