Root caries incidence and associated risk factors in middle‐aged and older adults

Joshi, Amit D.; Papas, Athena; Giunta, John L.

doi:10.1111/j.1741-2358.1993.tb00087.x

Cited by 39 publications

(47 citation statements)

References 22 publications

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“…Some factors have been identified, for example medical problems (8), reduced saliva secretion rate, which is often the side effect to medication (27,28). Steele et al (29) mention frequent sugar intake, poor hygiene, and partial dentures as factors associated with large increases in risk.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of a computer-based caries risk assessment program in an elderly group of individuals

Petersson

Fure

Bratthall

2003

Acta Odontologica Scandinavica

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The aim of this study was to evaluate a caries risk assessment computer program, the Cariogram, by comparing the risk assessment of the program with the actual caries increment in a group of elderly individuals over a period of 5 years. The participants were examined and interviewed at baseline about their general health and dietary habits. Data on oral hygiene and use of fluoride were obtained and saliva analyses included mutans streptococci, lactobacilli, buffering capacity, and secretion rate. Based on the baseline recordings, the individuals were divided into 4 risk groups according to the Cariogram. Where the program predicted 0%±20% (high risk), 21%±40%, 41%±60%, and 61%±100% (low/rather low risk) ªchance of avoiding cariesº, 13, 32, 23, and 48% respectively, had no new DFS over 5 years and 18, 40, 72, and 84%, respectively, had no new lesions at the 5th year. The mean DMFS increment over 5 years was 12.8 in the high/rather high risk group (0%±40% ªchance of avoiding cariesº), which included 43% of the individuals. In the low/rather low risk group (61%±100% ªchance of avoiding cariesº), the corresponding value was 5.2%, and 21% of the participants were sorted to this group.

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Section: Discussionmentioning

confidence: 99%

Evaluation of a computer-based caries risk assessment program in an elderly group of individuals

Petersson

Fure

Bratthall

2003

Acta Odontologica Scandinavica

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“…Those aged 75-85 years are particularly vulnerable to the disease, with the worldwide prevalence for the dentate elderly ranging from 35%-75%, and a caries attack rate ranging from 0.31/100 to 6.3/100 surfaces/year [5]. In longitudinal studies, the caries experience of the elderly people over time exceeded that reported from cohort studies of adolescents, indicating that older adult caries is as serious a problem as childhood caries [6][7][8].…”

Section: Introductionmentioning

confidence: 63%

“…Caries is especially exaggerated in high-risk minority and uninsured populations with low incomes and poor access to dental care [8]. In this examination of medication classes and caries, the investigators attempted to control for some these factors by using a large sample size from community with fluoridated water and limited the age range to 40-80 year old.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of Dental Carious Lesions with Different Classes of Medications

Singh¹

2015

GGM

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Background: Past research has produced conflicting results concerning the usage of medications and the associated oral health consequences. The authors examined non-cavitated and cavitated coronal and root carious lesions among subjects taking a variety of medications compared to those taking no medications to assess whether the effects of taking multiple medications had on carious lesion prevalence.Objective: The objective of this study was to assess how the different classes of medication adversely affected the oral cavity, specifically in the formation of dental carious lesions.Methods: A representative sample of 1028 volunteers aged 40-80 from the Greater Boston area, with at least 10 natural teeth were included in this study. After disqualifying subjects on medications with autoimmune conditions known to cause xerostomia, or a previous history of radiation to the head and neck area, 882 volunteers on medications known to cause salivary hypofunction and 146 volunteers taking no medications were enrolled. Non-cavitated and cavitated carious lesions were examined by a single calibrated dental examiner using visual and tactile methods. Major medication groups included psychiatric (N=258), single antihypertensive (N=180), multiple antihypertensive including cardiac medications (N=145), a combination of antihypertensive and psychiatric medications (N=85), anti-asthma medications (N=67), Non-Steroidal Anti-Inflammatory (NSAIDs) (N= 34) and all other medications (N=113).Results: Subjects on psychiatric medications had the highest number of total carious lesions (5.4±4.94) while those taking no medications had the least (2.6±2.92). Subjects on a combination of antihypertensive and psychiatric medications had the highest number of carious root surface lesions (1.18±4.06). Those subjects on anti-asthma medications exhibited the highest number of cavitated coronal surface lesions (1.41±2.06). Conclusion:This study found xerostomic medications vary in their deleterious effects on dental carious lesions. A combination of antihypertensive and psychiatric medications is the most detrimental, as evidenced by a higher prevalence of carious lesions in those participants taking them.Clinical significance: As usage of concomitant xerogenic medications is likely to continue to increase, educating clinicians and the general public about the effects on oral health is essential to limiting dental carious lesions by instituting appropriate preventive protocols. Keywords: Dental carious lesions; Medications; Side effectsCitation: Singh M, Papas AS, Papas AN, Barker ML, Biesbrock A (2015) [7,13,14,[21][22][23][24][25][26][27][28][29][30][31].Past research has produced conflicting results concerning a link between asthma medications and caries incidence. Meldrum et al., [32] found no significant differences in caries increment between asthma-free and asthma subjects. However, only 42.4% of the asthma subjects used anti-asthma medications, indicating that the medication rather than the condition may play a role. Consistent wi...

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“…3 Günümüze kadar araştırmacılar birçok çevresel faktörü tek başına veya birlikte ele alarak çürük riskini değerlendirmişlerdir. [4][5][6][7][8][9][10][11] Bunun yanında sadece çevresel faktörlerin değerlendirilmesinin diş çürüğünün oluşumunu açıklamadığının altı çizilmiştir. Çünkü aynı çevresel risk faktörlerine maruz kalan bireylerin çürük riskinin aynı olmadığı belirlenmiş ve bu sonuç çürüğün etiyolojisinde genetik faktörlerin de rol oynadığını akla getirmiştir.…”

Section: Introductionunclassified

Çürük Ri̇ski̇ Ve Geneti̇k

Yildiz¹,

Ermiş²

2018

Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

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CARIES RISK AND GENETIC ABSTRACTDental caries is a multifactorial disease and the etiology of caries has been studied for many years. However when exposed to the same levels of environmental risk factors, some patients may be more susceptible or resistant to caries than others. Those differences may be due to genetic factors in the etiopathogenesis of dental caries. In the past, the importance of genetic factors was disregarded mainly because the dental caries was present in almost the entire population. The last decade has seen a steep increase in research related to genetic factors influencing individuals" caries risk. Genetic research applied to dental caries began in the 1930s with experimental reports in animals and human observational research. Only recently, have some studies begun to search for gene polymorphisms in humans. These genes can be grouped in specific categories, based on the factor influencing dental caries. The major candidate gene categories to date include; enamel formation genes, immune response genes, genes related to saliva and genes related to taste and dietary habits. Due to the complex characteristics of the disease, the strong influence from several biological and environmental factors, and the small number of genetic studies related to dental caries, the genetic basis still requires further study. The aim of this review is to provide a brief description of the current genetic studies and gene polymorphisms related to dental caries.

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Root caries incidence and associated risk factors in middle‐aged and older adults

Cited by 39 publications

References 22 publications

Evaluation of a computer-based caries risk assessment program in an elderly group of individuals

Evaluation of a computer-based caries risk assessment program in an elderly group of individuals

Prevalence of Dental Carious Lesions with Different Classes of Medications

Çürük Ri̇ski̇ Ve Geneti̇k

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