Visual and radiographic diagnosis of occlusal caries in first permanent molars and in second primary molars

BDJ ◽  
1993 ◽  
Vol 174 (10) ◽  
pp. 364-370 ◽  
Author(s):  
C E Ketley ◽  
R D Holt
Keyword(s):  
Primary Molars ◽  
Second Primary ◽  
Occlusal Caries ◽  
Radiographic Diagnosis ◽  
Permanent Molars ◽  
First Permanent Molars

scholarly journals A Four-Year Follow-Up Case Report of Hypomineralized Primary Second Molars Rehabilitated with Stainless Steel Crowns

Children ◽  
2021 ◽  
Vol 8 (10) ◽  
pp. 923
Author(s):  
Luísa Bandeira Lopes ◽  
Vanessa Machado ◽  
João Botelho
Keyword(s):  
Stainless Steel ◽  
Case Report ◽  
General Anesthesia ◽  
Treatment Approach ◽  
Primary Molars ◽  
Second Primary ◽  
Correct Treatment ◽  
Permanent Molars ◽  
First Permanent Molars

Hypomineralized primary second molars (HPSM) are characterized by enamel opacities accompanied by hypersensitivity and atypical caries lesion, on one to four primary second molars. The correct treatment and follow-ups of those teeth have an important impact on a correct eruption of the first permanent molars and future occlusion. Hence, this report aims to describes a case of a severe HPSM in all second molars of a four-year-old girl and subsequent four-year follow-ups. The rehabilitation involved the placement of four stainless steel crowns on all four second primary molars under general anesthesia. Concerning the available literature and the case severity of HPSM, the treatment approach proposed for the case provided good functional outcome.

scholarly journals Patterns of dental caries among school children assessed using Caries Assessment Spectrum and Treatment tool

2017 ◽  
Vol 11 (02) ◽  
pp. 168-173 ◽  
Author(s):  
Hisham El Batawi ◽  
Kausar Sadia Fakhruddin
Keyword(s):  
Dental Caries ◽  
Teaching Hospitals ◽  
Primary Molars ◽  
Second Primary ◽  
Permanent Molar ◽  
Dental Hospital ◽  
The Status ◽  
Permanent Molars ◽  
Caries Assessment ◽  
First Permanent Molars

ABSTRACT Objective: The present study aimed to assess and monitor patterns of dental caries among primary and permanent molars using Caries Assessment Spectrum and Treatment (CAST) index and to evaluate integration of CAST tool into patient health information (PHI) system of a Teaching Dental Hospital. Materials and Methods: Dental records of n = 348 children, aged 7–9-years, attending University Dental Hospital Sharjah, for routine checkup and treatment as part of School Dental Program were assessed and translated into CAST codes. Dental caries prevalence for the second primary and first permanent molars were recorded. Spearman's correlation coefficient was used to assess the correlation of the status between primary and permanent molar. Results: CAST codes 0–2 were observed only in about 3% of primary and almost 5% in permanent dentition. The prevalence of children with diseased first permanent molar (codes 4–7) was almost 67%, while it was over 70% in second primary molars. A strong correlations were observed in the status between second primary and first permanent molars in the lower jaw on both right and left sides, r was 0.694 and 0.643 (P = 0.001), respectively. In the upper jaw, both right and left second primary molars revealed moderate correlation r = 0.435 (P ≤ 0.05) between disease stages with their neighboring permanent first molars. The unweighted kappa value for the intraexaminer reliability was 0.97 for second primary and 0.95 for first permanent molars. Conclusion: Our study recommends the integration of CAST tool in the PHI system where a simple numerical value can express clinical progress, overcome interruptions of treatment, and ensures continuity of patient care in teaching hospitals.

Detection of early occlusal caries of the first permanent molar using different techniques (An in vivo study)

2019 ◽  
Vol 31 (1) ◽  
pp. 1-8
Author(s):  
Samah F. Al-Qazzaz ◽  
Abeer M. Hassan
Keyword(s):  
Sensitivity And Specificity ◽  
Visual Inspection ◽  
Caries Detection ◽  
Occlusal Caries ◽  
Clinical Sensitivity ◽  
Permanent Molar ◽  
Permanent Molars ◽  
Early Caries ◽  
First Permanent Molars ◽  
Better Than

Background: Molars and premolars are considered as the most vulnerable teeth of caries attack, which is related to the morphology of their occlusal surfaces along with the difficulty of plaque removal. different methods were used for early caries detection that provide sensitive, accurate preoperative diagnosis of caries depths to establish adequate preventive measures and avoid premature tooth treatment by restoration. The aim of the present study was to evaluate the clinical sensitivity and specificity rates of DIAGNOdent and visual inspection as opposed to the ICDAS for the detection of initial occlusal caries in noncavitated first permanent molars. Materials and Methods: This study examined 139 occlusal surface of the first permanent molar pooled from fifty patients aged 8-9 years by three methods. The selected criteria include one occlusal site per tooth (first permanent molars) with carious lesions range from 0 to 3 according to ICDASII (gold standard) visual criteria then the clinical sensitivity and specificity of visual inspection according to Ekstrand et al.in 1997 and DIAGNOdent were performed. . Results: the highest correlation was found between the ICDASII and DIAGNOdent. The sensitivity of the DIAGNOdent for the enamel caries detection (D1) was better than that of visual inspection. The sensitivity and the specificity for the DIAGNOdent at D3 threshold were better than the D1 threshold and the visual inspection method. Conclusion: DIAGNOden pen can be used as a tool for early caries detection in cases of difficult diagnosis that provide good additional sensitivity to the visual inspection.

scholarly journals Results after two years of non-operative treatment of occlusal surface in children with high caries prevalence

2003 ◽  
Vol 14 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Marisa Maltz ◽  
Berenice Barbachan e Silva ◽  
Danusa Queiroz de Carvalho ◽  
Alexandre Volkweis
Keyword(s):  
Test Group ◽  
Basic Program ◽  
Control Group ◽  
Caries Prevalence ◽  
Occlusal Caries ◽  
Preventive Program ◽  
Permanent Molars ◽  
Recall System ◽  
Individual Disease ◽  
First Permanent Molars

The aim of this study was to describe the 2-year results of an individualized treatment program designed to control occlusal caries in erupting first permanent molars. The sample consisted of 145 five-to-six-year-old students divided into a control group (n=71) and a test group (n=74). All test children received a biannual basic preventive program and a recall system according to individual disease activity. The basic program consisted of 3 (March) and 2 (August) sessions of oral hygiene orientation and toothbrushing with fluoride gel. The analysis of the baseline and 1-2-year data showed a significant reduction in the number of active lesions in the test group. In the control group, there were initially 70 active lesions and after two years 68 surfaces remained with disease and 24 surfaces had been filled. The children in the test group had 80 surfaces with active lesions initially and after two years only 3 surfaces with disease remained. From the 15 cavitated lesions, only 5 surfaces needed to be filled. This program showed that care of erupting teeth on an individualized basis can control occlusal caries.

Clinical Considerations for Dental Management of Children with Molar-Root Incisor Malformations

2020 ◽  
Vol 44 (1) ◽  
pp. 55-59 ◽  
Author(s):  
Min Jin Kim ◽  
Ji-Soo Song ◽  
Young-Jae Kim ◽  
Jung-Wook Kim ◽  
Ki-Taeg Jang ◽  
...  
Keyword(s):  
Primary Molars ◽  
Optimal Timing ◽  
Second Primary ◽  
First Case ◽  
Dental Management ◽  
Space Closure ◽  
Permanent Molars ◽  
New Type ◽  
Clinical Considerations ◽  
Composite Resin Restorations

Molar root-incisor malformation (MRIM) or molar-incisor malformation (MIM) is a new type of dental anomaly characterized by dysplastic roots of permanent first molars, occasionally second primary molars, and the crowns of maxillary central incisors. MRIM involving permanent first molars and second primary molars is characterized by normal crowns with short, thin, and narrow roots, whereas MRIM involving permanent maxillary central incisors exhibits constrictions of the crown in the cervical area. In the first case, we extracted the affected first permanent molars at the optimal timing to minimize space deficiencies and induce space closure. In addition, composite resin restorations were performed on the anterior central incisors. In the second case, a mandibular lingual arch was used to stabilize the affected teeth in order to mitigate discomfort by reducing rotational biting forces.

Bilateral Symmetry of Number and Size of Dental Caries Lesions among Children

2021 ◽  
Vol 45 (6) ◽  
pp. 376-379
Author(s):  
Nurit Dagon ◽  
Sigalit Blumer ◽  
Devora Liani ◽  
Benjamin Peretz ◽  
Tal Ratson
Keyword(s):  
Bilateral Symmetry ◽  
Second Primary ◽  
X Rays ◽  
Primary Molar ◽  
Caries Lesion ◽  
Permanent Molar ◽  
Permanent Molars ◽  
The University ◽  
Caries Lesions ◽  
First Permanent Molars

Aim. To determine the bilateral occurrence of caries lesions in 5–12-year-old children, and to assess whether one bitewing photograph can predict caries size and occurrence in the homologous tooth on the other side of the mouth. Study design. The study was carried out on 222 medical files of children 5–12 years old who were first examined in the university dental clinic. The presence and size of the caries lesions in the first and second primary molars and first permanent molars were recorded. Results. No correlation was found when comparing the caries lesion distribution of each tooth’s proximal surface. Seventy-one of the X-rays demonstrated a single caries lesion in a first or second primary molar or in a first permanent molar on one side of the mouth, of which 21.3% demonstrated a single caries lesion in the collateral side, 43.6% demonstrated 2 or more lesions, and 35.21% did not have any caries lesion on the collateral side of the mouth. Conclusion. One bitewing cannot determine the presence and size of a caries lesion on the same site of the homologous tooth.

scholarly journals Clinical Evaluation of DIAGNOdent in Detection of Occlusal Caries in Newly Erupted Noncavitated First Permanent Molars in Caries-Active Children

2011 ◽  
Vol 36 (4) ◽  
pp. 348-355 ◽  
Author(s):  
L Duruturk ◽  
A Çiftçi ◽  
S Baharoğlu ◽  
D Öztuna
Keyword(s):  
Clinical Evaluation ◽  
Clinical Relevance ◽  
Permanent Teeth ◽  
Occlusal Caries ◽  
Permanent Molars ◽  
First Permanent Molars

Clinical Relevance This paper indicates that DIAGNOdent readings are not reliable for the detection of early occlusal caries in young permanent teeth.

scholarly journals Measuring Dental Caries in the Mixed Dentition by ICDAS

2011 ◽  
Vol 2011 ◽  
pp. 1-6 ◽  
Author(s):  
Eino Honkala ◽  
Riina Runnel ◽  
Sisko Honkala ◽  
Jana Olak ◽  
Tero Vahlberg ◽  
...  
Keyword(s):  
Mixed Dentition ◽  
Primary School Children ◽  
Permanent Teeth ◽  
Caries Experience ◽  
Second Grade ◽  
Primary Molars ◽  
Second Primary ◽  
Enamel Caries ◽  
Permanent Molars ◽  
Caries Lesions

Caries has traditionally been assessed with WHO criteria including only obvious caries lesions. ICDAS has been developed to detect also the enamel caries lesions. This study aims to study caries and the associations of the number of caries lesions between the permanent and primary molars with ICDAS in the mixed dentition of the first and second grade primary school children. The clinical examinations of 485 children were conducted by four examiners with high reproducibility (inter- and intraexaminer kappas >0.9). The mean number of caries lesions—especially dentine caries—seemed to be higher in the second primary molars than in the first permanent molars. There were significant correlations between the number of lesions on occlusal and lingual surfaces between the primary and permanent molars. Enamel caries lesions, restorations, and caries experience did not increase according to age. Therefore, caries might be increasing in this population. As a conclusion, ICDAS recording seems to give appropriate information from the occurrence of caries lesions and its correlations between the primary and permanent teeth and surfaces.

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