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Approximal caries increment: a three-year longitudinal radiographic study.

J H G Poorterman1, I H A Aartman, J A Kieft

  • 1Academic Centre for Dentistry Amsterdam, Department of Social Dentistry and Dental Health Education, The Netherlands. j.poorterman@acta.nl

International Dental Journal
|October 17, 2003
PubMed
Summary

Significant dental caries increment occurred in young adults over three years. Oral health behavior and health concern influenced caries progression in 17-20 year olds, but not dental knowledge or motivation.

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Area of Science:

  • Dental Public Health
  • Epidemiology
  • Cariology

Background:

  • Dental caries remains a significant public health issue, particularly among adolescents and young adults.
  • Understanding the factors influencing caries progression is crucial for developing effective prevention strategies.

Purpose of the Study:

  • To quantify the approximal caries increment over three years in different age groups.
  • To investigate the association between caries increment and self-reported oral health behaviors, dental knowledge, and attitudes.

Main Methods:

  • A three-year longitudinal retrospective radiographic study involving 14, 17, 20, and 23-year-olds.
  • Bitewing radiographs were analyzed for caries increment (enamel and dentine lesions).
  • Self-reported measures of oral health behavior, knowledge, and attitudes were collected via reliable questionnaires.

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Main Results:

  • A considerable average caries increment was observed, with 3.7 enamel and 1.2 dentine lesions per participant.
  • Significant changes in sound surfaces, restorations, and caries scores (D1FS) were noted across all age groups over three years.
  • In the 17-20 age group, 'health concern' significantly predicted changes in sound surfaces and enamel lesions, while 'behavior' and 'health concern' predicted D1Fs and D3FS scores.

Conclusions:

  • A substantial caries increment occurs in young adults, independent of dental knowledge and motivation.
  • Oral health behavior and health concern were associated with caries progression only in the 17-20 year old cohort.
  • Findings highlight the complex interplay between behavior, attitude, and caries development in specific age demographics.