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

Abstract

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.

Nanotechnology-based restorative materials for dental caries management

“…The clinical diagnosis of recurrent caries invariably leads to replacement of the affected restoration. The replacement of the failed restorations [7] accounts for around 60% of all restorations performed in the USA each year at an annual cost of over US$5 billion [8]. Prevention of recurrent caries, as with other types of dental caries, usually requires: (i) interference with the metabolism of caries-related bacteria and/or inhibition of the growth of bacteria in dental plaque around restorations; or (ii) the reduction of demineralization and/or increase of remineralization of the dental hard tissues.…”

Caries experience and risk indicators of having decayed teeth among 65-year-olds in Oslo, Norway: a cross-sectional study

“…Regardless, the MT component represented the largest component of the DMFT score in almost all countries in this age group, unlike in the present study, where the FT component was the most predominant component. Restored tooth surfaces have a higher risk of developing caries than sound tooth surfaces [ 39 ]. Hence, this trend towards the retention of more teeth later in life (lower MT), and more restorative therapy (higher FT) [ 38 ], is likely to increase the need for maintenance of restored teeth in older adults as this cohort ages.…”

Diseases Associated with Oral Polymicrobial Biofilms

“…Various studies have established a clear link between caries and the quality of life of both children [32,33] and adults. As teeth retention in the population increases, dental caries has become a burden for ageing adults worldwide [34][35][36]. In developing countries, this health issue is widespread in young as well as adult populations.…”