A multilevel analysis model for dental caries determinants in independently-living elderly
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian journal of oral sciences (Online) |
Texto Completo: | https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8670692 |
Resumo: | To evaluate the prevalence of untreated caries and its association with biological, individual, and environmental variables in independently-living elderly people. Methods: This cross-sectional study included 72 elderly (≥60 years) patients of a university dental clinic in Belo Horizonte, Brazil. Sociodemographic data, systemic diseases, medications, and free sugar intake were collected. Visible plaque, Decayed, Missing, and Filled Teeth (DMFT), and Decayed and Filled Root (DFR) indexes were assessed through clinical examination. Unstimulated saliva was collected to determine salivary flow, pH, and buffering capacity. Descriptive analysis and multilevel logistic regression analysis were performed following a dental caries theoretical model (p <0.05, 95% CI). Results: The mean DMFT and DFR were 24.44 (SD=4.59) and 3.21 (SD=2.93), respectively. The prevalence of untreated caries was 61.11%. In the adjusted multilevel regression model involving 1639 teeth, untreated dental caries was significantly associated with the presence of biofilm (OR = 1.84; 95% CI: 1.24–2.74), salivary buffering capacity (OR = 0.87; 95% CI: 0.77–0.99) and per capita income (OR = 0.06; 95% CI: 0.004–0.74). Conclusion: The experience of dental caries was widespread among independently-living elderly patients, and its variability was best explained by the presence of biofilm, reduced salivary buffering capacity, and low per capita income. A comprehensive assessment is needed of the biological, individual, and environmental factors related to the presence of dental caries in independently-living elderly people. |
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UNICAMP-8 |
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Brazilian journal of oral sciences (Online) |
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|
spelling |
A multilevel analysis model for dental caries determinants in independently-living elderlyAged.Dental cariesSalivaOral healthTo evaluate the prevalence of untreated caries and its association with biological, individual, and environmental variables in independently-living elderly people. Methods: This cross-sectional study included 72 elderly (≥60 years) patients of a university dental clinic in Belo Horizonte, Brazil. Sociodemographic data, systemic diseases, medications, and free sugar intake were collected. Visible plaque, Decayed, Missing, and Filled Teeth (DMFT), and Decayed and Filled Root (DFR) indexes were assessed through clinical examination. Unstimulated saliva was collected to determine salivary flow, pH, and buffering capacity. Descriptive analysis and multilevel logistic regression analysis were performed following a dental caries theoretical model (p <0.05, 95% CI). Results: The mean DMFT and DFR were 24.44 (SD=4.59) and 3.21 (SD=2.93), respectively. The prevalence of untreated caries was 61.11%. In the adjusted multilevel regression model involving 1639 teeth, untreated dental caries was significantly associated with the presence of biofilm (OR = 1.84; 95% CI: 1.24–2.74), salivary buffering capacity (OR = 0.87; 95% CI: 0.77–0.99) and per capita income (OR = 0.06; 95% CI: 0.004–0.74). Conclusion: The experience of dental caries was widespread among independently-living elderly patients, and its variability was best explained by the presence of biofilm, reduced salivary buffering capacity, and low per capita income. A comprehensive assessment is needed of the biological, individual, and environmental factors related to the presence of dental caries in independently-living elderly people. Universidade Estadual de Campinas2023-10-19info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/otherapplication/pdfhttps://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/867069210.20396/bjos.v22i00.8670692Brazilian Journal of Oral Sciences; v. 22 (2023): Continuous Publication; e230692Brazilian Journal of Oral Sciences; Vol. 22 (2023): Continuous Publication; e2306921677-3225reponame:Brazilian journal of oral sciences (Online)instname:Universidade Estadual de Campinas (UNICAMP)instacron:UNICAMPenghttps://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8670692/32619Brazil; ContemporanyCopyright (c) 2022 Natália Teixeira Tavares Branco, Raquel Conceição Ferreira, Jéssica Vancarla Rodrigues de Souza, Allyson Nogueira Moreira, Ivana Márcia Alves Diniz, Cláudia Silami Magalhãeshttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessBranco, Natália Teixeira TavaresFerreira, Raquel ConceiçãoSouza, Jéssica Vancarla Rodrigues deMoreira, Allyson NogueiraDiniz, Ivana Márcia AlvesMagalhães, Cláudia Silami2023-10-20T12:19:43Zoai:ojs.periodicos.sbu.unicamp.br:article/8670692Revistahttps://periodicos.sbu.unicamp.br/ojs/index.php/bjos/PUBhttps://periodicos.sbu.unicamp.br/ojs/index.php/bjos/oaibrjorals@fop.unicamp.br||brjorals@fop.unicamp.br1677-32251677-3217opendoar:2023-10-20T12:19:43Brazilian journal of oral sciences (Online) - Universidade Estadual de Campinas (UNICAMP)false |
dc.title.none.fl_str_mv |
A multilevel analysis model for dental caries determinants in independently-living elderly |
title |
A multilevel analysis model for dental caries determinants in independently-living elderly |
spellingShingle |
A multilevel analysis model for dental caries determinants in independently-living elderly Branco, Natália Teixeira Tavares Aged. Dental caries Saliva Oral health |
title_short |
A multilevel analysis model for dental caries determinants in independently-living elderly |
title_full |
A multilevel analysis model for dental caries determinants in independently-living elderly |
title_fullStr |
A multilevel analysis model for dental caries determinants in independently-living elderly |
title_full_unstemmed |
A multilevel analysis model for dental caries determinants in independently-living elderly |
title_sort |
A multilevel analysis model for dental caries determinants in independently-living elderly |
author |
Branco, Natália Teixeira Tavares |
author_facet |
Branco, Natália Teixeira Tavares Ferreira, Raquel Conceição Souza, Jéssica Vancarla Rodrigues de Moreira, Allyson Nogueira Diniz, Ivana Márcia Alves Magalhães, Cláudia Silami |
author_role |
author |
author2 |
Ferreira, Raquel Conceição Souza, Jéssica Vancarla Rodrigues de Moreira, Allyson Nogueira Diniz, Ivana Márcia Alves Magalhães, Cláudia Silami |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Branco, Natália Teixeira Tavares Ferreira, Raquel Conceição Souza, Jéssica Vancarla Rodrigues de Moreira, Allyson Nogueira Diniz, Ivana Márcia Alves Magalhães, Cláudia Silami |
dc.subject.por.fl_str_mv |
Aged. Dental caries Saliva Oral health |
topic |
Aged. Dental caries Saliva Oral health |
description |
To evaluate the prevalence of untreated caries and its association with biological, individual, and environmental variables in independently-living elderly people. Methods: This cross-sectional study included 72 elderly (≥60 years) patients of a university dental clinic in Belo Horizonte, Brazil. Sociodemographic data, systemic diseases, medications, and free sugar intake were collected. Visible plaque, Decayed, Missing, and Filled Teeth (DMFT), and Decayed and Filled Root (DFR) indexes were assessed through clinical examination. Unstimulated saliva was collected to determine salivary flow, pH, and buffering capacity. Descriptive analysis and multilevel logistic regression analysis were performed following a dental caries theoretical model (p <0.05, 95% CI). Results: The mean DMFT and DFR were 24.44 (SD=4.59) and 3.21 (SD=2.93), respectively. The prevalence of untreated caries was 61.11%. In the adjusted multilevel regression model involving 1639 teeth, untreated dental caries was significantly associated with the presence of biofilm (OR = 1.84; 95% CI: 1.24–2.74), salivary buffering capacity (OR = 0.87; 95% CI: 0.77–0.99) and per capita income (OR = 0.06; 95% CI: 0.004–0.74). Conclusion: The experience of dental caries was widespread among independently-living elderly patients, and its variability was best explained by the presence of biofilm, reduced salivary buffering capacity, and low per capita income. A comprehensive assessment is needed of the biological, individual, and environmental factors related to the presence of dental caries in independently-living elderly people. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-10-19 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion info:eu-repo/semantics/other |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8670692 10.20396/bjos.v22i00.8670692 |
url |
https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8670692 |
identifier_str_mv |
10.20396/bjos.v22i00.8670692 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8670692/32619 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.coverage.none.fl_str_mv |
Brazil; Contemporany |
dc.publisher.none.fl_str_mv |
Universidade Estadual de Campinas |
publisher.none.fl_str_mv |
Universidade Estadual de Campinas |
dc.source.none.fl_str_mv |
Brazilian Journal of Oral Sciences; v. 22 (2023): Continuous Publication; e230692 Brazilian Journal of Oral Sciences; Vol. 22 (2023): Continuous Publication; e230692 1677-3225 reponame:Brazilian journal of oral sciences (Online) instname:Universidade Estadual de Campinas (UNICAMP) instacron:UNICAMP |
instname_str |
Universidade Estadual de Campinas (UNICAMP) |
instacron_str |
UNICAMP |
institution |
UNICAMP |
reponame_str |
Brazilian journal of oral sciences (Online) |
collection |
Brazilian journal of oral sciences (Online) |
repository.name.fl_str_mv |
Brazilian journal of oral sciences (Online) - Universidade Estadual de Campinas (UNICAMP) |
repository.mail.fl_str_mv |
brjorals@fop.unicamp.br||brjorals@fop.unicamp.br |
_version_ |
1800216404180336640 |