Risk indicators associated with root caries in independently living older adults

dc.contributor.authorHayes, Martina
dc.contributor.authorda Mata, Cristiane
dc.contributor.authorCole, Margaret
dc.contributor.authorMcKenna, Gerald
dc.contributor.authorBurke, Francis M.
dc.contributor.authorAllen, P. Finbarr
dc.contributor.funderHealth Research Boarden
dc.date.accessioned2017-01-03T15:38:21Z
dc.date.available2017-01-03T15:38:21Z
dc.date.issued2016-08
dc.date.updated2017-01-03T15:27:44Z
dc.description.abstractObjective: To determine the risk indicators associated with root caries experience in a cohort of independently living older adults in Ireland. Methods: The data reported in the present study were obtained from a prospective longitudinal study conducted in a cohort of independently living older adults (n = 334). Each subject underwent an oral examination, performed by a single calibrated examiner, to determine the root caries index and other clinical variables. Questionnaires were used to collect data on oral hygiene habits, diet, smoking and alcohol habits and education level. A regression analysis with the outcome variable of root caries experience (no/yes) was conducted. Results: A total of 334 older dentate adults with a mean age of 69.1 years were examined. 53.3% had at least one filled or decayed root surface. The median root caries index was 3.13 (IQR 0.00, 13.92). The results from the multivariate regression analysis indicated that individuals with poor plaque control (OR 9.59, 95% CI 3.84–24.00), xerostomia (OR 18.49, 95% CI 2.00–172.80), two or more teeth with coronal decay (OR 4.50, 95% CI 2.02–10.02) and 37 or more exposed root surfaces (OR 5.48, 95% CI 2.49–12.01) were more likely to have been affected by root caries. Conclusions: The prevalence of root caries was high in this cohort. This study suggests a correlation between root caries and the variables poor plaque control, xerostomia, coronal decay (≥2 teeth affected) and exposed root surfaces (≥37). The significance of these risk indicators and the resulting prediction model should be further evaluated in a prospective study of root caries incidence. Clinical significance Identification of risk indicators for root caries in independently living older adults would facilitate dental practitioners to identify those who would benefit most from interventions aimed at prevention.en
dc.description.sponsorshipHealth Research Board (HPF/2012/7)en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationHayes, Martina; Da Mata, Cristiane; Cole, Margaret; McKenna, Gerald; Burke, Francis; Allen, P. Finbarr (2016) 'Risk indicators associated with root caries in independently living older adults'. Journal of Dentistry, 51 :8-14. doi:10.1016/j.jdent.2016.05.006en
dc.identifier.doi10.1016/j.jdent.2016.05.006
dc.identifier.endpage14en
dc.identifier.issn0300-5712
dc.identifier.journaltitleJournal of Dentistryen
dc.identifier.startpage8en
dc.identifier.urihttps://hdl.handle.net/10468/3414
dc.identifier.volume51en
dc.language.isoenen
dc.publisherElsevieren
dc.relation.urihttp://www.sciencedirect.com/science/article/pii/S0300571216300926
dc.rights© 2016 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).en
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/en
dc.subjectRoot cariesen
dc.subjectDental cariesen
dc.subjectGerodontologyen
dc.subjectAgeden
dc.subjectEpidemiologyen
dc.subjectRisk factorsen
dc.titleRisk indicators associated with root caries in independently living older adultsen
dc.typeArticle (peer-reviewed)en
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