Risk Factors of Caries Progression in a Hispanic School-aged Population

Fontana, Margherita; Santiago, Elvis; Eckert, George J.; Ferreira-Zandoná, Andrea G.

doi:10.1177/0022034511413927

Cited by 29 publications

(32 citation statements)

References 17 publications

(23 reference statements)

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“…In this study, significant associations between overall caries activity and risk assessment together with patient background variables were found in accordance with Fontana et al [2011] and Mejàre et al [2014], although D 1 MFS scores were not significant. In addition, overall caries activity and risk assessment was significantly associated with lesion activity and its radiographic depth as well as with treatment decision based on 2 categories (p ≤ 0.008).…”

Section: Discussionsupporting

confidence: 44%

Diagnosis, Risk Assessment, and Treatment Decisions for Occlusal Caries: A Survey from the Danish Public Dental Health Service

Carvalho¹,

Qvist²,

Aimée³

et al. 2017

Caries Res

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This study validates a case-based survey method and analyzes the extent to which Danish dental professionals apply current concepts and strategies for occlusal caries management in children, adolescents, and young adults. A case-based, precoded questionnaire consisting of 10 clinical cases/patients with 26 teeth/occlusal surfaces was developed. The cases were set up in a PowerPoint presentation and color printed as a booklet illustrating patients with different patterns of caries activity, severity, and risk. A total of 69 dental professionals participated. Content and face validity of the survey method was established using a panel of experts. The panel also assessed the reliability of the method using a test-retest procedure (κ ≥ 0.80) and acting as benchmark. Measurements of agreement between dental professional and benchmark assessments showed substantial agreement for overall caries activity and risk assessment of patients and for clinical and radiographic severity of occlusal lesions (κ = 0.61-0.67). For assessment of caries lesion activity on occlusal surfaces, the agreement was moderate (κ = 0.50). Regarding treatment decisions, dental professionals showed substantial agreement when indicating restorative treatments (κ = 0.68). Multivariate logistic regression analysis showed a significant influence of various patient-, lesion-, and participant-related variables in the assessment of caries risk, caries activity and severity, and treatment decision. In conclusion, Danish dental professionals participating in the study apply reasonably well current concepts on overall caries activity and risk assessment, clinical and radiographic severity of occlusal lesions, and, to a certain extent, assessment of caries lesion activity on occlusal surfaces. Nonoperative treatment decisions had a high priority among Danish professionals.

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Section: Discussionsupporting

confidence: 44%

Diagnosis, Risk Assessment, and Treatment Decisions for Occlusal Caries: A Survey from the Danish Public Dental Health Service

Carvalho¹,

Qvist²,

Aimée³

et al. 2017

Caries Res

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“…Caries experience continues to be considered a reliable caries predictor in children 15 and adults. 16 Unlike caries experience, Cariogram might represent a helpful tool to assess risk before caries is present.…”

Section: Discussionmentioning

confidence: 99%

Caries risk assessment in chilean adolescents and adults and its association with caries experience

2013

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Cariogram is a computer program that uses an algorithm to assess caries risk. Although the use of Cariogram has recently increased, little information is available regarding its effectiveness in adults. This study aimed to determine whether caries risk from Cariogram relates to caries experience in adults. One hundred and eighty Cariogram files were completed from patients aged ten to fifty-six years (mean: 23.28 years). Seven factors from the software were included from patient records to complete the Cariogram: caries experience, diet (content and frequency), stimulated salivary flow, hygiene index, related diseases and fluoride usage. The percentages of "chances of avoiding new lesions" (caries risk) were obtained from Cariogram, and the subjects were classified into five risk groups. Results were compared for each variable with ANOVA, and a correlation between caries and Cariogram variables was calculated by Pearson's correlation coefficient. A multivariate regression model was also used. Only three patients were classified as low risk, and none were classified as very low risk. Thus, only the four upper quintiles were considered for the analysis, and the lower quintile was not considered in the study. Neither DMFT nor the number of lesions were significantly different among the Cariogram's risk categories (p > 0.05). Only diet content was significantly correlated with caries experience (p = 0.006). Caries lesions failed to correlate with any Cariogram variable (p > 0.05). Age, not sex or caries risk scores, showed a strong and positive association with DMFT (p < 0.01). Caries risk from Cariogram appears to be unrelated with caries experience or caries lesions in a high-caries adult population.

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“…531 [Twetman and Fontana, 2009;Fontana et al, 2011]. The underlying assumption in caries risk assessment is that in some individuals or tooth surfaces/sites the caries process is more likely to develop than others.…”

Section: Risk Assessment For Occlusal Caries Lesion Activity Incidenmentioning

confidence: 99%

Occlusal Caries: Biological Approach for Its Diagnosis and Management

et al. 2016

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The management of occlusal caries still remains a major challenge for researchers as well as for general practitioners. The present paper reviews and discusses the most up-to-date knowledge and evidence of the biological principles guiding diagnosis, risk assessment, and management of the caries process on occlusal surfaces. In addition, it considers the whole spectrum of the caries process on occlusal surfaces, ranging from the molecular ecology of occlusal biofilms to the management of deep occlusal caries lesions. Studies using molecular methods with focus on biofilms in relation to occlusal caries should explore the relationship between the function and the structural composition of these biofilms to understand the role of occlusal biofilms in caries development. State-of-the-art measures to evaluate risk for occlusal caries lesion activity, caries incidence, and progression should include the assessment of the occlusal biofilm and the stage of tooth eruption. Careful clinical examination of non-cavitated lesions, including assessment of the lesion activity status, remains the major tool to determine the immediate treatment need and to follow on the non-operative treatment outcome. Even medium occlusal caries lesions in the permanent dentition may be treated by non-invasive fissure sealing. By extending the criteria for non-invasive treatments, traditional restoration of occlusal surfaces can be postponed or even avoided, and the dental health in children and adolescents can be improved. Selective removal (incomplete) to soft dentin in deep carious lesions has greater success rates than stepwise excavation. Selective (complete) removal to firm dentin has a lower success rate due to increased pulp exposure.

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Risk Factors of Caries Progression in a Hispanic School-aged Population

Abstract: A supplemental appendix to this article is published electronically only at http://jdr.sagepub.com/supplemental.

Cited by 29 publications

References 17 publications

Diagnosis, Risk Assessment, and Treatment Decisions for Occlusal Caries: A Survey from the Danish Public Dental Health Service

Diagnosis, Risk Assessment, and Treatment Decisions for Occlusal Caries: A Survey from the Danish Public Dental Health Service

Caries risk assessment in chilean adolescents and adults and its association with caries experience

Occlusal Caries: Biological Approach for Its Diagnosis and Management

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