Carious lesion severity and demarcated hypomineralized lesions of tooth enamel in schoolchildren from Melbourne, Australia

Gambetta-Tessini, Karla; Mariño, Rodrigo; Ghanim, Aghareed; Calache, Hanny; Manton, David J.

doi:10.1111/adj.12626

Cited by 18 publications

(32 citation statements)

References 30 publications

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“…Early non‐cavitated carious lesions were the most common type of lesions found in this population and together with the presence of developmental enamel defects were one of the risk determinants which contributed to the very high levels of carious lesions reported in this study. This finding is similar to those reported for young adults by several studies 20,31,32 …”

Section: Discussionsupporting

confidence: 93%

“…This finding is similar to those reported for young adults by several studies. 20,31,32 Other risk indicators that were found to be correlated with caries prevalence were medication use, long waiting lists and soft drink consumption. These findings provide strong evidence to inform the direction of community-based preventive programs and professional care.…”

Section: Discussionmentioning

confidence: 99%

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Risk indicators of dental caries among refugee patients attending a public dental service in Victoria

Marwaha

Ghanim

Shankumar

2021

Australian Dental Journal

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Background Little is known about the relationship between dental caries prevalence and the social risk factors of asylum seekers and refugees in Australia. Methods An oral health interview and a clinical oral examination were carried out on 201 asylum seekers and refugees patients, aged 18–68, attending Monash Health Dental Services, Melbourne, Victoria. Results Data illustrated that 82% of participants had at least one tooth with untreated decay. Tooth level analysis revealed that white spot lesions were most prevalent in age groups 18–29 and 30–39, with respective mean values of 4.45 ± 4.95 and 3.49 ± 4.74. Binary logistic regression models identified multiple social factors as a barrier to receiving dental care. These included, but were not limited to; medication intake, consumption of soft drinks and long waiting lists. These social factors in addition to oral health factors, such as white spot and hypomineralization lesions, were significant predisposing factors to the presence of cavitated carious lesions. Conclusions Multiple social and oral health risk factors were identified and significantly associated with dental caries among refugee and asylum seeker patients. Addressing these underlying risks is an integral component to reducing the prevalence of dental caries among this population group and improving their overall general and oral health.

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Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Risk indicators of dental caries among refugee patients attending a public dental service in Victoria

Marwaha

Ghanim

Shankumar

2021

Australian Dental Journal

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“…Carious lesions were recorded according to the criterion settled by the WHO, 17 the ICDAS II scoring criteria, 18 and PUFA/pufa. 16 Regarding the association between MIH, HSPM, and its impact on dental caries, statistical tests were used represented by p-value and adjusted odds ratio (AOR) in the included records (►Table 3).…”

Section: Assessment Of Risk Of Biasmentioning

confidence: 99%

Are Molar-Incisor Hypomineralization and Hypomineralized Second Primary Molars Predictive of Dental Caries?: A Systematic Review

et al. 2022

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To estimate the prevalence of dental caries among children affected concomitantly with molar-incisor hypomineralization (MIH) and hypomineralized second primary molars (HSPM).Electronic databases, including Medline via PubMed, Cochrane Library, Scopus, and Science Direct, were searched. Studies written in English involving children with MIH-HSPM and dental caries were considered eligible. Two reviewers extracted the data according to the PRISMA statement and assessed the bias risk with the Newcastle–Ottawa Scale (NOS) criteria.Out of 535 studies identified in the initial research, only two articles were included in the present review. A significant association between MIH-HSPM and dental caries in permanent dentition was reported in the two included records (AOR: 3.70; p < 0.001). Children with MIH-HSPM expressed significantly higher DMFT and PUFA values than children without MIH-HSPM. However, dmft values did not differ significantly between children with and without HSPM (1.79 [2.4] vs. 1.78 [2.5]; 1.88 [2.73] vs. 1.59 [2.53], respectively.MIH-HSPM lesions were correlated with a higher prevalence and more severe carious lesions in permanent dentition. However, the results should be interpreted cautiously because the findings were generated by only two studies performed by the same authors. Thus, further well-designed studies are highly recommended.

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“…3 Patients with developmental hypomineralised enamel have an increased likelihood of presenting with untreated severe carious lesions. 29…”

Section: Molar Incisor Hypomineralisation (Mih)mentioning

confidence: 99%

Reducing iatrogenic complications in the treatment of cleft lip and palate

Savundra

Fricker

2019

Australasian Orthodontic Journal

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All patients receiving orthodontic treatment with fixed appliances have a significantly higher risk of developing white spot lesions (WSLs), which are considered the most common iatrogenic complication of treatment. Cleft lip and/or palate (CLP) is a common craniofacial anomaly occurring in approximately one in 800 births. Patients affected by cleft lip and/or palate tend to have poorer oral hygiene and a greater risk of WSLs and caries than non-cleft sibling controls. Patients presenting with a cleft lip and/or palate also have a higher prevalence of molar-incisor hypomineralisation (MIH), which suggests that clinicians involved in the oral health management of cleft patients need to consider all available caries prevention protocols. Cases presenting with hypomineralised teeth create more difficulty in bonding attachments to affected enamel using an acid etch technique and a composite resin material due to the abnormal prism structure. The bond strength to hypomineralised enamel can be as low as two-thirds that of the bond strength to unaffected enamel, which may not be adequate for routine fixed appliance treatment. Furthermore, the removal of orthodontic brackets from hypomineralised enamel may lead to more severe damage to the affected teeth. Resin modified glass-ionomer cement (RMGIC), bonded after conditioning the enamel with polyacrylic acid, creates no resin tags as a result of a chemical rather than a mechanical bond. Therefore, there is less enamel loss during bracket debonding when compared with acid-etch preparation and composite resin bonding. Furthermore, in cases in which the quality of the enamel is deficient causing limits to the shear bond strength of the acid-etched composite resin, the chemical bonding action of RMGIC overcomes the lack of adherence and protects the enamel. RMGIC has cariostatic properties and clinical evidence supports the routine use of these adhesives for bonding in all fixed appliance cases as a strategy for reducing the incidence of white spot lesions and damage to the enamel during bracket debonding.

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Carious lesion severity and demarcated hypomineralized lesions of tooth enamel in schoolchildren from Melbourne, Australia

Abstract: One of four children had DHL. DHL-affected children had an increased likelihood of presenting untreated severe carious lesions compared with DHL-free children.

Cited by 18 publications

References 30 publications

Risk indicators of dental caries among refugee patients attending a public dental service in Victoria

Risk indicators of dental caries among refugee patients attending a public dental service in Victoria

Are Molar-Incisor Hypomineralization and Hypomineralized Second Primary Molars Predictive of Dental Caries?: A Systematic Review

Reducing iatrogenic complications in the treatment of cleft lip and palate

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