Twenty-four month coronal caries incidence: The role of dental care and race
Twenty-four month coronal caries incidence: The role of dental care and race
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DOI：
10.1159/000016611
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发表时间：
2000-09-01
期刊：
影响因子：
4.2
通讯作者：
Ringelberg, ML
中科院分区：
文献类型：
--
作者：
Gilbert, GH;Foerster, U;Ringelberg, ML
目的：描述不同的齿状中老年人样本：(1)24个月的冠状龋病发病率；(2)其与广泛的临床、行为、经济、态度和社会人口学因素的关系。方法佛罗里达牙科护理研究是一项前瞻性纵向队列观察研究，研究对象为873人，这些人在基线时至少有一颗牙齿，年龄在45岁或以上。面谈和临床检查在基线和24个月进行，在这两个时间段之间每6个月进行一次电话访谈。采用多项Logistic回归分析来预测受试者在24个月的检查中是否属于四个相互排斥的组(仅新变组[NDO]；仅新充填组(S)[NFO]；既新变又充填组(S)[都有]；或者都不[无])。结果：在24个月的参与者中，只有33%属于无组。无论是否排除了基线牙冠、牙冠或牙根碎片，常规牙冠患者和问题导向患者之间的龋齿发生率没有显著差异。然而，一旦考虑到牙齿脱落事件的差异以及基线的临床、行为、经济和态度差异，与问题导向型患者相比，常规患者似乎确实受益于发生较少的冠状病变和较少的牙齿症状。基线龋面、充填面、牙齿数量和整体修复骨折预测龋病发生率，但基线牙尖骨折不能预测龋病发生率。持负面牙齿态度的人更有可能在NDO和这两组中，对刷牙和使用牙线的负面态度(但不是他们的频率)也预测了龋病的发生。结论：某些基线临床条件、牙科护理方法、支付牙科护理费用的能力、牙科态度、种族和年龄组是冠状龋病发病率的预测因素，定期就诊似乎对定期就诊有好处。版权所有(C)2000 S.Karger AG。巴塞尔。
Objectives: To describe for a diverse sample of dentate middle-aged and older adults: (1) the 24-month incidence of coronal caries, and (2) its association with a broad range of clinical, behavioral, financial, attitudinal, and sociodemographic factors. Methods The Florida Dental Care Study is a prospective observational longitudinal cohort study of 873 persons who at baseline had at least 1 tooth and were 45 years or older. In-person interviews and clinical examinations were conducted at baseline and 24 months, with 6-monthly telephone interviews between those times. A multinomial logistic regression was done to predict whether a participant was in one of four mutually exclusive groups at the 24-month examination (new decay only [NDO]; new filling(s) only [NFO]; both new decay and filling(s) [BOTH]; or neither [NONE]). Results: Only 33% of the 24-month participants were in the NONE group. There was no significant difference in caries incidence between regular attenders and problem-oriented attenders, regardless of whether teeth crowned at baseline, incident crowns, or incident root fragments were excluded. However, once differences in incident tooth loss and baseline clinical, behavioral, financial, and attitudinal differences were taken into account, regular attenders did appear to benefit by developing fewer coronal lesions and fewer dental symptoms than problem-oriented attenders. Baseline carious surfaces, filled surfaces, number of teeth, and bulk restoration fractures predicted caries incidence, but baseline cusp fractures did not. Persons with negative dental attitudes were more likely to be in the NDO and BOTH groups, and negative attitude toward brushing and flossing (but not their frequency) also predicted caries incidence. Conclusion: Certain baseline clinical conditions, approach to dental care, ability to pay for dental care, dental attitudes, race, and age group were predictive of coronal caries incidence, and regular attenders appeared to benefit from regular attendance. Copyright (C) 2000 S. Karger AG. Basel.