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dc.contributor.authorWang, Xen_US
dc.contributor.authorBernabe, Een_US
dc.contributor.authorPitts, Nen_US
dc.contributor.authorZheng, Sen_US
dc.contributor.authorGallagher, JEen_US
dc.date.accessioned2023-11-30T11:19:23Z
dc.date.available2021-02-26en_US
dc.date.issued2021-03-19en_US
dc.identifier.urihttps://qmro.qmul.ac.uk/xmlui/handle/123456789/92498
dc.description.abstractBACKGROUND: Dental caries is the most prevalent condition globally. Despite improvements over the past few decades, there remains a significant disease burden in childhood. Epidemiological surveys provide insight to disease patterns and trends, and have traditionally focused on obvious decay which are inconsistent with contemporary clinical criteria. This study examined the distribution of dental caries in 12- and 15-year-olds in England, Wales and Northern Ireland, by severity threshold, at surface, tooth and child level and explored its association with socioeconomic, psychological and behavioural factors. METHODS: Data from 12- and 15-year-olds in the 2013 Children's Dental Health Survey (CDHS 2013) were analysed at three levels, taking account of dental caries thresholds which involved recording both clinical decay [visual enamel caries (AV) and above] and obvious decay [non-cavitated dentine lesions (2V) and above]. Negative binomial regression was used to identify factors associated with dental caries experience at both thresholds. RESULTS: The prevalence and severity of dental caries experience was higher among 15-year-olds at all levels. Visual change in enamel (AV) was by far the most common stage of caries recorded in both ages. The average number of surfaces with obvious decay experience, which has been the traditional epidemiological threshold, in 12- and 15-year-olds was 2.3 and 3.9 respectively. The corresponding values under the clinical decay threshold were higher, at 3.9 and 5.9 respectively. Visualisation of the distribution of dental caries at surface/tooth-level exhibited horizontal symmetry and to a lesser extent vertical symetry. In the adjusted models for both ages, country/region, school type, area deprivation, high frequency sugar consumption and irregular dental attendance were associated with greater caries experience in both groups. Dental anxiety was inversely associated with caries experience among 15-year-olds. CONCLUSION: This research highlights the importance of recognising dental caries patterns by surface, tooth and child-level amongst adolescents and the value of reporting dental caries distribution by threshold in epidemiological surveys, including its relevance for clinical care. Inclusion of enamel caries reveals the extent of caries management required at a point when non-invasive care is possible, emphasising the importance of prevention through contemporary primary care, which includes supporting self-care.en_US
dc.format.extent137 - ?en_US
dc.languageengen_US
dc.relation.ispartofBMC Oral Healthen_US
dc.rightsAttribution 3.0 United States*
dc.rights.urihttp://creativecommons.org/licenses/by/3.0/us/*
dc.subjectCDHS 2013en_US
dc.subjectDental cariesen_US
dc.subjectDistributionen_US
dc.subjectRisk factorsen_US
dc.subjectThresholden_US
dc.subjectAdolescenten_US
dc.subjectChilden_US
dc.subjectDMF Indexen_US
dc.subjectDental Cariesen_US
dc.subjectEnglanden_US
dc.subjectHumansen_US
dc.subjectNorthern Irelanden_US
dc.subjectPrevalenceen_US
dc.subjectWalesen_US
dc.titleDental caries thresholds among adolescents in England, Wales, and Northern Ireland, 2013 at 12, and 15 years: implications for epidemiology and clinical care.en_US
dc.typeArticle
dc.identifier.doi10.1186/s12903-021-01507-1en_US
pubs.author-urlhttps://www.ncbi.nlm.nih.gov/pubmed/33740952en_US
pubs.issue1en_US
pubs.notesNot knownen_US
pubs.publication-statusPublished onlineen_US
pubs.volume21en_US
dcterms.dateAccepted2021-02-26en_US


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Attribution 3.0 United States
Except where otherwise noted, this item's license is described as Attribution 3.0 United States