Introduction: Finnish conscripts have proven to be an excellent study group for epidemiological research in oral health in recent decades. The aim of this cross-sectional study was to determine the geographical distribution of dental caries prevalence in young healthy males in Finland at the beginning of the 2020s. Associated dental caries risk factors were of interest as well. Methods: The data were randomly collected from the eight biggest garrisons in Finland in July of 2021 by ten calibrated dentists. The study population consisted of 2077 male conscripts born between 2000 and 2002. Dental caries was recorded according to the ICDAS system. Wisdom teeth were excluded. Mean DMFT and mean DT values were calculated, and geomaps were constructed to visualize the geographical distribution. Generalized linear mixed models with logit link were conducted for the associated risk factors. Results: The mean DMFT value of all conscripts was 3.29 (SD 3.91), while the mean DT value was 1.19 (SD 2.33). Living in areas with endemic fluoride levels in drinking water ≥0.3 mg/L decreased the odds for restorative treatment need. Conclusion: While geographical distribution of dental caries prevalence has remained nearly the same as before, the overall restorative treatment need and treatment history have decreased countrywide.

1.
Takahashi
N
,
Nyvad
B
.
Caries ecology revisited: microbial dynamics and the caries process
.
Caries Res
.
2008
;
42
(
6
):
409
18
.
2.
Tanner
T
,
Kämppi
A
,
Päkkilä
J
,
Patinen
P
,
Rosberg
J
,
Karjalainen
K
, et al
.
Prevalence and polarization of dental caries among young, healthy adults: cross-sectional epidemiological study
.
Acta Odontol Scand
.
2013
;
71
(
6
):
1436
42
.
3.
Hujoel
PP
,
Lingström
P
.
Nutrition, dental caries and periodontal disease: a narrative review
.
J Clin Periodontol
.
2017
;
44
(
Suppl 18
):
S79
84
.
4.
Wen
PYF
,
Chen
MX
,
Zhong
YJ
,
Dong
QQ
,
Wong
HM
.
Global burden and inequality of dental caries, 1990 to 2019
.
J Dent Res
.
2022
;
101
(
4
):
392
9
.
5.
Bernabe
E
,
Marcenes
W
,
Hernandez
CR
,
Bailey
J
,
Abreu
LG
, et al
.
GBD 2017 Oral Disorders Collaborators
;
Global, regional, and national levels and trends in burden of oral conditions from 1990 to 2017: a systematic analysis for the global burden of disease 2017 study
.
J Dent Res
.
2020
;
99
(
4
):
362
73
.
6.
Karki
S
,
Kämppi
A
,
Tanner
T
,
Päkkilä
J
,
Seppänen
M
,
Tjäderhane
L
, et al
.
Regional variation in restorative treatment need among Finnish young people
.
Int J Dent
.
2021
;
2021
:
4852056
.
7.
Walsh
T
,
Worthington
HV
,
Glenny
A-M
,
Appelbe
P
,
Marinho
VC
,
Shi
X
.
Fluoride toothpastes of different concentrations for preventing dental caries in children and adolescents
.
Cochrane Database Syst Rev
.
2010
(
1
):
CD007868
.
8.
Walsh
T
,
Worthington
HV
,
Glenny
A-M
,
Marinho
VC
,
Jeroncic
A
.
Fluoride toothpastes of different concentrations for preventing dental caries
.
Cochrane Database Syst Rev
.
2019
;
3
.
9.
Slade
GD
,
Grider
WB
,
Maas
WR
,
Sanders
AE
.
Water fluoridation and dental caries in U.S. children and adolescents
.
J Dent Res
.
2018
;
97
(
10
):
1122
8
.
10.
Iheozor-Ejiofor
Z
,
Worthington
HV
,
Walsh
T
,
O’Malley
L
,
Clarkson
JE
,
Macey
R
, et al
.
Water fluoridation for the prevention of dental caries
.
Cochrane Database Syst Rev
.
2015
;
2015
(
6
).
12.
Parviainen
K
,
Ainamo
J
,
Nordling
H
.
Changes in oral health from 1973 to 1982 of 13-15-year-old schoolchildren residing in three different fluoride areas in Finland
.
J Dent Res
.
1985
;
64
(
10
):
1253
6
.
13.
Seppä
L
,
Hausen
H
,
Kärkkäinen
S
,
Larmas
M
.
Caries occurrence in a fluoridated and a nonfluoridated town in Finland: a retrospective study using longitudinal data from public dental records
.
Caries Res
.
2002
;
36
(
5
):
308
14
.
14.
Kämppi
A
,
Tanner
T
,
Päkkilä
J
,
Patinen
P
,
Järvelin
M-R
,
Tjäderhane
L
, et al
.
Geographical distribution of dental caries prevalence and associated factors in young adults in Finland
.
Caries Res
.
2013
;
47
(
4
):
346
54
.
15.
Sanders
AE
,
Grider
WB
,
Maas
WR
,
Curiel
JA
,
Slade
GD
.
Association between water fluoridation and income-related dental caries of US children and adolescents
.
JAMA Pediatr
.
2019
;
173
(
3
):
288
90
.
16.
Statistics Finland: population [Internet]
.
2021a
. [cited 2024 Jun 8]; Available from: https://pxdata.stat.fi/PxWeb/pxweb/en/StatFin/StatFin__vkour/statfin_vkour_pxt_12bs.px/table/tableViewLayout1/
17.
Statistics Finland
.
Language of the population [Internet]
.
2021b
. [cited 2024 Jun 8]; Available from: https://www.stat.fi/til/vaerak/2021/vaerak_2021_2022-03-31_tau_001_en.html.
18.
Strömberg
U
,
Magnusson
K
,
Holmén
A
,
Twetman
S
.
Geo-mapping of caries risk in children and adolescents: a novel approach for allocation of preventive care
.
BMC Oral Health
.
2011
;
11
:
26
.
19.
Ankkuriniemi
O
.
The dental status and need for dental treatment among Finnish conscripts, doct
. Thesis kouvola.
1979
;
20.
Läärä
M
.
Polarization of dental caries and the explanatory back-ground facts in a Finnish conscript population
. doct thesis Turku.
1999
.
21.
Kämppi
A
.
Identifying dental restorative treatment need in healthy young adults at individual and population level
. doct. thesis Oulu.
2015
.
22.
Kämppi
A
,
Tanner
T
,
Viitanen
O
,
Pohjola
V
,
Päkkilä
J
,
Tjäderhane
L
, et al
.
Association of dental fear with caries status and self-reported dentition-related well-being in Finnish conscripts
.
Dent J
.
2022
;
10
(
3
):
45
.
23.
World Health Organization
.
Oral health Surveys: basic methods
. 4th ed.
1997
. [Internet] [cited 2024 Jun 8]; Available from: https://apps.who.int/iris/bitstream/handle/10665/41905/9241544937.pdf?sequence=1
24.
International caries classification and management system (ICCMS)
. [cited 2024 Jun 8];Available from: https://www.iccms-web.com/content/icdas
25.
Patinen
P
,
Tanner
T
,
Huttunen
M
,
Muhonen
A
,
Räsänen
S
,
Moilanen
P
, et al
.
Caries experience and erosive tooth wear in Finnish men conscripts 2021: a cross-sectional study
.
Dent J
.
2022
;
10
(
7
):
122
.
26.
Concentrations of fluoride statistical variables of well waters data, material modified ©
.
Geological Survey of Finland
.
2023
.
27.
Giacaman
RA
,
Bustos
IP
,
Bazan
P
,
Marino
RJ
.
Oral health disparities among adolescents from urban and rural communities of central Chile
.
Rural Remote Health
.
2018
;
18
:
1
11
.
28.
Ha
DH
,
Crocombe
LA
,
Khan
S
,
Do
LG
.
The impact of different determinants on the dental caries experience of children living in Australia rural and urban areas
.
Community Dent Oral Epidemiol
.
2021
;
49
(
4
):
337
45
.
29.
Schwendicke
F
,
Dörfer
CE
,
Schlattmann
P
,
Foster Page
L
,
Thomson
WM
,
Paris
S
.
Socioeconomic inequality and caries: a systematic review and meta-analysis
.
J Dent Res
.
2015
;
94
(
1
):
10
8
.
30.
Bratan
T
,
Aichinger
H
,
Brkic
N
,
Rueter
J
,
Apfelbacher
C
,
Boyer
L
, et al
.
Impact of the COVID-19 pandemic on ongoing health research: an ad hoc survey among investigators in Germany
.
BMJ Open
.
2021
;
11
(
12
):
e049086
.
31.
Weiner
DL
,
Balasubramaniam
V
,
Shah
SI
,
Javier
JR
;
Pediatric Policy Council
.
COVID-19 impact on research, lessons learned from COVID-19 research, implications for pediatric research
.
Pediatr Res
.
2020
;
88
(
2
):
148
50
.
32.
Tanner
T
.
Healthy young adults’ oral health and associated factors: cross-sectional epidemiological study, doct thesis Oulu
.
2015
.
33.
Anttonen
V
,
Tanner
T
,
Kämppi
A
,
Päkkilä
J
,
Tjäderhane
L
,
Patinen
P
.
A methodological pilot study on oral health of young, healthy males
.
Dent Hypotheses
.
2012
;
3
:
106
11
.
34.
Cabalén
MB
,
Molina
GF
,
Bono
A
,
Burrow
MF
.
Nonrestorative caries treatment: a systematic review update
.
Int Dent J
.
2022
;
72
(
6
):
746
64
.
You do not currently have access to this content.