Evidence map›Paper›PMID 23633699›Full record

Observational studyJournal of the American Dental Association (1939)2013

Correlates of root caries experience in middle-aged and older adults in the Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry research network.

Donald L Chi, Joel H Berg, Amy S Kim, JoAnna Scott, Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry

Open access · bronzeAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Dental Association (1939), 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Guideline
  2. Dental Caries in Older Adults: A Narrative Review for Non-Dental Providers.International journal of environmental research and public health · 2026
    Review
  3. Article
  4. Article
  5. Inequalities in Untreated Root Caries and Affordability of Dental Services among Older American Adults.International journal of environmental research and public health · 2020
    Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Root caries analysis in working population of 35-44 years of age (Spain).Medicina oral, patologia oral y cirugia bucal · 2017
    Article
  12. Effectiveness of fluorides in root caries prevention, Department of Veterans Affairs (2009-2018).Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Donald L ChiDepartment of Oral Health Sciences, School of Dentistry, University of Washington, Box 357475, Seattle, Wash. 98195, USA. dchi@uw.edu
Joel H Berg
Amy S Kim
JoAnna Scott
Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry
University of Washington · US

Funding

Network Chair for the Pacific Northwest DPBRNU01DE016750 · NIDCR · UNIVERSITY OF WASHINGTON · PI DEROUEN, TIMOTHY A · 2005 to 2011
$11.1M
Data Coordinating Center for the Pacific Northwest DPBRNU01DE016752 · NIDCR · UNIVERSITY OF WASHINGTON · PI LEROUX, BRIAN GILBERT · 2005 to 2011
$6.8M
Addressing Oral Health Disparities in Medicaid-Enrolled Special Needs Children wiK08DE020856 · NIDCR · UNIVERSITY OF WASHINGTON · PI CHI, DONALD LESLIE · 2010 to 2014
$627k
NIDCR NIH HHS DE016750NIDCR NIH HHS DE016752NIDCR NIH HHS K08 DE020856NIDCR NIH HHS K08DE020856NIDCR NIH HHS U01 DE016750NIDCR NIH HHS U01 DE016752NIMHD NIH HHS L60 MD003921
6 · The paper itself

Abstract

backgroundThe authors examined the correlates of root caries experience for middle-aged adults (aged 45-64 years) and older adults (65 years and older) to test the hypothesis that the factors related to root caries are different for middle-aged adults than they are for older adults.

methodsThe authors conducted an observational cross-sectional study that focused on adult patients aged 45 to 97 years recruited from the Northwest Practice-based REsearch Collaborative in Evidence-based DENTistry research network (N = 775). The outcome variable was any root caries experience (no/yes). The authors hypothesized that sociodemographic, intra- oral and behavioral factors were root caries correlates. The authors used Poisson regression models to generate overall and age-stratified prevalence ratios (PRs) of root caries, and they used generalized estimating equations to account for practice-level clustering of participants.

resultsA total of 19.6 percent of adults had any root caries. A dentist's assessment that the patient was at high risk of developing any caries was associated with greater prevalence of root caries experience in both middle-aged adults (PR, 2.70; 95 percent confidence interval [CI], 1.63-4.46) and older adults (PR, 1.87; 95 percent CI, 1.19-2.95). The following factors were associated significantly with increased root caries prevalence but only for middle-aged adults: male sex (P = .02), self-reported dry mouth (P < .001), exposed roots (P = .03) and increased frequency of eating or drinking between meals (P = .03). No other covariates were related to root caries experience for older adults.

conclusionsWithin a practice-based research network, the factors associated with root caries experience were different for middle-aged adults than they were for older adults. Research is needed to identify relevant root caries correlates for adults 65 years and older. Practical Implications. Interventions aimed at preventing root caries are likely to be different for middle-aged adults than for older adults. Dentists should use root caries prevention programs that address appropriate aged-based risk factors.

Indexed as

AgedAged, 80 and overAge FactorsAlcohol DrinkingCommunity-Based Participatory ResearchCross-Sectional StudiesDental Caries SusceptibilityDental PlaqueDMF IndexEducational StatusFeeding BehaviorFemaleHumansIncomeLongitudinal StudiesMaleageddental caries susceptibilityolder adultsrisk factorsRoot caries

Identifiers

PMID23633699
PMCPMC4097202
OpenAlexW2035193247

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.