Risk of initial and moderate caries lesions in primary teeth to progress to dentine cavitation: a 2-year cohort study
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Risk of initial and moderate caries lesions in primary teeth to progress to dentine cavitation : a 2-year cohort study. / Guedes, Renata S; Piovesan, Chaiana; Floriano, Isabela; Emmanuelli, Bruno; Braga, Mariana M; Ekstrand, Kim R; Ardenghi, Thiago M; Mendes, Fausto M.
In: International Journal of Paediatric Dentistry, Vol. 26, No. 2, 03.2016, p. 116-124.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Risk of initial and moderate caries lesions in primary teeth to progress to dentine cavitation
T2 - a 2-year cohort study
AU - Guedes, Renata S
AU - Piovesan, Chaiana
AU - Floriano, Isabela
AU - Emmanuelli, Bruno
AU - Braga, Mariana M
AU - Ekstrand, Kim R
AU - Ardenghi, Thiago M
AU - Mendes, Fausto M
N1 - © 2015 BSPD, IAPD and John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
PY - 2016/3
Y1 - 2016/3
N2 - AIM: To investigate the risk of sound surfaces, and initial and moderate caries lesions to progress to dentine cavitation in preschool children.DESIGN: A cohort study was designed with 639 children (12-59 months old) who had been examined by visual inspection during a survey in 2010. After 2 years, 469 children were re-examined regarding the presence of dentine cavitations. The probability of progression was calculated for sound and carious (initial and moderate lesions) surfaces. Relative risk of progression and 95% confidence intervals for each condition compared with sound surfaces were calculated using multilevel Poisson regression analysis. Association with explanatory variables, including caries experience of the children, was also investigated.RESULTS: The higher the initial score attributed to the dental surface, the more likely was the progression. Moreover, children with severe lesions at baseline had higher risk of having a sound surface or a non-cavitated caries lesion progressing to cavitation when compared with caries-free children; however, this increased risk was not observed in children with only initial caries lesions.CONCLUSIONS: Initial caries lesions present a low frequency of progression. Moreover, sound surfaces and initial caries lesions in children already presenting cavitations are more likely to progress to more severe conditions.
AB - AIM: To investigate the risk of sound surfaces, and initial and moderate caries lesions to progress to dentine cavitation in preschool children.DESIGN: A cohort study was designed with 639 children (12-59 months old) who had been examined by visual inspection during a survey in 2010. After 2 years, 469 children were re-examined regarding the presence of dentine cavitations. The probability of progression was calculated for sound and carious (initial and moderate lesions) surfaces. Relative risk of progression and 95% confidence intervals for each condition compared with sound surfaces were calculated using multilevel Poisson regression analysis. Association with explanatory variables, including caries experience of the children, was also investigated.RESULTS: The higher the initial score attributed to the dental surface, the more likely was the progression. Moreover, children with severe lesions at baseline had higher risk of having a sound surface or a non-cavitated caries lesion progressing to cavitation when compared with caries-free children; however, this increased risk was not observed in children with only initial caries lesions.CONCLUSIONS: Initial caries lesions present a low frequency of progression. Moreover, sound surfaces and initial caries lesions in children already presenting cavitations are more likely to progress to more severe conditions.
U2 - 10.1111/ipd.12166
DO - 10.1111/ipd.12166
M3 - Journal article
C2 - 25923059
VL - 26
SP - 116
EP - 124
JO - International Journal of Paediatric Dentistry
JF - International Journal of Paediatric Dentistry
SN - 0960-7439
IS - 2
ER -
ID: 137612978