ArticleBMC oral health2020
Status of dental caries and associated factors in Tibetan adults: findings from the fourth China National Oral Health Survey.
Article in BMC oral health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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9 citing papers in PubMed, 17 citations in OpenAlex.
- Article
- Impact of oral health on quality of life among Tibetan adolescents in Suoxian County: a cross-sectional study.Frontiers in public health · 2026Article
- A cross-sectional investigation on oral health and hygiene among children aged 7-10 years in extremely high altitude areas of China.Scientific reports · 2025Article
- Effects of a Novel Magnetic Nanomaterial on Oral Biofilms.International dental journal · 2025Article
- Dental Caries and Associated Factors in Tibetan School-Age Children in Gannan, China.International dental journal · 2025Article
- Associated factors of dental caries among middle-aged adults in Guizhou Province, China (2019-2020).BMC oral health · 2025Article
- Comparative analysis of oral saliva microbiomes and metabolites in Han population at different altitudes.Frontiers in microbiology · 2024Article
- Dental Status and Oral Health Behaviors of Selected 45-74-Year-Old Men from Northeastern Poland.International journal of environmental research and public health · 2023Article
- Effects of altitude on human oral microbes.AMB Express · 2021Article
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Abstract
backgroundTibet, a region where average elevation is above 3500 m and socio-economic development is relatively lower, was not included in National Oral Health Survey over decades. The cross-sectional study aimed to investigate the status of dental caries and associated factors in Tibetan adults.
methodsParticipants aged 35-44, 55-64 and 65-74 years were selected. Decayed, missing, and filled tooth (DMFT), decayed and filled root (DF-Root) and root canal index (RCI) were used to evaluate dental caries. Questionnaire survey on demographic information, socioeconomic status, dietary habits, and oral health knowledge and behavior was conducted. Mann-Whitney U test, logistic regression were used for the statistical analyses.
resultsA total of 446 participants were enrolled in the survey. Of these: 222 (49.8%) were females, 224 (50.2%) were males; 149 (33.4%), 151 (33.9%), 146 (32.7%) were aged 35-44, 55-64 and 65-74 years respectively. The mean DMFT (SD) was 7.62 (4.84), 12.46 (8.16), and 21.38 (8.93). The filling rate was very low in all age groups (1.77%, 0.98%, 0.45%). The mean DF-Root (SD) was 0.50 (1.04), 1.04 (2.02), 1.32 (2.14), respectively. Root caries index was 42.27, 44.78 and 57.60%. Older age (65-74 age group) was positively associated with crown caries (odds ratio = 31.20, 95% confidence interval: 10.70-90.96). College degree and above and brushing teeth at least once a day were negatively associated with crown caries (odds ratio = 0.28, 95% confidence interval: 0.09-0.89; odds ratio = 0.39, 95% confidence interval: 0.21-0.72, respectively). Rural area, high income level and brushing teeth at least once a day were negatively and tooth with attachment loss was positively associated with root caries.
conclusionsThe status of dental caries in the adults in Tibet is severe and the treatment rate is very low. The study suggests a correlation between crown caries and the variables age, level of education and frequency of tooth brushing; correlation between root caries and residence, income level, frequency of tooth brushing and exposed root surfaces. These findings could be as reference to develop community based interventions to reduce the prevalence of caries in Tibet.
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