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A multilevel analysis model for dental caries determinants in independently-living elderly
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Keywords

Aged.
Dental caries
Saliva
Oral health

How to Cite

1.
Branco NTT, Ferreira RC, Souza JVR de, Moreira AN, Diniz IMA, Magalhães CS. A multilevel analysis model for dental caries determinants in independently-living elderly. Braz. J. Oral Sci. [Internet]. 2023 Oct. 19 [cited 2024 Feb. 21];22(00):e230692. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8670692

Abstract

To evaluate the prevalence of untreated caries and its association with biological, individual, and environmental variables in independently-living elderly people. Methods: This cross-sectional study included 72 elderly (≥60 years) patients of a university dental clinic in Belo Horizonte, Brazil. Sociodemographic data, systemic diseases, medications, and free sugar intake were collected. Visible plaque, Decayed, Missing, and Filled Teeth (DMFT), and Decayed and Filled Root (DFR) indexes were assessed through clinical examination. Unstimulated saliva was collected to determine salivary flow, pH, and buffering capacity. Descriptive analysis and multilevel logistic regression analysis were performed following a dental caries theoretical model (p <0.05, 95% CI). Results: The mean DMFT and DFR were 24.44 (SD=4.59) and 3.21 (SD=2.93), respectively. The prevalence of untreated caries was 61.11%. In the adjusted multilevel regression model involving 1639 teeth, untreated dental caries was significantly associated with the presence of biofilm (OR = 1.84; 95% CI: 1.24–2.74), salivary buffering capacity (OR = 0.87; 95% CI: 0.77–0.99) and per capita income (OR = 0.06; 95% CI: 0.004–0.74). Conclusion: The experience of dental caries was widespread among independently-living elderly patients, and its variability was best explained by the presence of biofilm, reduced salivary buffering capacity, and low per capita income. A comprehensive assessment is needed of the biological, individual, and environmental factors related to the presence of dental caries in independently-living elderly people.  

https://doi.org/10.20396/bjos.v22i00.8670692
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References

Tonetti MS, Bottenberg P, Conrads G, Eickholz P, Heasman P, Huysmans MC, et al. Dental caries and periodontal diseases in the ageing population: call to action to protect and enhance oral health and well-being as an essential component of healthy ageing - Consensus report of group 4 of the joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases. J Clin Periodontol. 2017 Mar;44 Suppl 18:S135-S44. doi: 10.1111/jcpe.12681.

Astvaldsdottir A, Bostrom AM, Davidson T, Gabre P, Gahnberg L, Sandborgh Englund G, et al. Oral health and dental care of older persons-A systematic map of systematic reviews. Gerodontology. 2018 Dec;35(4):290-304. doi: 10.1111/ger.12368.

Kassebaum NJ, Bernabe E, Dahiya M, Bhandari B, Murray CJ, Marcenes W. Global burden of untreated caries: a systematic review and metaregression. J Dent Res. 2015 May;94(5):650-8. doi: 10.1177/0022034515573272.

Machiulskiene V, Campus G, Carvalho JC, Dige I, Ekstrand KR, Jablonski-Momeni A, et al. Terminology of dental caries and dental caries management: Consensus report of a workshop organized by ORCA and Cariology Research Group of IADR. Caries Res. 2020;54(1):7-14. doi: 10.1159/000503309.

Pitts NB, Zero DT, Marsh PD, Ekstrand K, Weintraub JA, Ramos-Gomez F, et al. Dental caries. Nat Rev Dis Primers. 2017 May;3:17030. doi: 10.1038/nrdp.2017.30.

Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet. 2007 Jan;369(9555):51-9. doi: 10.1016/S0140-6736(07)60031-2.

Struzycka I. The oral microbiome in dental caries. Pol J Microbiol. 2014;63(2):127-35.

Tschoppe P, Wolgin M, Pischon N, Kielbassa AM. Etiologic factors of hyposalivation and consequences for oral health. Quintessence Int. 2010 Apr;41(4):321-33.

Cunha-Cruz J, Scott J, Rothen M, Mancl L, Lawhorn T, Brossel K, et al. Salivary characteristics and dental caries: evidence from general dental practices. J Am Dent Assoc. 2013 May;144(5):e31-40. doi: 10.14219/jada.archive.2013.0159.

Guillory CDd, Schoolfield JD, Johnson D, Yeh CK, Chen S, Cappelli DP, et al. Co-relationships between glandular salivary flow rates and dental caries. Gerodontology. 2014 Sep;31(3):210-9. doi: 10.1111/ger.12028.

Leone CW, Oppenheim FG. Physical and chemical aspects of saliva as indicators of risk for dental caries in humans. J Dent Educ. 2001;65(10):1054-62.

Agostini BA, Cericato GO, Silveira ERd, Nascimento GG, Costa FDS, Thomson WM, et al. How common is dry mouth? Systematic review and meta-regression analysis of prevalence estimates. Braz Dent J. 2018 Nov-Dec;29(6):606-18. doi: 10.1590/0103-6440201802302.

Turner MD, Ship JA. Dry mouth and its effects on the oral health of elderly people. J Am Dent Assoc. 2007 Sep;138 Suppl:15S-20S. doi: 10.14219/jada.archive.2007.0358.

Costa SM, Adelário AK, Vasconcelos M, Abreu MHNG. [Explanatory models for dental caries: from the organismic to ecosystemic model]. Pesq Bras Odontoped Clin Integr. 2012 Apr-Jun;12(2):285-91. doi: 10.4034/PBOCI.2012.122.20. Portuguese.

Holst D, Schuller AA, Aleksejuniene J, Eriksen HM. Caries in populations--a theoretical, causal approach. Eur J Oral Sci. 2001 Jun;109(3):143-8. doi: 10.1034/j.1600-0722.2001.00022.x.

Paiva SM, Abreu-Placeres N, Camacho MEI, Frias AC, Tello G, Perazzo MF, et al. Dental caries experience and its impact on quality of life in Latin American and Caribbean countries. Braz Oral Res. 2021;35(suppl 01):e052. doi: 10.1590/1807-3107bor-2021.vol35.0052.

Rihs LB, Silva DD, Sousa MLR. Dental caries in an elderly population in Brazil. J Appl Oral Sci. 2009 Jan-Feb;17(1):8-12. doi: 10.1590/s1678-77572009000100003.

Hugo FN, Hilgert JB, de Sousa MD, Cury JA. Depressive symptoms and untreated dental caries in older independently living South Brazilians. Caries Res. 2012;46(4):376-84. doi: 10.1159/000338382.

Brazilian Ministry of Health. Secretariat of Health Care. Secretariat of Health Surveillance. [SB Brasil 2010: National Oral Health Survey: main results]. Brasília: Ministry of Health; 2011. 116p. Portuguese.

Shah N, Sundaram KR. Impact of socio-demographic variables, oral hygiene practices, oral habits and diet on dental caries experience of Indian elderly: a community-based study. Gerodontology. 2004 Mar;21(1):43-50. doi: 10.1111/j.1741-2358.2004.00010.x.

Mulic A, Tveit AB, Stenhagen KR, Oscarson N, Staxrud F, Jonsson B. The frequency of enamel and dentin caries lesions among elderly Norwegians. Acta Odontol Scand. 2020 Jan;78(1):6-12. doi: 10.1080/00016357.2019.1634283.

Wang L, Cheng L, Yuan B, Hong X, Hu1 T. Association between socio-economic status and dental caries in elderly people in Sichuan Province, China: a cross-sectional study. BMJ Open. 2017 Sep;7(9):e016557. doi: 10.1136/bmjopen-2017-016557.

Johanson CN, Osterberg T, Steen B, Birkhed D. Prevalence and incidence of dental caries and related risk factors in 70- to 76-year-olds. Acta Odontol Scand. 2009;67(5):304-12. doi: 10.1080/00016350903054980.

World Health Organization. Oral health surveys: basic methods. 5th ed. Geneva: WHO; 2013.

Moraes EN, Carmo JA, Moraes FL, Azevedo RS, Machado CJ, Montilla DER. Clinical-Functional Vulnerability Index-20 (IVCF-20): rapid recognition of frail older adults. Rev Saude Publica. 2016;50(81):1-9. Doi: 10.1590/S1518-8787.2016050006963.

Ainamo J, Bay I. Problems and proposals for recording gingivitis and plaque. Int Dent J. 1975;25(4):229-35.

Navazesh M, Kumar SK. Measuring salivary flow: challenges and opportunities. J Am Dent Assoc. 2008 May;139 Suppl:35S-40S. doi: 10.14219/jada.archive.2008.0353.

Thompson FE, Byers T. Dietary assessment resource manual. J Nutr. 1994 Nov;124(11 Suppl):2245S-317S. doi: 10.1093/jn/124.suppl_11.2245s.

Alvarez L, Liberman J, Abreu S, Mangarelli C, Correa MB, Demarco FF, et al. Dental caries in Uruguayan adults and elders: findings from the first Uruguayan National Oral Health Survey. Cad Saude Publica. 2015 Aug;31(8):1663-72. doi: 10.1590/0102-311X00132214.

Hayes M, Da Mata C, McKenna G, Burke FM, Allen PF. Evaluation of the Cariogram for root caries prediction. J Dent. 2017 Jul;62:25-30. doi: 10.1016/j.jdent.2017.04.010.

World Health Organization. Guideline: sugars intake for adults and children. Guideline: Sugars Intake for Adults and Children. WHO Guidelines Approved by the Guidelines Review Committee. Geneva: WHO; 2015.

Gupta P, Gupta N, Pawar AP, Birajdar SS, Natt AS, Singh HP. Role of sugar and sugar substitutes in dental caries: a review. ISRN Dent. 2013 Dec;2013:519421. doi: 10.1155/2013/519421.

Guo L, Shi W. Salivary biomarkers for caries risk assessment. J Calif Dent Assoc. 2013;41(2):107-9, 12-8.

Schwendicke F, Dorfer CE, Schlattmann P, Foster Page L, Thomson WM, Paris S. Socioeconomic inequality and caries: a systematic review and meta-analysis. J Dent Res. 2015 Jan;94(1):10-8. doi: 10.1177/0022034514557546.

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Copyright (c) 2022 Natália Teixeira Tavares Branco, Raquel Conceição Ferreira, Jéssica Vancarla Rodrigues de Souza, Allyson Nogueira Moreira, Ivana Márcia Alves Diniz, Cláudia Silami Magalhães

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