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ORIGINAL RESEARCH
Year : 2016  |  Volume : 8  |  Issue : 2  |  Page : 182-190

Dental Caries Predictors in Countries with Different Human Development Index: A Review of Articles


1 Post-graduate Student, Department of Community Oral Health, Dental School, Shahid Beheshti University of Medical Sciences, Iran
2 Professor and Director, Preventive Dentistry Research Center, Dental Research Institute, Shahid Beheshti University of Medical Sciences, Iran
3 Assistant Professor, Department of Community Oral Health, Dental School, Shahid Beheshti University of Medical Sciences, Iran
4 Lecturer, Department of Community Oral Health, Dental School, Shahid Beheshti University of Medical Sciences, Iran

Correspondence Address:
Nona Attaran
Post-graduate Student, Department of Community Oral Health, Dental School, Shahid Beheshti University of Medical Sciences, Iran

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Source of Support: None, Conflict of Interest: None


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Background: The aim of this study was to compare the positive tested dental caries predictive factors conducted from very high human development countries (VHHDC) and not VHHDC (NVHHDC). Methods: A comprehensive review of the available longitudinal studies on predictors of dental caries was undertaken using MEDLINE (PubMed) and Cochran database. Keywords for the search were: Dental caries, dental caries susceptibility with combination with the terms prognosis, forecasting, susceptibility, and predict*. Abstracts (n = 410) identified from an MEDLINE, and Cochrane registry and international journals. Search was screened independently by two investigators to exclude articles not in English, published prior to 2004, or containing no information on predictors of dental caries. Data from these included studies (n = 50) were extracted and compiled into evidence tables for further considerations. Results: 50 articles were selected for data extraction. Follow-up time of the published studies was between 6 months and 27 years (median = 4.72); articles sample size ranged from 30 to 51000, and 89% articles started at childhood (before 12 years). Variables most frequently tested as caries predictors in included articles (n = 53), were: Baseline caries (46%), diet (26%), and tooth brushing habit (22%). Baseline caries was shown as the strongest single predictor in VHHDC and NVHHDC. Caregiver's education was found to be a significant predictive factor in NVHHDC in compare with VHHDC. The predictive ability of tooth brushing and diet (20%) were more significant in VHHDC. Conclusions: Although finding predictive factors has been conducted in many VHHDC, research in the field of dental caries prediction in NVHHDC is inconclusive and insufficient as confirmed in this review. According to the various differences between these two groups of countries, it is important to develop more evidence in this field in different countries.


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