All adults over 17?years of age have access to the Public Dental Service after the Finnish Dental Care Reform in 2001-2002. This study aimed to survey the treatment needs and treatment measures provided for adult patients and changes in these during the period 2001-2013.
Sing each person's unique identifier, demographic data on dental visits during the period 2001-2013 were collected from municipal databases in five PDS-units covering 320,000 inhabitants. The numbers of visitors, those in need of basic periodontal or caries treatment (CPI >?2 and D?+?d?>?0) were calculated for three age groups. Treatment provided was also calculated in 13 treatment categories. Trend analyses were performed to study changes during the study period.
Restorative treatments (968,772; 23.6%), examinations (658,394; 16.1%), radiographs taken (529,875; 12.9%) anaesthesia used (521,169; 12.7%) and emergency treatments (348,229; 8.5%) made up 73.8% of all treatment measures during the entire study period. Periodontal treatment (7.8%) and caries prevention (3.9%) made up a small part of the care provided and prosthetics and treatment of TMJ disorders were extremely uncommon (fewer than 1%). Treatments related to caries (restorative treatment, examinations, endodontics, emergencies, anaesthesia and radiographs) made up 60.4% of the dental personnel's treatment time. During the study period, statistically significant increasing trends were found for radiographs (p?
Processed foods and fatty, sugary snacking products, such as fizzy drinks and desserts, have become more popular, causing a desire to replace meals with snacks worldwide. High-sugar and fat-rich food components have been reported to be associated with increased level of dental caries as well as underweight and overweight. The aim of the present cross-sectional population-based study was to analyse the eating behaviours of young, healthy Finnish males in association with oral health and BMI, considering self-reported and residential background factors.
Finnish Defence Forces, Finland.
The used clinical data were gathered from 13 564 Finnish conscripts born in the beginning of the 1990s through clinical check-ups. In addition, about 8700 of the conscripts answered a computer-assisted questionnaire ('Oral Health of the Conscripts 2011' data) about their background information and health habits.
There was distinct variation in dietary patterns. Eating breakfast, regular physical exercise and daily tooth brushing all decreased the odds for restorative dental treatment need (decayed teeth), whereas smoking and drinking fizzy drinks for quenching thirst increased it. Eating breakfast and dinner were each associated with lower BMI, but smoking increased the odds for higher BMI (=25 kg/m2).
Regular, proper meals and especially eating breakfast decreased the odds for both dental caries and high BMI (=25 kg/m2).
Department of Cariology, Endodontology and Pediatric Dentistry, Research Unit of Oral Health Sciences, Faculty of Medicine, University of Oulu, P.O. Box 5281, FI-90014, Oulu, Finland. firstname.lastname@example.org.
The objective of this study is to examine the prevalence of indirect restorations and their association with past caries history and present need for restorative treatment among adults in Northern Finland.
The study population was a subsample of the Northern Finland Birth Cohort 1966 (n = 1961). The oral examinations were performed in 2012-2013. Indirect restorations (inlays/onlays and single crowns) were recorded tooth wise. Caries history was described with the sum of decayed, missing, and filled teeth (DMF). Caries was assessed using the International Caries Detection and Assessment System (ICDAS). The score of 4 was used as the cut off point for visible decay. Present need for restorative treatment was calculated by summing the decayed (D) and fractured (Fr) teeth. Need for restorative treatment was dichotomized to low [(D + Fr) = 1] and high [(D + Fr) > 1].
Altogether, 7.8% of the study population had indirect restorations. The prevalence of indirect restorations did not differ within DMF (p = 0.925), but it was higher among the subjects with a low need for restorative treatment (p
This study was planned and conducted by the Health Authorities of Karelia in the Russian Federation and the Faculty of Dentistry, University of Kuopio, Finland. The aim of the study was to analyze caries experience and treatment need among adults who responded to an invitation for dental examination and offered free dental treatment in two communities in Karelia. A total of 227 adults aged 30-72 years from 2 rural communities were examined clinically in accordance with WHO criteria by a team of Finnish dental specialists. The participants represented two major ethnic groups (Fenno-Ugrians, 68%; Slavs, 32%). The mean DMFT and DMFS were 15.8 and 58.8, respectively. Among dentate subjects (n = 225) 88% had at least one carious tooth and 80% had one or more filled or crowned teeth. Altogether, 34% of the subjects needed extraction(s), and 83% needed restorative treatment. The main finding of the study was that with regard to caries experience, oral health was quite good compared with that found in Finland and the UK.
The study consisted of 1332 children representing 81% of a stratified random sample from the Finnish population born in 1970-72. Data on annual dental check-ups at the age of 2-5 years, caries at the age of 6-8 years, and social class were obtained by questionnaire from municipal dental clinics. Sixteen percent of the children had had regular (3-4) check-ups, 42% occasional (1-2) check-ups and 42% no dental check-ups. Proportion of children with no check-ups was somewhat higher in the highest than in the other social classes. Of the children having no reported check-ups, 27% were entirely caries free; 20% of those having occasional and 20% of hose having regular check-ups were caries free. The mean dmft values among patients with one or more dmf teeth was 5.5 in children with no reported check-ups, 6.0 and 5.8 in those with occasional or regular check-ups. The mean dt values were 2.9, 2.26 and 2.3, respectively. In cases with no history of check-ups, the mean ft value among patients with one or more dmf teeth was 2.8, with occasional check-ups, 3.6, and with regular check-ups, 3.9. Thus a negative correlation existed between number of annual dental check-ups and number of untreated caries lesions found in cross-sectional examination; a positive correlation existed between frequency of check-ups and fillings found cross-sectionally. No clear correlation existed between regularity of annual dental check-ups and past caries experience (dmft).
To present and analyse changes in caries prevalence and caries distribution in child population sample groups in the city of Jönköping, Sweden, based on investigations performed in 1973, 1978, 1983, 1993, 2003, and 2013.
At each investigation, the study population included about 500 randomly sampled individuals, divided into age groups of 3, 5, 10, 15, and 20 years. The oral health status of all individuals was clinically and radiographically examined by trained paediatric dentists.
35% of the 3-year-olds were caries-free in 1973, compared to 79% 40 years later. Decayed and filled primary (dfs) and permanent (DFS) tooth surfaces were reduced by 67-90% between 1973 and 2013. Adolescents aged 10 and 15 years exhibited the most pronounced reduction in DFS on the occlusal surfaces. By 2013, more than 90% of the proximal caries lesions in 15-year-olds were initial lesions. About 85% of 15-year-olds had a DFS of = 5, whilst 1% exhibited a DFS of = 26. The corresponding figures for 1973 were 0 and 45% respectively. The DFS score for the 20-year-olds was 35.1 in 1973 and 5.8 in 2013. Caries-free 20-year-olds were not seen until 1993 and reached 19% in 2013.
Despite the dramatic decline in the prevalence of caries, caries still remains a health problem in a limited group of children, particularly those of pre-school ages. Repeated epidemiological studies are recommended to follow changes in oral health over time in order to evaluate existing preventive measures.
The onset and prevalence of caries in primary teeth and the rate of failure in conservative caries therapy were followed up for six years in a group of children who were three years old at the start of the study in 1974. All children were offered a basic preventive program which included counselling their parents on dietary habits, oral hygiene and the use of fluoride tablets. During the annual clinical examinations bite-wing radiographs were taken in cases with established molar contacts. Operative care was delivered when necessary, combined with topical fluoride applications. At the age of three years the onset of caries was registered in 26 percent of the children. The corresponding percentages at the ages of 4, 5, 6, 7 and 8 years were 26, 18, 3 and 2, respectively. Consequently, 17 percent were still caries-free at the end of the six-year period. Proximal caries was most often observed on the distal surfaces of the first primary molars, followed by the mesial surfaces of the second primary molars. The overall frequency of class II amalgam restorations requiring replacement was 16 per cent. The highest percentage of failures was noted in lower first primary molars.
The purpose of the present study was to establish the distribution of need for treatment of dental caries and also to evaluate the changes in the distribution of DMFT scores in cohorts of schoolchildren aged 7-15 yr. There was a decrease in the proportion of children with high DMFT scores during the study period. The difference was most pronounced at the age of 13 yr. Polarization of the DMFT scores was most obvious at 10 yr, but was also seen at 13 yr. The proportion of patients at risk of caries differs from one age group to another.