title: Eighteen-month coronal caries incidence in North Carolina older adults.
abstract: In this longitudinal study of a random sample of North Carolinians over the age of 65 and living in their homes, 325 blacks and 280 whites were examined and interviewed 18 months after baseline examinations. Coronal caries incidence was greater among whites than blacks. The increment due to teeth becoming root fragments were similar for both races; however, there were more newly crowned teeth among whites. Newly crowned surfaces were not used as part of the caries increment in logistic regression models to investigate potential risk predictors. For blacks, caries development over the 18-month period was associated with a higher lactobacillus score and more coronal caries at baseline, more previously filled coronal surfaces, and lack of active membership in clubs or other groups. For whites, having no self-reported tooth sensitivity, having a lower socioeconomic index score, taking antihistamine medications at baseline, and having the perception of more problems after the age of 40 than before were all associated with the development of coronal caries.
authors.affiliation: Department of Diagnostic Sciences, School of Dentistry, University of North Carolina, Chapel Hill 27599-7450.
authors.forename: C W
authors.initials: CW
authors.lastname: Drake
authors.forename: R J
authors.initials: RJ
authors.lastname: Hunt
authors.forename: J D
authors.initials: JD
authors.lastname: Beck
authors.forename: G G
authors.initials: GG
authors.lastname: Koch
mesh_terms: D001741:Black or African American; D000368:Aged; D001294:Attitude to Health; D015331:Cohort Studies; D004245:DMF Index; D003731:Dental Caries / Q000453:epidemiology* / Q000208:ethnology; D005260:Female; D006301:Health Services Needs and Demand; D006634:Histamine H1 Antagonists / Q000627:therapeutic use; D006801:Humans; D007778:Lactobacillus / Q000302:isolation & purification; D016015:Logistic Models; D008137:Longitudinal Studies; D008297:Male; D009657:North Carolina / Q000453:epidemiology; D012307:Risk Factors; D012463:Saliva / Q000382:microbiology; D013295:Streptococcus mutans / Q000302:isolation & purification; D044465:White People
chemical_list: D006634:Histamine H1 Antagonists