Contextual and Individual Determinants of Root Caries in Older People

Souza, João Gabriel Silva; Oliveira, Bárbara Emanoele Costa; Sampaio, Aline Araújo; Lages, Vinícius Aguiar; Romão, Dayse Andrade; Martins, Andréa Maria Eleutério Barros de Lima

doi:10.1159/000479800

Cited by 8 publications

(10 citation statements)

References 36 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, this association was attenuated after adjusting for other factors. This finding is consistent with other studies which found that income was not a statistically significant predictor of root caries among older individuals [23]. Although we accounted for general health insurance and whether dental insurance covered for a specific procedure, inability to afford dental care was the only statistically significant predictor of untreated root caries in the fully adjusted regression model.…”

Section: Discussionsupporting

confidence: 90%

“…This study found that increasing age is associated with higher odds of having root caries. Other studies found a similar impact of age on the prevalence and severity of root caries [23]. Leake et al found that an annual addition of 0.19 on the decayed and filled root surfaces index (RDFS) is to be expected for each additional year in dentate individuals [25].…”

Section: Discussionmentioning

confidence: 87%

“…Several studies found that ethnic minorities or African Americans were more prone to develop caries than Whites [9,23,27]. Kim et al found that racial inequalities increase with age in oral health based on the NHANES 1999-2004 [27].…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Inequalities in Untreated Root Caries and Affordability of Dental Services among Older American Adults

Badr

Sabbah

2020

IJERPH

View full text Add to dashboard Cite

The growing geriatric population is facing numerous economic challenges and oral health changes. This study explores the relationship between affordability of dental care and untreated root caries among older American adults, and whether that relationship is independent of ethnicity and socioeconomic factors. Data from 1776 adults (65 years or older) who participated in the National Health and Nutrition Examination Survey (NHANES) were analyzed. The association between affordability of dental care and untreated root caries was assessed using logistic regression models. Findings indicated that untreated root caries occurred in 42.5% of those who could not afford dental care, and 14% of those who could afford dental care. Inability to afford dental care remained a statistically significant predictor of untreated root caries in the fully adjusted regression model (odds ratio 2.79, 95% confidence interval: 1.78, 4.39). Other statistically significant predictors were gender (male), infrequent dental visits, and current smoking. The study concludes that the inability to afford dental care was the strongest predictor of untreated root caries among older Americans. The findings highlight the problems with access to and use of much needed dental services by older adults. Policy reform should facilitate access to oral healthcare by providing an alternative coverage for dental care, or by alleviating the financial barrier imposed on older adults.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 87%

See 1 more Smart Citation

Inequalities in Untreated Root Caries and Affordability of Dental Services among Older American Adults

Badr

Sabbah

2020

IJERPH

View full text Add to dashboard Cite

show abstract

“…Gregory and Hyde reported that untreated root caries were present in 12% of the population aged 65-74 years old and 17% of people over 75 2) . Souza et al reported that the majority of the elderly population has at least one root caries 3) . There has long been worldwide consensus that contraction of root caries clearly increases in elderly populations 4,5) .…”

Section: Introductionmentioning

confidence: 99%

Basic properties of novel S-PRG filler-containing cement

et al. 2020

View full text Add to dashboard Cite

This study was aimed to evaluate the effect of a novel surface pre-reacted glass-ionomer (S-PRG) filler-containing cement for root caries. We prepared the cements using five different S-PRG filler amounts (0, 10, 20, 30, and 40 wt%). Compressive strength, ion release, acid buffering capacity, and microstructure of the as-prepared cements were evaluated. The compressive strength was statistically significant; it was highest for 0 wt% S-PRG cement. Ion release in 0 wt% S-PRG was highest for F − and Al, whereas in 40 wt% S-PRG it was highest for B. For 20, 30, and 40 wt% S-PRG cements, Na and Sr release was higher compared to the other ions. The acid buffering capacity was significantly higher in the 40 wt% S-PRG cement than in the others. In the microstructural analysis, no difference of surface structure was observed among each of the S-PRG filler contents (0-40 wt% S-PRG).

show abstract

“…Root caries, like coronal caries, is a biofilm/sugar-dependent disease where caries process is caused by bacteria-induced acidification as a result of metabolism of dietary carbohydrates [12]. Unlike coronal caries, lesion of RC mainly locates in the proximal supragingival sites often within 2 millimeters of cementoenamel junctions.…”

mentioning

confidence: 99%

Association of Root Surface Caries with Periodontal Parameters in Type 2 Diabetes Patients

S¹,

D²,

Liang³

et al. 2020

Preprint

View full text Add to dashboard Cite

Background: Mounting evidence has demonstrated a reciprocal association between diabetes mellitus and periodontal diseases, characterized by loss of alveolar bone, gingival recession and root exposure. Recently, studies showed that type 2 diabetes patients were at high risk to development root caries. This essay aims to clarify the relationship between root surface caries (RC) and periodontal parameters in diabetes patients, as well as evaluate relevant risk factors in Type 2 diabetes mellitus (T2DM). Materials and Methods: A total of 132 qualified adult patients with T2DM and periodontitis were recruited to this study. Radiographic data were collected to calculate alveolar bone loss (ABL). Subjects were assigned to three groups according to tertiles of ABL to make a comparison. Decayed and/or ﬁlled teeth (DFT) were calculated for both coronal and root surface as the caries indices of the remaining teeth. The plaque index (PLI), gingival recession (GR), probing depth (PD) at six sites per tooth, number of missing teeth, number of retained root remnants, and number of teeth with furcal lesions were recorded during clinical examinations. Blood analyses were carried out for glycated hemoglobin (HbA1c), fasting glucose. Correlation analysis, analysis of covariance (ANCOVA), and logistic regression were used to analyse the data. Results: By analyzing covariance, the research found that subjects with increased ABL have significantly higher numbers of missing teeth, root surface caries DFT, teeth with furcal lesions ( P <0.05). There is a significant positive correlation between root surface caries DFT and ABL, GR, coronal caries DFT ( P <0.05), respectively. ABL, coronal caries and age became significant predictor variables for Root Surface DFT (≥3)) ( P <0.05). Conclusion: Root surface caries were associated with ABL, GR and coronal caries in periodontitis with T2DM as well as ABL, coronal caries and age became risk factors for predicting the occurence of RC. Key Words: Association, Root Caries, Diabetes mellitus, Periodontitis

show abstract

Contextual and Individual Determinants of Root Caries in Older People

Cited by 8 publications

References 36 publications

Inequalities in Untreated Root Caries and Affordability of Dental Services among Older American Adults

Inequalities in Untreated Root Caries and Affordability of Dental Services among Older American Adults

Basic properties of novel S-PRG filler-containing cement

Association of Root Surface Caries with Periodontal Parameters in Type 2 Diabetes Patients

Contact Info

Product

Resources

About