Vol. 38, No. 3, 2004
Issue release date: May–June 2004
Caries Res 2004;38:173–181
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Changes in Dental Caries 1953–2003

Marthaler T.M.
Center for Dentistry, University of Zurich, Zurich, Switzerland
email Corresponding Author

 goto top of outline Key Words

  • Dental caries
  • Caries epidemiology
  • Time trends

 goto top of outline Abstract

In the first half of the 20th century, indices and methods of conducting surveys of the level of dental diseases were developed. Modern epidemiological studies began in the fifties and many reliable studies have been conducted after 1960. In the following decades, a substantial decline of caries prevalence was documented in the majority of the highly industrialized countries, with reductions of lifetime caries experience exceeding 75%. The decline comes to an end when low or very low levels of prevalence are reached. Children of low socioeconomic status and immigrants from outside Western Europe, however, generally have higher disease levels and may cause increases in caries prevalence. For this and other reasons, caries epidemiology will remain an indispensable part of dental public health.

Copyright © 2004 S. Karger AG, Basel

 goto top of outline References
  1. Bratthall D: Introducing the Significant Caries Index together with a proposal for a new global oral health goal for 12-year-olds. Int Dent J 2000;50:378–384.
  2. Bratthall D, Hänsel-Petersson G, Sundberg H: Reasons for the caries decline: What do the experts believe? Eur J Oral Sci 1996;104:416–422.
  3. Cochran WG: Sampling Techniques. New York, Wiley & Sons, 1953.
  4. Downer M: Caries prevalence in the United Kingdom. Int Dent J 1994;44:365–370.
  5. Ericsson Y (ed): Progress in Caries Prevention. Caries Res 1978;(suppl 1):1–112.
  6. FDI: Dental caries; in Hine MK (ed): Epidemiology of Selected Dental Conditions 1950–1963. Bethesda, Fédération Dentaire Internationale, National Library of Medicine, 1964.
  7. von der Fehr FR: Caries prevalence in the Nordic countries. Int Dent J 1994;44:371–378.
  8. von der Fehr FR, Haugejorden O: The start of caries decline and related fluoride use in Norway. Eur J Oral Sci 1997;105:21–26.
  9. Gray PG, Todd JE, Slack GL Bulman JS: Adult Dental Health in England and Wales in 1968. London, Office of Population Censuses and Surveys, Social Survey Division, HMSO, 1970.
  10. Kann J: Erfaringer fra et mundhygiejnisk profylakseprogram in boernetandpleieregie. Tandlaegebladet 1968;72:317–330.
  11. König KG: Aktuelle Empfehlungen zum Fluoridgehalt in Kinderzahnpasten: Konsequenzen für die systemische Fluoridierung. Gesundheitswesen 2002;64:33–38.
  12. Künzel W: Caries decline in Deutschland. Heidelberg, Hüthig, 1997.
  13. Lussi A, Francescut P: Performance of conventional and new methods for the detection of occlusal caries in deciduous teeth. Caries Res 2003;37:2–7.
  14. Marthaler TM: Caries-inhibiting effect of fluoride tablets. Helv Odontol Acta 1969;13:1–13.
  15. Marthaler TM: Decrease of DMF-levels 4 years after the introduction of a caries-preventive program, observations in 5,819 schoolchildren of 20 communities. Helv Odontol Acta 1972;16:45–68.
  16. Marthaler TM, König KG: Der Einfluss der Fluortablettengaben in der Schule auf den Kariesbefall 6- bis 15jähriger Kinder. Schweiz Monatsschr Zahnheilkd 1967;77:539–554.
  17. Marthaler TM, O’Mullane DM, Vrbic V: The prevalence of dental caries in Europe 1990–1995: ORCA Saturday afternoon symposium 1995. Caries Res 1996;30:237–255.
  18. Marthaler TM, Steiner M, Menghini GD, Bandi A: Caries prevalence in Switzerland. Int Dent J 1994;44:393–401.
  19. Menghini GD, Steiner M, Leisebach T, Weber RM: Kariesprävalenz von 5-Jährigen der Stadt Winterhur im Jahre 2001. Schweiz Monatsschr Zahnmed 2003a;113:519–523.
  20. Menghini GD, Steiner M, Marthaler TM, Helfenstein U, Brodowski D, Imfeld C, Weber R, Imfeld T: Kariesprävalenz von Schülern in 16 Zürcher Landgemeinden in den Jahren 1992 bis 2000. Schweiz Monatsschr Zahnmed 2003b;113:267–277.
  21. Menghini GD, Steiner M, Marthaler TM, Weber RM: Rückgang der Kariesprävalenz bei Schweizer Rekruten von 1970–1996. Schweiz Monatsschr Zahnmed 2001;111:410–416.
  22. National Center for Health Statistics: Decayed, missing and filled teeth in adults, United States, 1960–62. PHS Publ No 1000, Series 11, No 23. Washington, Public Health Service, US Government Printing Office, 1967.
  23. National Center for Health Statistics: Decayed, missing and filled teeth among children (age 6–11, 1963–65). PHS Publ No 1000, Series 11, No 106. Washington, Public Health Service, US Government Printing Office, 1971.
  24. National Center for Health Statistics: Decayed, missing and filled teeth among youths 12–17 years (1966–70). PHS Publ No 1000, Series 11, No 144. Washington, Public Health Service, US Government Printing Office, 1974.
  25. Naylor MN (ed): Second International Conference on Declining Caries. Int Dent J 1994;44:363–458.
  26. Pitts NB, Boyles J, Nugent ZJ, Thomas N, Pine CM: The dental caries experience of 5-year-old children in England and Wales. Surveys coordinated by the British Association for the Study of Community Dentistry in 2001/2002. Community Dent Health 2003;20:45–54.
  27. Pitts NB, Evans DJ, Nugent ZJ: The dental caries experience of 14-year-old children in the United Kingdom. Surveys coordinated by the British Association for the Study of Community Dentistry in 1998/99. Community Dent Health 2000;17:48–53.
  28. Pitts NB, Evans DJ, Nugent ZJ, Pine CM: The dental caries experience of 12-year-old children in England and Wales. Surveys coordinated by the British Association for the Study of Community Dentistry in 2000/2001. Community Dent Health 2002;19:46–53.
  29. Renson CE, Crielaers PJA, Ibikunle SA, Pinto VG, Ross CB, Sardo Infirri J, Takazoe I, Tala H: Changing patterns of oral health and implications for oral health manpower: Part I. Int Dent J 1985;35:235–251.
  30. Rieder F: Sechsjahrresultate mit kombinierter Kariesprophylaxe nach den Empfehlungen des SSO-Seminars für Jugendzahnpflege 1961. Schweiz Monatsschr Zahnheilkd 1967;77:1058–1059.
  31. Sigrist H, Marthaler TM: Abfall der DMF-Zahnzahl bei 8- und 9jährigen Kindern nach 4 Jahren überwachten Zähnebürstens. Dtsch Zahnärztl Z 1975;30:294–299.
  32. Steiner M, Marthaler TM, Bandi A, Menghini G: Prävalenz der Milchzahnkaries in 16 Gemeinden des Kantons Zürich in den Jahren 1964 bis 1988. Schweiz Monatsschr Zahnmed 1991;101:738–742.
  33. Steiner M, Menghini GD, Curilovic Z, Marthaler TM: Kariesbefall der Schüler der Stadt Zürich im Zeitraum 1970–1993. Schweiz Monatsschr Zahnmed 1994;104:1210–1218.

    External Resources

  34. Todd JE: Children’s Dental Health in England and Wales 1973. Office of Population Censuses and Surveys. London, Her Majesty’s Stationery Office, 1975.
  35. Truin GJ: Kariesprävention und die Erfolge der kinderzahnärztlichen Betreuung in den Niederlanden. Zahnärztl Gesundheitsdienst 1997;27:8–13.
  36. Truin GJ, König KG, Bronkhorst EM: Caries prevalence in Belgium and the Netherlands. Int Dent J 1994;44:379–385.
  37. Vrbic V: Reasons for the caries decline in Slovenia. Community Dent Oral Epidemiol 2000;28:126–132.
  38. Wegelin H: Erfahrungsbericht und statistische Auswertung der Kariesprophylaxe bei Schulkindern im Kanton St. Gallen. Schweiz Monatsschr Zahnheilkd 1964;74:1043–1059.
  39. Yates F: Sampling Methods for Censuses and Surveys. London, Griffin, 1949.

 goto top of outline Author Contacts

Prof. Dr. Thomas M. Marthaler
Bellerivestrasse 21
CH–8008 Zürich (Switzerland)
Tel. +41 44 381 75 40, Fax +41 44 381 75 43
E-Mail tmarthal@zui.unizh.ch

 goto top of outline Article Information

Number of Print Pages : 9
Number of Figures : 3, Number of Tables : 4, Number of References : 39

 goto top of outline Publication Details

Caries Research (Journal of the European Organization for Caries Research (ORCA))
Journal founded 1967 by Y. Ericsson; edited 1970–1987 by K.G. König; 1987–1994 by J.M. ten Cate; 1994–2000 by J. Tenovuo

Vol. 38, No. 3, Year 2004 (Cover Date: May-June 2004)

Journal Editor: R.P. Shellis, Bristol
ISSN: 0008–6568 (print), 1421–976X (Online)

For additional information: http://www.karger.com/journals/cre

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