A multilevel analysis model for dental caries determinants in independently-living elderly

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dc.creatorNatália Teixeira Tavares Branco
dc.creatorRaquel Conceição Ferreira
dc.creatorJéssica Vancarla Rodrigues de Souza
dc.creatorAllyson Nogueira Moreira
dc.creatorIvana Márcia Alves Diniz
dc.creatorCláudia Silami Magalhães
dc.date.accessioned2025-03-10T20:30:04Z
dc.date.accessioned2025-09-09T00:25:36Z
dc.date.available2025-03-10T20:30:04Z
dc.date.issued2023-10-19
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.20396/bjos.v22i00.8670692
dc.identifier.issn1677-3225
dc.identifier.urihttps://hdl.handle.net/1843/80575
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofBrazilian Journal of Oral Sciences
dc.rightsAcesso Aberto
dc.subjectSaliva
dc.subjectSaúde bucal
dc.subjectCáries dentárias
dc.subjectOdontologia
dc.subject.otherAged
dc.subject.otherDental caries
dc.subject.otherSaliva
dc.subject.otherOral Health
dc.titleA multilevel analysis model for dental caries determinants in independently-living elderly
dc.typeArtigo de periódico
local.citation.epage13
local.citation.spage1
local.citation.volume22
local.description.resumoTo evaluate the prevalence of untreated caries and its association with biological, individual, and environmental variables in independently-living elderly people. Methods: This cross-sectional study included 72 elderly (≥60 years) patients of a university dental clinic in Belo Horizonte, Brazil. Sociodemographic data, systemic diseases, medications, and free sugar intake were collected. Visible plaque, Decayed, Missing, and Filled Teeth (DMFT), and Decayed and Filled Root (DFR) indexes were assessed through clinical examination. Unstimulated saliva was collected to determine salivary flow, pH, and buffering capacity. Descriptive analysis and multilevel logistic regression analysis were performed following a dental caries theoretical model (p <0.05, 95% CI). Results: The mean DMFT and DFR were 24.44 (SD=4.59) and 3.21 (SD=2.93), respectively. The prevalence of untreated caries was 61.11%. In the adjusted multilevel regression model involving 1639 teeth, untreated dental caries was significantly associated with the presence of biofilm (OR = 1.84; 95% CI: 1.24–2.74), salivary buffering capacity (OR = 0.87; 95% CI: 0.77–0.99) and per capita income (OR = 0.06; 95% CI: 0.004–0.74). Conclusion: The experience of dental caries was widespread among independently-living elderly patients, and its variability was best explained by the presence of biofilm, reduced salivary buffering capacity, and low per capita income. A comprehensive assessment is needed of the biological, individual, and environmental factors related to the presence of dental caries in independently-living elderly people.
local.identifier.orcidhttps://orcid.org/0000-0002-3217-4684
local.identifier.orcidhttps://orcid.org/0000-0001-8897-9345
local.identifier.orcidhttps://orcid.org/0000-0001-8963-0161
local.identifier.orcidhttps://orcid.org/0000-0002-7022-5593
local.identifier.orcidhttps://orcid.org/0000-0003-4261-0037
local.identifier.orcidhttps://orcid.org/0000-0002-5101-8089
local.publisher.countryBrasil
local.publisher.departmentFAO - DEPARTAMENTO DE ODONTOLOGIA SOCIAL E PREVENTIVA
local.publisher.initialsUFMG
local.url.externahttps://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8670692

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