Antecedents and Associations of Root Surface Caries Experience among 38-Year-Olds

被引:17
作者
Thomson, W. M. [1 ]
Broadbent, J. M. [1 ]
Page, L. A. Foster [1 ]
Poulton, R. [2 ]
机构
[1] Univ Otago, Sir John Walsh Res Inst, Sch Dent, Dunedin 9054, New Zealand
[2] Univ Otago, Dunedin Sch Med, Dept Prevent & Social Med, Dunedin 9054, New Zealand
关键词
Dental caries; Longitudinal studies; Risk factor for root surface caries; Root caries; SOCIOECONOMIC INDEX; OLDER-ADULTS; MODELS; POPULATION; PREDICTION; DENTITION; PATTERNS; LIFE;
D O I
10.1159/000345078
中图分类号
R78 [口腔科学];
学科分类号
1003 ;
摘要
Objective: To determine whether coronal caries experience through to the 30s predicts root surface caries experience by age 38. Method: Prospective study of a complete birth cohort (n = 1,037) born in 1972/73 in Dunedin, New Zealand. Dental examinations were conducted at ages 5, 9, 15, 18, 26, 32 and 38. Root surface caries data were first collected at age 38. Data from ages 5 through 32 were used previously to identify low, medium and high life course trajectories of caries experience and plaque accumulation. Results: Of the 916 dentate individuals examined at age 38, 23.0% had 1+ root DFS, 17.2% had 1+ root DS and 11.4% had 1+ root FS. The mean root DS, FS and DFS were 0.6 (SD 3.5), 0.3 (SD 1.1) and 0.9 (SD 3.8), respectively. The mean Root Caries Index (RCI) score was 7.2% (SD 18.0). Age 38 coronal DMFS and root surface caries DFS were only weakly correlated (r = 0.32), but root surface caries experience was strongly associated with coronal caries trajectory, with the mean RCI in the low, medium and high caries trajectory groups being 4.4, 8.0 and 13.5%, respectively (p < 0.0001); their prevalence of 1+ root DFS was 14.5, 25.9 and 42.2% (p <0.0001). Those in the high coronal caries trajectory were more likely to have 1+ root surface DFS (odds ratio = 3.83; 95% CI = 2.33-6.30); for the medium trajectory, the odds ratio was 1.86 (95% CI = 1.25-2.75). Conclusion: Lifelong coronal caries experience (represented by discrete longitudinal trajectories of caries experience) is indeed a risk factor for root surface caries experience by age 38. Copyright (C) 2012 S. Karger AG, Basel
引用
收藏
页码:128 / 134
页数:7
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