The Journal of the American Dental Association
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J Am Dent Assoc, Vol 120, No 2, 143-149.
© 1990 American Dental Association

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Journal of the American Dental Association, Vol 120, Issue 2, 143-149
Copyright © 1990 by American Dental Association


Journal Article

Adult root caries survey of two similar communities with contrasting natural water fluoride levels



JW Stamm, DW Banting, and PB Imrey

University of North Carolina, School of Denistry, Chapel Hill 27599-7455.

For a comparative study of root caries, 502 adult lifelong residents of a naturally fluoridated community (1.6 ppm F) and 465 such residents of a nearby, comparable nonfluoridated community (0.2 ppm F) were examined. Substantially fewer carious lesions were found among adults in the fluoridated community relative to the nonfluoridated community. This was observed in virtually all age- and gender-specific groups. Given a cross-sectional design and considering only exposed root surfaces, root caries was related to age. In addition, the data from this study show that the number of root caries lesions is underestimated but that root caries prevalence is overestimated by the standard Root Caries Index (RCI). A less restrictive form of the RCI may lead to more valid estimation of root caries prevalence.


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