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Eighteen-month Coronal Caries Incidence in North Carolina Older Adults
Authors:Claude W. Drake  DDS  MPH  MS  Ronald J. Hunt  DDS  MS  James D. Beck  PhD  Gary G. Koch  PhD
Affiliation:Department of Diagnostic Sciences;Department of Dental Ecology School of Dentistry;Department of Biostatistics School of Public Health University of North Carolina Chapel Hill, NC
Abstract:In this longitudinal study of a random sample of North Carolinians over the age of 65 and living in their homes, 325 blacks and 280 whites were examined and interviewed 18 months after baseline examinations. Coronal caries incidence was greater among whites than blacks. The increment due to teeth becoming root fragments were similar for both races; however, there were more newly crowned teeth among whites. Newly crowned surfaces were not used as part of the caries increment in logistic regression models to investigate potential risk predictors. For blacks, caries development over the 18-month period was associated with a higher lactobacillus score and more coronal caries at baseline, more previously filled coronal surfaces, and lack of active membership in clubs or other groups. For whites, having no self-reported tooth sensitivity, having a lower socioeconomic index score, taking antihistamine medications at baseline, and having the perception of more problems after the age of 40 than before were all associated with the development of coronal caries.
Keywords:dental caries    epidemiology    geriatric dentistry    adult    caries risk prediction
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