Caries incidence rates in Swedish adolescents and young adults with particular reference to adjacent approximal tooth surfaces: a methodological study

Stenlund, Hans; Mejàre, Ingegerd; Källestål, Carina

doi:10.1034/j.1600-0528.2003.00015.x

Cited by 24 publications

(25 citation statements)

References 16 publications

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“…The results from the surface level analyses mirrored the results from the subject level analysis. An advantage of the surface level analyses was that they confirmed the differing susceptibility of approximal surfaces to caries progression found in other studies [Dummer et al, 1988;Mejàre et al, 1999;Hintze, 2001;Stenlund et al, 2003]. This paper also illustrated the need for statistical analysis to account for the clustering of surfaces within subjects that has been reported in other studies.…”

Section: Discussionsupporting

confidence: 54%

The Anticariogenic Effect of Sugar-Free Gum Containing CPP-ACP Nanocomplexes on Approximal Caries Determined Using Digital Bitewing Radiography

et al. 2008

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This study investigated, using digital bitewing radiography, the progression and regression of approximal caries in adolescent subjects chewing a sugar-free gum containing 54 mg CPP-ACP relative to the identical gum without CPP-ACP. 2,720 subjects from 29 schools were randomly assigned to one of the two gums and were instructed to chew their assigned gum for 3 × 10 min/day, with one session supervised on school days, over the 24-month study period. Standardized digital bitewing radiographs were taken at the baseline and 24-month clinical examinations for each subject. The radiographs, scored by a single examiner, were assessed for approximal surface dental caries at both the enamel and dentine level. Surface level transitions were scored using a transition matrix. Caries progression or regression was analysed using proportional-odds ordered logistic regression modelling of the transition scores at the tooth surface level. There was a statistically significant difference in the frequency distributions of the transition scores between the two gum groups (OR = 0.82, p = 0.03). For subjects chewing the CPP-ACP gum the odds of a surface experiencing caries progression were 18% less than those of a surface experiencing caries progression for subjects chewing the control gum. In conclusion, the 54 mg CPP-ACP sugar-free gum significantly slowed progression and enhanced regression of approximal caries relative to a control sugar-free gum in a 24-month clinical trial.

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Section: Discussionsupporting

confidence: 54%

The Anticariogenic Effect of Sugar-Free Gum Containing CPP-ACP Nanocomplexes on Approximal Caries Determined Using Digital Bitewing Radiography

et al. 2008

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“…For the unfilled surfaces, the risk increased if the adjacent surface had a caries lesion. This finding is similar to the findings of Stenlund et al [2003] and may reflect the fact that both surfaces belong to the same approximal area, and this area may be a caries-susceptible site, possibly due to difficulties in plaque removal. For previously filled surfaces, the status of the adjacent surface seemed to be of less importance, a tendency however indicated that if the adjacent surface was filled or filled and carious, then the risk of developing a caries lesion was increased.…”

Section: Discussionsupporting

confidence: 79%

“…The study demonstrated that the caries rate of an approximal tooth surface was 1.6-32.3 times higher if the adjacent surface had a caries lesion [Stenlund et al, 2003]. In a Danish study the effect of iatrogenic preparation damage on the need for operative caries treatment adjacent to class II restorations was evaluated, and it was concluded that the risk of developing a caries lesion was higher in surfaces which had experienced preparation damage [Qvist et al, 1992].…”

Section: Discussionmentioning

confidence: 99%

Incidence of Caries Lesions in Approximal Surfaces: A Radiographic Study of a General Adult Danish Population

2011

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The aim was to describe the incidence of caries lesions in a randomly selected adult population, and to identify risk factors related to the incidence of caries lesions in approximal surfaces. In 1997, 616 adults participated in a study including a radiographic survey. In 2003 these individuals were contacted again and offered a second radiographic survey; 473 consented and attended this examination. In approximal surfaces, presence/absence of caries lesions and presence and type of coronal fillings were recorded. The incidence of caries lesions in surfaces with no caries lesions in 1997 was studied. Potential risk factors included information at three levels: (1) person, (2) tooth, and (3) surface. The analysis was carried out by multilevel logistic regression. For the analyses 23,701 approximal surfaces were eligible. In 23,243 approximal surfaces no caries lesions were detected in 1997, 17,007 of these were surfaces without fillings, and 6,236 were filled surfaces. In unfilled surfaces several factors affected the risk for development of a caries lesion: young age, high number of fillings, number of teeth and status of the adjacent surface. In filled surfaces few factors affected the incidence of caries lesions: status of the adjacent surface, smoking and distal surfaces. Differences in risk factor patterns for the incidence of caries lesions were found for unfilled and filled surfaces. The study emphasizes the importance of assessing factors related to the incidence of caries lesions in adults. Further it underlines the need to analyse the fate of filled surfaces separately, because once a surface has received a filling it needs continuous attendance.

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“…Caries are visible clinically before they can be observed in radiographic images because a certain degree of demineralization of the enamel must occur before they are visible in an X-ray (36). The resolution of the CT scans used here was clearly higher than the resolution that allows more accurate detection of periapical lesions compared with the resolution of periapical radiographs (37).…”

Section: Discussionmentioning

confidence: 99%

The occurrence of dental caries is associated with atherosclerosis

Glodny¹,

Nasseri²,

Crismani³

et al. 2013

Clinics

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OBJECTIVE:Previous studies have suggested that marginal periodontitis is a risk factor for developing atherosclerosis. The objective of this study was to determine whether caries may also be associated with atherosclerosis.METHODS:The computed tomography data sets of 292 consecutive patients, 137 women and 155 men with a mean age of 54.1±17.3 years, were analyzed. Caries were quantified based on the number of decayed surfaces of all the teeth, and periodontitis was quantified on the basis of the horizontal bone loss in the jaw. The presence of chronic apical periodontitis (CAP) was assessed, and the aortic atherosclerotic burden was quantified using a calcium scoring method.RESULTS:The patients with <1 caries surfaces/tooth had a lower atherosclerotic burden (0.13±0.61 mL) than patients with ≥1 caries surfaces/tooth. The atherosclerotic burden was greater in patients with a higher number of lesions with pulpal involvement and more teeth with chronic apical periodontitis. In the logistical regression models, age (Wald 49.3), number of caries per tooth (Wald 26.4), periodontitis (Wald 8.6), and male gender (Wald 11) were found to be independent risk factors for atherosclerosis. In the linear regression analyses, age and the number of decayed surfaces per tooth were identified as influencing factors associated with a higher atherosclerotic burden, and the number of restorations per tooth was associated with a lower atherosclerotic burden.CONCLUSION:Dental caries, pulpal caries, and chronic apical periodontitis are associated positively, while restorations are associated inversely, with aortic atherosclerotic burden. Prospective studies are required to confirm these observations and answer the question of possible causality.

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Caries incidence rates in Swedish adolescents and young adults with particular reference to adjacent approximal tooth surfaces: a methodological study

Abstract: The caries rate of an approximal tooth surface was 1.6-32.3 times higher if the adjacent surface was in a caries state compared to when the latter was sound.

Cited by 24 publications

References 16 publications

The Anticariogenic Effect of Sugar-Free Gum Containing CPP-ACP Nanocomplexes on Approximal Caries Determined Using Digital Bitewing Radiography

The Anticariogenic Effect of Sugar-Free Gum Containing CPP-ACP Nanocomplexes on Approximal Caries Determined Using Digital Bitewing Radiography

Incidence of Caries Lesions in Approximal Surfaces: A Radiographic Study of a General Adult Danish Population

The occurrence of dental caries is associated with atherosclerosis

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