Vol. 44, No. 2, 2010
Issue release date: May 2010
Free Access
Caries Res 2010;44:141–150
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Using Universal Patterns of Caries for Planning and Evaluating Dental Care

Sheiham A. · Sabbah W.
Department of Epidemiology and Public Health, University College London, London, UK
email Corresponding Author

 goto top of outline Key Words

  • Dental care planning
  • Dental caries patterns
  • DMF indexes
  • Epidemiology trend lines

 goto top of outline Abstract

There are universal patterns of caries, in terms of prevalence, incidence, frequency distribution and rates of progression, in permanent teeth that can be considered working rules that can be applied when planning dental care. The universal patterns are: (1) caries levels follow trend lines; therefore, knowing the caries level at one age can be used to predict the levels at later ages in that cohort by looking at the trend line for that cohort; (2) the distribution of dental caries of a population exhibits the following characteristics: as the mean DMFT increases, the percentage of caries-free individuals falls and the caries distribution widens; this changing relationship between the mean DMFT and prevalence is not limited to a subgroup of the population who already have had some caries experience; (3) there is a specific mathematical relationship between the mean DMFT and mean DMFS; (4) there is a hierarchy of caries susceptibility by tooth type and sites on teeth; for a given DMFT or DMFS, there is a specific intra-oral pattern of caries by tooth type; (5) changes in mean DMFT scores for individuals and groups are not linear, but ‘stepped’; there are groupings of teeth and tooth sites that may have similar ‘resistance’ to caries; (6) as the mean DMFT declines, the posteruptive time for initiation of caries increases and the progression rate of caries through enamel decreases. This is true regardless of the presence of fluoride. Any improvement in dental health will cause this effect.

Copyright © 2010 S. Karger AG, Basel

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    External Resources

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 goto top of outline Author Contacts

Aubrey Sheiham
Department of Epidemiology and Public Health, University College London
1–19 Torrington Place
London WC1E 6BT (UK)
Tel. +44 20 7679 1700, Fax +44 20 7813 0280, E-Mail a.sheiham@ucl.ac.uk

 goto top of outline Article Information

Received: November 4, 2009
Accepted after revision: February 25, 2010
Published online: April 10, 2010
Number of Print Pages : 10
Number of Figures : 7, Number of Tables : 0, Number of References : 41

 goto top of outline Publication Details

Caries Research

Vol. 44, No. 2, Year 2010 (Cover Date: May 2010)

Journal Editor: Beighton D. (London)
ISSN: 0008-6568 (Print), eISSN: 1421-976X (Online)

For additional information: http://www.karger.com/CRE

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