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University of North Carolina caries risk assessment study. III. Multiple factors in caries prevalence.
- Source :
-
Journal of public health dentistry [J Public Health Dent] 1991 Summer; Vol. 51 (3), pp. 134-43. - Publication Year :
- 1991
-
Abstract
- The baseline caries experienced of approximately 5,000 children in South Carolina and Maine was used as the dependent variable in caries risk assessment analyses. Clinical, microbiologic, and demographic factors served as independent variables in a multivariate relationship to caries through regression and discriminant function analyses. Four factors--number of dental visits by the child in the past year, presence of white spot lesions, and both the urgency of need for restorative care and the future caries increment predicted by the examiner--associated significantly and consistently with caries prevalence in primary and permanent teeth of first and fifth graders at both study sites. Several factors associated significantly with caries prevalence at only one site or grade within a site, suggesting that wide applicability of a specific caries risk assessment model may be limited. In these analyses, sensitivity ranged from .60 to .72 and specificity varied from .86 to .91 in the four grade-site groups. The ultimate goal of this longitudinal study is to identify highly caries-prone children in time to prevent the occurrence of a future caries increment. Although the lack of consistent association of many variables, including microbiologic factors, with baseline caries prevalence was unexpected, it is expected that some of these variables will contribute predictive power in the prospective study.
- Subjects :
- Child
DMF Index
Dental Care statistics & numerical data
Dental Caries etiology
Dental Caries microbiology
Dental Restoration, Permanent statistics & numerical data
Discriminant Analysis
Education
Feeding Behavior
Female
Humans
Lactobacillus isolation & purification
Longitudinal Studies
Maine epidemiology
Male
North Carolina epidemiology
Prevalence
Probability
Regression Analysis
Risk Factors
Saliva microbiology
Streptococcus mutans isolation & purification
Tooth, Deciduous
Dental Caries epidemiology
Dental Caries Susceptibility
Subjects
Details
- Language :
- English
- ISSN :
- 0022-4006
- Volume :
- 51
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Journal of public health dentistry
- Publication Type :
- Academic Journal
- Accession number :
- 1920265
- Full Text :
- https://doi.org/10.1111/j.1752-7325.1991.tb02204.x