Identification of Swedish caries active individuals aged 30–90 years using a life course perspective and SKaPa longitudinal national registry data over a 10-year period
DOI:
https://doi.org/10.2340/aos.v83.40955Keywords:
Caries experience, caries prevention, disease progression, epidemiology, life course perspectiveAbstract
Objective: To describe the occurrence of caries disease from a life course perspective using longitudinal data from the Swedish Quality Registry for Caries and Periodontal Disease (SKaPa).
Material and Methods: Data from seven age cohorts (ages 30–90 years), each followed over 10 years, were retrieved from the SKaPa. Using a three-trajectory model, individuals were divided into three trajectories according to their caries development over time: high (15%), moderate (45%), or low (40%). Caries experience was expressed as the mean decayed, missing, and filled surfaces (DMFS) index.
Results: Significant differences were found for all three trajectories and in all age groups over the 10 years. The mean DMFS index increase was significantly larger for the high trajectory group than for the moderate and low trajectory groups across all age cohorts. An increase in caries experience was observed for the older cohorts across all trajectories.
Conclusions: A three-trajectory model appears useful for identifying and quantifying caries experiences in longitudinal studies. Increased caries disease occurs over time, especially in the highest trajectory group and among older cohorts. These findings emphasise the need for greater attention and more efficient caries prevention methods.
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Halfon N, Hochstein M. Life course health development: an integrated framework for developing health, policy, and research. Milbank Q. 2002;80(3):433–79. https://doi.org/10.1111/1468-0009.00019 DOI: https://doi.org/10.1111/1468-0009.00019
The implications for training of embracing – a life course approach to health 2000. Available from: https://apps.who.int/iris/bitstream/handle/10665/69400/WHO_NMH_HPS_00.2_eng.pdf
Nicolau B, Thomson WM, Steele JG, Allison PJ. Life-course epidemiology: concepts and theoretical models and its relevance to chronic oral conditions. Community Dent Oral Epidemiol. 2007;35(4):241–9. https://doi.org/10.1111/j.1600-0528.2007.00332.x DOI: https://doi.org/10.1111/j.1600-0528.2007.00332.x
Crall JJ, Forrest CB. A life course health development perspective on oral health. In: Halfon N, Forrest CB, Lerner RM, et al., editors. Handbook of life course health development. Cham, Switzerland: Springer International Publishing; 2018. p. 299–320. https://doi.org/10.1007/978-3-319-47143-3_13 DOI: https://doi.org/10.1007/978-3-319-47143-3_13
Peres KG, Thomson WM, Chaffee BW, Peres MA, Birungi N, Do LG, et al. Oral health birth cohort studies: achievements, challenges, and potential. J Dent Res. 2020;99(12):1321–31. https://doi.org/10.1177/0022034520942208 DOI: https://doi.org/10.1177/0022034520942208
Marcenes W, Kassebaum NJ, Bernabé E, Flaxman A, Naghavi M, Lopez A, et al. Global burden of oral conditions in 1990–2010: a systematic analysis. J Dent Res. 2013;92(7):592–7. https://doi.org/10.1177/0022034513490168 DOI: https://doi.org/10.1177/0022034513490168
The challenge of oral disease: a call for global action. The oral health atlas, 16-17: FDI World Dental Federation; 2015. Available from: https://www.fdiworlddental.org/sites/default/files/2021-03/complete_oh_atlas-2_0.pdf
Bodecker CF. The modified dental caries index. J Am Dental Assoc. 1939;26(9):1453–60. https://doi.org/10.14219/jada.archive.1939.0279 DOI: https://doi.org/10.14219/jada.archive.1939.0279
Jordan RA, Krois J, Schiffner U, Micheelis W, Schwendicke F. Trends in caries experience in the permanent dentition in Germany 1997–2014, and projection to 2030: morbidity shifts in an aging society. Sci Rep. 2019;9(1):5534. https://doi.org/10.1038/s41598-019-41207-z DOI: https://doi.org/10.1038/s41598-019-41207-z
Annual report – 2020 The Swedish quality registry for caries and periodontal disease (SKaPa), in Swedish 2021. Available from: http://www.skapareg.se/
Rødseth SC, Høvik H, Schuller AA, Bjertness E, Skudutyte-Rysstad R. Dental caries in a Norwegian adult population, the HUNT4 oral health study; prevalence, distribution and 45-year trends. Acta Odontol Scand. 2022;80:202–10. https://doi.org/10.1080/00016357.2022.2117735 DOI: https://doi.org/10.1080/00016357.2022.2117735
Pitts NB, Grant J, Hinrichs-Krapels S, Mazevet ME, Boulding HF, Mayne C. Towards a cavity free future: how do we accelerate a policy shift towards increased resource allocation for caries prevention and control?. The Policy Institute at King’s 2017. 2017. Available from: https://www.kcl.ac.uk/policy-institute/assets/towards-a-cavity-free-future.pdf.
Spencer AJ. Skewed distributions – new outcome measures. Commun Dent Oral Epidemiol. 1997;25(1):52–9. https://doi.org/10.1111/j.1600-0528.1997.tb00899.x DOI: https://doi.org/10.1111/j.1600-0528.1997.tb00899.x
Hong CL, Broadbent JM, Thomson WM, Poulton R. The Dunedin multidisciplinary health and development study: oral health findings and their implications. J R Soc N Z. 2020;50(1):35–46. https://doi.org/10.1080/03036758.2020.1716816 DOI: https://doi.org/10.1080/03036758.2020.1716816
The Dunedin multidisciplinary health and development study. Available from: https://dunedinstudy.otago.ac.nz/.
Broadbent JM, Thomson WM, Poulton R. Trajectory patterns of dental caries experience in the permanent dentition to the fourth decade of life. J Dent Res. 2008;87(1):69–72. https://doi.org/10.1177/154405910808700112 DOI: https://doi.org/10.1177/154405910808700112
Broadbent JM, Foster Page LA, Thomson WM, Poulton R. Permanent dentition caries through the first half of life. Br Dent J. 2013;215(7):E12. https://doi.org/10.1038/sj.bdj.2013.991 DOI: https://doi.org/10.1038/sj.bdj.2013.991
von Bültzingslöwen I, Östholm H, Gahnberg L, Ericson D, Wennström JL, Paulander J. Swedish quality registry for caries and periodontal diseases – a framework for quality development in dentistry. Int Dent J. 2019;69(5):361–8. https://doi.org/10.1111/idj.12481 DOI: https://doi.org/10.1111/idj.12481
Befolkningsstatistik – SCB (in Swedish) – Population statistics – Statistics Sweden. Available from: https://www.scb.se/hitta-statistik/statistik-efter-amne/befolkning/befolkningens-sammansattning/befolkningsstatistik/
Flink H, Hedenbjörk-Lager A, Liljeström S, Nohlert E, Tegelberg Å. Identification of caries-active individuals in longitudinal data a methodological study using a national registry. Acta Odontol Scand. 2023:1–6. https://doi.org/10.1080/00016357.2023.2265474 DOI: https://doi.org/10.1080/00016357.2023.2265474
Chiang HM, Tranaeus S, Sunnegårdh-Grönberg K. Caries as experienced by adult caries active patients: a qualitative study. Acta Odontol Scand. 2018;77(1):15–21. https://doi.org/10.1080/00016357.2018.1493218 DOI: https://doi.org/10.1080/00016357.2018.1493218
Flink H, Tegelberg A, Arnetz JE, Birkhed D. Patient-reported negative experiences related to caries and its treatment among Swedish adult patients. BMC Oral Health. 2017;17(1):95. https://doi.org/10.1186/s12903-017-0384-3 DOI: https://doi.org/10.1186/s12903-017-0384-3
Ruiz B, Broadbent JM, Thomson WM, Ramrakha S, Hong CL, Poulton R. Differential unmet needs and experience of restorative dental care in trajectories of dental caries experience: a birth cohort study. Caries Res. 2023;1: 524-35. https://doi.org/10.1159/000530378 DOI: https://doi.org/10.1159/000530378
Frantsve-Hawley J, Abt E, Carrasco-Labra A, Dawson T, Michaels M, Pahlke S, et al. Strategies for developing evidence-based clinical practice guidelines to foster implementation into dental practice. J Am Dent Assoc. 2022;153(11):1041–52. https://doi.org/10.1016/j.adaj.2022.07.012 DOI: https://doi.org/10.1016/j.adaj.2022.07.012
Randall CL. Dissemination and implementation research for oral and craniofacial health: background, a review of literature and future directions. Community Dent Oral Epidemiol. 2023;51(1):119–32. https://doi.org/10.1111/cdoe.12841 DOI: https://doi.org/10.1111/cdoe.12841
Pitts NB, Mayne C. Making cavities history: a global policy consensus for achieving a dental cavity-free future. JDR Clin Trans Res. 2021:264–67. https://doi.org/10.1177/23800844211020298 DOI: https://doi.org/10.1177/23800844211020298
Nagin DS. Group-based modeling of development. Cambridge, MA:: Harvard University Press; 2005. DOI: https://doi.org/10.4159/9780674041318
Cohen J. Statistical power analysis for the behavioral sciences. 2nd ed. New York: Routledge; 1988. https://doi.org/10.4324/9780203771587 DOI: https://doi.org/10.4324/9780203771587
Mensah T, Tranæus S, Cederlund A, Naimi-Akbar A, Klingberg G. Swedish quality registry for caries and periodontal diseases (SKaPa): validation of data on dental caries in 6- and 12-year-old children. BMC Oral Health. 2021;21(1):373. https://doi.org/10.1186/s12903-021-01705-x DOI: https://doi.org/10.1186/s12903-021-01705-x
Kirkinen T, Naimi-Akbar A, Cederlund A, Tranæus S, Carlson C, Klingberg G. Accuracy of the Swedish quality registry for caries and periodontal diseases (SKaPa) – evaluation in 6- and 12-year-olds in the region of Värmland, Sweden. Acta Odontol Scand. 2023;81(8):615–21. https://doi.org/10.1080/00016357.2023.2235422 DOI: https://doi.org/10.1080/00016357.2023.2235422
Broadbent JM, Thomson WM. For debate: problems with the DMF index pertinent to dental caries data analysis. Community Dent Oral Epidemiol. 2005;33(6):400–9. https://doi.org/10.1111/j.1600-0528.2005.00259.x DOI: https://doi.org/10.1111/j.1600-0528.2005.00259.x
National guidelines for adult dental care (Nationella riktlinjer för vuxentandvård): Socialstyrelsen (In Swedish); 2011. Available from: http://www.socialstyrelsen.se/nationalguidelines
Leventhal H, Phillips LA, Burns E. The common-sense model of self-regulation (CSM): a dynamic framework for understanding illness self-management. J Behav Med. 2016;39(6):935–46. https://doi.org/10.1007/s10865-016-9782-2 DOI: https://doi.org/10.1007/s10865-016-9782-2
Alm A. On dental caries and caries-related factors in children and teenagers. Swed Dent J Suppl. 2008 (195):7–63.
Isaksson H, Alm A, Koch G, Birkhed D, Wendt LK. Caries prevalence in Swedish 20-year-olds in relation to their previous caries experience. Caries Res. 2013;47(3):234–42. https://doi.org/10.1159/000346131 DOI: https://doi.org/10.1159/000346131
Hall-Scullin E, Whitehead H, Milsom K, Tickle M, Su TL, Walsh T. Longitudinal study of caries development from childhood to adolescence. J Dent Res. 2017;96(7):762–7. https://doi.org/10.1177/0022034517696457 DOI: https://doi.org/10.1177/0022034517696457
Tranby EP, Frantsve-Hawley J, Minter-Jordan M, Thommes J, Jacob M, Monopoli M, et al. A cross-sectional analysis of oral health care spending over the life span in commercial- and Medicaid-insured populations. J Am Dent Assoc. 2022;153(2):101–9. https://doi.org/10.1016/j.adaj.2021.07.028 DOI: https://doi.org/10.1016/j.adaj.2021.07.028
Paris S, Banerjee A, Bottenberg P, Breschi L, Campus G, Domejean S, et al. How to intervene in the caries process in older adults: a joint ORCA and EFCD expert Delphi consensus statement. Caries Res. 2020;54(5–6):1–7. https://doi.org/10.1159/000510843 DOI: https://doi.org/10.1159/000510843
de Sam Lazaro SL, Nitschke Durben AM, Kline JJ. Barriers and opportunities to support the oral health of older adults: a rapid review of health policy and systems. Int J Aging Hum Dev. 2023;96(1):51–62. https://doi.org/10.1177/00914150221106098 DOI: https://doi.org/10.1177/00914150221106098
Tonetti MS, Bottenberg P, Conrads G, Eickholz P, Heasman P, Huysmans M-C, et al. Dental caries and periodontal diseases in the ageing population: call to action to protect and enhance oral health and well-being as an essential component of healthy ageing – consensus report of group 4 of the joint EFP/ORCA workshop on the boundaries between caries and periodontal diseases. J Clin Periodontol. 2017;44(S18):S135–44. /https://doi.org/10.1111/jcpe.12681 DOI: https://doi.org/10.1111/jcpe.12681
Flink H, Bergdahl M, Tegelberg Å, Rosenblad A, Lagerlöf F. Prevalence of hyposalivation in relation to general health, body mass index and remaining teeth in different age groups of adults. Community Dent Oral Epidemiol. 2008;36(6):523–31. https://doi.org/10.1111/j.1600-0528.2008.00432.x DOI: https://doi.org/10.1111/j.1600-0528.2008.00432.x
Johansson AK, Johansson A, Unell L, Ekback G, Ordell S, Carlsson GE. Self-reported dry mouth in Swedish population samples aged 50, 65 and 75 years. Gerodontology. 2012;29(2):107–15. https://doi.org/10.1111/j.1741-2358.2010.00420.x DOI: https://doi.org/10.1111/j.1741-2358.2010.00420.x
Tan ECK, Lexomboon D, Sandborgh-Englund G, Haasum Y, Johnell K. Medications that cause dry mouth as an adverse effect in older people: a systematic review and metaanalysis. J Am Geriatr Soc. 2018;66(1):76–84. https://doi.org//10.1111/jgs.15151 DOI: https://doi.org/10.1111/jgs.15151
Aliko A, Wolff A, Dawes C, Aframian D, Proctor G, Ekstrom J, et al. World workshop on oral medicine VI: clinical implications of medication-induced salivary gland dysfunction [Review]. Oral Surg Oral Med Oral Pathol Oral Radiol. 2015;120(2):185–206. https://doi.org/10.1016/j.oooo.2014.10.027 DOI: https://doi.org/10.1016/j.oooo.2014.10.027
Agostini BA, Cericato GO, Silveira ERD, Nascimento GG, Costa FDS, Thomson WM, et al. How common is dry mouth? systematic review and meta regression analysis of prevalence estimates [Meta-Analysis Systematic Review]. Braz Dent J. 2018;29(6):606–18. https://doi.org/10.1590/0103-6440201802302 DOI: https://doi.org/10.1590/0103-6440201802302
Listl S. Dental remuneration systems – can we pay for prevention? Br Dent J. 2024;236(2):108. https://doi.org/10.1038/s41415-024-6763-7 DOI: https://doi.org/10.1038/s41415-024-6763-7
Force UPST. Screening and preventive interventions for oral health in adults: US preventive services task force recommendation statement. JAMA. 2023;330(18):1773–9. https://doi.org/10.1001/jama.2023.21409 DOI: https://doi.org/10.1001/jama.2023.21409
Mittal R, Loke WM, Seng DOL, Na TM, Yan GLK, Allen PF. Willingness to pay for preventive dental care amongst older adults. Int Dent J. 2022;72(4):499–505. https://doi.org/10.1016/j.identj.2021.11.002 DOI: https://doi.org/10.1016/j.identj.2021.11.002
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Acta Odontologica Scandinavica publishes original research papers as well as critical reviews relevant to the diagnosis, epidemiology, health service, prevention, aetiology, pathogenesis, pathology, physiology, microbiology, development and treatment of diseases affecting tissues of the oral cavity and associated structures including papers on cause and effect or explanatory/associative relationships for experimental or observational studies.
