A prediction model for root caries in an elderly population

Authors

  • Sergio Sánchez-García,

    1. Unidad de Investigación Epidemiológica y en Servicios de Salud, Área de Envejecimiento, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México, D.F., México
    2. Departamento de Salud Pública y Epidemiología Bucal, División de Estudios Profesionales, Facultad de Odontología, Universidad Nacional Autónoma de México, México, D.F., México
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  • Hortensia Reyes-Morales,

    1. Dirección de Determinantes y Retos de los Sistemas de Salud, Centro de Investigación en Sistemas de Salud, Instituto Nacional de Salud Pública, Cuernavaca, Mor., México
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  • Teresa Juárez-Cedillo,

    1. Unidad de Investigación Epidemiológica y en Servicios de Salud, Área de Envejecimiento, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México, D.F., México
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  • Claudia Espinel-Bermúdez,

    1. Unidad de Investigación Epidemiológica y en Servicios de Salud, Área de Envejecimiento, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México, D.F., México
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  • Fortino Solórzano-Santos,

    1. Departamento de Infectología, Hospital de Pediatría, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México, D.F., México
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  • Carmen García-Peña

    1. Unidad de Investigación Epidemiológica y en Servicios de Salud, Área de Envejecimiento, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México, D.F., México
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Carmen García-Peña, Unidad de Investigación Epidemiológica y en Servicios de Salud, Área Envejecimiento, Instituto Mexicano del Seguro Social, Edificio CORCE, tercer piso, Centro Médico Nacional Siglo XXI, Avenida Cuauhtémoc No. 330, Col. Doctores., Delegación Cuauhtémoc, México, D.F., Código Postal 06725, México
Tel.: +52 55 5627 6900 ext. 21846
Fax: +52 55 5627 6900
e-mail: carmen.garcia@imss.gob.mx

Abstract

Sánchez-García S, Reyes-Morales H, Juárez-Cedillo T, Espinel-Bermúdez C, Solórzano-Santos F, García-Peña C. A prediction model for root caries in an elderly population. Community Dent Oral Epidemiol 2011; 39: 44–52. © 2010 John Wiley & Sons A/S

Abstract

Objectives:  To identify factors associated with root caries development in a 12- month period, in an elderly Mexican population, so as to develop a prediction model for the occurrence of root caries.

Methods:  A case-cohort study was carried out with 698 randomly selected beneficiaries of the Mexican Institute of Social Security (IMSS), residing in the southeast of Mexico City. Initially, base line (t0) data regarding sociodemographic variables, general health, general and oral healthy habits, salivary conditions, cariogenic microorganisms and oral health clinical indicators were collected. Twelve months from the date of the first clinical evaluation (t1), a new examination was carried out to determine the root caries increment. Variables that showed a significant association (P ≤ 0.05) with the root caries increment were included in the prediction model.

Results:  Six hundred and ninety-eight elderly subjects were included in the cohort (t0), with 76.1% (n = 531) of the elderly patients followed up at 12 months (t1). Incidence of root caries was 21.7% (n = 115), a mean root caries increase of 0.4 (1.0) surfaces. The variables, DLBA limitations (Yes), smoking (Yes), mouthwash (No), Mutans streptococci (≥105 CFU/ml), healthy root surfaces (≥6) and Root Caries Index (≥8%), showed a statistically significant association (P < 0.05). This model showed a correct classification in 80.0% (n = 425) and an area under the Receiver Operating Characteristic curve of 0.75.

Conclusions:  This is a good prediction model for the 12 months root caries increment in this population of elderly Mexicans.

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