Value of bitewing radiographs for detecting approximal caries in 6‐year‐old children in the Netherlands

Poorterman, J.H.G.; Vermaire, Erik H.; Hoogstraten, J.

doi:10.1111/j.1365-263x.2010.01058.x

Cited by 10 publications

(11 citation statements)

References 13 publications

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“…Of the 55 children excluded, only 20 were unable to have radiographs taken or the films could not be read (4% of the overall sample of 521). This differs from a previous study, where it was found impossible to take bitewing radiographs for 18% of 5-to-6-year-olds, with a further 14% of the surfaces being unreadable on those which were taken [ 14 ]. By contrast, all clinicians in the current study had training in beam angulation when using adhesive soft foam bitewing tabs; these have been shown to be well-tolerated by young children [ 17 ], and may have been responsible for both the high number of bitewing films being taken and their excellent quality.…”

Section: Discussioncontrasting

confidence: 86%

“…Early studies found using the traditional clinical examination alone that a much lower sensitivity and specificity occurred than when combined with the use of radiographs [ 1 – 3 ]. Not using radiographs has been shown to lead to underestimation of dental caries experience, especially for that in approximal and occlusal surfaces [ 4 – 14 ]. Even in an ideal clinical environment (with good light, and clean and dry teeth), clinical examinations conducted without adjunctive radiography have been shown to underestimate the actual disease level [ 15 ].…”

Section: Introductionmentioning

confidence: 99%

“…Similar findings were reported for Swedish 9-year-olds, with 29% of the children whose primary molars were classified as caries-free using clinical examination found to have caries involving dentine or enamel on bitewing radiographs [ 10 ]. In a Dutch study of 50 six-year-old children with high caries experience (mean dmfs of 7.8), clinical examination alone missed approximately 50% of approximal lesions involving dentine [ 14 ]. These studies indicate that radiography is also very important for caries diagnosis in primary teeth, but that its yield may differ according to disease level.…”

Section: Introductionmentioning

confidence: 99%

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The effect of bitewing radiography on estimates of dental caries experience among children differs according to their disease experience

et al. 2018

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BackgroundRadiography is a regularly used and accepted adjunct to visual examination in the diagnosis of dental caries. It is assumed that not using radiographs can lead to underestimation of dental caries experience with most reports having involved studies of young adults or adolescents, and been focused on the permanent dentition. The aim of this study was to determine the relative contributions of bitewing radiography and clinical examination in the detection of dental caries in primary molars and to determine whether those contributions differ according to caries experience.MethodsA cross-sectional study was conducted, involving examinations undertaken in dental clinics. Bitewing radiographs taken at the time of the clinical examination were developed and read later, with the data from those used at the analysis stage to adjust the caries diagnosis for the mesial, occlusal and distal surfaces of the primary molar teeth. Children’s clinically determined dmfs score was used to allocate them to one of three caries experience groups (0 dmfs, 1–8 dmfs, or 9+ dmfs).ResultsOf the 501 three-to-eight-year-old children examined, nearly three-quarters were younger than six. Caries prevalence and mean dmfs after clinical examination alone and following radiographs were 63.1% and 4.6 (sd, 6.2), and 74.7% and 5.8 (sd, 6.5) respectively. Among children with a dmfs of 1–8, the number of lesions missed during the clinical examination was greater than the number of 106 (25.6%) in children with a dmfs of 9+. In the 185 children with no apparent caries at clinical examination, 124 lesions were detected radiographically, among 58 (46.8%) of those.ConclusionsTaking bitewing radiographs in young children is not without challenges or risks, and it must be undertaken with these in mind. Diagnostic yields from bitewing radiographs are greater for children with greater caries experience. The findings of this study further support the need to consider using bitewing radiographs in young children to enhance the management of lesions not detected by a simple visual examination alone.Trial registrationACTRN12614000844640.

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Section: Discussioncontrasting

confidence: 86%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The effect of bitewing radiography on estimates of dental caries experience among children differs according to their disease experience

et al. 2018

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“…(vii) Family functioning responsiveness = (b 23 • education level (mother)) + (b 24 • country of birth (mother)) + e 7 . (viii) Family functioning communication = (b 25 • education level (mother)) + (b 26 • country of birth (mother)) + e 8 . (ix) Family functioning organization = (b 27 • education level (mother)) + (b 28 • country of birth (mother)) + e 9 .…”

Section: Resultsmentioning

confidence: 99%

Dental caries and externalizing behaviour problems in a high‐risk child population

Jong-Lenters

Duijster

Schuller

et al. 2018

European J Oral Sciences

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The aim of this study was to assess the association between externalizing behaviour problems and dental caries in children. A further objective was to explore direct and indirect pathways between sociodemographic factors, family functioning and parenting factors, oral health behaviours, externalizing behaviour problems, and dental caries using structural equation modelling. Cross‐sectional data were collected on 251, 5‐ to 8‐yr‐old children from a paediatric dental practice in the Netherlands. Children's decayed, missing, and filled primary teeth (dmft) scores were obtained from their dental records. Validated self‐report questionnaires were used to collect sociodemographic, behavioural, and family‐related data. Externalizing problem behaviour was significantly associated with a higher dmft score [incidence risk ratio (IRR) = 1.19; 95% CI: 1.06–1.34], but this association did not remain significant after adjustment for sociodemographic factors (IRR = 1.11; 95% CI: 0.99–1.26). A valid path model was presented after applying some modifications. Findings from the model suggest that it is plausible that child behaviour problems are directly associated with dental caries via toothbrushing behaviour. The model also provided support that maternal education level, the restrictiveness and warmth of parenting, and the communication of the family, play an indirect role in the association between children's externalizing behavioural problems and dental caries experience.

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“…Furthermore, highly reliable dental health records with caries diagnosis based on X-rays made the design very strong. Far more lesions are detected with X-rays [ 44 ]. In 87 % of our children, bitewings were used and they were not used only when restraint of the child would have been required otherwise.…”

Section: Discussionmentioning

confidence: 99%

Body mass index and dental caries in children aged 5 to 8 years attending a dental paediatric referral practice in the Netherlands

et al. 2015

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BackgroundObesity and dental caries are widely-recognised problems that affect general health. The prevention of both dental caries and obesity have proven very difficult: children and their parents may need professional support to achieve behaviour change. To find out whether both dental caries and overweight in childhood can be targeted using a common risk factor approach, it is necessary to establish whether the two diseases are indeed linked. The aim of the present study was therefore to use anthropometric data obtained professionally to investigate the association between Body Mass Index and dental caries experience in children aged 5–8 years receiving treatment in a referral centre for paediatric dental care in the Netherlands.MethodsChildren’s dmft and dmfs scores were calculated using dental records and sociodemographic data were also extracted from these records. Dentists were trained to measure standing height and weight in a standardised way. Body Mass Index was calculated by dividing kilograms by height squared (kg/m2). Extended International (International Obesity Task Force) body mass index cut-offs were used to define ‘no overweight’ and ‘overweight’ (with the latter category including obesity).ResultsNo statistically significant differences were found between the mean dmft or dmfs scores of the two groups (overweight and non-overweight), even after correction for the effect of the potential confounders sex, socio-economic status and ethnicity. The percentage of caries-active children in the non-overweight group was almost the same as in the overweight group. No statistically significant differences were found.ConclusionsWe hypothesised to find a positive association between body mass index and dental caries experience in children aged 5–8 years attending our practice. However, this study did not find a relationship of this kind. A common risk factor approach for the prevention of caries and overweight is therefore not supported by our study.

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Value of bitewing radiographs for detecting approximal caries in 6‐year‐old children in the Netherlands

Abstract: Although not possible to achieve in all 6-year-old children, bitewing radiographs can reveal a considerable amount of carious surfaces and inadequate restorations, which appear clinically sound or adequate.

Cited by 10 publications

References 13 publications

The effect of bitewing radiography on estimates of dental caries experience among children differs according to their disease experience

The effect of bitewing radiography on estimates of dental caries experience among children differs according to their disease experience

Dental caries and externalizing behaviour problems in a high‐risk child population

Body mass index and dental caries in children aged 5 to 8 years attending a dental paediatric referral practice in the Netherlands

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