Risk indicators for the presence and extent of root caries among caries-active adults enrolled in the Xylitol for Adult Caries Trial (X-ACT).
Risk indicators for the presence and extent of root caries among caries-active adults enrolled in the Xylitol for Adult Caries Trial (X-ACT).
复制标题
参加木糖醇成人龋齿试验 (X-ACT) 的龋齿活跃成年人中根龋的存在和程度的风险指标。
DOI：
10.1007/s00784-011-0656-2
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发表时间：
2012
影响因子：
3.4
通讯作者：
X-ACTCollaborativeResearchGroup
中科院分区：
文献类型：
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作者：
Ritter,AndréV;Preisser,JohnS;Chung,Yunro;Bader,JamesD;Shugars,DanielA;Amaechi,BennettT;Makhija,SoniaK;Funkhouser,KimberlyA;Vollmer,WilliamM;X-ACTCollaborativeResearchGroup
本文使用的基线数据，从一个随机临床试验，以评估横截面指标的根龋在龋齿活跃adults.Materials and methodsAdults（21-80岁），至少有12个萌出的牙齿和1至10龋齿病变被招募。参与者（n= 437）接受龋齿检查，由训练有素的，校准的检查员，并回答基线人口统计和医疗牙科问卷。我们检查了基线特征与（1）使用Mantel-Haenszel假设检验和比值比（OR）估计值和（2）使用Mantel-Haenszel平均得分检验和Mann-Whitney估计值在暴露根面的研究参与者（n= 349）中存在任何根面龋之间的关联。95%置信区间（CI），1.08，2.78]，白色人种（OR，2.39; 95% CI，1.43，3.98），近期牙科就诊（OR，1.98; 95% CI，1.07，3.66），自我描述的口腔健康状况较差（OR，2.65; 95% CI，1.10，6.39），近期专业氟治疗（OR，1.85; 95%CI，1.06，3.25）与患任何根龋的几率增加显著相关，和暴露牙根表面的研究参与者，其特征为男性[Mann-Whitney概率估计值（MW）= 0.57; 95% CI，0.51，0.63），白色人种（MW，0.61; 0.55，0.68），近期牙科就诊（MW，0.58; 0.50，0.67），自我描述的口腔健康状况较差（MW，0.61; 0.53，0.69），每天至少使用牙线一次（MW，0.57; 95% CI，0.51，0.62）与随机选择的研究参与者相比，互补亚组（女性、非白人等）。临床相关性我们的研究结果可能有助于识别高根龋风险的个体。
ObjectiveThis paper uses baseline data from a randomized clinical trial to evaluate cross-sectional indicators of root caries in caries-active adults.Materials and methodsAdults (21–80 years) having at least 12 erupted teeth and between one and ten caries lesions were enrolled. Participants (n= 437) received caries exams by trained, calibrated examiners and responded to baseline demographic and medical–dental questionnaires. We examined associations between baseline characteristics and (1) the presence of any root caries using Mantel–Haenszel hypothesis tests and odds ratio (OR) estimators and (2) the number of root surfaces with caries among study participants with exposed root surfaces (n= 349) using Mantel–Haenszel mean score tests and Mann–Whitney estimators.Results/conclusionsAdjusting for study site and age, male gender [OR, 1.72; 95% confidence interval (CI), 1.08, 2.78], white race (OR, 2.39; 95% CI, 1.43, 3.98), recent dental visit (OR, 1.98; 95% CI, 1.07, 3.66), poor self-described oral health (OR, 2.65; 95% CI, 1.10, 6.39), and recent professional fluoride treatment (OR, 1.85; 95% CI, 1.06, 3.25) were significantly associated with increased odds to have any root caries, and study participants with exposed root surfaces characterized by male gender [Mann–Whitney probability estimate (MW) = 0.57; 95% CI, 0.51, 0.63), white race (MW, 0.61; 0.55, 0.68), recent dental visit (MW, 0.58; 0.50, 0.67), poor self-described oral health (MW, 0.61; 0.53, 0.69), and flossing at least once per day (MW, 0.57; 95% CI, 0.51, 0.62) were significantly more likely to have a greater number of root surfaces with caries than a randomly selected study participant from their respective complementary subgroups (female gender, non-white, etc.).Clinical relevanceOur findings may help identify individuals at higher root caries risk.