Long-term patterns of dental attendance and caries experience among British adults: a retrospective analysis
Long-term patterns of dental attendance and caries experience among British adults: a retrospective analysis
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DOI：
10.1111/eos.12161
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发表时间：
2015-02-01
影响因子：
1.9
通讯作者：
Bernabe, Eduardo
中科院分区：
文献类型：
--
作者：
Aldossary, Arwa;Harrison, Victoria E.;Bernabe, Eduardo
关于定期看牙医的价值，尚无确凿的证据。这项研究探讨了长期看牙医模式与龋齿经历之间的关系。我们使用了参加英国成人牙齿健康调查的 3,235 名 16 岁成年人的回顾性数据。根据参与者对有关终生牙科就诊模式的三个问题的回答，参与者被分为四组（始终、当前、以前和从不定期就诊）。使用腐烂、缺失或补牙 (DMFT) 指数测量看牙次数模式与龋齿经历之间的关联，并在负二项式回归模型中进行了测试，并调整了人口统计（性别、年龄和居住国家）和社会经济（教育程度、家庭收入和社会阶层）因素。在调整后的模型中发现，长期看牙医与龋齿经历之间存在一致的关联模式。以前和从未定期就诊者的 DMFT 分数以及蛀牙和缺失牙齿的数量显着高于始终定期就诊者，但补牙数量较少。当前参加者和经常参加者之间的 DMFT 或其组成部分没有发现差异。这项研究的结果表明，一生中不同牙科就诊轨迹的成年人有不同的牙齿状况。
There is inconclusive evidence on the value of regular dental attendance. This study explored the relationship between long-term patterns of dental attendance and caries experience. We used retrospective data from 3,235 adults, 16yrs of age, who participated in the Adult Dental Health Survey in the UK. Participants were classified into four groups (always, current, former, and never regular-attenders) based on their responses to three questions on lifetime dental-attendance patterns. The association between dental-attendance patterns and caries experience, as measured using the decayed, missing, or filled teeth (DMFT) index, was tested in negative binomial regression models, adjusting for demographic (sex, age, and country of residence) and socio-economic (educational attainment, household income, and social class) factors. A consistent pattern of association between long-term dental attendance and caries experience was found in adjusted models. Former and never regular-attenders had a significantly higher DMFT score and numbers of decayed and missing teeth, but fewer filled teeth, than always regular-attenders. No differences in DMFT or its components were found between current and always regular-attenders. The findings of this study show that adults with different lifetime trajectories of dental attendance had different dental statuses.