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Distribution and Polarization of Caries in Adolescent Populations

Author

Listed:
  • Helen Schill

    (Department of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians-Universität München, 80336 Munich, Germany
    Contributed equally to the manuscript.)

  • Uta Christine Wölfle

    (Department of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians-Universität München, 80336 Munich, Germany
    Contributed equally to the manuscript.)

  • Reinhard Hickel

    (Department of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians-Universität München, 80336 Munich, Germany)

  • Norbert Krämer

    (Department of Paediatric Dentistry, Medical Centre for Dentistry, University Medical Center Giessen and Marburg, Campus Giessen, 35392 Giessen, Germany)

  • Marie Standl

    (Institute of Epidemiology, Helmholtz Zentrum München—German Research Centre for Environmental Health, 85764 Neuherberg, Germany)

  • Joachim Heinrich

    (Institute of Epidemiology, Helmholtz Zentrum München—German Research Centre for Environmental Health, 85764 Neuherberg, Germany
    Institute and Outpatient Clinic for Occupational, Social and Environmental Medicine, University Hospital of Munich, Ludwig-Maximilians-Universität München, 80336 Munich, Germany
    Allergy and Lung Health Unit, Melbourne School of Population and Global Health, The University of Melbourne, Melbourne, Victoria 3010, Australia)

  • Jan Kühnisch

    (Department of Conservative Dentistry and Periodontology, School of Dentistry, Ludwig-Maximilians-Universität München, 80336 Munich, Germany)

Abstract

The aim of this study was to determine the proportion of adolescents with severe caries to analyze the prevalence of caries and to visualize the unequal distribution. Data from three epidemiological studies (10- and 15-year-olds: GINIplus and LISA cohorts in Munich, Bavaria; 12-year-olds: LAGZ survey in Bavaria, Germany) with 2875 adolescents were available for analysis. All individuals were examined according to the WHO standard. Statistics included the calculation of mean dmft/DMFT values (standard deviation), Significant Caries Index (SiC) values, Specific Affected Caries Index (SaC) values, and Lorenz curves. Overall caries-free status was 58.6% in primary and 83.9% in secondary teeth (10-year-olds), 61.5% (12-year-olds), and 64.6% (15-year-olds). The proportion of 12- and 15-year-olds with at least four DMFTs was 9.4% and 8.3%, respectively. In addition, eight 15-year-olds with DMFT values ≥8 (0.6%) were registered. The SaC/SiC values amounted to 1.8/0.9 DMFT (10-year-olds), 2.6/2.8 DMFT (12-year-olds), and 2.5/2.5 DMFT (15-year-olds). The mean DMFT values in the upper 1% of subjects were 4.2 DMFT (10-year-olds), 8.5 DMFT (12-year-olds), and 8.5 DMFT (15-year-olds). Thus, caries is not equally distributed throughout adolescence, but individuals with severe caries are rare. Nevertheless, further interdisciplinary research seems to be needed to clarify potential risk factors.

Suggested Citation

  • Helen Schill & Uta Christine Wölfle & Reinhard Hickel & Norbert Krämer & Marie Standl & Joachim Heinrich & Jan Kühnisch, 2021. "Distribution and Polarization of Caries in Adolescent Populations," IJERPH, MDPI, vol. 18(9), pages 1-11, May.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:9:p:4878-:d:548394
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