TY  - JOUR
U1  - Zeitschriftenartikel, wissenschaftlich - begutachtet (reviewed)
A1  - Splieth, Christian H.
A1  - Santamaria, Ruth M.
A1  - Basner, Roger
A1  - Schüler, Elisabeth
A1  - Schmoeckel, Julian
T1  - 40-Year Longitudinal Caries Development in German Adolescents in the Light of New Caries Measures
JF  - Caries Research
N2  - This study assessed the 40-year longitudinal caries development in German adolescents in the light of the sixth National Oral Health Survey in Children (NOHSC, 2016) employing initial DMFT (IDMFT), Significant Caries Index (SiC) and Specific Affected Caries Index (SaC). On the basis of the current NOHSC (randomized cluster selection using school list or regional community school surveys, 55,956 12-year-old sixth-graders examined by 482 calibrated community/study dentists) DMFT, SiC, a novel IDMFT including initial lesions (IT) and the recently introduced SaC were calculated and also recalculated for national and international surveys from the last 4 decades. In 2016, 78.8% of children were caries-free (DMFT = 0), 65.5% including IT lesions. The mean DMFT was 0.44 (single components: DT = 0.14, MT = 0.02, FT = 0.29, IT = 0.52) showing a clear association with the school type as marker for the socio-economic status. The mean number of affected teeth in children with DMFT >0 was 2.07 (SaC) in comparison to almost 9 teeth in the 1970s. The current care index on the tooth level was 66.3%, leaving only 7.7% of children with restorative treatment needs. Longitudinally, a continuous caries decline of more than 80%, including the risk groups (SiC/SaC), to an internationally extremely low level was observed. In conclusion, the National Oral Health Surveys reveal a continuous caries decline to a very low caries level in 12-year-old 6th-graders in Germany even if IT lesions are included (IDMFT). In spite of proportional reductions in the risk groups (SiC/SaC), the polarized caries distribution according to socio-economic parameters reveals the need for targeted preventive programmes.
KW  - -
KW  - Adolescents, 12-year-olds
KW  - Caries prevalence
KW  - Germany
KW  - National survey
Y1  - 2019
UN  - https://nbn-resolving.org/urn:nbn:de:gbv:9-opus-41680
SN  - 0008-6568
SS  - 0008-6568
SN  - 1421-976X
SS  - 1421-976X
U6  - https://doi.org/10.1159/000501263
DO  - https://doi.org/10.1159/000501263
PM  - 31352461
VL  - 53
IS  - 6
SP  - 609
EP  - 616
PB  - S. Karger AG
CY  - Basel, Switzerland
ER  -