Correlates of root caries experience in middle-aged and older adults in the Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry research network

Donald L Chi; Joel H Berg; Amy S Kim; JoAnna Scott; Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry

doi:10.14219/jada.archive.2013.0153

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Correlates of root caries experience in middle-aged and older adults in the Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry research network

Journal article

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Peer reviewed

Correlates of root caries experience in middle-aged and older adults in the Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry research network

Donald L Chi, Joel H Berg, Amy S Kim, JoAnna Scott and Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry

The Journal of the American Dental Association (1939), Vol.144(5), pp.507-516

05/2013

DOI: 10.14219/jada.archive.2013.0153

PMCID: PMC4097202

PMID: 23633699

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Abstract

The authors examined the correlates of root caries experience for middle-aged adults (aged 45-64 years) and older adults (65 years and older) to test the hypothesis that the factors related to root caries are different for middle-aged adults than they are for older adults. The authors conducted an observational cross-sectional study that focused on adult patients aged 45 to 97 years recruited from the Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry research network (N = 775). The outcome variable was any root caries experience (no/yes). The authors hypothesized that sociodemographic, intra- oral and behavioral factors were root caries correlates. The authors used Poisson regression models to generate overall and age-stratified prevalence ratios (PRs) of root caries, and they used generalized estimating equations to account for practice-level clustering of participants. A total of 19.6 percent of adults had any root caries. A dentist's assessment that the patient was at high risk of developing any caries was associated with greater prevalence of root caries experience in both middle-aged adults (PR, 2.70; 95 percent confidence interval [CI], 1.63-4.46) and older adults (PR, 1.87; 95 percent CI, 1.19-2.95). The following factors were associated significantly with increased root caries prevalence but only for middle-aged adults: male sex (P = .02), self-reported dry mouth (P < .001), exposed roots (P = .03) and increased frequency of eating or drinking between meals (P = .03). No other covariates were related to root caries experience for older adults. Within a practice-based research network, the factors associated with root caries experience were different for middle-aged adults than they were for older adults. Research is needed to identify relevant root caries correlates for adults 65 years and older. Practical Implications. Interventions aimed at preventing root caries are likely to be different for middle-aged adults than for older adults. Dentists should use root caries prevention programs that address appropriate aged-based risk factors.

Age Factors

Aged

Aged, 80 and over

Alcohol Drinking - epidemiology

Community-Based Participatory Research

Cross-Sectional Studies

Dental Caries Susceptibility

Dental Plaque - epidemiology

DMF Index

Educational Status

Feeding Behavior

Female

Humans

Income - statistics & numerical data

Longitudinal Studies

Male

Middle Aged

Northwestern United States - epidemiology

Oral Hygiene

Prevalence

Retrospective Studies

Risk Assessment

Risk Factors

Root Caries - epidemiology

Sex Factors

Smoking - epidemiology

Tooth Root - pathology

Xerostomia - epidemiology

Details

Title: Subtitle: Correlates of root caries experience in middle-aged and older adults in the Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry research network
Creators: Donald L Chi - University of Washington
Joel H Berg - University of Washington
Amy S Kim - University of Washington
JoAnna Scott - University of Washington
Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry
Resource Type: Journal article
Publication Details: The Journal of the American Dental Association (1939), Vol.144(5), pp.507-516
DOI: 10.14219/jada.archive.2013.0153
PMID: 23633699
PMCID: PMC4097202
NLM abbreviation: J Am Dent Assoc
ISSN: 0002-8177
eISSN: 1943-4723
Publisher: American Dental Association
Grant note: U01 DE016752 / NIDCR NIH HHS L60 MD003921 / NIMHD NIH HHS U01 DE016750 / NIDCR NIH HHS DE016752 / NIDCR NIH HHS DE016750 / NIDCR NIH HHS K08 DE020856 / NIDCR NIH HHS K08DE020856 / NIDCR NIH HHS
Language: English
Date published: 05/2013
Academic Unit: Public Policy Center (Archive)
Record Identifier: 9984283850702771

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