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首页> 外文期刊>International Journal of Environmental Research and Public Health >High Dental Caries among Adults Aged 35 to 44 Years: Case-Control Study of Distal and Proximal Factors
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High Dental Caries among Adults Aged 35 to 44 Years: Case-Control Study of Distal and Proximal Factors

机译：35至44岁成年人中的高龋率：远侧和近端因素的病例对照研究

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摘要

The aim of this study was to determine whether a high degree of dental caries severity is associated with the distal and proximal determinants of caries in a group of Brazilian adults aged 35 to 44 years. A population-based case-control study was conducted using two groups—a case group with high caries severity (DMFT ≥ 14) and a control group without high caries severity (DMFT < 14). The sample comprised adults from metropolitan Belo Horizonte, Brazil (180 cases and 180 controls matched for gender and age). The exam was performed by calibrated dentists using the DMFT index. The statistical analysis used the Mann-Whitney test and bivariate and multivariate logistic regression (the conditional backward stepwise method). The mean DMFT was 8.4 ± 3.9 in the control group and 20.1 ± 4.5 in the case group. High caries severity was associated with regular visits to the dentist, low income, use of private/supplementary dental service and not petitioning the authorities for community benefits. The results of the study underscore the importance of considering distal and proximal factors in the assessment of the severity of dental caries. Greater caries severity persists among low-income families and among groups with a low degree of social cohesion.
机译：这项研究的目的是确定在35至44岁的一组巴西成年人中，高度龋齿严重程度与龋齿的远端和近端决定因素是否相关。进行了基于人群的病例对照研究，使用了两组：一个龋齿严重程度高（DMFT≥14）的病例组和一个龋齿严重程度不高（DMFT <14）的对照组。样本包括来自巴西大都会贝洛哈里桑塔的成年人（180例和180例对照，性别和年龄相匹配）。这项检查是由经过校准的牙医使用DMFT指数进行的。统计分析使用Mann-Whitney检验以及二元和多元logistic回归（条件后退逐步方法）。对照组的平均DMFT为8.4±3.9，病例组的平均DMFT为20.1±4.5。龋齿严重程度高与定期去看牙医，收入低，使用私人/辅助牙科服务以及没有向当局请愿获得社区利益有关。该研究结果强调了在评估龋齿严重程度时考虑远端和近端因素的重要性。在低收入家庭和社会凝聚力较低的群体中，龋齿的严重性仍然存在。

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