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Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie

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Open Access 01-09-2021 | Caries | Original article

Association between coronal caries and malocclusion in an adult population

Authors: Olaf Bernhardt, Karl-Friedrich Krey, Amro Daboul, Henry Völzke, Christian Splieth, Thomas Kocher, Christian Schwahn

Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Issue 5/2021

Abstract

Purpose

Only a few but conflicting results have been reported on the association between malocclusions and caries. We investigated this association using data from the population-based cross-sectional Study of Health in Pomerania (SHIP).

Methods

Sagittal, vertical and transversal intermaxillary relationship, space conditions and sociodemographic parameters of 1210 dentate subjects (median age 30 years, interquartile range 25–35 years) were collected. Caries was assessed with the Decayed-Missing-Filled Surfaces index but analyzed as ordered outcome (four levels: sound, enamel caries, caries, tooth loss) in ordinal multilevel models, taking into account subject, jaw, and tooth level simultaneously.

Results

Anterior open bite ≤3 mm (odds ratio [OR] = 2.08, 95% confidence interval [CI]: 1.19–3.61), increased sagittal overjet of 4–6 mm (OR = 1.31, CI: 1.05–1.64), distal occlusion of ½ premolar width (OR = 1.27, CI: 1.05–1.53) and distal 1 premolar width (OR = 1.31, CI: 1.06–1.63) were associated with adjusted increased odds for a higher outcome level (caries). Anterior spacing (OR = 0.24, CI: 0.17–0.33), posterior spacing, (OR = 0.69, CI: 0.5–0.95), posterior crowding (OR = 0.57, CI: 0.49–0.66) and buccal nonocclusion (OR = 0.54, CI: 0.33–0.87) were associated with a lower outcome level (caries).

Conclusion

The results from this population-based study suggest that a connection between caries and malocclusion exists to a limited extent in young adults. The associations with caries are contradictory for several malocclusion variables. Distal occlusion (OR = 1.31, CI: 1.06–1.63) and related skeletal anomalies displayed positive associations with caries whereas crowding did not. Orthodontic treatment of anterior crowding would probably not interfere with caries experience. These aspects should be considered for patient information and in treatment decisions.

Addy M, Griffiths GS, Dummer PM, Kingdon A, Hicks R, Hunter ML, Newcombe RG, Shaw WC (1988) The association between tooth irregularity and plaque accumulation, gingivitis, and caries in 11–12-year-old children. Eur J Orthod 10:76–83CrossRef

Alsulaiman AA, Briss DS, Parsi GK, Will LA (2019) Association between incisor irregularity and coronal caries: a population-based study. Am J Orthod Dentofacial Orthop 155:372–379. https://doi.org/10.1016/j.ajodo.2018.04.029CrossRefPubMed

Andrews LF (1972) The six keys to normal occlusion. Am J Orthod 62:296–309CrossRef

Bernhardt O, Krey KF, Daboul A, Volzke H, Kindler S, Kocher T, Schwahn C (2019) New insights in the link between malocclusion and periodontal disease. J Clin Periodontol 46:144–159. https://doi.org/10.1111/jcpe.13062CrossRefPubMed

Bock NC, Saffar M, Hudel H, Evalahti M, Heikinheimo K, Rice DPC, Ruf S (2018) Long-term effects of class II orthodontic treatment on oral health. J Orofac Orthop 79:96–108. https://doi.org/10.1007/s00056-018-0125-5CrossRefPubMed

Bollen AM, Cunha-Cruz J, Bakko DW, Huang GJ, Hujoel PP (2008) The effects of orthodontic therapy on periodontal health: a systematic review of controlled evidence. J Am Dent Assoc 139:413–422CrossRef

Borzabadi-Farahani A, Eslamipour F, Asgari I (2011) Association between orthodontic treatment need and caries experience. Acta Odontol Scand 69:2–11. https://doi.org/10.3109/00016357.2010.516732CrossRefPubMed

Bundesrechnungshof (2018) Bemerkungen 2017 zur Haushalts- und Wirtschaftsführung des Bundes. Ergänzungsband

Cernei ER, Maxim DC, Zegan G (2016) The study of the association of decay risk with malocclusions in mixed dentition at children from northeast Romania. A transversal retrospective study. Rev Med Chir Soc Med Nat Iasi 120:932–941PubMed

10.

Cirulli N, Cantore S, Ballini A, Perillo L, Giannico OV, Tafuri S, De Vito D (2019) Prevalence of caries and dental malocclusions in the Apulian paediatric population: an epidemiological study. Eur J Paediatr Dent 20:100–104. https://doi.org/10.23804/ejpd.2019.20.02.03CrossRefPubMed

11.

Davies TM, Shaw WC, Addy M, Dummer PM (1988) The relationship of anterior overjet to plaque and gingivitis in children. Am J Orthod Dentofacial Orthop 93:303–309CrossRef

12.

Dogramaci EJ, Brennan DS (2019) The influence of orthodontic treatment on dental caries: an Australian cohort study. Community Dent Oral Epidemiol. https://doi.org/10.1111/cdoe.12446CrossRefPubMed

13.

Feldens CA, Dos Santos Dullius AI, Kramer PF, Scapini A, Busato AL, Vargas-Ferreira F (2015) Impact of malocclusion and dentofacial anomalies on the prevalence and severity of dental caries among adolescents. Angle Orthod 85:1027–1034. https://doi.org/10.2319/100914-722.1CrossRefPubMed

14.

Gabris K, Marton S, Madlena M (2006) Prevalence of malocclusions in Hungarian adolescents. Eur J Orthod 28:467–470. https://doi.org/10.1093/ejo/cjl027CrossRefPubMed

15.

Gaikwad SS, Gheware A, Kamatagi L, Pasumarthy S, Pawar V, Fatangare M (2014) Dental caries and its relationship to malocclusion in permanent dentition among 12–15 year old school going children. J Int Oral Health 6:27–30PubMedPubMedCentral

16.

Gelman A, Hill J (2007) Data analysis using regression and multilevel/hierarchical models. Cambridge University Press, Cambridge

17.

Gilthorpe MS, Maddick IH, Petrie A (2000) Introduction to multilevel modelling in dental research. Community Dent Health 17:222–226PubMed

18.

Gilthorpe MS, Zamzuri AT, Griffiths GS, Maddick IH, Eaton KA, Johnson NW (2003) Unification of the “burst” and “linear” theories of periodontal disease progression: a multilevel manifestation of the same phenomenon. J Dent Res 82:200–205. https://doi.org/10.1177/154405910308200310CrossRefPubMed

19.

Giugliano D, d’Apuzzo F, Majorana A, Campus G, Nucci F, Flores-Mir C, Perillo L (2018) Influence of occlusal characteristics, food intake and oral hygiene habits on dental caries in adolescents: a cross-sectional study. Eur J Paediatr Dent 19:95–100. https://doi.org/10.23804/ejpd.2018.19.02.02CrossRefPubMed

20.

Hafez HS, Shaarawy SM, Al-Sakiti AA, Mostafa YA (2012) Dental crowding as a caries risk factor: a systematic review. Am J Orthod Dentofacial Orthop 142:443–450. https://doi.org/10.1016/j.ajodo.2012.04.018CrossRefPubMed

21.

Hall NE, Lindauer SJ, Tufekci E, Shroff B (2007) Predictors of variation in mandibular incisor enamel thickness. J Am Dent Assoc 138:809–815. https://doi.org/10.14219/jada.archive.2007.0270CrossRefPubMed

22.

Harrell FE Jr (2015) Regression modelling strategies: with applications to linear models, logistic and ordinal regression, and survival analysis. Springer, New YorkCrossRef

23.

Helm S, Petersen PE (1989) Causal relation between malocclusion and caries. Acta Odontol Scand 47:217–221CrossRef

24.

Helm S, Petersen PE (1989) Causal relation between malocclusion and periodontal health. Acta Odontol Scand 47:223–228CrossRef

25.

Hensel E, Born G, Korber V, Altvater T, Gesch D (2003) Prevalence of defined symptoms of malocclusion among probands enrolled in the Study of Health in Pomerania (SHIP) in the age group from 20 to 49 years. J Orofac Orthop 64:157–166CrossRef

26.

Hensel E, Gesch D, Biffar R, Bernhardt O, Kocher T, Splieth C, Born G, John U (2003) Study of Health in Pomerania (SHIP): a health survey in an East German region. Objectives and design of the oral health section. Quintessence Int 34:370–378PubMed

27.

Hugoson A, Koch G, Slotte C, Bergendal T, Thorstensson B, Thorstensson H (2000) Caries prevalence and distribution in 20–80-year-olds in Jonkoping, Sweden, in 1973, 1983, and 1993. Community Dent Oral Epidemiol 28:90–96CrossRef

28.

John U, Greiner B, Hensel E, Ludemann J, Piek M, Sauer S, Adam C, Born G, Alte D, Greiser E, Haertel U, Hense HW, Haerting J, Willich S, Kessler C (2001) Study of Health In Pomerania (SHIP): a health examination survey in an east German region: objectives and design. Soz Praventivmed 46:186–194CrossRef

29.

Julihn A, Barr Agholme M, Grindefjord M, Modeer T (2006) Risk factors and risk indicators associated with high caries experience in Swedish 19-year-olds. Acta Odontol Scand 64:267–273. https://doi.org/10.1080/00016350600613534CrossRefPubMed

30.

Kawachi I, Kennedy BP (1997) The relationship of income inequality to mortality: Does the choice of indicator matter? Soc Sci Med 45:1121–1127. https://doi.org/10.1016/S0277-9536(97)00044-0CrossRefPubMed

31.

Kongstad J, Ekstrand K, Qvist V, Christensen LB, Cortsen B, Grønbaek M, Holm-Pedersen P, Holmstrup P, Bardow A, Twetman S, Fiehn NE (2013) Findings from the oral health study of the Danish Health Examination Survey 2007–2008. Acta Odontol Scand 71:1560–1569. https://doi.org/10.3109/00016357.2013.776701CrossRefPubMed

32.

Marquezan M, Marquezan M, Faraco-Junior IM, Feldens CA, Kramer PF, Ferreira SH (2011) Association between occlusal anomalies and dental caries in 3‑ to 5 year-old Brazilian children. J Orthod 38:8–14. https://doi.org/10.1179/14653121141191CrossRefPubMed

33.

Mtaya M, Brudvik P, Nordrehaug Astrøm A (2009) Prevalence of malocclusion and its relationship with socio-demographic factors, dental caries, and oral hygiene in 12- to 14-year-old Tanzanian schoolchildren. Eur J Orthod 31:467–476. https://doi.org/10.1093/ejo/cjn125CrossRefPubMed

34.

Nguyen QV, Bezemer PD, Habets L, Prahl-Andersen B (1999) A systematic review of the relationship between overjet size and traumatic dental injuries. Eur J Orthod 21:503–515. https://doi.org/10.1093/ejo/21.5.503CrossRefPubMed

35.

Paduano S, Rongo R, Bucci R, Aiello D, Carvelli G, Ingenito A, Cantile T, Ferrazzano GF (2018) Is there an association between various aspects of oral health in Southern Italy children? An epidemiological study assessing dental decays, periodontal status, malocclusions and temporomandibular joint function. Eur J Paediatr Dent 19:176–180. https://doi.org/10.23804/ejpd.2018.19.03.02CrossRefPubMed

36.

Rabe-Hesketh S, Skrondal A (2012) Multilevel and longitudinal modelling using Stata: volume I: continuous responses & volume II: categorical responses, counts, and survival. Stata Press, College Station

37.

Rothman KJ (2012) Epidemiology: an introduction. Oxford University Press, Oxford

38.

Schiffner U, Hoffmann T, Kerschbaum T, Micheelis W (2009) Oral health in German children, adolescents, adults and senior citizens in 2005. Community Dent Health 26:18–22PubMed

39.

Splieth C, Schwahn C, Bernhardt O, Kocher T, Born G, John U, Hensel E (2003) Caries prevalence in an adult population: results of the Study of Health in Pomerania, Germany (SHIP). Oral Health Prev Dent 1:149–155PubMed

40.

Stahl F, Grabowski R (2004) Malocclusion and caries prevalence: Is there a connection in the primary and mixed dentitions? Clin Oral Investig 8:86–90. https://doi.org/10.1007/s00784-003-0244-1CrossRefPubMed

41.

Szklo M, Nieto FJ (2014) Epidemiology: beyond the basics, 3rd edn. Jones and Bartlett, Boston

42.

WHO (1997) Oral health surveys: basic methods. WHO, Geneva

43.

Institut der Deutschen Zahnärzte (2006) Vierte Deutsche Mundgesundheitsstudie (DMS 4). Deutscher Zahnärzte Verlag DÄV, Köln

44.

Zhang S, Lo ECM, Chu CH (2017) Occlusal features and caries experience of Hong Kong Chinese preschool children: a cross-sectional study. Int J Environ Res Public Health. https://doi.org/10.3390/ijerph14060621CrossRefPubMedPubMedCentral

Title: Association between coronal caries and malocclusion in an adult population
Authors: Olaf Bernhardt
Karl-Friedrich Krey
Amro Daboul
Henry Völzke
Christian Splieth
Thomas Kocher
Christian Schwahn
Publication date: 01-09-2021
Publisher: Springer Medizin
Keyword: Caries
Published in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Issue 5/2021
Print ISSN: 1434-5293
Electronic ISSN: 1615-6714
DOI: https://doi.org/10.1007/s00056-020-00271-1

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Association between coronal caries and malocclusion in an adult population

Abstract

Purpose

Methods

Results

Conclusion

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Abstract

Purpose

Methods

Results

Conclusion

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