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      Prevalence of Caries on Individual Tooth Surfaces and its Distribution by Age and Gender in University Clinic Patients

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          Abstract

          Objectives:

          The objectives of the present study were to assess the prevalence rate of caries on individual permanent tooth surfaces, and to compare individual tooth surface caries rates among gender and age groups.

          Methods:

          Without drying the teeth, examinations were performed with dental mirrors and blunt, sickle-shaped explorers under a dental chair light, according to WHO recommendations.

          Results:

          Caries distribution was higher in the maxillary jaw (62.4%) than in the mandibular jaw (37.6%). Except molars, approximal surfaces of all teeth demonstrated the highest caries rates, ranging from 58.5% to 77.5%. Occlusal fissures on the first and second molars contributed most significantly to caries frequency, from 52.7% to 66.3%. Females (59.1%) showed a higher incidence of caries than males (40.9%). Approximal surfaces of incisors, canines, premolars and occlusal fissure sites in molars showed the highest caries rates in both sexes. Caries were most common among individuals aged 17 to 25 years. Approximal surfaces of incisors, canines, premolars and occlusal surfaces in molars had the highest caries rates in all age groups, except for individuals older than 65 years of age.

          Conclusions:

          Gender and age do not affect the prevalence of caries on teeth sites. In addition, more caries are experienced in younger age groups, and their incidence decreases as age increases.

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          Most cited references26

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          Dental caries in older adults.

          Dental caries is one of the most significant health problems facing older adults. More than half of the elderly who are dentate are affected with either coronal or root caries, and caries is the primary cause of tooth loss in this population. New materials and techniques are emerging to help with geriatric preventive and restorative needs, but ongoing vigilance for caries will be required in this population, which is experiencing increased longevity and tooth retention.
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            Diagnostic tools and measurements--impact on appropriate care.

            N Pitts (1997)
            The diagnosis of primary coronal caries should be seen as a complex process, comprising both detection and measurement phases, which enables clinicians, researchers and epidemiologists to make informed decisions about the management and prognosis of the disease process. The different diagnostic thresholds employed for measurements of caries experience can be viewed as an iceberg, a metaphor which demonstrates the ambiguity of the term "caries free" and which can also represent the differing management options appropriate for the care of different types of active and inactive lesions: NAC (No Active Care). PCA (Preventive Care Advised) and OCA (Operative Care Advised). There are considerable methodological difficulties in drawing valid comparisons between studies using incompatible criteria and simulations. However, it is apparent that no caries diagnostic tool in current clinical use fulfils all of the ideal criteria for measurements needed to plan and monitor appropriate care. Systems providing reliable serial measurements with which to assess future caries risk and present caries activity are urgently required as diagnostic tasks are becoming both more difficult and more important from the standpoint of long-term oral health. Existing diagnostic tools frequently rely on subjective judgements and provide only semi-quantitative measures insensitive to smaller lesions. In the future tools are needed which are objective, quantitative and which can provide acceptable compromises between sensitivity and specificity for a wide range of applications for individual patient care as well as for research and survey use. Key problem areas with existing tools include confusion in terminology and between caries assessments made by clinicians and epidemiologists as well as the lack of valid measurements relating to the activity of primary root caries and secondary caries. Deficiencies with current tools impact on the care of individuals by allowing false negative diagnoses of hidden occlusal dentine lesions and approximal cavities on the one hand, whilst generating some false positive diagnoses on sound surfaces leading to inappropriate decisions to restore on the other. At the population level, current conventional tools significantly underestimate overall caries experience. In future the adoption of more accurate and reliable methods would facilitate more effective preventive care and promote more appropriate restorative treatment decisions. Research in this area should focus for the next five years on diagnostic technologies which: 1) inform valid prospective caries risk assessments for different age groups, 2) can help to determine present caries activity and monitor lesion behaviour over time and 3) help identify methods which can implement existing and new research knowledge about diagnostic tools into clinical and research practice.
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              Pattern of dental caries experience on tooth surfaces in an adult population.

              To determine the pattern of caries experience across teeth and surfaces in an adult population depending on age and exposure to water fluoridation. Between November 2002 and March 2003 a total of 973 subjects aged 17-51 years had a clinical examination using visual and tactile criteria. Subsequent to this examination, bitewing radiographs were taken and viewed separately. Approximal and occlusal surfaces of molars and premolars were examined on the radiographs. Caries experience was relatively low, with mean DMFS scores of 3.21, 5.12, 9.61, 13.04 and 24.35 for subjects aged 17-20, 21-25, 26-30, 31-35 and 36-51 years respectively. The first molar teeth had the greatest caries experience, and occlusal surfaces had more caries experience than approximal surfaces. Subjects with a lifetime exposure to fluoridated drinking water had significantly lower caries experience than those who had no exposure to fluoridated drinking water. This study showed that caries prevalence, although relatively low in the study population, was found predominantly in occlusal surfaces, with an increasing prevalence in approximal surfaces of posterior teeth in older subjects. Subjects with a lifetime exposure to fluoridated drinking water had a lower level of caries experience than those with no exposure to fluoridated drinking water, and this was more noticeable in approximal surfaces than occlusal surfaces.
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                Author and article information

                Journal
                Eur J Dent
                Eur J Dent
                European Journal of Dentistry
                Dental Investigations Society
                1305-7456
                1305-7464
                July 2010
                : 4
                : 3
                : 270-279
                Affiliations
                [a ]Department of Conservative Dentistry, Faculty of Dentistry, Istanbul University, Istanbul, Turkey.
                [b ]Department of Public Health, Cerrahpasa Medicine Faculty, Istanbul University, Istanbul, Turkey.
                Author notes
                Corresponding author: Mustafa Demirci, Istanbul University, Faculty of Dentistry, Department of Conservative Dentistry, Capa, 34390, Istanbul, Turkey. Phone: + 90 542 271 16 51, Fax: + 90 212 525 00 75, E-mail: demirci.md@ 123456superonline.com , demirci@ 123456istanbul.edu.tr
                Article
                dent04_p0270
                10.1055/s-0039-1697839
                2897860
                20613915
                a5d4cb1e-2392-4d3a-aec4-b9d0008b8030
                Copyright 2010 European Journal of Dentistry. All rights reserved.
                History
                Categories
                Original Articles

                Dentistry
                dental caries,gender,age,tooth surface
                Dentistry
                dental caries, gender, age, tooth surface

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