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. 2008 Jan;87(1):69-72.
doi: 10.1177/154405910808700112.

Trajectory patterns of dental caries experience in the permanent dentition to the fourth decade of life

J M Broadbent  1 , W M Thomson, R Poulton
Affiliations

Trajectory patterns of dental caries experience in the permanent dentition to the fourth decade of life

J M Broadbent et al. J Dent Res. 2008 Jan.

Abstract

Dental caries is a chronic, cumulative disease, but no studies have investigated longitudinal patterns of caries experience. The objective of this study was to identify and describe developmental trajectories of caries experience in the permanent dentition to age 32. Longitudinal caries data for 955 participants in a longstanding birth cohort study were analyzed by trajectory analysis. Three caries experience trajectories were identified by the SAS macro PROC TRAJ; these were categorized as "high" (approximately 15%), "medium" (approximately 43%), and "low" (approximately 42%) DMFS (Decayed, Missing, and Filled Surfaces). All were relatively linear, although the higher trajectories were more "S-shaped". This effect disappeared following adjustment for the number of unaffected surfaces remaining at each age, suggesting that, among individuals following a similar caries trajectory, caries rate is relatively constant across time.

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Figures

Figure 1
Figure 1
Simple join of DMFS scores by age (from the Dunedin Multidisciplinary Health and Development Study database).
Figure 2
Figure 2
Trajectory plot of mean DMFS scores for three-group caries trajectory analysis model.
Figure 3
Figure 3
Plot of mean percentage of at-risk surfaces affected by caries over time for three-group caries trajectory analysis model.
See this image and copyright information in PMC

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