{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T00:24:35Z","timestamp":1648599875175},"reference-count":16,"publisher":"Bentham Science Publishers Ltd.","issue":"1","license":[{"start":{"date-parts":[[2010,7,16]],"date-time":"2010-07-16T00:00:00Z","timestamp":1279238400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/3.0\/"}],"content-domain":{"domain":["opendentistryjournal.com","benthamopen.com"],"crossmark-restriction":true},"short-container-title":["TODENTJ"],"published-print":{"date-parts":[[2010,7,16]]},"abstract":"<jats:p>Compared to younger adults, older adults are at greater risk for root caries. A model of root caries may assist dentists in predicting disease outcomes. OBJECTIVES: Using the Iowa 65+ Oral Health Survey, analysis was done to model the patterns of the root caries development in older adults.<\/jats:p><jats:sec><jats:title>Methods:<\/jats:title><jats:p>The statistical analysis included Markov chain modeling, model estimation and validation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p>The model effectively predicts root caries using an 18-month predictive cycle and is validated up to 36 months (two cycles), with no significant differences (Chi-square test p-values &gt;0.1) between predicted and observed distributions. However, we do not have observed data for validation beyond 36 months since the model was designed to perform only at single or multiple 18-month cycles. As expected, the predicted distribution at 54-month (3 cycles) and the observed distribution at 60-month differed significantly (p&lt;0.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions:<\/jats:title><jats:p>The model demonstrated a high probability that a sound surface will remain caries free. However, one and multiple-surface lesions aggressively infect adjoining surfaces. Maturing of the carious lesion occurs with the 4-surface lesion, decreasing the probability of tooth loss. Thus, maintaining a sound root surface and early treatment intervention reduces the risk of tooth dysfunction (morphological destruction) and loss.<\/jats:p><\/jats:sec><jats:sec><jats:title>DATABASE FILTERS:<\/jats:title><jats:p><jats:bold>P:<\/jats:bold>Tooth\/Subject characteristics-Older adults, 65 years of age or more, male and female participants, regional rural Iowa residents, race unspecified, functional status-non-institutionalized level unspecified, risk level unspecified<\/jats:p><jats:p><jats:bold>I:<\/jats:bold>Root caries<\/jats:p><jats:p><jats:bold>P<\/jats:bold>(C-not applicable): Probability\/Statistical significance for decision data only\/Clinical significance-dataset over 20 years old\/Utility data not included\/Cost data not included\/Meaning in practice undetermined.<\/jats:p><jats:p><jats:bold>O:<\/jats:bold>Each year through a three year cycle, caries progression from a sound root surface<\/jats:p><jats:p><jats:bold>A:<\/jats:bold>Data attached:<\/jats:p><jats:p>\u25a0 Published manuscript<\/jats:p><jats:p>\u25a1 Unpublished manuscript<\/jats:p><jats:p>\u25a1 Raw data<\/jats:p><jats:p><jats:bold>R:<\/jats:bold>Primary author contact information present<\/jats:p><\/jats:sec>","DOI":"10.2174\/1874210601004010124","type":"journal-article","created":{"date-parts":[[2010,11,5]],"date-time":"2010-11-05T04:49:37Z","timestamp":1288932577000},"page":"124-132","update-policy":"http:\/\/dx.doi.org\/10.2174\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Predictor Model of Root Caries in Older Adults: Reporting of Evidence to the Translational Evidence Mechanism"],"prefix":"10.2174","volume":"4","author":[{"given":"Bauer","family":"JG","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Spackman","family":"S","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dong","family":"J","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Garrett","family":"N","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"965","reference":[{"key":"refR1","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1002\/j.0022-0337.1995.59.1.tb02917.x","volume":"59","author":"White BA","year":"1995","unstructured":"White BA, Caplan DJ, Weintraub JA. 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