Carious lesions and first restorative treatment

Bondioni, Enzo

doi:10.1111/idj.12551

Cited by 11 publications

(3 citation statements)

References 5 publications

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“…The FDI World Dental Federation has called for action to control the high global prevalence of ECC and encourage the use of preventive dental medicine to reduce the burden of tooth decay [136]. The dental experts of the World Health Organization (WHO) Global Consultation reviewed the risk factors of ECC and recommended that "national health authorities should develop strategies and implement interventions aimed at preventing and controlling ECC" [137].…”

Section: Discussionmentioning

confidence: 99%

Oral Health Policies to Tackle the Burden of Early Childhood Caries: A Review of 14 Countries/Regions

Chen

Duangthip

Gao

et al. 2021

Front. Oral. Health

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Aim: Early childhood caries (ECC) has significant public health implications but has received inadequate global attention. There is limited information regarding the success of oral health policies implemented to address the challenges of ECC. This review aimed to summarize such policies to tackle ECC from different countries/regions.Method: Independent collaborators from 14 countries/regions (Australia, Brazil, Cambodia, China, Hong Kong, Egypt, India, Indonesia, Japan, Nigeria, Thailand, UK, USA, and Venezuela) collected the data. The ECC status, dental workforce, oral health policies on ECC prevention in different countries/regions were summarized by each country.Results: The findings indicated that ECC prevalence varied in different countries/regions. The lowest prevalence of ECC among 5-year-old children was found in Nigeria (7%), and the highest was found in Indonesia (90%). The existing dental workforce and resources are limited in most countries. The smallest dentist to population ratio was reported by Nigeria at 1:48,400, whereas the highest ratio was in Brazil (1:600). Out of 14, three (21%) countries namely India, Venezuela and Cambodia had no national oral health policies addressing ECC and four (29%) countries (Cambodia, China, India, Venezuela) had no publicly funded dental care program for 0–5-year-old children. Water fluoridation is available in four countries/regions (Australia, Brazil, Hong Kong, USA).Conclusion: ECC remains a global health challenge and dental workforce is limited. National/regional programs to tackle ECC are not yet prioritized in many countries/regions. Evidence to support demonstration projects is limited. Further research on the cost-effectiveness of interventions strategies is required for policymakers.

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Section: Discussionmentioning

confidence: 99%

Oral Health Policies to Tackle the Burden of Early Childhood Caries: A Review of 14 Countries/Regions

Chen

Duangthip

Gao

et al. 2021

Front. Oral. Health

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“…Appropriate preventive measures can remineralize early caries lesions [ 1 , 2 ]. Early or initial carious lesions are non-cavitated carious lesions limited to visual changes in enamel color and texture [ 3 ]. An uneven enamel surface and white spot lesions are common findings during orthodontic bonding and debonding.…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review on the Effect of Strontium-Doped Nanohydroxyapatite in Remineralizing Early Caries Lesion

Rajendran,

Antony,

Paul

et al. 2023

Cureus

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The aim of this study is to review the potential of strontium-doped nanohydroxyapatite (SrnHAP) as a biomaterial for remineralizing early carious lesions. Publications from 2012 to 2022 were included based on the patient/population, intervention, comparison, and outcomes (PICO) framework, focusing on demineralized enamel treated with strontium-doped nanohydroxyapatite compared to other remineralizing agents, with the primary outcome being remineralization capacity. Electronic databases, namely, PubMed, Cochrane Library, and Google Scholar, were explored from March 31, 2023, to April 10, 2023. Only English language studies were included, while certain research types and studies on bovine teeth were excluded. Bias was assessed using the Cochrane methodology. Five studies were synthesized, all using extracted human maxillary premolars. Four studies focused on remineralizing enamel, while one study focused on remineralizing dentin. Among these studies, comparisons were made between different strontium concentrations and various remineralizing agents such as nanohydroxyapatite (nHAP), Acclaim, casein phosphopeptide-amorphous calcium phosphate (CPP-ACP), and NovaMin. X-ray diffraction analysis was used to examine hydroxyapatite formation, while scanning electron microscopy (SEM) and transmission electron microscopy (TEM) were used for characterization. Additionally, one study evaluated the mechanical properties of partially demineralized dentin specimens. This study was registered in the PROSPERO under the ID CRD42023397413 and completed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

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“…Measures such as the International Caries Detection and Assessment System (ICDAS), the American Dental Association Caries Classification System (ADA CCS), Caries Assessment Spectrum and Treatment (CAST), and Nyvad's Criteria each facilitate the detection of caries across the entire disease continuum, and their wider use would provide a better estimation of early caries and the cost savings of preventive measures [56][57][58]. It is encouraging that the FDI World Dental Federation, having started to promote Minimal Intervention in the Management of Dental Caries in 2002, issued a new Policy Statement in 2019 on Carious Lesions and First Restorative Treatment 59. This states that: "FDI World Dental Federation supports a shift in caries management from restorative treatment to measures that arrest and prevent caries development including monitoring, following the concepts of International Caries Classification and Management System (ICCMS)".…”

mentioning

confidence: 99%

Inequalities in oral health: Estimating the longitudinal economic burden of dental caries by deprivation status in six countries

Dunleavy,

Verma,

Raghupathy

et al. 2024

Preprint

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Background The recent World Health Organization (WHO) resolution on oral health urges pivoting to a preventive approach and integration of oral health into the non-communicable diseases agenda. This study aimed to: 1) explore the healthcare costs of managing dental caries between the ages of 12 and 65 years across socioeconomic groups in six countries (Brazil, France, Germany, Indonesia, Italy, UK), and 2) estimate the potential reduction in direct costs from non-targeted and targeted oral health-promoting interventions. Methods A cohort simulation model was developed to estimate direct costs of over time for different socioeconomic groups. National-level DMFT (dentine threshold) data, the relative likelihood of receiving an intervention (such as a restorative procedure, tooth extraction and replacement), and clinically-guided assumptions were used to populate the model. A hypothetical group of upstream and downstream preventive interventions were applied either uniformly across all deprivation groups to reduce caries progression rates by 30% or in a levelled-up fashion with the greatest gains seen in the most deprived group. Results The population level direct costs of caries from 12 to 65 years of age varied between US10.2bn in Italy to US$36.2bn in Brazil. The highest per-person costs were in the UK at US$22,910 and the lowest in Indonesia at US$7,414. The per-person direct costs were highest in the most deprived group across Brazil, France, Italy and the UK. With the uniform application of preventive measures across all deprivation groups, the greatest reduction in per-person costs for caries management was seen in the most deprived group across all countries except Indonesia. With a levelling-up approach, cost reductions in the most deprived group ranged from US$3,948 in Indonesia to US$17,728 in the UK. Conclusion Our exploratory analysis shows the disproportionate economic burden of caries in the most deprived groups and highlights the significant opportunity to reduce direct costs via levelling-up preventive measures. The healthcare burden stems from a higher baseline caries experience and greater annual progression rates in the most deprived. Therefore, preventive measures should be primarily aimed at reducing early childhood caries, but also applied across all ages.

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Carious lesions and first restorative treatment

Cited by 11 publications

References 5 publications

Oral Health Policies to Tackle the Burden of Early Childhood Caries: A Review of 14 Countries/Regions

Oral Health Policies to Tackle the Burden of Early Childhood Caries: A Review of 14 Countries/Regions

A Systematic Review on the Effect of Strontium-Doped Nanohydroxyapatite in Remineralizing Early Caries Lesion

Inequalities in oral health: Estimating the longitudinal economic burden of dental caries by deprivation status in six countries

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