Three-year root caries incidence and risk modeling in older adults in North Carolina.

Abstract:

OBJECTIVES:The purposes of this study were to describe the incidence of root caries and to identify its risk factors in a representative sample of older adults. METHODS:Root caries incidence was estimated and multivariate risk assessment models were developed to identify predictors for root caries in a three-year follow-up study of 234 black and 218 white noninstitutionalized adults aged 65 and older residing in North Carolina. RESULTS:During the observation period, 29 percent of blacks developed root caries, compared to 39 percent of whites (P < .05). The mean net DFS increment per person was 0.55 +/- 0.13 root surfaces for blacks vs 0.80 +/- 0.21 for whites (P > .32). Multivariate logistic regression analysis indicated that blacks wearing a partial denture, having some root fragments, having an average gingival recession > or = 2 mm, and being free of P. intermedia were at greater risk for developing new root caries. The model for whites showed that retired people with their most severe gingival recession > or = 4 mm, an average probing pocket depth > or = 2 mm, and taking antihistamines were more likely to develop new lesions. CONCLUSIONS:These findings suggest that older blacks had less risk of root caries than whites, and in both groups indicators of poor periodontal status increased the risk of root caries.

journal_name

J Public Health Dent

authors

Lawrence HP,Hunt RJ,Beck JD

doi

10.1111/j.1752-7325.1995.tb02335.x

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

69-78

issue

2

eissn

0022-4006

issn

1752-7325

journal_volume

55

pub_type

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