Prosthetic crowns and other clinical risk indicators of caries among old-old Swedish adults: Findings from the KEOHS Project. Kungsholmen Elders Oral Health Study

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Morse, Douglas E.New York University College of Dentistry, Department of Epidemiology & Health Promotion, New York, NY USA (author)

Prosthetic crowns and other clinical risk indicators of caries among old-old Swedish adults : Findings from the KEOHS Project. Kungsholmen Elders Oral Health Study

Article/chapterEnglish2002

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John Wiley & Sons,2002
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LIBRIS-ID:oai:DiVA.org:rkh-591
https://urn.kb.se/resolve?urn=urn:nbn:se:rkh:diva-591URI
https://doi.org/10.1111/j.1741-2358.2002.00073.xDOI
http://kipublications.ki.se/Default.aspx?queryparsed=id:212542216URI

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Language:English
Summary in:English

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Subject category:ref swepub-contenttype
Subject category:art swepub-publicationtype

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Objectives: The Kungsholmen Elders Oral Health Study (KEOHS) evaluated the oral health status of generally healthy, community-dwelling persons over the age of 80 living in Kungsholmen, Sweden. This paper explored possible clinical risk indicators of coronal and root caries among the KEOHS subjects.Design: In this cross-sectional study, dentate KEOHS subjects received a caries assessment using defined visual, tactile criteria.Setting: Examinations were carried out in two local clinics by standardized examiners.Subjects: One hundred twenty-nine dentate persons were examined.Main Outcome Measures: The examination identified decayed and filled surfaces, prosthetic crowns, and missing teeth.Results: More root than coronal surfaces had untreated decay, and secondary root caries contributed the greatest number of decayed surfaces. Ninety percent of the examined dentate subjects had at least one prosthetic crown. Root surfaces exposed to crown margins were more likely to have caries than root surfaces not so exposed, particularly among women. The presence of untreated coronal caries (yes/no) was positively associated with having untreated root caries and an intermediate number (14–20) of teeth, but inversely associated with having 4+ prosthetic crowns. Active root caries (yes/no) was positively associated with having untreated coronal caries, 14–20 teeth, and 4+ prosthetic crowns. Nearly 20% of ident2ified root lesions were present at or below the gingival margin, and most (88%) were secondary caries associated with crown margins (65%) or other restorations (23%).Conclusions: Our findings suggest that some dental characteristics, including the presence of prosthetic crowns, are risk indicators for the presence of untreated coronal and root caries.

Subject headings and genre

MEDICIN OCH HÄLSOVETENSKAP Hälsovetenskap Omvårdnad hsv//swe
MEDICAL AND HEALTH SCIENCES Health Sciences Nursing hsv//eng
dental caries
root caries
coronal caries
secondary caries
crown
risk indicators
epidemiology
number of teeth
age
older adult

Added entries (persons, corporate bodies, meetings, titles ...)

Holm-Pedersen, PoulCopenhagen Gerontological Oral Health Research Center, University of Copenhagen School of Dentistry, Copenhagen, Denmark (author)
Holm-Pedersen, JytteFormerly Division of Prosthodonties. School of Dentistry, Karolinska Institutet, Huddinge (author)
Katz, Ralph V.New York University College of Dentistry, Department of Epidemiology & Health Promotion, New York, NY USA (author)
Viitanen, MattiKarolinska Institutet (author)
von Strauss, EvaKarolinska Institutet(Swepub:rkh)vone (author)
Winblad, BengtKarolinska Institutet (author)
New York University College of Dentistry, Department of Epidemiology & Health Promotion, New York, NY USACopenhagen Gerontological Oral Health Research Center, University of Copenhagen School of Dentistry, Copenhagen, Denmark (creator_code:org_t)

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In:Gerodontology: John Wiley & Sons19:2, s. 73-790734-06641741-2358

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By the author/editor: Morse, Douglas E ...; Holm-Pedersen, P ...; Holm-Pedersen, J ...; Katz, Ralph V.; Viitanen, Matti; von Strauss, Eva; show more...; Winblad, Bengt; show less...

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MEDICAL AND HEALTH SCIENCES: MEDICAL AND HEAL ...; and Health Sciences; and Nursing

Articles in the publication: Gerodontology

By the university: Red Cross University College; Karolinska Institutet

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