Development of a Theoretical Screening Tool to Assess Caries Risk in Nevada Youth

Ditmyer, Marcia; Mobley, Connie; Draper, Quinn; Demopoulos, Christina; Smith, Eugene I.

doi:10.1111/j.1752-7325.2007.00066.x

Cited by 9 publications

(39 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Eight factors comprised the cited variables of interest in the dental literature as significant modulators of dental caries [1,4,12]. These included sex, age, dental insurance status, race, environmental smoke exposure, smoking habits (including cigarettes, cigars, smokeless tobacco, and marijuana), living in an area with or without community water fluoridation, and applied dental sealants.…”

Section: Methodsmentioning

confidence: 99%

“…In 1999, the Nevada Legislature passed a bill requiring the Southern Nevada Water Authority to fluoridate the municipal water supply [12-14], subsequently establishing the fluoride range of 0.7-1.2 mg/L for Clark County [12]. Clark County, which comprises around ¾ of the population of Nevada, is the only county in Nevada with community water fluoridation.…”

Section: Methodsmentioning

confidence: 99%

See 1 more Smart Citation

A case-control study of determinants for high and low dental caries prevalence in Nevada youth

et al. 2010

Self Cite

View full text Add to dashboard Cite

BackgroundThe main purpose of this study was to compare the 30% of Nevada Youth who presented with the highest Decayed Missing and Filled Teeth (DMFT) index to a cohort who were caries free and to national NHANES data. Secondly, to explore the factors associated with higher caries prevalence in those with the highest DMFT scores compared to the caries-free group.MethodsOver 4000 adolescents between ages 12 and 19 (Case Group: N = 2124; Control Group: N = 2045) received oral health screenings conducted in public/private middle and high schools in Nevada in 2008/2009 academic year. Caries prevalence was computed (Untreated decay scores [D-Score] and DMFT scores) for the 30% of Nevada Youth who presented with the highest DMFT score (case group) and compared to the control group (caries-free) and to national averages. Bivariate and multivariate logistic regression was used to analyze the relationship between selected variables and caries prevalence.ResultsA majority of the sample was non-Hispanic (62%), non-smokers (80%), and had dental insurance (70%). With the exception of gender, significant differences in mean D-scores were found in seven of the eight variables. All variables produced significant differences between the case and control groups in mean DMFT Scores. With the exception of smoking status, there were significant differences in seven of the eight variables in the bivariate logistic regression. All of the independent variables remained in the multivariate logistic regression model contributing significantly to over 40% of the variation in the increased DMFT status. The strongest predictors for the high DMFT status were racial background, age, fluoridated community, and applied sealants respectively. Gender, second hand smoke, insurance status, and tobacco use were significant, but to a lesser extent.ConclusionsFindings from this study will aid in creating educational programs and other primary and secondary interventions to help promote oral health for Nevada youth, especially focusing on the subgroup that presents with the highest mean DMFT scores.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

A case-control study of determinants for high and low dental caries prevalence in Nevada youth

et al. 2010

Self Cite

View full text Add to dashboard Cite

show abstract

“…In the present study, individual caries experience in the primary dentition (dmft<2 or dmft>5) was the criterion used to divide patients into groups at high or low risk of caries. These same categories have been used as benchmarks in other studies 22,31) . Our study demonstrates that Fuji VII is useful as a pit and fissure sealant for children and effectively prevents caries.…”

Section: Discussionmentioning

confidence: 99%

Clinical comparison of Fuji VII and a resin sealant in children at high and low risk of caries

Chen

Liu

2013

Dent. Mater. J.

View full text Add to dashboard Cite

The purpose was to compare the retention and caries preventive effect of Fuji VII and a resin-based sealant in children at high risk (HR) and low risk (LR) of caries. Fifty-seven schoolchildren (150 teeth) with completely erupted bilateral permanent first molars were included. The study was a split-mouth, randomized trial. Sealant retention and caries were evaluated after 6 months, 1 year and 2 years. After 2 years, there was no statistically significant difference in the incidence of caries between Fuji VII and Concise in the HR and LR groups. With Concise, LR children were less likely to have dental caries than HR. With Fuji VII, there was no difference in caries incidence between LR and HR. Retention of Concise was superior to that of Fuji VII. Our results suggest that Fuji VII and Concise sealants had similar caries preventive effects in children at high and low risk of caries.

show abstract

“…Risk Factor scores were calculated for all subjects using the Multifactorial Risk Factor Model parameters [10]. In keeping with NIH criteria for management of caries, operational definitions were created.…”

Section: Methodsmentioning

confidence: 99%

Validation of a multifactorial risk factor model used for predicting future caries risk with nevada adolescents

et al. 2011

Self Cite

View full text Add to dashboard Cite

BackgroundThe objective of this study was to measure the validity and reliability of a multifactorial Risk Factor Model developed for use in predicting future caries risk in Nevada adolescents in a public health setting.MethodsThis study examined retrospective data from an oral health surveillance initiative that screened over 51,000 students 13-18 years of age, attending public/private schools in Nevada across six academic years (2002/2003-2007/2008). The Risk Factor Model included ten demographic variables: exposure to fluoridation in the municipal water supply, environmental smoke exposure, race, age, locale (metropolitan vs. rural), tobacco use, Body Mass Index, insurance status, sex, and sealant application. Multiple regression was used in a previous study to establish which significantly contributed to caries risk. Follow-up logistic regression ascertained the weight of contribution and odds ratios of the ten variables. Researchers in this study computed sensitivity, specificity, positive predictive value (PVP), negative predictive value (PVN), and prevalence across all six years of screening to assess the validity of the Risk Factor Model.ResultsSubjects' overall mean caries prevalence across all six years was 66%. Average sensitivity across all six years was 79%; average specificity was 81%; average PVP was 89% and average PVN was 67%.ConclusionsOverall, the Risk Factor Model provided a relatively constant, valid measure of caries that could be used in conjunction with a comprehensive risk assessment in population-based screenings by school nurses/nurse practitioners, health educators, and physicians to guide them in assessing potential future caries risk for use in prevention and referral practices.

show abstract

Development of a Theoretical Screening Tool to Assess Caries Risk in Nevada Youth

Abstract: This study confirmed high caries prevalence and severity and identified significant risk factors for inclusion in a theoretical risk screening tool for future validation and translation for use in the early detection of caries risk in Nevada youth.

Cited by 9 publications

References 13 publications

A case-control study of determinants for high and low dental caries prevalence in Nevada youth

A case-control study of determinants for high and low dental caries prevalence in Nevada youth

Clinical comparison of Fuji VII and a resin sealant in children at high and low risk of caries

Validation of a multifactorial risk factor model used for predicting future caries risk with nevada adolescents

Contact Info

Product

Resources

About