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CariesPrevalenceinMaineBasedonCollegeofDentalMedicine(UNE)Findings

ResearchGoal:

Methods:

Acknowledgements:

Furtherresearchanddataanalysisofa largersamplesizeareneededtodeterminetheaccuracyoftheseresults,however,thisini?alinves?ga?onrevealstheneedforbeAeroralhealthcaretoMaine’spopula?on.

MollyKalish,VasilikiMaseliDDS,MS,FIADFE

Summary:

Introduc?on:

The goal of this retrospec?ve study is to collectinforma?on inorder tobeAerunderstandtheneedsof theMaine residents and provide the appropriateoralhealthcareinthefuture.

ThemeanDMFTwasfoundtobe19.27andthemeanDMFSwas26.08.This can be compared to the Na?onal Ins?tute of Health (Na?onalIns?tute of Dental and Craniofacial Research) research on the dentalcaries present in adults, in which theoverall DMFTwas 10.33 and theoverall DMFSwas30.96. These results suggest thatwithin the state ofMainetheoverallDMFTindexishigherthanthena?onalDMFTindex.Thisisanongoingstudyanddatawillbeaccumulatedandanalyzedover?me aswell as a constant influx of data as new pa?ents begin care atUNE.The fact that mul?ple clinicians charted the carious lesions could beconsidered as a limita?on of this study. In addi?on, DMF index can beinvalid inolderadultsor inchildrenbecausethe indexcanoveres?matecariesrecordedbycasesotherthandentalcaries.

Dental caries is a progressive, irreversible microbial diseaseaffec?ng the hard ?ssues of the tooth. It is themost prevalentchronic disease affec?ng the human race. Once it occurs, itsmanifesta?ons persist throughout life even when the lesion istreated.ItusuallybeginssoonaUertheteetheruptintotheoralcavity,thus,itisaposterup?vedisease.Itaffectspeopleofbothgenders,allraces,allages,andallsocio-economicgroups.Currently there is limited research regarding the prevalence ofcariesinthestateofMaine,par?cularlyfortheadultpopula?on.Thepresenceofcariesisamajororalhealthindicatorandfurtherresearch is needed in this area in order to provide beAer oralhealthcare,especiallyintheruralareas.Much of the literature focuses on caries prevalence in children,par?cularly from a study called the New England Children’sAmalgamTrial.Afiveyearfollow-upofthisstudyrevealedhigh-risk children con?nuing to develop new caries even aUer semi-annual dental care. This finding is alarming and it makes onewonder how the adult popula?on is fairing with cariesdevelopmentaswell.Inordertobridgethisgapintheliteratureanddetermineamoreaccuratepictureof cariesprevalencewithin the stateofMaine,thisongoingretrospec?vestudyisdesignedtoanalyzeandrecordcaries prevalence among the pa?ent popula?on at the UNEDental Clinic using past pa?ent dental records. The DMFT andDMFS indices are epidemiological tools used to measure andclassifycaries.Thesetwotoolswerethefocusofthedataanalysisthroughout this study. This ini?al inves?ga?on into the cariesprevalence ofMaine is only the founda?on for future researchandmoredefini?veconclusionsonthestateofMaine’sadultoralhealth.

The popula?on inves?gated derived from the UNE CDM pa?entpool.AUer IRBapproval fromtheUniversityofNewEnglandandde-iden?fica?on of the pa?ent popula?on, a sample size of 100dental charts was blindly analyzed and the DMFT (Decayed,Missing, Filled, Teeth) and DMFS (Decayed, Missing, Filled,Surfaces)indiceswerecalculated.DMFTstandsforDecayed,Missing,orFilledteethanditappliestoeachtoothwithinthepermanentden??onofanindividual.Scorescanrangeform0to28,or32,dependingonifthethirdmolarsareincluded.DMFSstandsforDecayed,Missing,orFilledsurfacesanditappliesto each tooth within the permanent den??on of an individual.Scorescanrangefrom0to128.

IndividualDMFT/DMFS:TotalD+M+F=DMFT/DMFS

GroupAverage:TotalDMFT/DMFSforeachindividual

Thendividethetotal‘DMF’bythe#ofindividualsinthegroup

Decayed

Missing Filled

Surfaces

Results:

I would like to thank the University of New England College of DentalMedicinefortheopportunity,supportandfundingonthisstudy.Iwouldalsolike to thank Dr. Vasiliki Maseli for her con?nual support, guidance, hardworkanddedica?ontothisstudy.

References:

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