Correlation between perceived experience of caries disease and recorded caries activity among adult patients at a Swedish Public Dental Clinic : A longitudinal study

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Correlation between perceived experience of caries disease and recorded caries activity among adult patients at a Swedish Public Dental Clinic : A longitudinal study

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Publication Article, peer reviewed scientific
Title Correlation between perceived experience of caries disease and recorded caries activity among adult patients at a Swedish Public Dental Clinic : A longitudinal study
Author(s) Flink, Håkan ; Tegelberg, Åke ; Arnetz, Judy ; Birkhed, Dowen
Date 2013
English abstract
Abstract Objective. To compare patients' perceived experiences of caries activity with recorded longitudinal caries prevalence, consequences of caries and length of recall intervals. Materials and methods. A questionnaire was mailed to 134 caries active (CA) and 40 caries inactive (CI) adult patients at a Swedish Public Dental Clinic. The overall response rate was 69%. The questionnaire included items regarding perceived caries activity, general health, dietary and oral hygiene habits, level of education and socioeconomic status. Questionnaire responses were studied for their association to clinical data extracted from patient dental records. Results. There was a correlation between patient-perceived and documented caries activity for all respondents (rho = 0.65; p < 0.001). CA patients had significantly more perceived caries activity (p < 0.001), decayed teeth (p < 0.001), root fillings (p = 0.001) and extractions (p < 0.001) than CI patients. The mean recall interval was 1.5 years for CA and 2.1 years for CI (p < 0.001). In multiple logistic regression analysis, CA patients were at increased risk for xerostomia (OR = 22.66, p = 0.003), sleep disturbances (OR = 4.36, p = 0.04) and more frequent use of daily extra fluoride (OR = 3.58, p = 0.03). Conclusions. Patient-perceived experience of caries correlated well with recorded caries activity in this group of middle-aged Swedish adults. Individuals with active caries were aware of their disease and made more frequent attempts to reduce caries activity by use of daily extra fluoride. Individual risk-based recall intervals did not seem to eliminate consequences of disease activity such as root fillings and extractions during the follow-up period.
DOI http://dx.doi.org/10.3109/00016357.2013.771406 (link to publisher's fulltext)
Publisher Informa
Host/Issue Acta Odontologica Scandinavia;6
Volume 71
ISSN 0001-6357
Pages 1486-1492
Language eng (iso)
Subject(s) caries inactivity
extractions
recall interval
sleep disturbances
xerostomia
Medicine
Research Subject Categories::MEDICINE
Handle http://hdl.handle.net/2043/16060 (link to this page)

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