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High Dental Caries among Adults Aged 35 to 44 Years: Case-Control Study of Distal and Proximal Factors

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  • Simone M. Costa

    (Department of Dentistry, Universidade Estadual of Montes Claros, Unimontes Montes Claros, Minas Gerais, Av Dr Ruy Braga, Campus Universitário Professor Darcy Ribeiro, Prédio 6, Centro de Ciências Biológicas e da Saúde, Vila Mauricéia, Montes Claros, Minas Gerais 39.401-089, Brazil
    These authors contributed equally to this work.)

  • Mara Vasconcelos

    (Department of Community and Preventive Dentistry, Universidade Federal of Minas Gerais, Belo Horizonte, Av. Antônio Carlos, 6627 Belo Horizonte, Minas Gerais 31270901, Brazil
    These authors contributed equally to this work.)

  • Mauro H. N. G. Abreu

    (Department of Community and Preventive Dentistry, Universidade Federal of Minas Gerais, Belo Horizonte, Av. Antônio Carlos, 6627 Belo Horizonte, Minas Gerais 31270901, Brazil
    These authors contributed equally to this work.)

Abstract

The aim of this study was to determine whether a high degree of dental caries severity is associated with the distal and proximal determinants of caries in a group of Brazilian adults aged 35 to 44 years. A population-based case-control study was conducted using two groups—a case group with high caries severity (DMFT ≥ 14) and a control group without high caries severity (DMFT < 14). The sample comprised adults from metropolitan Belo Horizonte, Brazil (180 cases and 180 controls matched for gender and age). The exam was performed by calibrated dentists using the DMFT index. The statistical analysis used the Mann-Whitney test and bivariate and multivariate logistic regression (the conditional backward stepwise method). The mean DMFT was 8.4 ± 3.9 in the control group and 20.1 ± 4.5 in the case group. High caries severity was associated with regular visits to the dentist, low income, use of private/supplementary dental service and not petitioning the authorities for community benefits. The results of the study underscore the importance of considering distal and proximal factors in the assessment of the severity of dental caries. Greater caries severity persists among low-income families and among groups with a low degree of social cohesion.

Suggested Citation

  • Simone M. Costa & Mara Vasconcelos & Mauro H. N. G. Abreu, 2013. "High Dental Caries among Adults Aged 35 to 44 Years: Case-Control Study of Distal and Proximal Factors," IJERPH, MDPI, vol. 10(6), pages 1-11, June.
    • Handle: RePEc:gam:jijerp:v:10:y:2013:i:6:p:2401-2411:d:26323
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    Citations

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    Cited by:

    1. Carlo Eduardo Medina-Solís & América Patricia Pontigo-Loyola & Eduardo Pérez-Campos & Pedro Hernández-Cruz & Leticia Ávila-Burgos & Martha Mendoza-Rodríguez & Gerardo Maupomé, 2014. "National Survey of Oral/Dental Conditions Related to Tobacco and Alcohol Use in Mexican Adults," IJERPH, MDPI, vol. 11(3), pages 1-16, March.
    2. Simone M. Costa & Carolina C. Martins & Mânia Q. C. Pinto & Mara Vasconcelos & Mauro H. N. G. Abreu, 2018. "Socioeconomic Factors and Caries in People between 19 and 60 Years of Age: An Update of a Systematic Review and Meta-Analysis of Observational Studies," IJERPH, MDPI, vol. 15(8), pages 1-17, August.
    3. Masako Watanabe & Da-Hong Wang & Akihiro Ijichi & Chika Shirai & Yu Zou & Masayuki Kubo & Kei Takemoto & Chie Masatomi & Keiki Ogino, 2014. "The Influence of Lifestyle on the Incidence of Dental Caries among 3-Year-Old Japanese Children," IJERPH, MDPI, vol. 11(12), pages 1-12, December.

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