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Caries disease among an elderly population: A 10-year longitudinal study
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Oral and Maxillofacial Surgery. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Center for Clinical Research Dalarna. Reg Dalarna Cty, Ctr Publ Dent Serv, Falun, Sweden.ORCID iD: 0000-0003-3312-300x
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Disciplinary Domain of Medicine and Pharmacy, research centers etc., Centre for Research and Development, Gävleborg. Reg Gävleborg Cty, Publ Dent Serv, Gävle, Sweden.
Reg Jönköping Cty, Inst Postgrad Dent Educ, Jönköping, Sweden; Malmö Univ, Fac Odontol, Malmö, Sweden; Jönköping Univ, Sch Hlth Sci, Ctr Oral Hlth, Jönköping, Sweden.
2021 (English)In: International Journal of Dental Hygiene, ISSN 1601-5029, E-ISSN 1601-5037, Vol. 19, no 2, p. 166-175Article in journal (Refereed) Published
Abstract [en]

Objectives: To investigate the prevalence of dental caries and to identify risk factors for dental caries in an elderly population between 2008 and 2018.

Methods: This longitudinal study used data from a questionnaire survey and a clinical examination administered on two occasions 10 years apart to 273 individuals who were 65 and 75 years of age in 2008. The variables included were prevalence of dental caries as well as socioeconomic and socio-behavioural factors.

Results: The number of teeth decreased in both age groups by a mean of 2 over the 10-year study period, but the prevalence of dental caries remained stable. Approximately, a quarter of the participants had caries lesions. Toothbrushing once a day or less was the factor most strongly correlated with dental caries lesions (OR: 3.82, 95% CI: 1.68–8.66, p = 0.001), followed by need for homecare (OR: 3.50, 95% CI: 1.55–7.93, p = 0.003) and interproximal cleaning less than once a day (OR: 2.65, 95% CI: 1.36–5.19, p = 0.004).

Conclusions: This longitudinal study revealed no increase in the prevalence of dental caries lesions, indicating that good oral health can be preserved among elderly people. The highest risk for dental caries lesions was among participants with inadequate oral hygiene routines (toothbrushing once a day or less and seldom using interproximal devices) and in need of help in daily living, emphasizing the importance of oral hygiene and collaboration between dental services and community-based health care.

Place, publisher, year, edition, pages
Wiley John Wiley & Sons, 2021. Vol. 19, no 2, p. 166-175
Keywords [en]
dental caries, elderly, longitudinal, socioeconomic
National Category
Dentistry
Identifiers
URN: urn:nbn:se:uu:diva-453862DOI: 10.1111/idh.12490ISI: 000620188400001PubMedID: 33523601OAI: oai:DiVA.org:uu-453862DiVA, id: diva2:1597220
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Region DalarnaAvailable from: 2021-09-24 Created: 2021-09-24 Last updated: 2024-01-15Bibliographically approved

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Edman, KristinaHolmlund, Anders

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