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PubMed1991

Associations of microbiological factors and plaque index with caries prevalence and water fluoridation status.

Plaque indices, numbers of mutans streptococci, lactobacilli and total viable flora in plaque and saliva were assessed as part of a large-scale cross-sectional study designed to determine the factors that are associated with high caries activity in children. Subjects, 12 to 15 years old, residing in areas where the water supplies were either fluoridated (n = 140) or fluoride-deficient (n = 173) were studied. Mutans streptococci and lactobacilli numbers in saliva were positively correlated with plaque index. Plaque indices were significantly higher in the high-caries group than in the zero-caries group of the fluoride-deficient community. In the fluoridated community, there was no difference in the plaque index between the zero- or high-caries groups. In each community, pooled dental plaque and saliva harbored fewer mutans streptococci and lactobacilli in the zero-caries than the high-caries group. Greater numbers of mutans streptococci were found in the dental plaque and saliva of the zero-caries subjects in the fluoridated community than in the fluoride-deficient community, suggesting that a greater caries challenge can coexist with zero-caries status in the fluoridated community.

Adolescent↗

PubMed1977

Increment of dental caries among Finnish dental students during a period of 2 years.

The purpose of the study was to estimate the increment of dental caries among dental students in Helsinki, who acquired good knowledge of caries prevention during their studies. The group (59 students) was examined twice with an interval of 20.2 +/- 4.1 months. Clinical findings, augmented with bitewing radiographs and an orthopantomogram, were recorded separately for each tooth surface, and individual DMFS and DS index scores were computed. In addition, the students were interviewed with regard to oral hygiene, topical fluoride application, and dietary habits. The mean DMFS and DS index scores at the first examination were 45.0 and 9.1, respectively. At the second examination, DMFS was 46.4 and the number of new decayed surfaces per student 0.54/year. Both the latter values indicated that caries progression was slow. The increment of dental caries among the dental students was much smaller than that observed earlier among other groups of university students in Finland. Further evidence that caries progression among the dental students was slow was provided by the finding that of the 318 incipient caries lesions recorded at the first examination, no more than 11 had developed into clinical caries by 20 months.

Adult↗

PubMed1985

Streptococcus mutans and caries prevalence in rural Thai.

The prevalence of dental caries was studied in 521 rural Thai using the DMFT index. The oral habit of chewing betel nut was recorded. Samples of drinking water were examined for fluoride concentrations. Plaque material from 500 patients was examined qualitatively for S. mutans. The DMFT (dmft) index score was comparably high for patients under 10 yr of age (4.12); the difference between the DMFT (dmft) score of this age group and the other age groups was statistically significant. The average DMFT (dmft) score was 1.34 +/- 2.67. There was no relation between oral habits and caries prevalence. Fluoride concentrations of the water samples were between 0.11 and 1.64 ppmF- X 14.2% of 500 plaque samples were positive for S. mutans, predominantly of biotype I. The higher prevalence of caries in children may be attributable to changing patterns of life and nutrition.

Adolescent↗

PubMed1992

Determining optimal levels of fluoride in drinking water for hot, dry climates--a case study in Sri Lanka.

The prevalence of dental caries and dental fluorosis was examined in 380 14-yr-old children living in four geographic areas of Sri Lanka with water F-levels of 0.09-8.0 ppm. A reduction in caries prevalence by 43% was recorded in children consuming 0.6-0.79 ppm F- compared to those in low fluoride areas (< 0.4 ppm). Among those consuming drinking water containing < 1.0 ppm F-, however, 32% of the children had mild forms and 9% severe forms of dental fluorosis (Dean's index). Although other sources of F- may contribute to this effect, the prevalence and severity of dental fluorosis seen in low fluoride areas was confirmed to be high in rural Sri Lanka. Our data are comparable with recent findings from other tropical countries, e.g. Kenya and Senegal, and reaffirm that WHO guidelines for the upper limit of F- in drinking water may be unsuitable for developing countries with a hot, dry climate. Current knowledge now enables us to recommend 0.8 ppm as an appropriate upper limit for F- in drinking water supplies for these populations.

Adolescent↗

PubMedDate not supplied

Prevalence and distribution of root caries in Pomerania, North-East Germany.

The aim of this study was to assess the prevalence and distribution of root caries in the adult population of Pomerania, Germany. The study sample comprised 6,267 randomly selected subjects who were scheduled for examination from 1997 to 2001 (population-based cross-sectional study, response rate: 69%, age range 20-79 years). 499 edentulous persons were excluded from the dental examination (12%) performed according to WHO guidelines (1997). In the statistical analysis, frequency distributions, means and median values were calculated and subdivided for different age groups. The percentage of exposed and affected root surfaces increased with age (root caries index 4.6-10.6%). The mean number of carious/filled root surfaces (RDFS) rose from 0.4 per person (25-34 years) to 2.3 (55-64 years) and dropped for seniors due to the low number of retained teeth. Fillings comprised the largest proportion of the RDFS (69.5%). Most caries/fillings were found on buccal surfaces, the highest rate in mandibular premolars. With about half of over-45-year-olds having at least one carious/filled root surface and increasing number of retained teeth in seniors, root caries is a relevant and probably growing disease in Pomerania and East Germany.

Adult↗

PubMed2001

Oral health status of heroin users in a rehabilitation centre in Hubei province, China.

OBJECTIVE: To report on the oral health of heroin users and to determine risk factors for oral health status. DESIGN: All heroin users at one rehabilitation camp received an interview using a pre-tested questionnaire from one of three trained interviewers and a dental examination using World Health Organization recommended procedures from one of three calibrated dentists. SETTING: Interviews and examinations were carried out at Hubei Province camp. PARTICIPANTS: All 520 resident heroin users at the camp participated in the study. OUTCOME MEASURES: Oral hygiene expressed using the Debris Index; caries status by DMFT; periodontal status by percentage with bleeding, pocketing and calculus; mucosal status using standard World Health Organization criteria. RESULTS: One hundred (19%) of the heroin users were caries free; their mean DMFT was 4.2. The majority (92%) of the DMFT was decay and only a small proportion (8%) was treatment related. The proportion of heroin users with bleeding, calculus, shallow pocketing and deep pocketing was 42%, 95%, 42% and 8% respectively. The mean Debris Index score was 3.2. Mucosal lesions were present in 31 subjects (6%). Using multivariate analysis, duration of heroin use and education were risk factors for DMFT, route of drug administration was a risk factor for calculus and gender was a risk factor for deep pocketing. CONCLUSIONS: There are indications of poorer periodontal health as well as higher caries experience in this group when compared to provincial dental epidemiological data. Mucosal lesions were not widely prevalent. Both social factors and characteristics of drug use were related to oral health in this group.

Administration, Oral↗

PubMed2002

Caries prevalence and some caries related factors for 12 year-old children from Vientiane and Luang Prabang provinces in Lao People's Democratic Republic.

Caries prevalence and some caries related factors for 100 twelve-year-old children from Vientiane and Luang Prabang provinces in Lao People's Democratic Republic were studied. The caries prevalence was high showing a DMFT of 4.6 with 9% of the children being caries free, the D comportment contributed mostly to the DMFT and the Significant Caries Index (Sic Index) was DMFT 8.0. As to the caries related factors, 25% of the children were in the high mutans class, 31% of the group had high or very high Lactobacilli scores and 84-88% studied took local sweet snacks, chips and sweet drinks every day. Taking into consideration the high caries prevalence, the mutans streptococci distribution, the frequent intake of sweets and also the relatively low fluoride concentration in the drinking waters, oral health preventive programmes are indicated to prevent a possible caries epidemic in Laos in the future.

Analysis of Variance↗

PubMed2002

Caries experience and caries predictors--a study of Tanzanian children consuming drinking water with different fluoride concentrations.

The aim of this investigation was to assess the role of predictors of caries experience among children in urban and rural areas of northern Tanzania. Children of the different communities had varying dietary habits and consumed water with varying fluoride (F) concentration. Subjects (n=256) aged 9-14 years were examined in high-F areas (3.6 mg F/l, Arusha and Arusha Meru, n=101) and low-F areas (<0.4 mg F/l, Moshi and Kibosho, n=155). Dental caries was assessed under field conditions using the decayed, missing, filled teeth (DMFT) index and the WHO criteria. The prevalence of caries was 14%. The mean DMFT score was 0.22 (n=256), the range between areas 0.07-0.66. Carious lesions were mainly observed in mandibular first molars. Logistic regression analyses indicated that subjects in the high-F and urban Arusha municipality were at a significantly higher risk of dental caries than children in the low-F areas (odds ratio [OR] 2.6). Controlling for ethnicity, children in urban areas were at higher risk for caries (OR 5.4) than children living in low-F rural Kibosho.

Adolescent↗

PubMed2004

Correlation study on oral health and electrocardiogram abnormalities.

The purpose of this study was to investigate the association between periodontal conditions and electrocardiogram test results that were obtained to screen for coronary heart disease risk factors. The present study included a total of 578 subjects who underwent annual medical check-ups at the Total Health Care Center in Otsu, Shiga Prefecture, Japan. To calculate the odds ratios for the electromyography abnormalities, we performed a logistic regression analysis for the oral examination, electrocardiogram, and blood analysis data. The crude odds ratio was obtained by a logistic regression analysis of age, sex, number of missing teeth, number of filled teeth, simplified oral hygiene index, community periodontal index, and blood analysis factors and results indicated there was a statistically significant correlation with the prevalence of electrocardiogram abnormalities. However, electrocardiogram abnormalities have a strong correlation with demographic factors such as sex and age. Therefore the experimental factors representing oral status were reexamined after the odds ratios were adjusted for age and sex. As a result of this adjustment, the new odds ratios that were determined indicated that there were no correlations between the oral factors and the prevalence of electrocardiogram abnormalities.

Adult↗

PubMed1996

Study of the correlation between the gingival immunologic defense index and parameters associated with dental caries.

The objective of the present study was to determine the possible existence of a correlation between the gingival immunologic defense index (GIDI) and parameters associated with dental caries such as number of teeth with cavities, number of colony forming units (CFU) of streptococci of the mutans group, decay missing filling deciduous teeth (dmft), and decay missing filling permanent teeth (DMFT). Since no correlation was detected with the above parameters, we conclude that the simple presence of caries or of CFU is not sufficient to stimulate IgA production and/or secretion. For this to occur, an unfavorable action of these parameters on gingival health is needed, with the production of gingival inflammation.

Adolescent↗

PubMed1997

Oral health status and oral health behaviour of 12-year-old urban schoolchildren in the People's Republic of China.

OBJECTIVE: To describe oral health status of urban Chinese children aged 12 years, to evaluate the pattern of oral health behaviour, and to assess the relative effect of socio-behavioural risk factors on dental caries experience. DESIGN: A cross-sectional survey of 12-year-old children was conducted in the Hubei Province of China, including urban and periurban groups. The sampling was in accordance with the WHO procedures as applied in the second national survey of oral health. Data were collected by clinical examinations and use of self-administered questionnaires. SETTING: The survey was initiated by the National Committee of Oral Health, China, in order to aid the planning and evaluation of school-based oral health care. SUBJECTS: A sample of 698 children aged 12 years (96 per cent of original sample) participated in the survey; the sample was balanced by gender and urbanisation (urban/periurban). OUTCOME MEASURES: The children were clinically examined according to the WHO basic methods and responded to standardised questionnaires on oral health behaviour, knowledge, and attitudes. RESULTS: The mean DMFT of the children was 0.77 and DT constituted most of the caries index. About 65 per cent of the children had CPITN maximum score 2 (gingival bleeding and calculus). Only 40 per cent brushed their teeth at least twice a day and 46 per cent had seen a dentist within the past year. Variations by urbanisation were observed and the multiple linear regression of dental caries experience revealed that consumption of surgary foods, location and dental visits were the most important independent variables. CONCLUSION: This study has shown that systematic oral health promotion programmes for children in China are urgently needed.

Attitude to Health↗

PubMed2001

Trends in oral hygiene, gingival status and dental caries experience in 13-14-year-old Jordanian school children between 1993 and 1999.

AIMS: The aim of this survey was to describe the trends in oral hygiene, gingival condition and dental caries prevalence in 13-14-year-old northern Jordanian school children. METHOD: A dental survey was conducted in 1999, similar to one carried out in 1993, utilising 10 schools (666 pupils) and 20 schools (1,695) with children of 7th grade, respectively. These schools were chosen by a simple random method from the five geographic areas of the city. All participants had dental examinations for oral hygiene, gingival condition and dental caries experience using the Silness and Löe plaque index (Pl.I), Löe and Silness gingival index (GI) and decayed (D), missing (M) and filled (F) teeth (DMFT) and surfaces (DMFS) codes, respectively. RESULTS: Boys had higher plaque and gingival scores than girls in both groups. The mean Pl.I and GI scores of males and females were significantly higher in the 1993 survey than in 1999 (P < 0.05). Also, male and female children examined in 1993 had significantly higher caries experience, as measured by DT, DS, DMFT and DMFS scores than in 1999 (P < 0.01). No differences were found between M and F values of both groups. It is concluded that oral hygiene, gingival condition and dental caries has improved since 1993.

Adolescent↗

PubMed2003

[Odontogenic foci--possible etiology of urticaria?].

Recent studies have shown that chronic odontogenic infections could pose a risk for myocardial infarction, cerebral ischemia, and arteriosclerosis. However, the correlation between urticaria and dental infections has rarely been examined so far. Therefore, we performed a case-control study using a standardized questionnaire and examination. We investigated 66 patients suffering from an acute or chronic urticaria and 65 age- and sex-matched healthy patients as a control group. Dental status was determined by a so-called total dental index (TDI) which primarily reflects caries, periodontitis, periapical lesions, and nonvital and missing teeth. All 66 patients were referred from the department of dermatology. After their treatment in hospital, all patients received a questionnaire with questions on intensity and localization of the urticaria. The TDI of the urticaria patients was slightly better ( n=66; 2.6+/-1.98) than that of the control group ( n=65, TDI=3.3+/-1.86). Subsequently, it was determined if the urticaria had receded after dental treatment. In conclusion, chronic dental infections do not seem to correlate with an increased risk for urticaria.

Adult↗

PubMed1990

Factors influencing the caries experience of a group of children at the ages of 11-12 and 15-16 years: results from an ongoing epidemiological survey.

An analysis of factors influencing the caries experience of adolescents in South Wales is presented. Approximately 1000 children were assessed for caries status and oral cleanliness in 1980 when aged 11-12 years and again in 1984 when aged 15-16 years. In addition, on both occasions, the children completed detailed questionnaires on dental health-related topics. When aged 11-12 years, the observed mean DMFT, DMFS and DFS scores of the children were 4.0, 6.7 and 5.5 respectively. The corresponding scores at age 15-16 years were 6.5, 11.8 and 10.2. A preliminary analysis using conventional multiple regression techniques revealed that a number of factors had a significant influence on the caries experience of the children. The significance of the factors depended on the sex of the population subgroup, the age of the children and the particular caries index studied. However, at both ages the factors of most significance were the number of erupted teeth, total mean plaque score and the reported amount of money spent on sweets per week. A further evaluation using analysis of covariance with the number of erupted teeth and surfaces as the covariates confirmed the significant influence of the total mean plaque score and amount of money spent on sweets. In addition, both analyses indicated that toothbrushing frequency and social class had a significant influence on the caries experience of boys.

Analysis of Variance↗

PubMed2002

Children's dental healthcare quality using several outcome measures.

The aim of this study was to measure the quality of children's dental healthcare from the oral health records of 10-year-olds and from the numbers of children in risk groups. The focus was on dental healthcare and markers of dental records. A representative sample of women expecting their first child was selected in southwestern Finland. Children's dental health, dmft/DMFT = 0, was recorded in 45% of cases with a mean DMFT index of 0.5, and dmft/DMFT > or = 5 in 15%) of the children. Late-appearing caries (caries-free at the age of 5 years but caries-existing thereafter) was present in 31% (258/828) of the children. The focus on restorative dental healthcare was appropriate. The use of sweets was documented in 23% of cases and tooth-brushing in 28%. A total of 26% of the children had gingivitis in every segment. The study illustrates that only one of the targets has bees fully reached.

Age Factors↗

PubMed1986

Prevalence of dental caries and Streptococcus mutans in Meo of Northern Thailand.

The prevalence of dental caries was studied in 505 Meo, a minority of Northern Thailand, using the DMFT index. Plaque material from all patients was examined qualitatively for S. mutans. The DMFT (dmft) index score ranged between 1.69 and 7.06 with a mean of 2.17 +/- 3.24 for men and 3.45 +/- 3.72 for women. There was a statistical difference in caries prevalence between males and females (P less than 0.05). There was no statistical correlation between miang chewing and caries prevalence. Fluoride concentration of water samples was between 0.043 and 0.077 ppm F-. Of 505 plaque samples, 13.3% were positive for S. mutans, mostly of biotype I. Compared to other Northern Thai hill tribes and the Thai rural population, the Meo appear to have a higher dental caries prevalence rate.

Adolescent↗

PubMed1993

Oral health status of a group of elderly Canadian Inuit (Eskimo).

Fifty-four Inuit elders, representing 90% of the individuals 60 yr of age and older in three communities in the Keewatin region of the Canadian Northwest Territories, were examined for dental caries, periodontal disease, levels of edentulism, and the fit and quality of denture prostheses. These elders had a mean of 2.8 +/- 3.5 decayed teeth and a DMFT of 26 +/- 13 which reflected significant tooth loss. The Root Caries Index for subjects with gingival recession was 19%. Periodontal pocket assessments revealed that 86% of the individuals examined had CPITN readings of either 3 or 4. Over one third of the elders were totally edentulous, most of them female. Only 47% of these individuals wore complete dentures. Denture fit assessment revealed that 36% of the complete maxillary dentures and 42% of the complete mandibular dentures fit poorly. The overall oral health findings for these Inuit elders differed from those found in other older populations; however, the present findings may be the norm for a population undergoing a cultural transition.

Aged↗

PubMedDate not supplied

[Epidemiological aspects of oral health among the elderly in Brazil].

All indexed articles in BBO, LILACS, and MEDLINE databases from January 1998 to July 2001 were searched to analyze information on oral health among the elderly in Brazil. The year 1998 was used as a starting point, since this was the year the National Epidemiological Survey was published. Twenty-nine articles were found, of which 7 were analyzed in detail regarding key methodological aspects (age, sampling, data presentation) and the results were presented (DMFT index, proportion of missing teeth, edentulousness rate, and use and need of dental prostheses). DMFT ranged from 26.8 to 31.0, with approximately 84% of teeth missing. Prevalence of edentulousness was 68%. Few elderly did not need or use any kind of prosthesis. Denture use was more frequent in the upper than in the lower jaw. Lack of standardized data hampered an understanding of some key aspects of data analysis. Both data presentation and methodology must be improved in future research in this area. Despite all these caveats, the literature review confirmed the poor oral health of the Brazilian elderly population.

Aged↗