Caries experience and distribution in relation to treatment needs among teenagers in Espoo, Finland

Luoma, Anja-Riitta; Rönnberg, Kaj

doi:10.1111/j.1600-0528.1991.tb00120.x

Cited by 6 publications

(3 citation statements)

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“…Polarization described in the dmft+DMFT index is a situation in which a small proportion of a cohort has the highest dmft+DMFT indices, with the rest of the cohort remaining virtually healthy [2]. Polarization has been observed in patient groups with carious teeth in Finland and Sweden [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Will the role of family influence dental caries among seven-year-old children?

Mattila

Rautava

Ojanlatva

et al. 2005

Acta Odontologica Scandinavica

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The present study analyzed the prevalence of dental caries as well as associations of dental health and family competence among 7-year-old children and their families. Dental caries status was the outcome variable of the 7-year prospective follow-up study. Pre-tested questionnaires were used to gather data individually from the parents at six points in time (at the public maternity health-care clinic during the mother's pregnancy and at childbirth, at the well-baby clinic at 18 months, and at ages 3, 5, and 7 years). Clinical examinations at dental health-care clinics were used to record dental status indicators of the child at ages 3, 5, and 7 years. A child had caries more often when the mother did not regard it as important to teach a healthy lifestyle right from birth; when the mother undervalued consistent action in child-rearing; when the father preferred merely to explain the causes and consequences during child-rearing (giving no examples); when the father had several new carious teeth per year; when the child consumed sweets several times a week; or when the child's toothbrushing was infrequent. The child's daily dental health behaviors and a strong influence of family competence emerged in the final logistic regression analysis. Dental and well-baby clinic staff members need to discuss consistency in child-rearing with the parents and there is a need for modeling adult dental health behaviors at the time of the mother's pregnancy if the child's future preventive dental health is to function properly.

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Section: Introductionmentioning

confidence: 99%

Will the role of family influence dental caries among seven-year-old children?

Mattila

Rautava

Ojanlatva

et al. 2005

Acta Odontologica Scandinavica

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“…In Finland, comprehensive public oral health care, including preventive treatment, is provided free of charge for all under the age of 19, During school age, participation in these services has been over 90% (1), Despite the remarkable improvement in dental health of children and adolescents in recent years there still remains, within each age cohort, a minority with uncommonly great caries experience (DMF-index) (1)(2)(3)(4)(5), Preventive dental care resources should, therefore, be targeted to these so-called high-risk patients who use the majority of oral health services. So far, in everyday practice, this has turned out to be exceptional (6)(7)(8),…”

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confidence: 99%

Evaluation of preventive treatment by risk of caries among 13‐year‐olds

Varsio

Vehkalahti

1996

Comm Dent Oral Epid

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Implementation of caries preventive treatment in relation to the risk of caries was studied among 13-year-olds (n = 132) in two groups treated in the same public dental clinics in Helsinki: caries patients (n = 100) had the greatest numbers of decayed teeth (DT+dt), 5.5 on average, whereas cavity-free patients (n = 32) had intact teeth. Data taken from patients' personal oral health records served for evaluation of individual need for caries prevention, risk of caries, and preventive treatment given to each patient. Patients with any caries lesions or erupting teeth or poor oral hygiene were considered to be at risk of caries and in need of preventive treatment. The more caries lesions a patient had, the more prevention was expected to have been given. Preventive treatment of caries was weakly or only moderately in accordance with patients' individual needs and risk of developing caries, although patients with more caries lesions tended to have been given more preventive treatment than did those with none or only a few lesions. The majority of preventive measures given were applications of fluoride varnish, whereas motivation of and instruction in oral health care habits remained weak. However, patients whom their dentists had judged to be at high risk of caries received more intensified preventive treatment than did other caries patients. As a conclusion, intensification of caries prevention among high-risk patients is still needed. Dentists should always consider each patient's risk of developing caries to improve quality of preventive treatment.

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“…Salivary tests are recommended for detecting patients at high risk of developing caries. Prevalence o f dental caries has been decreasing and polarizing in each age cohort of children and adolescents [Milen et al, 1988;Vehkalahti et al, 1990;Luoma and Ronnberg, 1991], Still in 1993. how ever, 42% of the 15-year-olds in Helsinki had some decayed teeth, 10% having 3 or more DT, and only 26% had an intact dentition (DMFT = 0) [Helsinki City Health Department, K A R G E R 1 1996 s Kar»cr AG-Bascl …”

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confidence: 99%

Evaluation of Salivary Tests and Dental Status in the Prediction of Caries Increment in Caries-Susceptible Teenagers

1996

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We evaluated caries increment in connection with salivary caries-related findings and dental status in teenagers by carrying out a retrospective follow-up, lasting on average 28 months. A total of 66 adolescents, mean age 15.2 years, were selected by their susceptibility to caries, as clinically defined at a routine checkup. Their baseline DMFT was 5.7, compared to 4.3 in the root population of 230 patients. Increment of caries on selected surfaces (ΔDFSs) included new caries reaching the dentine and new fillings done due to such caries. ΔDFSs > 0 was taken as the validation criterion to define a caries case. Screening criteria for salivary tests were set as follows: flow rate of unstimulated saliva less than 0.2 ml/min, and of stimulated saliva less than 1.0 ml/min; buffering capacity: final pH below 4.5, mutans streptococci (SM) score of 2 or 3 (≥ 10⁵ CFU/ml), and lactobacilli (LB) score of 5 or 6 (≥10⁵ CFU/ml). Mean ΔDFSs per subject was 1.1, with 70% of these new DF findings being on occlusal surfaces. ΔDFSs was correlated with LB (0.31) for both genders, for boys only with buffering capacity (––0.34), and for girls only with flow rate of stimulated saliva (––0.28) and DMFT (0.35). The highest sensitivities of salivary tests for caries were shown by LB (0.82) and SM (0.64), their specificities being 0.63 and 0.59, respectively. Positive predictive values of the five tests varied between 0.69 and 0.89. Predictions based on DMFT showed a sensitivity of 0.87 for DMFT > 3, but only of 0.33 for DMFT > 7, the corresponding specificities being 0.44 and 0.81.

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Caries experience and distribution in relation to treatment needs among teenagers in Espoo, Finland

Cited by 6 publications

References 4 publications

Will the role of family influence dental caries among seven-year-old children?

Will the role of family influence dental caries among seven-year-old children?

Evaluation of preventive treatment by risk of caries among 13‐year‐olds

Evaluation of Salivary Tests and Dental Status in the Prediction of Caries Increment in Caries-Susceptible Teenagers

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