| 1. |
- Frisk, Fredrik, 1971, et al.
(författare)
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Root-filled teeth and recurrent caries-a study of three repeated cross-sectional samples from the city of Jönköping, Sweden.
- 2011
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Ingår i: Acta odontologica Scandinavica. - : Informa UK Limited. - 1502-3850 .- 0001-6357. ; 69:6, s. 401-5
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The aim of the study was to test the hypothesis that root-filled teeth are at a higher caries risk than non-root-filled teeth. MATERIALS AND METHODS: Two sub-samples from epidemiologically obtained data collected in 1983, 1993 and 2003 in the city of Jönköping, Sweden, were analysed. All the participants were examined clinically and radiographically and the type of filling and the presence or absence of caries were recorded. Sub-sample 1 comprised 832 individuals (9202 teeth) aged 20-70 years with at least eight premolars/molars. In sub-sample 2, 163 subjects (577 teeth) with only one or two decayed tooth surfaces and at least one tooth with full crown coverage were analysed. RESULTS: Logistic regression analysis found that root-filled teeth were predictive of recurrent caries when controlling for the type of restoration in sub-sample 1 (OR = 1.68; 1.41-2.0; CI 95%) and sub-sample 2 (OR = 2.20; 1.07-4.52; CI 95%). CONCLUSION: In support of the suggested hypothesis, the data revealed a significant association between root-filled teeth and recurrent caries.
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| 2. |
- Merdad, Khalid, et al.
(författare)
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Caries susceptibility of endodontically versus nonendodontically treated teeth.
- 2011
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Ingår i: Journal of endodontics. - : Elsevier BV. - 1878-3554 .- 0099-2399. ; 37:2, s. 139-42
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Tidskriftsartikel (refereegranskat)abstract
- NTRODUCTION: The aim of the present investigation was to evaluate the caries susceptibility of endodontically versus nonendodontically treated teeth in relation to dental plaque-related factors. METHODS: Twenty patients with 2 endodontically treated teeth (ETT) each were examined regarding cariogenic microflora of proximal plaque, in situ plaque pH drop after a sucrose rinse (Stephan curve), and de novo plaque formation. Recurrent caries and the quality of the coronal fillings/crowns of these teeth were also evaluated. ETT were compared with contralateral, nonendodontically treated teeth (NETT). RESULTS: Irrespective to the type of restoration, Streptococcus mutans count, de novo plaque formation, and recurrent caries were higher on the surface of ETT compared with NETT (P < .05). Moreover, the initial (resting) pH in plaque was significantly lower (P < 0.05) in ETT. CONCLUSIONS: ETT showed an increased susceptibility to caries as a result of either alteration in their biological environment or inadequacy of the marginal fit of the dental restoration. Clinicians should be aware of this risk.
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| 3. |
- Merdad, Khalid, et al.
(författare)
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Evaluation of the caries profile and caries risk in adults with endodontically treated teeth.
- 2010
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Ingår i: Oral surgery, oral medicine, oral pathology, oral radiology, and endodontics. - : Elsevier BV. - 1528-395X .- 1079-2104. ; 110:2, s. 264-9
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Tidskriftsartikel (refereegranskat)abstract
- The present study was set up to explore (1) a potential association between a person's caries risk profile and the presence or absence of root-filled teeth, and (2) the caries risk in endodontically treated teeth.
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| 4. |
- Al Mulla, Anas H, et al.
(författare)
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Caries risk profiles in orthodontic patients at follow-up using Cariogram.
- 2009
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Ingår i: The Angle orthodontist. - : The Angle Orthodontist (EH Angle Education & Research Foundation). - 0003-3219 .- 1945-7103. ; 79:2, s. 323-30
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: To analyze caries-related factors shortly after orthodontic treatment and to use the Cariogram computer program to describe caries risk profiles at follow-up in these patients. MATERIALS AND METHODS: One hundred orthodontic patients age 12-29 years, with a mean age of 17.5 years, were included in the study. They were divided into two groups (50 in each) based on their prebonding decayed, filled surfaces index (DFS). High (5 > or = DFS) and low (2 < or = DFS) groups were created. All patients were examined after debonding in the following order: interview, plaque score, caries examination, saliva samples, bitewing radiographs, panoramic radiographs, and intra-oral digital photos. All types of carious lesions in both the enamel and dentine were diagnosed clinically and radiographically and included in the DFS index. A paraffin-stimulated whole saliva sample was collected for estimations of secretion rate, buffer capacity, and number of mutans streptococci and lactobacilli. RESULTS: The low caries group (2 < or = DFS) displayed a statistically significant difference and low values for the following factors, DFS (P < .001), lactobacilli (P < .001), mutans streptococci (P < .001), and high Cariogram percent (P < .001). The plaque index displayed very close significance (P = .051). CONCLUSIONS: Patients with high (5 > or = DFS) numbers before orthodontic treatment ran a higher risk of developing caries. They had significantly higher numbers of mutans streptococci and lactobacilli and had less chance of avoiding new cavities according to the Cariogram.
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| 5. |
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| 6. |
- Al Mulla, Anas H, et al.
(författare)
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Modified fluoride toothpaste technique reduces caries in orthodontic patients: A longitudinal, randomized clinical trial.
- 2010
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Ingår i: American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics. - : Elsevier BV. - 1097-6752. ; 138:3, s. 285-91
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Tidskriftsartikel (refereegranskat)abstract
- The hypothesis of this study was that toothpaste slurry rinsing, combined with other simple postbrushing steps (the modified fluoride toothpaste technique [MFTT]), would reduce the number of decayed and filled tooth surfaces.
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| 7. |
- Al Mulla, Anas H, et al.
(författare)
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On Caries Risk Profiles Using Cariogram and Caries Prevention with Fluoridated Toothpaste in Orthodontic Patients
- 2010
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Doktorsavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Objective. The aims of this thesis were to: 1) analyse caries-related factors shortly after orthodontic treatment, 2) demonstrate the usefulness of the Cariogram by presenting orthodontic patients with different caries-risk profiles, 3) compare two different toothpastes with different post brushing techniques using an in situ caries model with orthodontic bands, and 4) test the hypothesis that toothpaste slurry rinsing, combined with some other simple post-brushing advice (in this thesis called the “modified F toothpaste technique, MFTT“), would reduce the number of decayed and filled tooth surfaces (DFS) in a 2-year randomised clinical trial in orthodontic patients. Materials and Methods. In Study I, a total of 100 patients were divided into two groups (50 in each), based on their pre-bonding DFS. A high- (DFS ≥ 5) and a low- (DFS ≤ 2) caries group were created. In Study II, three cases were selected to present the three caries risk groups, i.e. high, medium and low. In Study III, 20 orthodontic patients were randomised into two groups: 1) a test group using 5,000 ppm F with no post-brushing water rinsing and 2) a control group using 1,450 ppm F with 3 times post-brushing water rinsing. On the upper first premolars, orthodontic stainless steel bands were applied, leaving 2-3 mm of space away from the exposed buccal surface in order to accumulate plaque and create an area for initial caries development. The teeth were extracted after 8 and 9 weeks and were then analysed using Quantitative Light-induced Fluorescence (QLF). Moreover, the oral F retention was studied using the two brushing techniques. The Study IV population consisted of 100 orthodontic patients randomly divided into two groups. Each patient was examined before the beginning of orthodontic treatment (baseline) and shortly after de- bonding (follow-up) within a 2-year study period. The test group patients were instructed to use the MFTT, in which various behavioural factors were standardised in order to improve the caries preventive effect of F toothpaste. The control group patients were given the routine clinic oral hygiene instructions. Results. In Study I, the low-caries group displayed lower DFS (p < 0.001), lactobacilli (p < 0.001) and mutans streptococci (p < 0.001) and higher Cariogram values (p < 0.001). Study II showed that the Cariogram was a useful tool for distinguishing between low, medium and high caries risk patients. In Study III, in comparison to the control group, the test group regimen resulted in a non- significant smaller QLF lesion area and lower average QLF loss of fluorescence (p < 0.05). The highest F concentration under the band was found in the test group (p < 0.001). In Study IV, the clinical (p < 0.001), radiographic (p < 0.001) and clinical + radiographic (p < 0.001) ΔDFS (incidences) were significantly reduced in the test group in comparison to the controls, with prevented fractions of 87%, 78% and 83% respectively. Conclusions. 1) Patients with high DFS before orthodontic treatment ran a higher risk of developing caries. They had significantly higher numbers of mutans streptococci and lactobacilli and had less chance of avoiding new cavities according to the Cariogram. 2) The Cariogram may be a useful pedagogic model for illustrating a patient’s caries risk in the orthodontic clinic. 3) The combination of using a 5,000 ppm F toothpaste and no post-brushing water rinsing had better anti-caries potential and resulted in elevated oral F retention, compared with a 1,450 ppm F toothpaste with 3 times post-brushing water rinsing. 4) Compared with routine oral hygiene instructions including F toothpaste, the use of the MFTT significantly reduces the incidence of new caries lesions in orthodontic patients.
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| 8. |
- Al Mulla, Anas H, et al.
(författare)
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The use of cariogram to evaluate caries-risk profiles in orthodontic patients.
- 2010
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Ingår i: World journal of orthodontics. - 1941-6741. ; 11:2, s. 160-167
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Tidskriftsartikel (refereegranskat)abstract
- This article describes the usefulness of Cariogram software in three orthodontic patients with high-, medium-, and low-risk caries profiles. Caries-related indicators and information needed for the Cariogram model were registered. The prebonding decayed and filled surfaces (DFS) indices for patient 1 (15-year-old girl) and patient 2 (18-year-old woman) were > 5, while in patient 3 (15-year-old boy), the DFS index was < 2. The data were entered into the interactive Cariogram software, which shows the various caries-related indicators. Patients 1, 2, and 3 had 6%, 58%, and 87%, respectively, actual chance of avoiding new caries. Patient 1 had high lactobacilli and medium mutans streptococci scores and a high caries risk. Patient 2 had a high DFS index and low buffer capacity, resulting in a medium caries risk. Patient 3 had low mutans streptococci and high lactobacilli scores and a low DFS index, resulting in a low caries risk. The Cariogram is available free online and is a useful educational model to illustrate a patient's caries risk. World J Orthod 2010;11:160-167.
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| 9. |
- Alian, Anna Y, et al.
(författare)
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Assessment of caries risk in elderly patients using the Cariogram model.
- 2006
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Ingår i: Journal of the Canadian Dental Association. - 1488-2159. ; 72:5, s. 459-63
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Tidskriftsartikel (refereegranskat)abstract
- For several decades, Swedish researchers, clinicians and educators have recognized risk assessment as an important part of routine management of dental caries. Innovative caries risk assessment models, such as the Cariogram software program, have been developed to systematize the evaluation of various risk factors for caries and to develop targeted prevention interventions based on caries risk. The benefits derived from these models in terms of improving the health of high-risk groups such as older adults have not been well studied. The purpose of this article is to demonstrate the application of the Cariogram software in the management of dental care for 3 elderly patients.
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| 10. |
- Alm, Anita, 1953, et al.
(författare)
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BMI status in Swedish children and young adults in relation to caries prevalence.
- 2011
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Ingår i: Swedish dental journal. - : Swedish Dental Association. - 0347-9994. ; 35:1, s. 1-8
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Tidskriftsartikel (refereegranskat)abstract
- Overweight and obesity are increasing as health problems at global level. Dental caries and obesity are both multifactorial diseases and are associated with dietary habits. The aim of the present study was to investigate the relationship between body weight status and caries prevalence in an unselected population followed from pre-school years to young adulthood. The present investigation was designed as a longitudinal analysis of the association between overweight/obesity and dental caries in one population at 3, 6, 15 and 20 years of age. The result shows that adolescents (15 years) and young adults (20 years) who are overweight/obese had a statistically significantly higher caries prevalence than normal-weight young people. At 6 years of age, the odds (OR) of having caries among obese children are 2.5 times higher than the odds for caries among six-year-old children of normal weight (p = 0.04). At 3 years of age, no association between overweight/obesity and caries was found. To conclude, overweight and obese adolescents and young adults had more caries than normal-weight individuals. The present study emphasises the need for multidisciplinary approaches to change the lifestyle factors causing both overweight/obesity and dental caries.
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| 11. |
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| 12. |
- Alm, A., et al.
(författare)
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Caries in adolescence - influence from early childhood
- 2012
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Ingår i: Community Dentistry and Oral Epidemiology. - : Wiley. - 0301-5661 .- 1600-0528. ; 40:2, s. 125-133
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Tidskriftsartikel (refereegranskat)abstract
- Objective: To analyse the relationship between caries determinants in early childhood and caries prevalence in proximal surfaces in adolescents at the age of 15 years. Methods: The present longitudinal study is part of a series of surveys of oral health in 671 children followed from 1 to 15 years of age. Data were selected from examinations, interviews and questionnaires at 1, 3 and 6 years and bitewing radiographs at 15 years of age. Uni- and multivariable logistic regression analyses were performed to identify caries-related determinants. The outcome variable was carious lesions and fillings (DFa) in approximal tooth surfaces at 15 years of age. Statistical comparisons were made between caries-free teenagers, DFa = 0 and teenagers with DFa > 0, DFa 4 and DFa 8, respectively. Results: In the final logistic regression analyses, caries experience at 6 years and mother's self-estimation of her oral health care as being less good to poor remained statistically significant and were related to caries in all three caries groups (i.e. DF > 0, 4 and 8) at 15 years of age. The consumption of sweets at 1 year remained statistically significant, with a caries experience of DF 4 and 8. The variables 'parents born abroad' and female gender were statistically significantly associated with DFa 4 and DFa 8, respectively. Furthermore, infrequent toothbrushing habits at 3 years of age and failure to attend the examination at 1 year were statistically significantly associated with caries at 15 years in the univariable analyses. Conclusion: Early caries experience, consumption of sweets at an early age and mother's self-estimation of her oral health care as being less good to poor are associated with approximal caries in adolescents. The study indicates that caries determinants identified during early childhood have a strong impact on approximal caries in adolescence.
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| 13. |
- Alm, Anita, 1953, et al.
(författare)
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Oral hygiene and parent-related factors during early childhood in relation to approximal caries at 15 years of age
- 2008
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Ingår i: Caries Research. - : S. Karger AG. - 0008-6568 .- 1421-976X. ; 42:1, s. 28-36
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to investigate whether oral hygiene habits and parent-related factors, recorded in early childhood, have a predictive value in relation to approximal caries experience (including initial caries lesions) at the age of 15 years (n = 568). Data were selected from examinations, interviews and questionnaires at 1 and 3 years and bitewing radiographs at 15 years. Four levels of cut-off points for the statistical analysis were used: DFa = 0, > 0, ≧4 and ≧8. In the final logistic regression analyses, mother’s self-estimation of her oral health care being less good remained statistically significant and predicted a caries experience of DFa > 0 at 15 years. The following four variables predicted DFa ≧4: (1) female gender, (2) plaque on maxillary incisors at 1 year, (3) mother’s self-estimation of her oral health care being less good and (4) father being less satisfied with his social situation. Two variables predicted DFa ≧8: (1) toothbrushing with fluoride toothpaste just once a day, and (2) father being less satisfied with his social situation. Furthermore, children who failed to attend the examination at 1 year of age had 6.95 ± 5.36 (mean ± SD) DFa at 15 years compared with 3.10 ± 3.85 for children who were examined at 1 year of age (p < 0.01). To conclude, factors explaining good dental health at 15 years of age pertained to both children and parents. Thus, it seems that good oral hygiene habits, established in early childhood, provide a foundation for a low experience of approximal caries in adolescents.
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| 14. |
- Alm, Anita, 1953, et al.
(författare)
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Prevalence of approximal caries in posterior teeth in 15-year-old Swedish teenagers in relation to their caries experience at 3 years of age.
- 2007
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Ingår i: Caries research. - : S. Karger AG. - 1421-976X .- 0008-6568. ; 41:5, s. 392-8
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Tidskriftsartikel (refereegranskat)abstract
- The aim of the present investigation was to study the prevalence of approximal caries lesions and fillings in posterior teeth at 15 years of age in a prospectively followed Swedish population (n = 568), with special reference to their caries experience at the age of 3 years. Only approximal surfaces were recorded, since all children in the Community of Jönköping have had fissure sealing performed on all caries-free permanent molars. At 15 years of age, the mean number of approximal tooth surfaces with initial caries lesions (D(i)a), manifest caries lesions and fillings (D(m)Fa) and total caries experience and fillings (D(i + m)Fa)--recorded on bitewing radiographs--was 2.78 , 0.45 and 3.23, respectively. One third of the adolescents had no approximal caries or fillings; the D(i)a constituted 86% of the D(i + m)Fa. Children with manifest caries at 3 years of age had a higher risk of developing approximal caries in their permanent teeth than caries-free children at the same age (41 vs. 17%). Furthermore, children who were caries-free at 3 years of age were more likely to remain caries-free at 15 years of age compared to children with manifest caries (37 vs. 17%). All these differences were statistically significant (p < 0.001). Additionally, early childhood caries experience (developed before 3 years of age) had a greater predictive value than late childhood caries experience (developed between 3 and 6 years of age) concerning approximal caries at 15 years of age.
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| 15. |
- Almosa, Naif Abdullah, 1981, et al.
(författare)
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Caries risk profile using the Cariogram in governmental and private orthodontic patients at de-bonding.
- 2012
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Ingår i: The Angle orthodontist. - : The Angle Orthodontist (EH Angle Education & Research Foundation). - 1945-7103 .- 0003-3219. ; 82:2, s. 267-274
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Objectives: To analyze various caries-related factors in orthodontic patients at de-bonding, and to test the null hypothesis that there is no difference in caries risk between governmental and private orthodontic patients immediately after orthodontic treatment. Materials and Methods: A cross-sectional examination was carried out on 89 orthodontic patients aged 13-29years, mean age 21.5years. They were divided into two groups based on the center of treatment, governmental group (G) (n = 45) and private group (P) (n = 44). The investigation comprised a questionnaire, plaque scoring, caries examination, bitewing radiographs, salivary secretion rate, buffering capacity, and cariogenic microorganisms. Data were entered into the Cariogram PC program to illustrate caries risk profiles. Results: Findings revealed that "the chance of avoiding new cavities," according to the Cariogram, was high in the P-group and low in the G-group (61% and 28%, respectively) (P < .001). Decayed, missing, and filled surfaces (DMFS), plaque index, mutans streptococcus and lactobacillus counts, and salivary buffer capacity were significantly higher in the G-group compared with the P-group (P < .05). The total number of caries lesions at de-bonding in the G-group was more than two times higher than that in the P-group (150 vs 68) (P < .001). Conclusions: The "chance to avoid new cavities" in orthodontic patients at de-bonding was less in the governmental group compared with the private group, as illustrated by the Cariogram. The governmental group also had significantly less favorable values than the private group for most of the caries-related factors.
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| 16. |
- Almosa, N. A., et al.
(författare)
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Caries risk profiles in orthodontic patients: A 4-year follow-up study using the Cariogram model in governmental vs. private clinics
- 2018
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Ingår i: Saudi Dental Journal. - : Elsevier BV. - 1013-9052. ; 30:2, s. 166-174
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Tidskriftsartikel (refereegranskat)abstract
- Objectives: To (1) analyze caries-related factors and (2) evaluate caries risk using the Cariogram model for governmental and private orthodontic patients at de-bonding and 4 years after de-bonding. Materials and methods: Forty orthodontic patients with mean age of 26.4 years were recruited from a governmental (G) group (n = 20) and private (P) group (n = 20) and were examined at de-bonding (T1) and 4 years after de-bonding (T2). The examination included a questionnaire, plaque scoring, caries examination, bitewing radiographs, and assessment of salivary secretion rate, buffering capacity and cariogenic microorganisms. The data were entered into the Cariogram program to illustrate the caries risk profiles. Results: The chance to avoid new cavities was higher in P-group compared to G-group at T1 (58% and 31%, respectively) (P < 0.01) and T2 (77% and 52%, respectively) (P < 0.001). Plaque index was significantly higher in G-group, and fluoride was used significantly more in P-group at T1 and T2 (P < 0.05). The chance to avoid new cavities was higher at T2 compared to T1 (64% and 44%, respectively) (P < 0.001). Saliva secretion rate and buffer capacity were significantly increased, and the plaque index was significantly decreased at T2 compared to T1 (P < 0.01). Conclusion: According to the Cariogram, orthodontic patients were less likely to avoid new cavities at de-bonding and 4 years after de-bonding in government clinics compared to private clinics, and the caries risk significantly decreased 4 years after orthodontic treatment for all patients, regardless of the location of treatment. (C) 2018 The Authors. Production and hosting by Elsevier B.V. on behalf of King Saud University.
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| 17. |
- Almosa, Naif Abdullah, 1981, et al.
(författare)
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Diagnosing the severity of buccal caries lesions in governmental and private orthodontic patients at debonding, using the ICDAS-II and the DIAGNOdent Pen.
- 2014
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Ingår i: The Angle orthodontist. - : The Angle Orthodontist (EH Angle Education & Research Foundation). - 1945-7103 .- 0003-3219. ; 84:3, s. 430-436
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Objectives: To clinically evaluate the prevalence of buccal caries and white spot lesions (WSLs) at debonding in governmental and private orthodontic patients, using the International Caries Detection and Assessment System (ICDAS-II) and the DIAGNOdent Pen, and to study the correlation between the two methods. Materials and Methods: A cross-sectional study was carried out on the nonextracted premolars and anterior teeth of 89 orthodontic patients. They were recruited into two groups based on the treatment center they attended: governmental group (G; n = 45) and private group (P; n = 44). Immediately after debonding, the examination of buccal caries and WSLs on premolars and anterior teeth was carried out using the ICDAS-II and the DIAGNOdent Pen. Cross-tabulation was applied to study the correlation between the ICDAS-II index and the DIAGNOdent Pen by calculating the Spearman correlation coefficient. Results: The G group showed a significantly higher (P < .0001) prevalence of WSLs and/or buccal caries compared to that of the P group based on evaluation by the two methods. Based on ICDAS-II, 43% of the patients in the P group and 9% in the G group were free from any WSLs. In the G group, 22% of the patients had ≥16 lesions, whereas there were none for the P group. The Spearman correlation coefficient between the two methods was .71. Conclusions: The prevalence of caries and/or WSLs at debonding was significantly higher in the G group compared to the P group. The clinical index (ICDAS-II) showed a good correlation with the DIAGNOdent Pen.
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| 18. |
- Almosa, Naif Abdullah, 1981, et al.
(författare)
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Diagnosing the severity of buccal caries lesions in orthodontic patients at de-bonding using digital photographs.
- 2014
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Ingår i: Acta odontologica Scandinavica. - : Informa UK Limited. - 1502-3850 .- 0001-6357. ; 72:6, s. 474-480
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Tidskriftsartikel (refereegranskat)abstract
- Abstract Objective. The aims of this study were (1) to evaluate the severity of buccal caries lesions according to the International Caries Detection and Assessment System (ICDAS) criteria via scoring buccal caries lesions on digital photographs at the time of de-bonding and (2) to compare this method with clinical examination. Materials and methods. In total, 89 patients treated with upper and lower fixed appliances were clinically examined immediately after de-bonding by the first author and buccal caries were scored according to the ICDAS-II. Close-up digital photographs were taken of 245 teeth with different buccal caries lesion scores according to the ICDAS-II. Thirteen postgraduate orthodontics students independently scored the buccal caries lesions in the digital photographs using the modified clinical criteria (ICDAS-II). Intra- and inter-examiner reliabilities were evaluated by calculating the weighted kappa. To evaluate the validity of diagnosing the severity of buccal caries lesions using digital photographs compared to clinical examination, Spearman's correlation coefficient was calculated. Results. Intra-examiner reliability and the reliability between each examiner and the clinical examination showed moderate-to-excellent agreement, with kappa values of 0.52-0.83. Scoring buccal caries lesions via clinical examinations and scoring via photographs were well correlated according to the modified ICDAS-II criteria (Spearman's correlation coefficient, 0.76). Conclusions. Thus, scoring buccal caries lesions on digital photographs according to ICDAS-II criteria is a reliable and valid method for assessing the severity of buccal caries lesions.
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| 19. |
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| 20. |
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| 21. |
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| 22. |
- Alstad, Torgny, 1955, et al.
(författare)
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Patterns of carbohydrate intake--a study of typology, associations and changes over time in an elderly Swedish population.
- 2006
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Ingår i: The journal of nutrition, health & aging. - 1279-7707. ; 10:5, s. 401-7
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Patterns may explain part of the dietary variation between subjects. OBJECTIVE: To create a typology of carbohydrate intake among the elderly and to analyse whether it seems valuable or not. DESIGN: Factor and cluster-analyses of dietary interviews from two elderly cohorts of free-living elderly people in Göteborg, Sweden. SUBJECTS AND METHODS: Three hundred and thirty seven women and three hundred and twenty three men aged 70-79 was studied cross-sectionally and longitudinally. The altogether 917 dietary interviews were based on the dietary history method. Cluster analysis, based on factor scores, was used to create the typology. RESULTS: Seven clusters were identified: 1) Small eaters (high relative intake of starch and a low energy intake), 2) Lean and green eaters (high intake of dietary fibre), 3) Fruit eaters (high intake of monosaccharides), 4) Sweet tooth eaters (high intake of sucrose), 5) Gourmands (high absolute intake of starch, dietary fibre and energy), 6) Milk drinkers (high intake of lactose) and 7) Fat eaters (high intake of fat and low intake of carbohydrates). The different patterns were associated with different food consumption, different intake of micronutrients and different social and physiological factors. There were also changes over time of the proportion of subject within the clusters. CONCLUSIONS: The typology found by using cluster analysis, seems to be valid and was related to all analysed dimensions. Therefore, the methods may be valuable for describing and analysing the dietary intake among elderly.
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| 23. |
- Aranibar Quiros, Miguel, et al.
(författare)
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Relationship between Plaque pH and Different Caries-Associated Variables in a Group of Adolescents with Varying Caries Prevalence
- 2014
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Ingår i: Caries Research. - : S. Karger AG. - 0008-6568 .- 1421-976X. ; 48:2, s. 147-153
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Tidskriftsartikel (refereegranskat)abstract
- The pH response of the dental biofilm after a sugar challenge can be considered to mirror the acidogenic potential and thereby the caries risk of an individual. The aim of this cross-sectional study was to evaluate the relationship between plaque pH and different caries variables in adolescents with varying caries prevalence. One hundred individuals, aged 14-15 years, were examined regarding different caries-related variables: (i) caries score (DSm, DSi, DSm + i, DTm), (ii) salivary secretion rate and buffer capacity, (iii) oral microflora of plaque and saliva, (iv) plaque amount, (v) plaque pH and (vi) dietary intake, oral hygiene habits and fluoride use. Plaque pH was assessed using the microtouch method before and after a 1-min mouthrinse with 10 ml 10% sucrose. Depending on the minimum pH, the participants were divided into three groups: low pH (≤5.3), medium pH (>5.3-6.3) and high pH (>6.3). Statistically significant differences between the three groups (p < 0.01) were found for initial caries (DSi) and combined manifest and initial caries (DSm + i). A statistically significant difference was also found in the log values for salivary lactobacilli (p = 0.02) within the three groups, and for the total number of bacteria in plaque (p = 0.04); for both variables, the low-pH group had the highest values. The only covariate significantly associated was the Cariogram score in the medium-pH group (p < 0.01) and the number of meals per day in the high-pH group (p = 0.02). To conclude, plaque pH measured by the microtouch method is a method that can be used for discriminating between individuals with varying caries prevalence. © 2014 S. Karger AG, Basel.
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| 24. |
- Arvidsson, Louise, et al.
(författare)
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BMI, eating habits and sleep in relation to salivary counts of mutans streptococci in children - the IDEFICS Sweden study
- 2016
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Ingår i: Public Health Nutrition. - : Cambridge University Press. - 1368-9800 .- 1475-2727. ; 19:6, s. 1088-1092
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Tidskriftsartikel (refereegranskat)abstract
- Objective: The objective of the present study was to investigate the association between salivary counts of mutans streptococci (MS) and children's weight status, while considering associated covariates. MS ferments carbohydrates from the diet and contributes to caries by lowering the pH in dental plaque. In adults, high counts of MS in saliva have been associated with overweight, but this has not been shown in children. Design: Cross-sectional study investigating salivary counts of MS, BMI Z-score, waist circumference, meal frequency, sugar propensity and sleep duration, in children. Setting: West Sweden. Subjects: Children (n 271) aged 4-11 years. Results: Medium-high counts of MS were positively associated with higher BMI Z-score (OR=1.6; 95 % CI 1.1, 2.3). Positive associations were also found between medium-high counts of MS and more frequent meals per day (OR=1.5; 95 % CI 1.1, 2.2), greater percentage of sugar-rich foods consumed (OR=1.1; 95 % CI 1.0, 1.3) and female sex (OR=2.4; 95 % CI 1.1, 5.4). A negative association was found between medium-high counts of MS and longer sleep duration (OR=0.5; 95 % CI 0.3, 1.0). Conclusions: BMI Z-score was associated with counts of MS. Promoting adequate sleep duration and limiting the intake frequency of sugar-rich foods and beverages could provide multiple benefits in public health interventions aimed at reducing dental caries and childhood overweight.
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- Baeshen, H. A., et al.
(författare)
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Dental caries and risk factors in Swedish adolescents about to start orthodontic treatment with fixed appliances
- 2019
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Ingår i: Journal of Contemporary Dental Practice. - : Jaypee Brothers Medical Publishing. - 1526-3711. ; 20:5, s. 537-542
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Tidskriftsartikel (refereegranskat)abstract
- Aim: The aim of this study is to investigate the caries situation in a group of Swedish adolescents, who were scheduled for orthodontic treatment with fixed appliances. Materials and methods: An age- and gender-matched control group was selected from the same city (Malmö, Sweden). Caries and fillings on smooth surfaces and fillings on occlusal surfaces were diagnosed clinically and caries and fillings on approximal surfaces by bitewings. Numbers of mutans streptococci (MS) and lactobacilli (LB) were analyzed in saliva. Results: There were no significant differences regarding manifest caries lesions and fillings on smooth surfaces. Numbers of occlusal-filled surfaces (FS) and approximal decayed and filled surfaces were around 10%, but did not differ between the groups. However, 53% had approximal enamel caries lesions in the test group and 46% in the control group. The prevalence of approximal decayed surfaces (DS) and FS was low in both groups, 0.57 ± 1.41 in the test group and 0.65 ± 1.38 in the control group (p > 0.05), i.e., somewhat more DS in the control group (p < 0.05). Most individuals had low/medium counts of cariogenic bacteria in their saliva and less than 10% high counts in both groups. Conclusion: Most Swedish adolescents who have been scheduled for treatment with fixed appliances appear to have a low-to-medium caries risk nowadays. However, around 10% of all approximal tooth surfaces of premolars/molars had enamel caries and one-third of the individuals had medium/high counts of cariogenic bacteria in their saliva, which may be risk factors for future caries during orthodontic treatment. © The Author(s).
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