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Dental Caries

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Oral Epidemiology

Abstract

The first step of any epidemiological study is to describe the prevalence and the incidence of a health condition by using appropriate tools. This chapter describes several indices that oral epidemiologists use to measure dental caries at the population level, their advantages and disadvantages, as well as the use of different diagnostic criteria for dental caries assessments, including root dental caries. A broad picture of the global burden of dental caries is presented, highlighting its importance relative to other health problems. Dental caries presents a skewed distribution, and a large proportion of the population, and in at least certain age groups, is free of disease. Analysing and reporting epidemiological dental caries data is not a trivial exercise because it explores some uncommon techniques that challenge the conventional statistics. This chapter is illustrated with practical examples and was written for a diverse group of readers, from students to those who are already familiarised with dental caries epidemiology.

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References

  1. Holst D, Schuller AA, Aleksejuniené J, Eriksen HM. Caries in populations-a theoretical, causal approach. Eur J Oral Sci. 2001;109(3):143–8.

    Article  PubMed  Google Scholar 

  2. Selwitz RH, Ismail AI, Pitts NB. Dental caries. Lancet. 2007;369:51–9.

    Article  PubMed  Google Scholar 

  3. ten Cate JM, Featherstone JD. Mechanistic aspects of the interactions between fluoride and dental enamel. Crit Rev Oral Biol Med. 1991;2:283–96.

    Article  PubMed  Google Scholar 

  4. Pitts NB, Zero DT, Marsh PD, Ekstrand K, Weintraube JA, Ramos-Gomez F, et al. Dental caries. Nat R Dis Prim. 2017;3:17030.

    Article  Google Scholar 

  5. Peres MA, Macpherson LM, Weyant RJ, Daly B, Venturelli R., Mathur MR et al. Oral diseases: a global public health challenge. Lancet. 2019. In press.

    Google Scholar 

  6. Klein H, Palmer CE. Dental caries in American Indian children. In: Public Health Bulletin. Washington: Government Printing Office; 1937. Technical Report No 239.

    Google Scholar 

  7. American Academy Pediatric Dentistry. Proceedings of the conference: innovations in the prevention and management of early childhood caries. Pediatr Dent. 2015;37(3):198–9.

    Google Scholar 

  8. American Academy of Pediatric Dentistry, American Academy of Pediatrics. Policy on early childhood caries (ECC): classifications, consequences, and preventive strategies. Pediatr Dent. 2016;38(6):52–4. Available from: http://www.ingentaconnect.com/content/aapd/pd/2016/00000038/00. Accessed 20/06/2019.

    Google Scholar 

  9. Banting DW. The diagnosis of root caries. J Dent Educ. 2001;65:991–6.

    Article  PubMed  Google Scholar 

  10. Featherstone JD. Fluoride, remineralization and root caries. Am J Dent. 1994;7:271–4.

    PubMed  Google Scholar 

  11. Daly B, Watt R, Batchelor P, Treasure E. Overview of epidemiology. In: Essential dental public health. University Press: Oxford; 2002. p. 79–80.

    Google Scholar 

  12. Nordblad A. Patterns and indicators of dental decay in the permanent dentition of children and adolescents. Proc Finn Dent Soc. 1986;82(Suppl. 11–13):1–69.

    PubMed  Google Scholar 

  13. Ainsworth NJ. Mottled teeth. Br Dent J. 1933;55:233–50.

    Google Scholar 

  14. Gruebbel AO. A measure of dental caries prevalence and treatment service for deciduous teeth. J Dent Res. 1944;23:163–8.

    Article  Google Scholar 

  15. Cappelli DP, Mobley CC. Prevention in clinical oral health care. St. Louis: Mosby Elsevier; 2008.

    Google Scholar 

  16. Burt BA. How useful are cross-sectional data from surveys of dental caries? Community Dent Oral Epidemiol. 1997;25(1):36–41.

    Article  PubMed  Google Scholar 

  17. Liljestrand JM, Havulinna AS, Paju S, Mannisto S, Salomaa V, Pussinen PJ. Missing teeth predict incident cardiovascular events, diabetes, and death. J Dent Res. 2015;94:1055–62.

    Article  PubMed  Google Scholar 

  18. Bödecker CF. The modified dental caries index. J Am Dent Assoc. 1939;26:1453–60.

    Article  Google Scholar 

  19. Broadbent JM, Thomson WM. For debate: problems with the DMF index pertinent to dental caries data analysis. Community Dent Oral Epidemiol. 2005;33(6):400–9.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Walsh J. International patterns of oral health care – the example of New Zealand. N Z Dent J. 1970;66(304):143–52.

    Google Scholar 

  21. Santamaria RM, Schmoeckel J, Basner R, Schüler E, Splieth CH. Caries trends in the primary dentition of 6- to 7-year-old schoolchildren in Germany from 1994 to 2016: results from the German national oral health surveys in children. Caries Res. 2019;53:659–66.

    Article  PubMed  Google Scholar 

  22. Gupta E, Innes N, Schuller AA, Vermaire JH, Marshman Z. A scoping review of the uses of the care index in children. Community Dent Health. 2017;34(3):131–6.

    PubMed  Google Scholar 

  23. Pitts NB. ICDAS: an international system for caries detection and assessment being developed to facilitate caries epidemiology, research and appropriate clinical management. Community Dent Health. 2004;21(3):193–8.

    PubMed  Google Scholar 

  24. Ekstrand KR, Kuzmina I, Bjørndal L, Thylstrup A. Relationship between external and histologic features of progressive stages of caries in the occlusal fossa. Caries Res. 1995;29(4):243–50.

    Article  PubMed  Google Scholar 

  25. Ekstrand KR, Martignon S, Ricketts DJ, Qvist V. Detection and activity assessment of primary coronal caries lesions: a methodologic study. Oper Dent. 2007;32(3):225–35.

    Article  PubMed  Google Scholar 

  26. Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, et al. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol. 2007;35(3):170–8.

    Article  PubMed  Google Scholar 

  27. Nelson S, Eggertsson H, Powell B, Mandelaris J, Ntragatakis M, Richardson T, et al. Dental examiners consistency in applying the ICDAS criteria for a caries prevention community trial. Community Dent Health. 2011;28(3):238–42.

    PubMed  Google Scholar 

  28. Monse B, Heinrich-Weltzien R, Benzian H, Holmgren C, van Palenstein Helderman W. PUFA – an index of clinical consequences of untreated dental caries. Community Dent Oral Epidemiol. 2010;38:77–82.

    Google Scholar 

  29. de Souza AL, Leal SC, Chaves SB, Bronkhorst EM, Frencken JE, Creugers NH. The Caries Assessment Spectrum and Treatment (CAST) instrument: construct validation. Eur J Oral Sci. 2014;122(2):149–53.

    Article  PubMed  Google Scholar 

  30. Pitts NB, Evans DJ, Pine CM. British Association for the Study of Community Dentistry (BASCD) diagnostic criteria for caries prevalence surveys – 1996/97. Community Dent Health. 1997;14(1):6–9.

    Google Scholar 

  31. Slade G, Roberts-Thomson K, Ellershaw A. Survey aims and methods. In: Slade GD, Spencer AJ, Robert-Thomson KF, editors. Australia's dental generations: the National Survey of Adult Oral Health 2004–06. AIHW cat. no. DEN 165. Canberra: Australian Institute of Health and Welfare. (Dental Statistics and Research Series No. 34).; 2007. p. 11–36.

    Google Scholar 

  32. Barrington G, Khan S, Kent K, Brennan DS, Crocombe LA, Bettiol S. Obesity, dietary sugar and dental caries in Australian adults. Int Dent J. 2019;69:383–91.

    Article  PubMed  Google Scholar 

  33. NHANES. https://www.cdc.gov/nchs/data/nhanes/nhanes/OralHealth_Examiners. Accessed 16/06/2019.

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

    Google Scholar 

  35. Paganelli APD, Constante HM, Sala FS, Bainha CC, Bastos JL, Peres MA. Trends in dental caries rates over 45 years (1971-2016) among schoolchildren in Florianópolis, southern Brazil. Int Dent J. 2018;68(1):47–53.

    Article  PubMed  Google Scholar 

  36. BASCD Public Health England: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/768368/NDEP_for_England_OH_Survey_5yr_2017_Report.pdf.

  37. Zhang J, Sardana D, Wong MCM, Leung KCM, Lo ECM. Factors Associated with Dental Root Caries: A Systematic Review. JDR Clin Trans Res. 2019;2380084419849045.

    Google Scholar 

  38. Summey DL, Jordan HV, Englander HR. The prevalence of root surface caries in selected populations. J Periodontal. 1973;44(8):500–4.

    Article  Google Scholar 

  39. ICDAS. http://www.tordent.com/pdfs/2011/2011exhibitors/concepts-caries-Abrams.pdf. Accessed 27/06/2019.

  40. 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(6):378–84.

    Article  PubMed  Google Scholar 

  41. Gini C. On the Measure of Concentration with Special Reference to Income and Statistics, Colorado College Publication. General Series. 1936;208:73–9.

    Google Scholar 

  42. Gastwirth JL. The estimation of the Lorenz curve and Gini index. Rev Econ Stat. 1972;54(3):306–16.

    Article  Google Scholar 

  43. Campus G, Solinas G, Strohmenger L, Cagetti MG, Senna A, Minelli L, et al. National pathfinder survey on children’s oral health in Italy: pattern and severity of caries disease in 4-year-olds. Caries Res. 2009;43:155–62.

    Article  PubMed  Google Scholar 

  44. Haight FA. Handbook of the Poisson distribution. New York: John Wiley & Sons; 1967.

    Google Scholar 

  45. Hilbe JM. Negative Binomial Regression. 2nd ed. Cambridge: Cambridge University Press; 2011.

    Book  Google Scholar 

  46. Böhning D, Dietz E, Schlattmann P, Mendonca L, Kirchner U. The zero-inflated Poisson model and the decayed, missing and filled teeth index in dental epidemiology. J R Statist Soc Series A. 1999;162(2):195–209.

    Article  Google Scholar 

  47. Kassebaum NJ, Smith AGC, Bernabé E, Fleming TD, Reynolds AE, Vos T, et al. Global, regional, and national prevalence, incidence, and disability-adjusted life years for Oral conditions for 195 countries, 1990–2015: a systematic analysis for the global burden of diseases, injuries, and risk factors. J Dent Res. 2017;96:380–7.

    Article  PubMed  Google Scholar 

  48. Broadbent JM, Foster Page LA, Thomson WM, Poulton R. Permanent dentition caries through the first half of life. Br Dent J. 2013;215(7):E12.

    Article  PubMed  Google Scholar 

  49. Peres MA, Sheiham A, Liu P, Demarco FF, Silva AE, Assunção MC, et al. Sugar consumption and changes in dental caries from childhood to adolescence. J Dent Res. 2016;95(4):388–94.

    Article  PubMed  Google Scholar 

  50. Hummel R, Akveld NAE, Bruers JJM, van der Sanden WJM, Su N, van der Heijden GJMG. Caries progression rates revisited: a systematic review. J Dent Res. 2019 May;9:22034519847953.

    Google Scholar 

  51. Pentapati KC, Siddiq H, Yeturu SK. Global and regional estimates of the prevalence of root caries – Systematic review and meta-analysis. Saudi Dent J. 2019;31(1):3–15.

    Google Scholar 

  52. Hariyani N, Setyowati D, Spencer AJ, Luzzi L, Do LG. Root caries incidence and increment in the population – A systematic review, meta-analysis and meta-regression of longitudinal studies. J Dent. 2018;77:1–7.

    Google Scholar 

  53. Martikainen P, Bartley M, Lahelma E. Psychosocial determinants of health in social epidemiology. Int Epidemiol. 2002;31:1091–3.

    Article  Google Scholar 

Further Reading

  • Phantumvanit P, Makino Y, Ogawa H, Rugg-Gunn A, Moynihan P, Petersen PE, Evans W, Feldens CA, Lo E, Khoshnevisan MH, Baez R, Varenne B, Vichayanrat T, Songpaisan Y, Woodward M, Nakornchai S, Ungchusak C. WHO global consultation on public health intervention against early childhood caries. Community Dent Oral Epidemiol. 2018;46(3):280–7.

    Article  PubMed  Google Scholar 

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Correspondence to Karen Glazer Peres .

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Peres, K.G., Peres, M.A., Antunes, J.L.F. (2021). Dental Caries. In: Peres, M.A., Antunes, J.L.F., Watt, R.G. (eds) Oral Epidemiology. Textbooks in Contemporary Dentistry. Springer, Cham. https://doi.org/10.1007/978-3-030-50123-5_3

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  • DOI: https://doi.org/10.1007/978-3-030-50123-5_3

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