A retrospective analysis of caries treatment and development in relation to assessed caries risk in an adult population in Sweden
Identifieur interne : 000A83 ( Main/Exploration ); précédent : 000A82; suivant : 000A84A retrospective analysis of caries treatment and development in relation to assessed caries risk in an adult population in Sweden
Auteurs : Ulf Söderström [Suède] ; Ingegerd Johansson [Suède] ; Karin Sunneg Rdh-Grönberg [Suède]Source :
- BMC Oral Health [ 1472-6831 ] ; 2014.
Abstract
The Public Dental Service of Västerbotten County (Sweden) recommends using population-based prevention strategies combined with an individual strategy for high-risk patients to manage caries. To facilitate this management strategy, all patients are evaluated for their risk of developing caries in the coming year using defined criteria. Using caries risk scoring over a seven-year period, the present study evaluates prophylactic measures, caries development, and non-operative treatments in adult patients.
From all adult patients (25–65 years; n = 76 320) scored with a high caries risk in 2005 (baseline) and with a dental visit in 2011, 200 subjects were randomly selected. In addition, an equally sized control group with a no/low caries risk was selected. Information concerning dental status, counselling, treatments, visits, and costs were retrieved from dental records.
Over the seven-year study period, subjects with high caries risk had significantly higher caries incidence in spite of shorter recall intervals, more dental appointments, and higher costs for dental care than subjects with no/low caries risk. Non-operative measures, such as additional fluoride and individual counselling on diet at baseline (2005), was higher in the high caries risk group, whereas information about basic prophylaxis and counselling on oral hygiene showed only small differences. The frequency of non-operative measures given during the seven-year study period to patients in the high caries risk group is considered to be remarkably low and improvement, determined as reclassification from high to no/low caries risk from 2005 to 2011, was seen in only 13% of the participants.
This study formulated two major conclusions. First, adult patients with high or no/low caries represent different populations, that each contain distinct subpopulations, those who improve/impair or maintained their caries risk and disease progression. These groups need different strategies in disease treatment. Second, preventive measures and non-operative treatments were associated with improvements in caries risk and maintenance, but the extent to which such treatments were given to high caries risk subjects was unacceptably low. Improved adherence to the guidelines for caries treatment may reduce caries risk, visits to dental clinics, and costs for the patients.
Url:
DOI: 10.1186/1472-6831-14-126
PubMed: 25326206
PubMed Central: 4209083
Affiliations:
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To facilitate this management strategy, all patients are evaluated for their risk of developing caries in the coming year using defined criteria. Using caries risk scoring over a seven-year period, the present study evaluates prophylactic measures, caries development, and non-operative treatments in adult patients.</p></sec><sec><title>Methods</title><p>From all adult patients (25–65 years; n = 76 320) scored with a high caries risk in 2005 (baseline) and with a dental visit in 2011, 200 subjects were randomly selected. In addition, an equally sized control group with a no/low caries risk was selected. Information concerning dental status, counselling, treatments, visits, and costs were retrieved from dental records.</p></sec><sec><title>Results</title><p>Over the seven-year study period, subjects with high caries risk had significantly higher caries incidence in spite of shorter recall intervals, more dental appointments, and higher costs for dental care than subjects with no/low caries risk. Non-operative measures, such as additional fluoride and individual counselling on diet at baseline (2005), was higher in the high caries risk group, whereas information about basic prophylaxis and counselling on oral hygiene showed only small differences. The frequency of non-operative measures given during the seven-year study period to patients in the high caries risk group is considered to be remarkably low and improvement, determined as reclassification from high to no/low caries risk from 2005 to 2011, was seen in only 13% of the participants.</p></sec><sec><title>Conclusions</title><p>This study formulated two major conclusions. First, adult patients with high or no/low caries represent different populations, that each contain distinct subpopulations, those who improve/impair or maintained their caries risk and disease progression. These groups need different strategies in disease treatment. Second, preventive measures and non-operative treatments were associated with improvements in caries risk and maintenance, but the extent to which such treatments were given to high caries risk subjects was unacceptably low. Improved adherence to the guidelines for caries treatment may reduce caries risk, visits to dental clinics, and costs for the patients.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Marcenes, W" uniqKey="Marcenes W">W Marcenes</name></author><author><name sortKey="Kassebaum, Nj" uniqKey="Kassebaum N">NJ Kassebaum</name></author><author><name sortKey="Bernabe, E" uniqKey="Bernabe E">E Bernabé</name></author><author><name sortKey="Flaxman, A" uniqKey="Flaxman A">A Flaxman</name></author><author><name sortKey="Naghavi, M" uniqKey="Naghavi M">M Naghavi</name></author><author><name sortKey="Lopez, A" uniqKey="Lopez A">A Lopez</name></author><author><name sortKey="Murray, Cjl" uniqKey="Murray C">CJL Murray</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Nithila, A" uniqKey="Nithila A">A Nithila</name></author><author><name sortKey="Bourgeois, D" uniqKey="Bourgeois D">D Bourgeois</name></author><author><name sortKey="Barmes, De" uniqKey="Barmes D">DE Barmes</name></author><author><name sortKey="Murtomaa, H" uniqKey="Murtomaa H">H Murtomaa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sunneg Rdh Gronberg, K" uniqKey="Sunneg Rdh Gronberg K">K Sunnegårdh-Grönberg</name></author><author><name sortKey="Van Dijken, Jw" uniqKey="Van Dijken J">JW van Dijken</name></author><author><name sortKey="Funeg Rd, U" uniqKey="Funeg Rd U">U Funegård</name></author><author><name sortKey="Lindberg, A" uniqKey="Lindberg A">A Lindberg</name></author><author><name sortKey="Nilsson, M" uniqKey="Nilsson M">M Nilsson</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Forss, H" uniqKey="Forss H">H Forss</name></author><author><name sortKey="Widstrom, E" uniqKey="Widstrom E">E Widström</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Burke, F" uniqKey="Burke F">F Burke</name></author><author><name sortKey="Lucarotti, Ps" uniqKey="Lucarotti P">PS Lucarotti</name></author><author><name sortKey="Holder, R" uniqKey="Holder R">R Holder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Petersson, Lg" uniqKey="Petersson L">LG Petersson</name></author><author><name sortKey="Magnusson, K" uniqKey="Magnusson K">K Magnusson</name></author><author><name sortKey="Hakestam, U" uniqKey="Hakestam U">U Hakestam</name></author><author><name sortKey="Baigi, A" uniqKey="Baigi A">A Baigi</name></author><author><name sortKey="Twetman, S" uniqKey="Twetman S">S Twetman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Axelsson, S" uniqKey="Axelsson S">S Axelsson</name></author><author><name sortKey="Soder, B" uniqKey="Soder B">B Söder</name></author><author><name sortKey="Nordenram, G" uniqKey="Nordenram G">G Nordenram</name></author><author><name sortKey="Petersson, Lg" uniqKey="Petersson L">LG Petersson</name></author><author><name sortKey="Dahlgren, H" uniqKey="Dahlgren H">H Dahlgren</name></author><author><name sortKey="Norlund, A" uniqKey="Norlund A">A Norlund</name></author><author><name sortKey="K Llest L, C" uniqKey="K Llest L C">C Källestål</name></author><author><name sortKey="Mejare, I" uniqKey="Mejare I">I Mejàre</name></author><author><name sortKey="Lingstrom, P" uniqKey="Lingstrom P">P Lingström</name></author><author><name sortKey="Lagerlof, F" uniqKey="Lagerlof F">F Lagerlöf</name></author><author><name sortKey="Holm, Ak" uniqKey="Holm A">AK Holm</name></author><author><name sortKey="Twetman, S" uniqKey="Twetman S">S Twetman</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Hugoson, A" uniqKey="Hugoson A">A Hugoson</name></author><author><name sortKey="Koch, G" uniqKey="Koch G">G Koch</name></author><author><name sortKey="Gothberg, C" uniqKey="Gothberg C">C Göthberg</name></author><author><name sortKey="Helkimo, An" uniqKey="Helkimo A">AN Helkimo</name></author><author><name sortKey="Lundin, Sa" uniqKey="Lundin S">SA Lundin</name></author><author><name sortKey="Norderyd, O" uniqKey="Norderyd O">O Norderyd</name></author><author><name sortKey="Sjodin, B" uniqKey="Sjodin B">B Sjödin</name></author><author><name sortKey="Sondell, K" uniqKey="Sondell K">K Sondell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lauris, Jr" uniqKey="Lauris J">JR Lauris</name></author><author><name sortKey="Da Silva, Br" uniqKey="Da Silva B">BR da Silva</name></author><author><name sortKey="De Magalhaes Bastos, Jr" uniqKey="De Magalhaes Bastos J">JR de Magalhaes Bastos</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pihlgren, K" uniqKey="Pihlgren K">K Pihlgren</name></author><author><name sortKey="Forsberg, H" uniqKey="Forsberg H">H Forsberg</name></author><author><name sortKey="Sjodin, L" uniqKey="Sjodin L">L Sjödin</name></author><author><name sortKey="Lundgren, P" uniqKey="Lundgren P">P Lundgren</name></author><author><name sortKey="W Nman, A" uniqKey="W Nman A">A Wänman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Burt, Ba" uniqKey="Burt B">BA Burt</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ito, A" uniqKey="Ito A">A Ito</name></author><author><name sortKey="Hayashi, M" uniqKey="Hayashi M">M Hayashi</name></author><author><name sortKey="Hamasaki, T" uniqKey="Hamasaki T">T Hamasaki</name></author><author><name sortKey="Ebisu, S" uniqKey="Ebisu S">S Ebisu</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="H Nsel Petersson, G" uniqKey="H Nsel Petersson G">G Hänsel Petersson</name></author><author><name sortKey="Ericson, E" uniqKey="Ericson E">E Ericson</name></author><author><name sortKey="Isberg, Pe" uniqKey="Isberg P">PE Isberg</name></author><author><name sortKey="Twetman, S" uniqKey="Twetman S">S Twetman</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Featherstone, Jd" uniqKey="Featherstone J">JD Featherstone</name></author><author><name sortKey="Domejean, S" uniqKey="Domejean S">S Doméjean</name></author></analytic></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Koch, G" uniqKey="Koch G">G Koch</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Twetman, S" uniqKey="Twetman S">S Twetman</name></author><author><name sortKey="Axelsson, S" uniqKey="Axelsson S">S Axelsson</name></author><author><name sortKey="Dahlgren, H" uniqKey="Dahlgren H">H Dahlgren</name></author><author><name sortKey="Holm, Ak" uniqKey="Holm A">AK Holm</name></author><author><name sortKey="K Llest L, C" uniqKey="K Llest L C">C Källestål</name></author><author><name sortKey="Lagerlof, F" uniqKey="Lagerlof F">F Lagerlöf</name></author><author><name 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