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ArticleClinical oral investigations2025

Trends in incidence of untreated caries in permanent teeth in BRICS countries: an age-period-cohort analysis from 1992 to 2021 and projections for the next two decades.

Yushan Huang, Lu Hao, Jin Li, Weizhen Guan, Shunhang Li, Yilin Zhang, Xiaoshuang Xu, Jing Li, Xin Xu

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Article in Clinical oral investigations, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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5 · Who and what money

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9 authors.

Yushan Huang *School of Stomatology, Shandong Second Medical University, Weifang, Shandong Province, 261053, PR China.
Lu Hao *Weifang People's Hospital, Shandong Second Medical University, Weifang, Shandong Province, 261000, PR China.
Jin LiWeifang People's Hospital, Shandong Second Medical University, Weifang, Shandong Province, 261000, PR China.
Weizhen GuanSchool of Stomatology, Shandong Second Medical University, Weifang, Shandong Province, 261053, PR China.
Shunhang LiSchool of Stomatology, Shandong Second Medical University, Weifang, Shandong Province, 261053, PR China.
Yilin ZhangSchool of Stomatology, Shandong Second Medical University, Weifang, Shandong Province, 261053, PR China.
Xiaoshuang XuSchool of Stomatology, Shandong Second Medical University, Weifang, Shandong Province, 261053, PR China.
Jing LiSchool of Public Health, Shandong Second Medical University, Weifang, Shandong Province, 261053, PR China. lijing@sdsmu.edu.cn.
Xin XuSchool of Stomatology, Shandong Second Medical University, Weifang, Shandong Province, 261053, PR China. xuxin@sdsmu.edu.cn.

Funding

2021 Shandong Province Higher Education Institutions "Youth Innovation Talent Introduction and Cultivation Plan Public Health Safety Risk Assessment and Response Innovation TeamNational Traditional Chinese Medicine Comprehensive Reform Demonstration Zone Science and Technology Co construction Project GZY-KJS-SD-2024-106
6 · The paper itself

Abstract

objectiveThis study aimed to delineate the temporal trends and project the future incidence of untreated caries in permanent teeth in the BRICS countries. MATERIALS AND

methodsData were obtained from the 2021 Global Burden of Disease (GBD) study. A joinpoint model was used to examine the trends in disease burden. The age-period-cohort (APC) model was applied to analyze the trends across different age groups, periods, and birth cohorts. The Bayesian age-period-cohort (BAPC) model was used to make projections of incidence for the next two decades.

resultA total of 1,068.31 million cases of untreated caries in permanent teeth were found in BRICS countries in 2021, accounting for 45.07% of the global number. The incidence in most of the BRICS countries showed an increasing trend between 1992 and 2021. APC analyses indicated a net drift below 0 in most of the BRICS countries. The peak incidence was observed in people aged 20-24 years for most of the BRICS countries. There was a downward trend in the period rate ratio (RR) in BRICS countries except China and Russia. Compared to younger birth cohorts, older birth cohorts exhibited higher risks in most of the BRICS countries. It is projected that from 2022 to 2041, the age-standardized incidence rate (ASIR) for both males and females in most of BRICS countries may decline.

conclusionsIn conclusion, the burden of untreated dental caries in permanent teeth remains significantly high in BRICS countries, with age, time period, and birth cohort significantly affecting the incidence. All BRICS countries need to improve public health policies to mitigate this public concern, especially for high-risk groups. CLINICAL RELEVANCE: The ASIR of untreated caries in permanent teeth in most BRICS countries may decrease in the next twenty years by projections, but the burden of disease remains high in the BRICS countries. It is crucial for BRICS countries to enhance public health policies related to caries prevention and treatment for high-risk populations.

Indexed as

Dental CariesAdolescentAdultAgedAge FactorsChildChild, PreschoolCohort StudiesDentition, PermanentFemaleForecastingGlobal Burden of DiseaseHumansIncidenceInfantMaleAge-period-cohort modelBayesian age-period-cohortBRICS countriesDisease burdenUntreated caries in permanent teeth

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