scholarly journals Multicentric caries prevention program: Mechanical control of dental plaque through periodic professional oral prophylaxis. A 10 years follow up

2014 ◽  
Vol 2 (3) ◽  
pp. 215
Author(s):  
José Eduardo De Oliveira Lima ◽  
Cristiane Almeida Baldini Cardoso ◽  
Gladis Benjamina Grazziotin ◽  
Heitor Marques Honório ◽  
Ronize Fátima Pigosso Mocelini ◽  
...  
Keyword(s):  
Dental Caries ◽  
Prevention Program ◽  
Dental Plaque ◽  
Pediatric Dentistry ◽  
Preventive Strategy ◽  
Mechanical Control ◽  
Carious Lesions ◽  
Absence Rate ◽  
Biological Equilibrium

AIM: To verify the incidence of dental caries in a multicentric prevention program applied in pediatric dentistry clinics from different regions of Brazil for 10 years, and compare with results obtained by previous studies. MATERIAL AND METHODS: 697 children of both genders, ranging from 30 months to 15 years, were included in a primary preventive strategy program for mechanical control of dental plaque through professional prophylaxis (sodium bicarbonate jet on a monthly schedule). Diagnosis of carious lesions was assessed by monthly clinical examinations and annual radiographs. This procedure aimed to provide a biological equilibrium without producing undesirable side effects.  RESULTS: The average age of children at beginning of the program was 81.71 months. Before entering the program the children presented an average of 2.66 lesions/surface, while during the program the average was 0.20 lesions/surface; the incidence rate of caries per year before starting the program was on average 0.62 lesions/surface while during the program it was 0.05 lesions/surface; the time of permanence in the program was on average 44.15 months and the absence rate was 0.14 per year. CONCLUSION: The results confirm the effectiveness of the program, even when applied by different professionals and in different groups of children, turning it into an indispensible method for the control of dental caries.

scholarly journals Case Report: a 5-Year Follow-up of Proximal Caries Lesion Diagnosis

2018 ◽  
Vol 20 (3) ◽  
pp. 158
Author(s):  
Renata Espíndola Silveira ◽  
Isabela Pereira Furtado ◽  
Marco Aurélio Carvalho ◽  
Lawrence Gonzaga Lopes ◽  
João Batista Souza ◽  
...  
Keyword(s):  
Dental Caries ◽  
Clinical Examination ◽  
Oral Hygiene ◽  
Dietary Habits ◽  
Treatment Plan ◽  
Preventive Treatment ◽  
Diagnostic Methods ◽  
Carious Lesions ◽  
Oral Hygiene Instructions

Abstract This clinical case was aimed at reporting and discussing diagnostic methods for early detection and preventive treatment of proximal carious lesions. The patient presented to the dental clinic seeking treatment of a problem she reported as being “dental caries”. The patient’s orthodontist diagnosed dental caries, by means of radiographic exam. There was no evidence of any proximal carious lesion in the intraoral examination. The bitewing radiographs presented a radiolucent area limited to enamel in the mesial of maxillary left-second-bicuspid. For the purpose of confirming the intraoral diagnosis, an immediate tooth separation was performed. The immediate separation was unable to provide sufficient access; thus, the slow separation approach was performed. After 24-hours, tooth separation of 1mm was obtained, providing enough access for clinical examination. The proximal areas were evaluated by transillumination and impression taking. During the visual inspection, an area of enamel staining was observed, with no roughness due to tactile inspection and the evaluation by transillumination and impression showed no cavitation. The following preventive treatment plan was endorsed: oral hygiene instructions with emphasis to the importance of flossing the proximal areas, and healthy dietary habits. After a 5-years period of follow-up, the enhanced oral hygiene and heathy dietary habits were observed. A clinical examination with immediate tooth separation and bitewing radiographs was performed and showed no cavitation. Thecombination of methods for detecting carious lesions in proximal surfaces was effective in obtaining a diagnosis of cariesin the permanent dentition. The absence of cavitated lesions must be indicative of preventive treatment.Keywords: Dental Caries. Preventive Dentistry. Diagnosis, Oral.ResumoEste caso clínico objetivou relatar e discutir os métodos diagnósticos para detecção e tratamento preventivo de lesões cariosas proximais. A paciente procurou atendimento restaurador com queixa de cárie diagnosticada por exame radiográfico realizado após término de seu tratamento ortodôntico. Ao exame clínico não havia suspeita de lesão cariosa. A avaliação radiográfica revelou, na face mesialdo dente 25, presença de área radiolúcida limitada à metade externa do esmalte. Para confirmação do diagnóstico realizou-se a separação interdentária imediata, porém como a mesma não permitiu adequada visualização foi realizada a separação mediata e após 24 horas obteve-se adequada separação (1 mm) para o exame clínico. Em seguida, a superfície proximal foi avaliada por transiluminação e moldagem. Durante a inspeção visual foi constatada área de manchamento do esmalte, com ausência de rugosidade pela inspeção tátil e a avaliação tanto por transiluminação da superfície proximal, quanto por moldagem revelou ausência de cavitação. Devido o diagnóstico obtido o seguinte tratamento preventivo foi indicado: reforço de higiene oral com ênfase na importância do uso do fio dental e hábitos dietéticos saudáveis. Após 5 anos de acompanhamento melhoria da higiene oral e hábitos dietéticos foram constatados. O exame clínico com separação interdentária imediata e exame radiográfico revelaram ausência de cavitação. Conclui-se que a combinação de métodos de detecção de lesões cariosas proximais foi efetivo no diagnóstico da cárie dentária na dentição permanente. O resultado deste relato de caso mostrou que a ausência de lesões cariosas cavitadas deve ser um indicativo de tratamento preventivo.Palavras-chave: Cárie Dentária. Odontologia Preventiva. Diagnóstico Bucal.

A CAMBRA Model For High Caries Risk Indian Children: A Pragmatic Comprehensive Tailored Intervention

2016 ◽  
Vol 40 (1) ◽  
pp. 36-43 ◽  
Author(s):  
Krishan Gauba ◽  
Ashima Goyal ◽  
Neeti Mittal
Keyword(s):  
Pediatric Dentistry ◽  
Primary Outcome Measure ◽  
Secondary Outcome ◽  
Healthy Children ◽  
Caries Risk ◽  
Indian Children ◽  
Carious Lesions ◽  
High Caries Risk ◽  
Set Up

Objective: To evaluate a CAMBRA based therapeutic and preventive model for high caries risk children in a pediatric dentistry clinic set-up. Study design: A total of 100 systemically healthy children aged 4–8 years with dmft/DMFT ≥5 and/or ≤20% magnitude of cariogram sector ‘chance to avoid new cavities’ were enrolled. The program comprised of following components i.e. caries risk assessment, customized preventive interventions (Motivational interviewing and counseling, oral prophylaxis, fluoride varnish, fissure sealants) and restorative procedures. The recall intervals were scheduled on the basis of caries risk i.e. every 1 month (≤40% chance to avoid new cavities) and 3 months (≥41% chance to avoid new cavities). The primary outcome measure was ‘new carious lesions' at 12 months following achievement of ‘termination levels' i.e. ≥41% magnitude of ‘chance to avoid new cavities.' The secondary outcome measures were changes in cariogram parameters at termination and duration needed to achieve termination levels. Results: The program showed 97% success rate as 3/100 subjects developed new carious lesions at 12 months follow up. Highly significant (p<0.001) favorable shift was achieved in cariogram parameters at termination. Termination levels were achieved in 2.71±4.854 months. Conclusions: The present CAMBRA based program with customized intervention and recall schedules showed favorable results.

Evidence-based Update of Pediatric Dental Restorative Procedures: Preventive Strategies

2015 ◽  
Vol 39 (3) ◽  
pp. 193-197 ◽  
Author(s):  
N Tinanoff ◽  
JA Coll ◽  
V Dhar ◽  
WR Maas ◽  
S Chhibber ◽  
...  
Keyword(s):  
Dental Caries ◽  
Strong Evidence ◽  
Signs And Symptoms ◽  
Preventive Strategy ◽  
Evidence Based ◽  
Clinical Appearance ◽  
Resin Infiltration ◽  
Advantages And Disadvantages ◽  
Carious Lesions ◽  
Dental Restorative

Background: There has been significant advances in the understanding of preventive restorative procedures regarding the advantages and disadvantages for restorative procedures; the evidence for conservative techniques for deep carious lesions; the effectiveness of pit and fissure sealants; and the evidence for use of resin infiltration techniques. Aim: The intent of this review is to help practitioners use evidence to make decisions regarding preventive restorative dentistry in children and young adolescents. Study Design: This evidence-based review appraises the literature, primarily between the years 1995-2013, on preventive restorative strategies. The evidence was graded as to strong evidence, evidence in favor, or expert opinion by consensus of authors Results: The preventive strategy for dental caries includes individualized assessment of disease progression and management with appropriate preventive and restorative therapy. There is strong evidence that restoration of teeth with incomplete caries excavation results in fewer signs and symptoms of pulpal disease than complete excavation. There is strong evidence that sealants should be placed on pit and fissure surfaces judged to be at risk for dental caries, and surfaces that already exhibit incipient, non-cavitated carious lesions. There is evidence in favor for resin infiltration to improve the clinical appearance of white spot lesions. Conclusions: Substantial evidence exists in the literature regarding the value of preventive dental restorative procedures.

scholarly journals Poor oral hygiene and dental caries predict high mortality rate in hemodialysis: a 3-year cohort study

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Koji Mizutani ◽  
Risako Mikami ◽  
Tomohito Gohda ◽  
Hiromichi Gotoh ◽  
Norio Aoyama ◽  
...  
Keyword(s):  
Cohort Study ◽  
Dental Caries ◽  
Confidence Interval ◽  
Oral Hygiene ◽  
Dental Plaque ◽  
Hazard Ratio ◽  
Periodontal Pocket ◽  
All Cause Mortality ◽  
The Impact

AbstractThe aim of this study was to investigate the impact of oral hygiene, periodontal diseases, and dental caries on all-cause mortality in hemodialysis. This prospective cohort study included 266 patients with end-stage renal disease who were undergoing hemodialysis. Medical interviews, blood biochemical tests, and comprehensive dental examinations including periodontal pocket examination on all teeth and dental plaque accumulation by debris index-simplified (DI-S), were performed. Survival rates were assessed at a 3-year follow-up. Overall, 207 patients were included in the longitudinal analysis, and 38 subjects died during the follow-up period. Cox proportional hazards analysis of the multivariate model demonstrated that the highest tertile of DI-S had a significantly higher risk of all-cause mortality than the lowest two tertiles after adjustment for age, sex, smoking habit, body mass index, diabetes, prior cardiovascular disease, hemodialysis vintage, high sensitivity C-reactive protein, albumin, and number of remaining teeth (hazard ratio, 3.04; 95% confidence interval, 1.50–6.17; p = 0.002). Moreover, the number of decayed teeth significantly increased the hazard ratio to 1.21 (95% confidence interval, 1.06.1.37; p = 0.003). This study suggests that accumulated dental plaque and untreated decay, but not periodontal disease, may be independently associated with all-cause mortality in patients undergoing hemodialysis.

scholarly journals Paediatric Dental Care in COVID-19 Pandemic - Time to Rethink - A Review

2021 ◽  
Vol 10 (8) ◽  
pp. 546-549
Author(s):  
Gowri Swaminatham Pendyala ◽  
Sourabh Ramesh Joshi ◽  
Priti Kale ◽  
Meghana Vasant Phadnis ◽  
Viddyasagar Prabhakar Mopagar
Keyword(s):  
Dental Caries ◽  
Present Article ◽  
Dental Pulp ◽  
Clinical Characteristics ◽  
Pediatric Dentistry ◽  
Adverse Outcomes ◽  
Oral Disease ◽  
Carious Lesions ◽  
The Future ◽  
The Impact

Corona virus infection has affected many people and resulted in numerous deaths. SARS-CoV-2 is a novel strain of coronavirus that has not been recognized in humans earlier. The disease originated in China and has now become a pandemic affecting countries worldwide. The clinical characteristics in children seem to be milder as compared to adults, but the exact clinical features related COVID-19 are still unknown and unclear. This is the reason why a child can be considered as a “silent carrier” for COVID-19. The pandemic has affected the children as well. Children usually suffer from the most common oral disease of dental caries. Dental caries in children has been attributed to having its pathophysiology related in a cytokine response. In the recent COVID-19 pandemic, the adverse outcomes in children, though reported less, has been related to the establishment of a cytokine storm, the components of which are common with the cytokine expression profile of Dental caries and early childhood caries in children. Early carious lesions results in early involvement of dental pulp thereby resulting in periapical pathology. The open carious lesions can result in the direct entry of virus from saliva in the dental pulp of infected patients. The resulting periapical pathology contains viral load and hence virus enters the blood circulation. A dental setting is at a high risk of cross infection amid patients and dental practitioner’s owing to the spread of infection via droplets suspended in the air by infected symptomatic or asymptomatic subjects. This article informs about measures which reduce facility risk, manage symptomatic patients and protect personal health care and management with reference to pediatric dentistry. The antimicrobial therapy to be given to pediatric patients has been also highlighted in the present review. The clinical characteristics of COVID-19 in children, though they are milder are given equal importance. Also this article reviews the precautions and guidelines to be followed by the dentists. The present article reviews the impact of Coronavirus infection on pediatric dental practice and gives the future recommendations. The present article also gives the future directions to the government which can considered if possible. KEY WORDS Children, COVID-19, Pediatric Dentistry

Comparison of diagnosis of carious lesions in deciduous teeth according to WHO and ICDAS II-LAA criteria in infants patients

2018 ◽  
Vol 14 (1) ◽  
Author(s):  
Guido Perona-Miguel de Priego
Keyword(s):  
Dental Caries ◽  
Age Distribution ◽  
Pediatric Dentistry ◽  
Deciduous Teeth ◽  
The South ◽  
Cross Sectional ◽  
Carious Lesions ◽  
Icdas Ii ◽  
School Of Dentistry ◽  
Caries Lesions

The purpose of this study was to compare theprevalence of dental caries lesions cavitated andnoncavitated activity in infants and patients attendingthe service of Pediatric Dentistry Clinicof Dentistry School of Dentistry of the ScientificUniversity of the South, using the systemodontogram provisions of faculty and comparethe dental registration according to criteria System(ICDS II-LAA). Methods: An observational,cross-sectional, descriptive, prospective comparisonstudy, population was made: it was selectedfor the study to all new infant patients aged2 to 5 years old of both sexes who come to be addressedin the Dental Clinic Service Dentistry ofthe Scientific University of the South, the samplesize consisted of 34 infants patients 2-5 yearsof age, who met the inclusion criteria and theirguardians authorized to participate the study. Results: Of the total of evaluated, 19 (57.88%)were women and 14 (42.42%) were male. ToWHO criteria 28 (84.85%) lesions of dental carieswas recorded and 5 (15.15%) no dental caries lesionswas recorded, an average of 5.45 (+/- 3.97)95% CI [4.04 to 6.86] was found. Criteria ICDASII-LAA, 33 (100%) reported dental caries lesions,and average of 9.40 (+/- 3.48) 95% CI [8.15to 10.63] .The age distribution was found wasevaluated 3 to 2 years (7.02%), 4 evaluated to 3years (19.85%), 14 evaluated to 4 years (42.42%)and 12 evaluated to 5 five years (36.36%). Conclusions:The detection of initial carious lesionsis complex due to the fact that traditionally hasused the detection of the WHO criteria, dentalprofessionals are not trained to detect lesionsnoncavitated, including non-cavitated caries lesionsis required at check-decay, as these lesionscan be stopped through a precautionary handling,this fact significantly reduces economicand biological costs of restorative treatments, the spread of new systems for evaluating dentalcaries will be promoted universities and refreshercourses for professionals.

scholarly journals Influence of Smoking Habits on the Prevalence of Dental Caries: A Register-Based Cohort Study

2021 ◽  
Author(s):  
Miguel A. de Araújo Nobre ◽  
Ana M. Sezinando ◽  
Inês C. Fernandes ◽  
Andreia C. Araújo
Keyword(s):  
Dental Caries ◽  
Proportional Hazards ◽  
Smoking Habit ◽  
Cox Proportional Hazards ◽  
Radiographic Examination ◽  
Rank Test ◽  
Significance Level ◽  
Cumulative Survival ◽  
Caries Lesions

Abstract Objective The study aimed to evaluate the influence of smoking habit on the prevalence of dental caries lesions in a follow-up study. Materials and Methods A total of 3,675 patients (2,186 females and 1,489 males) with an average age of 51.4 years were included. Outcome measures were the incidence of dental caries defined as incipient noncavitated, microcavitated, or cavitated lesions which had been diagnosed through clinical observation with mouth mirror and probe examination evaluating change of texture, translucency, and color; radiographic examination through bitewing radiographs; or secondary caries through placement of a new restoration during the follow-up of the study. Statistical Analysis Cumulative survival (time elapsed with absence of dental caries) was estimated through the Kaplan–Meier product limit estimator with comparison of survival curves (log-rank test). A multivariable Cox proportional hazards regression model was used to evaluate the effect of smoking on the incidence of dental caries lesions when controlled to age, gender, systemic status, frequency of dental hygiene appointments, and socioeconomic status. The significance level was set at 5%. Results Eight hundred sixty-three patients developed caries (23.5% incidence rate). The cumulative survival estimation was 81.8% and 48% survival rate for nonsmokers and smokers, respectively (p < 0.001), with an average of 13.5 months between the healthy and diseased state diagnosis. Smokers registered a hazard ratio for dental caries lesions of 1.32 (p = 0.001) when controlled for the other variables of interest. Conclusion Within the limitations of this study, it was concluded that smoking habit might be a predictor for dental caries.

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