Caries Research

Current Topic

Association of Enamel Caries Lesions with Oral Hygiene and DMFT among Adults

Laajala A.a · Pesonen P.b · Anttonen V.a,c · Laitala M.-L.a

Author affiliations

aDepartment of Cariology, Endodontology and Pediatric Dentistry, Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu, Oulu, Finland
bNorthern Finland Birth Cohorts, Faculty of Medicine, University of Oulu, Oulu, Finland
cMedical Research Center, University of Oulu and Oulu University Hospital, Oulu, Finland

Keywords: CariesEnamelEpidemiologyInternational Caries Detection and Assessment SystemNorthern Finland Birth Cohort 1966

Related Articles for ""
Caries Res 2019;53:475–481
https://doi.org/10.1159/000497358

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Article / Publication Details

First-Page Preview
Abstract of Current Topic

Received: May 11, 2018
Accepted: January 29, 2019
Published online: March 27, 2019
Issue release date: June 2019

Number of Print Pages: 7
Number of Figures: 2
Number of Tables: 2

ISSN: 0008-6568 (Print)
eISSN: 1421-976X (Online)

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

Abstract

The aim of this study was to evaluate the prevalence of enamel caries lesions and their association with tooth brushing frequency, tooth brushing quality, and past caries experience among Finnish adults. The study population comprised 46-year-old members of the Northern Finland Birth Cohort 1966 (n = 1,961). Caries lesions were examined and recorded at surface level using the International Caries Detection and Assessment System (ICDAS). The cut-off point for enamel caries was set to ICDAS score 3. The cut-off point for brushing frequency was twice daily. Visible plaque on buccal tooth surfaces represented brushing quality. Using enamel caries lesions (ICDAS1–3) as a dependent variable, an adjusted logistic regression model was conducted to investigate the association with gender, brushing frequency, visible plaque, dentin caries lesions (ICDAS4–6), teeth with restorations, extractions and fractures. Almost all participants (99%) had enamel and 40% had dentin caries lesions; the mean number of teeth with enamel caries lesions was 13.8 (SD 4.6). According to the adjusted logistic regression model, the high prevalence of ICDAS1–3 lesions was associated with having visible plaque on more than 20% of teeth and having more than 13 restored teeth. In conclusion, the prevalence of enamel caries lesions is high among the Finnish adult population. The results of this study suggest that in addition to tooth brushing frequency, the presence of visible plaque seems to be critical when evaluating the association between tooth brushing and enamel caries.

© 2019 S. Karger AG, Basel



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Article / Publication Details

First-Page Preview
Abstract of Current Topic

Received: May 11, 2018
Accepted: January 29, 2019
Published online: March 27, 2019
Issue release date: June 2019

Number of Print Pages: 7
Number of Figures: 2
Number of Tables: 2

ISSN: 0008-6568 (Print)
eISSN: 1421-976X (Online)

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

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2019, Vol.53, No. 4

June 2019

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