Salivary characteristics and dental caries: evidence from general dental practices.
Identifieur interne : 000241 ( Main/Exploration ); précédent : 000240; suivant : 000242Salivary characteristics and dental caries: evidence from general dental practices.
Auteurs : Joana Cunha-Cruz [États-Unis] ; Joanna Scott ; Marilynn Rothen ; Lloyd Mancl ; Timothy Lawhorn ; Kenneth Brossel ; Joel BergSource :
- Journal of the American Dental Association (1939) [ 1943-4723 ] ; 2013.
Descripteurs français
- KwdFr :
- Adolescent (MeSH), Adulte (MeSH), Adulte d'âge moyen (MeSH), Appréciation des risques (MeSH), Caries dentaires (épidémiologie), Concentration en ions d'hydrogène (MeSH), Débit sécrétoire (physiologie), Enfant (MeSH), Facteurs âges (MeSH), Femelle (MeSH), Humains (MeSH), Incidence (MeSH), Indice DCAO (MeSH), Jeune adulte (MeSH), Mâle (MeSH), Odontologie générale (statistiques et données numériques), Recherche participative basée sur la communauté (statistiques et données numériques), Salive (composition chimique), Salive (métabolisme), Salive (physiologie), Substances tampon (MeSH), Sujet âgé (MeSH), Washington (épidémiologie), Études longitudinales (MeSH).
- MESH :
- composition chimique : Salive.
- métabolisme : Salive.
- physiologie : Débit sécrétoire, Salive.
- statistiques et données numériques : Odontologie générale, Recherche participative basée sur la communauté.
- épidémiologie : Caries dentaires, Washington.
- Adolescent, Adulte, Adulte d'âge moyen, Appréciation des risques, Concentration en ions d'hydrogène, Enfant, Facteurs âges, Femelle, Humains, Incidence, Indice DCAO, Jeune adulte, Mâle, Substances tampon, Sujet âgé, Études longitudinales.
English descriptors
- KwdEn :
- Adolescent (MeSH), Adult (MeSH), Age Factors (MeSH), Aged (MeSH), Buffers (MeSH), Child (MeSH), Community-Based Participatory Research (statistics & numerical data), DMF Index (MeSH), Dental Caries (epidemiology), Female (MeSH), General Practice, Dental (statistics & numerical data), Humans (MeSH), Hydrogen-Ion Concentration (MeSH), Incidence (MeSH), Longitudinal Studies (MeSH), Male (MeSH), Middle Aged (MeSH), Risk Assessment (MeSH), Saliva (chemistry), Saliva (metabolism), Saliva (physiology), Secretory Rate (physiology), Washington (epidemiology), Young Adult (MeSH).
- MESH :
- chemical : Buffers.
- chemistry : Saliva.
- epidemiology : Dental Caries, Washington.
- metabolism : Saliva.
- physiology : Saliva, Secretory Rate.
- statistics & numerical data : Community-Based Participatory Research, General Practice, Dental.
- Adolescent, Adult, Age Factors, Aged, Child, DMF Index, Female, Humans, Hydrogen-Ion Concentration, Incidence, Longitudinal Studies, Male, Middle Aged, Risk Assessment, Young Adult.
Abstract
BACKGROUND
Saliva is one of the intraoral host factors that influence caries development. The authors conducted a study to investigate whether salivary characteristics are associated with recent dental caries experience.
METHODS
Dentist-investigators and dental staff members collected data pertaining to a two-year cumulative incidence of dental caries (previous 24 months) and salivary characteristics during baseline assessment in an ongoing longitudinal study. The systematic random sample consisted of patients (n = 1,763) visiting general dental practices (n = 63) within the Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry (PRECEDENT). The authors estimated adjusted rate ratios (RRs) by using generalized estimating equations log-linear regression to relate salivary characteristics to coronal carious lesions into dentin.
RESULTS
Low resting pH (≤ 6.0) in the overall sample and low stimulated salivary flow rate (≤ 0.6 milliliter/minute) in older adults (≥ 65 years old) were associated with increased dental caries (RR, 1.6; 95 percent confidence interval [CI], 1.1-2.2; RR, 2.4; 95 percent CI, 1.5-3.8, respectively). Low buffering capacity was associated with decreased dental caries in children and adolescents (RR, 0.3; 95 percent CI, 0.1-1.0; RR, 0.2; 95 percent CI, 0.1-0.7, respectively). A thick, sticky or frothy salivary consistency also was associated with decreased dental caries in adults (RR, 0.6; 95 percent CI, 0.4-1.0). Associations between other salivary characteristics and dental caries for the overall sample and within each age group were not statistically significant.
CONCLUSIONS
Salivary characteristics were associated weakly with previous dental caries experience, but the authors did not find consistent trends among the three age groups. Different salivary characteristics were associated with an increased caries experience in older adults and a lowered caries experience in children and adolescents and adults. Practical Implications. Further investigations are needed in this population setting to understand the study's conflicting results. The study findings cannot support the use of salivary tests to determine caries risk in actual clinical settings.
DOI: 10.14219/jada.archive.2013.0159
PubMed: 23633704
PubMed Central: PMC3874545
Affiliations:
Links toward previous steps (curation, corpus...)
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first="Joanna" last="Scott">Joanna Scott</name></author><author><name sortKey="Rothen, Marilynn" sort="Rothen, Marilynn" uniqKey="Rothen M" first="Marilynn" last="Rothen">Marilynn Rothen</name></author><author><name sortKey="Mancl, Lloyd" sort="Mancl, Lloyd" uniqKey="Mancl L" first="Lloyd" last="Mancl">Lloyd Mancl</name></author><author><name sortKey="Lawhorn, Timothy" sort="Lawhorn, Timothy" uniqKey="Lawhorn T" first="Timothy" last="Lawhorn">Timothy Lawhorn</name></author><author><name sortKey="Brossel, Kenneth" sort="Brossel, Kenneth" uniqKey="Brossel K" first="Kenneth" last="Brossel">Kenneth Brossel</name></author><author><name sortKey="Berg, Joel" sort="Berg, Joel" uniqKey="Berg J" first="Joel" last="Berg">Joel Berg</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:23633704</idno><idno type="pmid">23633704</idno><idno type="pmc">PMC3874545</idno><idno 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Health Sciences, School of Dentistry, University of Washington, Box 357475, Seattle, Wash. 98195-7475</wicri:regionArea><orgName type="university">Université de Washington</orgName><placeName><settlement type="city">Seattle</settlement><region type="state">Washington (État)</region></placeName></affiliation></author><author><name sortKey="Scott, Joanna" sort="Scott, Joanna" uniqKey="Scott J" first="Joanna" last="Scott">Joanna Scott</name></author><author><name sortKey="Rothen, Marilynn" sort="Rothen, Marilynn" uniqKey="Rothen M" first="Marilynn" last="Rothen">Marilynn Rothen</name></author><author><name sortKey="Mancl, Lloyd" sort="Mancl, Lloyd" uniqKey="Mancl L" first="Lloyd" last="Mancl">Lloyd Mancl</name></author><author><name sortKey="Lawhorn, Timothy" sort="Lawhorn, Timothy" uniqKey="Lawhorn T" first="Timothy" last="Lawhorn">Timothy Lawhorn</name></author><author><name sortKey="Brossel, Kenneth" sort="Brossel, Kenneth" uniqKey="Brossel K" first="Kenneth" last="Brossel">Kenneth Brossel</name></author><author><name sortKey="Berg, Joel" sort="Berg, Joel" uniqKey="Berg J" first="Joel" last="Berg">Joel Berg</name></author></analytic><series><title level="j">Journal of the American Dental Association (1939)</title><idno type="eISSN">1943-4723</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adolescent (MeSH)</term><term>Adult (MeSH)</term><term>Age Factors (MeSH)</term><term>Aged (MeSH)</term><term>Buffers (MeSH)</term><term>Child (MeSH)</term><term>Community-Based Participatory Research (statistics & numerical data)</term><term>DMF Index (MeSH)</term><term>Dental Caries (epidemiology)</term><term>Female (MeSH)</term><term>General Practice, Dental (statistics & numerical data)</term><term>Humans (MeSH)</term><term>Hydrogen-Ion Concentration (MeSH)</term><term>Incidence (MeSH)</term><term>Longitudinal Studies (MeSH)</term><term>Male (MeSH)</term><term>Middle Aged (MeSH)</term><term>Risk Assessment (MeSH)</term><term>Saliva (chemistry)</term><term>Saliva (metabolism)</term><term>Saliva (physiology)</term><term>Secretory Rate (physiology)</term><term>Washington (epidemiology)</term><term>Young Adult (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Adolescent (MeSH)</term><term>Adulte (MeSH)</term><term>Adulte d'âge moyen (MeSH)</term><term>Appréciation des risques (MeSH)</term><term>Caries dentaires (épidémiologie)</term><term>Concentration en ions d'hydrogène (MeSH)</term><term>Débit sécrétoire (physiologie)</term><term>Enfant (MeSH)</term><term>Facteurs âges (MeSH)</term><term>Femelle (MeSH)</term><term>Humains (MeSH)</term><term>Incidence (MeSH)</term><term>Indice DCAO (MeSH)</term><term>Jeune adulte (MeSH)</term><term>Mâle (MeSH)</term><term>Odontologie générale (statistiques et données numériques)</term><term>Recherche participative basée sur la communauté (statistiques et données numériques)</term><term>Salive (composition chimique)</term><term>Salive (métabolisme)</term><term>Salive (physiologie)</term><term>Substances tampon (MeSH)</term><term>Sujet âgé (MeSH)</term><term>Washington (épidémiologie)</term><term>Études longitudinales (MeSH)</term></keywords><keywords scheme="MESH" type="chemical" xml:lang="en"><term>Buffers</term></keywords><keywords scheme="MESH" qualifier="chemistry" xml:lang="en"><term>Saliva</term></keywords><keywords scheme="MESH" qualifier="composition chimique" xml:lang="fr"><term>Salive</term></keywords><keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Dental Caries</term><term>Washington</term></keywords><keywords scheme="MESH" qualifier="metabolism" xml:lang="en"><term>Saliva</term></keywords><keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>Salive</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Débit sécrétoire</term><term>Salive</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Saliva</term><term>Secretory Rate</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Community-Based Participatory Research</term><term>General Practice, Dental</term></keywords><keywords scheme="MESH" qualifier="statistiques et données numériques" xml:lang="fr"><term>Odontologie générale</term><term>Recherche participative basée sur la communauté</term></keywords><keywords scheme="MESH" qualifier="épidémiologie" xml:lang="fr"><term>Caries dentaires</term><term>Washington</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adolescent</term><term>Adult</term><term>Age Factors</term><term>Aged</term><term>Child</term><term>DMF Index</term><term>Female</term><term>Humans</term><term>Hydrogen-Ion Concentration</term><term>Incidence</term><term>Longitudinal Studies</term><term>Male</term><term>Middle Aged</term><term>Risk Assessment</term><term>Young Adult</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Adolescent</term><term>Adulte</term><term>Adulte d'âge moyen</term><term>Appréciation des risques</term><term>Concentration en ions d'hydrogène</term><term>Enfant</term><term>Facteurs âges</term><term>Femelle</term><term>Humains</term><term>Incidence</term><term>Indice DCAO</term><term>Jeune adulte</term><term>Mâle</term><term>Substances tampon</term><term>Sujet âgé</term><term>Études longitudinales</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>BACKGROUND</b></p><p>Saliva is one of the intraoral host factors that influence caries development. The authors conducted a study to investigate whether salivary characteristics are associated with recent dental caries experience.</p></div><div type="abstract" xml:lang="en"><p><b>METHODS</b></p><p>Dentist-investigators and dental staff members collected data pertaining to a two-year cumulative incidence of dental caries (previous 24 months) and salivary characteristics during baseline assessment in an ongoing longitudinal study. The systematic random sample consisted of patients (n = 1,763) visiting general dental practices (n = 63) within the Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry (PRECEDENT). The authors estimated adjusted rate ratios (RRs) by using generalized estimating equations log-linear regression to relate salivary characteristics to coronal carious lesions into dentin.</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>Low resting pH (≤ 6.0) in the overall sample and low stimulated salivary flow rate (≤ 0.6 milliliter/minute) in older adults (≥ 65 years old) were associated with increased dental caries (RR, 1.6; 95 percent confidence interval [CI], 1.1-2.2; RR, 2.4; 95 percent CI, 1.5-3.8, respectively). Low buffering capacity was associated with decreased dental caries in children and adolescents (RR, 0.3; 95 percent CI, 0.1-1.0; RR, 0.2; 95 percent CI, 0.1-0.7, respectively). A thick, sticky or frothy salivary consistency also was associated with decreased dental caries in adults (RR, 0.6; 95 percent CI, 0.4-1.0). Associations between other salivary characteristics and dental caries for the overall sample and within each age group were not statistically significant.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSIONS</b></p><p>Salivary characteristics were associated weakly with previous dental caries experience, but the authors did not find consistent trends among the three age groups. Different salivary characteristics were associated with an increased caries experience in older adults and a lowered caries experience in children and adolescents and adults. Practical Implications. Further investigations are needed in this population setting to understand the study's conflicting results. The study findings cannot support the use of salivary tests to determine caries risk in actual clinical settings.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">23633704</PMID><DateCompleted><Year>2014</Year><Month>05</Month><Day>12</Day></DateCompleted><DateRevised><Year>2019</Year><Month>07</Month><Day>09</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1943-4723</ISSN><JournalIssue CitedMedium="Internet"><Volume>144</Volume><Issue>5</Issue><PubDate><Year>2013</Year><Month>May</Month></PubDate></JournalIssue><Title>Journal of the American Dental Association (1939)</Title><ISOAbbreviation>J Am Dent Assoc</ISOAbbreviation></Journal><ArticleTitle>Salivary characteristics and dental caries: evidence from general dental practices.</ArticleTitle><Pagination><MedlinePgn>e31-40</MedlinePgn></Pagination><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Saliva is one of the intraoral host factors that influence caries development. The authors conducted a study to investigate whether salivary characteristics are associated with recent dental caries experience.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Dentist-investigators and dental staff members collected data pertaining to a two-year cumulative incidence of dental caries (previous 24 months) and salivary characteristics during baseline assessment in an ongoing longitudinal study. The systematic random sample consisted of patients (n = 1,763) visiting general dental practices (n = 63) within the Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry (PRECEDENT). The authors estimated adjusted rate ratios (RRs) by using generalized estimating equations log-linear regression to relate salivary characteristics to coronal carious lesions into dentin.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Low resting pH (≤ 6.0) in the overall sample and low stimulated salivary flow rate (≤ 0.6 milliliter/minute) in older adults (≥ 65 years old) were associated with increased dental caries (RR, 1.6; 95 percent confidence interval [CI], 1.1-2.2; RR, 2.4; 95 percent CI, 1.5-3.8, respectively). Low buffering capacity was associated with decreased dental caries in children and adolescents (RR, 0.3; 95 percent CI, 0.1-1.0; RR, 0.2; 95 percent CI, 0.1-0.7, respectively). A thick, sticky or frothy salivary consistency also was associated with decreased dental caries in adults (RR, 0.6; 95 percent CI, 0.4-1.0). Associations between other salivary characteristics and dental caries for the overall sample and within each age group were not statistically significant.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Salivary characteristics were associated weakly with previous dental caries experience, but the authors did not find consistent trends among the three age groups. Different salivary characteristics were associated with an increased caries experience in older adults and a lowered caries experience in children and adolescents and adults. Practical Implications. Further investigations are needed in this population setting to understand the study's conflicting results. The study findings cannot support the use of salivary tests to determine caries risk in actual clinical settings.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cunha-Cruz</LastName><ForeName>Joana</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Department of Oral Health Sciences, School of Dentistry, University of Washington, Box 357475, Seattle, Wash. 98195-7475, USA. silvajcc@u.washington.edu</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Scott</LastName><ForeName>JoAnna</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><LastName>Rothen</LastName><ForeName>Marilynn</ForeName><Initials>M</Initials></Author><Author ValidYN="Y"><LastName>Mancl</LastName><ForeName>Lloyd</ForeName><Initials>L</Initials></Author><Author ValidYN="Y"><LastName>Lawhorn</LastName><ForeName>Timothy</ForeName><Initials>T</Initials></Author><Author ValidYN="Y"><LastName>Brossel</LastName><ForeName>Kenneth</ForeName><Initials>K</Initials></Author><Author ValidYN="Y"><LastName>Berg</LastName><ForeName>Joel</ForeName><Initials>J</Initials></Author><Author ValidYN="Y"><CollectiveName>Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry</CollectiveName></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>U01 DE016750</GrantID><Acronym>DE</Acronym><Agency>NIDCR NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>U01 DE016752</GrantID><Acronym>DE</Acronym><Agency>NIDCR NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>DE-016750</GrantID><Acronym>DE</Acronym><Agency>NIDCR NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>DE-016752</GrantID><Acronym>DE</Acronym><Agency>NIDCR NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>J Am Dent Assoc</MedlineTA><NlmUniqueID>7503060</NlmUniqueID><ISSNLinking>0002-8177</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D002021">Buffers</NameOfSubstance></Chemical></ChemicalList><CitationSubset>D</CitationSubset><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000293" MajorTopicYN="N">Adolescent</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000367" MajorTopicYN="N">Age Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002021" MajorTopicYN="N">Buffers</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002648" MajorTopicYN="N">Child</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D055812" MajorTopicYN="N">Community-Based Participatory Research</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004245" MajorTopicYN="N">DMF Index</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D003731" MajorTopicYN="N">Dental Caries</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="Y">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005792" MajorTopicYN="N">General Practice, Dental</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="N">statistics & numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006863" MajorTopicYN="N">Hydrogen-Ion Concentration</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008137" MajorTopicYN="N">Longitudinal Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012463" MajorTopicYN="N">Saliva</DescriptorName><QualifierName UI="Q000737" MajorTopicYN="N">chemistry</QualifierName><QualifierName UI="Q000378" MajorTopicYN="N">metabolism</QualifierName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012636" MajorTopicYN="N">Secretory Rate</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D014861" MajorTopicYN="N">Washington</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Northwest Practice-based REsearch Collaborative in Evidence-based DENTisty</Keyword><Keyword MajorTopicYN="N">Saliva</Keyword><Keyword MajorTopicYN="N">dental caries</Keyword><Keyword MajorTopicYN="N">practice-based research</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate 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Marilynn" uniqKey="Rothen M" first="Marilynn" last="Rothen">Marilynn Rothen</name><name sortKey="Scott, Joanna" sort="Scott, Joanna" uniqKey="Scott J" first="Joanna" last="Scott">Joanna Scott</name></noCountry><country name="États-Unis"><region name="Washington (État)"><name sortKey="Cunha Cruz, Joana" sort="Cunha Cruz, Joana" uniqKey="Cunha Cruz J" first="Joana" last="Cunha-Cruz">Joana Cunha-Cruz</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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