TY  - JOUR
AB  - INTRODUCTION: We assessed time trends in root caries experience, i.e. the sum of filled and carious root surfaces (FRS, CRS), and evaluated risk indicators of FRS/CRS in Germany. METHODS: FRS and CRS from repeated waves (1997, 2005, 2014) of the nationally-representative German Oral Health Studies were analyzed in 35-44- and 65-74-year-olds (adults/younger seniors; n = 4388). Weighted means were interpolated cross-sectionally across age groups by fitting piecewise-cubic spline-curves, and population-level FRS and CRS calculated. We also projected population-level FRS and CRS to 2030. To evaluate risk indicators of FRS and CRS, zero-inflated negative-binomial regression was applied. RESULTS: In adults FRS increased from 1997 to 2005 at individual and population level (from a mean of 0.49 to 0.63 surfaces; from a total of 6.2 to 8.7 million surfaces) and then decreased to 2014 (to 0.16 surfaces/1.6 million surfaces). CRS constantly increased (1997: 0.37 surfaces/4.7 million surfaces; 2014: 0.94 surfaces/9.3 million). In younger seniors, FRS increased from 1997 to 2005 (from 0.67 to 1.92 surfaces; 5.0 to 17.5 million surfaces) and then decreased to 2014 (0.89 surfaces/7.5 million surfaces). CRS constantly increased (1997: 0.39 surfaces/2.9 million surfaces; 2014: 1.43 surfaces/12.1 million surfaces). Driven by demographic changes until 2030, population-level FRS and CRS is likely to increase in younger seniors, but not adults. Sex, toothbrushing behavior, age, coronal caries experience and the number of teeth with probing-pocket-depths>/=4 mm were associated with FRS and CRS. CONCLUSIONS: While FRS does not show a clear trend, CRS has constantly increased since 1997. Concepts for preventing and managing CRS in Germany are needed. CLINICAL SIGNIFICANCE: Evaluating time trends and assessing risk indicators of root caries experience is helpful to understand morbidity dynamics, plan resource allocation and identify individuals/groups at risk. While FRS shows no clear trend, CRS has increased since 1997 in Germany. Concepts for addressing the emanating treatment needs are needed.
AD  - Department of Operative and Preventive Dentistry, Charite-Universitatsmedizin Berlin, Germany. Electronic address: falk.schwendicke@charite.de.
Department of Operative and Preventive Dentistry, Charite-Universitatsmedizin Berlin, Germany.
Department of Restorative and Preventive Dentistry, University Medical Center Hamburg, Germany.
Institute of German Dentists (IDZ), Cologne, Germany.
AN  - 30165190
AU  - Schwendicke, Falk
AU  - Krois, Joachim
AU  - Schiffner, Ulrich
AU  - Micheelis, Wolfgang
AU  - Jordan, A. Rainer
DA  - Nov
DO  - 10.1016/j.jdent.2018.08.013
J2  - J Dent
KW  - Caries
Cross-sectional study
Elderly
Epidemiology
Gerodontology
Health services research
DMS V
L1  - internal-pdf://3044812047/Schwendicke-2018-Root caries experience in Ger.pdf
N1  - Schwendicke, Falk
Krois, Joachim
Schiffner, Ulrich
Micheelis, Wolfgang
Jordan, Rainer A
eng
England
2018/08/31 06:00
J Dent. 2018 Nov;78:100-105. doi: 10.1016/j.jdent.2018.08.013. Epub 2018 Aug 27.
PY  - 2018
SN  - 1879-176X (Electronic)
0300-5712 (Linking)
SP  - 100-105
ST  - Root caries experience in Germany 1997 to 2014: Analysis of trends and identification of risk factors
T2  - Journal of Dentistry
TI  - Root caries experience in Germany 1997 to 2014: Analysis of trends and identification of risk factors
UR  - https://www.ncbi.nlm.nih.gov/pubmed/30165190
VL  - 78
ID  - 4796
ER  -