Detection of Approximal Caries Lesions in Adults: A Cross-sectional Study

2019 ◽  
Vol 44 (6) ◽  
pp. 589-594
Author(s):  
I Urzúa ◽  
R Cabello ◽  
P Marín ◽  
B Ruiz ◽  
D Jazanovich ◽  
...  
Keyword(s):  
Visual Inspection ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Radiographic Appearance ◽  
Restorative Treatment ◽  
Dental Schools ◽  
Caries Lesions ◽  
Approximal Caries ◽  
Outer Half

SUMMARY Detection and management of posterior approximal caries lesions are still problematic. Inspection of approximal surfaces is challenging, and bitewing radiographs are used when direct vision is not possible. Unfortunately, there is no definite radiographic appearance to identify lesion cavitation with absolute certainty. Many lesions detected radiographically within the outer half of dentin are not cavitated, often resulting in unnecessary restorative treatment. Our study compared radiographic depth of approximal caries lesions with presence of cavitation in adults using visual inspection following temporary tooth separation (TTS). We conducted this observational descriptive cross-sectional study at two dental schools in two cities in Chile. Clinicians were unaware of radiographic depths of lesions and examined 147 participants (57.3% female and 42.7% male) following TTS. Using the common classification system that consists of E0 (no lesion), E1 (lesion within the outer half of enamel), E2 (lesion within the inner half of enamel), D1 (lesion within the outer third of dentin), D2 (lesion within the middle third of dentin), and D3 (lesion within the inner third of dentin), a trained dentist evaluated all the processed films. Cavitation was detected in only three sites (0.22%) within the E0 category, seven sites (3.41%) in E1, five sites (14.8%) in E2, four sites (14.8%) in D1, six sites (50%) in D2, and eight sites (61.5%) in D3. Considering that restorative treatment should be indicated strictly for cavitated lesions, our findings support indication for restorative treatment for D3 lesions and the rationale for TTS for D1-D2 caries lesions to allow direct visual inspection to determine whether there is surface cavitation.

scholarly journals Position of lips and tongue in rest in newborns with and without ankyloglossia

CoDAS ◽  
2021 ◽  
Vol 33 (6) ◽  
Author(s):  
Silvia Márcia Andrade Campanha ◽  
Roberta Lopes de Castro Martinelli ◽  
Durval Batista Palhares
Keyword(s):  
Visual Inspection ◽  
Cross Sectional Study ◽  
University Hospital ◽  
Sectional Study ◽  
Hospital Data ◽  
Chi Square ◽  
Cross Sectional ◽  
Significance Level ◽  
Significant Difference ◽  
Chi Square Test

ABSTRACT Purpose Verify the position of lips and tongue at rest in newborns with and without ankyloglossia. Methods Cross-sectional study, carried out with 130 newborns in University Hospital. Data collection was performed by the researcher and speech-language pathologists from the Hospital. Information on gestational age, sex, weight, height and days of life was collected. The position of the lips and tongue at rest was evaluated through visual inspection with the newborns asleep. After the newborns were awakened, Neonatal Screening of the validated Protocol for the evaluation of the lingual frenulum for infants was performed to detect the alteration of the lingual frenulum. The data obtained were described and submitted to statistical analysis using the Chi-Square test to verify the association between the position of the lips with the tongue and to compare the position of the lips and tongue with and without ankyloglossia. The Mann-Whitney test was used to verify the behavior of the variables the differed between newborns with and without ankyloglossia. The significance level of 5% was adopted. Results When comparing the data, a significant difference was found between: weight and height with and without ankyloglossia; position of lips and tongue. An association between the position of the tongue and lips with and without ankyloglossia was also found. Conclusion Newborns without alteration of the lingual frenulum have a tendency to remain with their lips closed and their tongue elevated during rest and newborns with ankyloglossia have a tendency to keep their lips parted and their tongue low during rest.

scholarly journals Iraqi Dentists' Risk-Based Restorative Treatment Decisions

2020 ◽  
Vol 6 (4) ◽  
Author(s):  
Fatin Abd Al Sattar Aledhari ◽  
Katayoun Sargeran ◽  
Mahdia Gholami ◽  
Ahmad Reza Shamshiri
Keyword(s):  
Continuing Education ◽  
Health Sector ◽  
Preventive Treatment ◽  
Treatment Decisions ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Treatment Threshold ◽  
Restorative Treatment ◽  
Self Administered Questionnaire

Objective: The aim of the present study was to investigate the decision-making by Iraqi dentists concerning the use of restorations in the treatment of dental caries. Methods:  A cross-sectional study based on a self-administered questionnaire was conducted among 159 dentists who worked in public health sector in Baghdad during summer of 2016. A questionnaire which obtained information on age, attitude, knowledge and barriers, in addition to two scenarios designed to investigate dentists' restorative treatment threshold, was used. Paper patient cases (PPCs) were indicated high-risk (HR) and low-risk (LR) patients were also provided. Dentists were asked to point out at when they will start restoration of the teeth according to each PPC. Results: After checking for completeness, 90 questionnaires remained for data analysis. For HR scenario: Dentists with medium and high barrier scores (74.2%), and those with low and medium preventive attitude (78.6%) showed the lower scores in restorative treatment threshold. In LR scenario, we found an interaction between age and other predictors. Dentists ≤40 years old made better preventive decisions. Conclusion: The present study showed that age and good preventive attitude play an important role in making the restorative decision by dentists. Continuing education programs must be provided for Iraqi dentists to improve their preventive treatment decisions.

scholarly journals Dentogingival Smile Analysis of Young Adults of Al Qassim Province, Saudi Arabia: A Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Minu P. Mohan ◽  
Rahaf A. AlOlayan ◽  
Mohammad A. AlSweed
Keyword(s):  
Young Adults ◽  
Saudi Arabia ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Lower Lip ◽  
Restorative Treatment ◽  
Significant Difference ◽  
Photo Editing

Objectives. The present study aims to analyse the smiling components among young adults within Al Qassim region by evaluating typical smile parameters. Methodology. A cross-sectional study was conducted among 324 female and male participants between 18 and 35 years, within Al Qassim Province of Saudi Arabia. The dentogingival macro-aesthetic elements of the smile, the parallelism between the incisal curve and lower lip line, midline, and buccal corridors were determined by using Canon Rebel t7i (Canon, Melville, NY, USA) and evaluated by photo editing software Adobe Photoshop CC2019. The data were analysed using a chi-square test and Spearman’s correlation test for nonparametric data. Results. 62.5% of young adults had no buccal corridors. The nonparallel smile was found in 53.2% of young adults. A high smile line was observed in 33% of participants. 59.3% of young adults lacked a coinciding dental and facial midline. There was a statistically significant difference in the parallelism of the incisal curve and lower lip line as well as in the position of the upper lip line across genders ( P < 0.05 ). Conclusion. Understanding macro-aesthetic elements of teeth and their interrelation with the surrounding oral structures can be a guide in creating natural and aesthetically pleasing restorative treatment.

Factors Affecting High Caries Risk in Children With and Without Cleft Lip and/or Palate: A Cross-Sectional Study

2020 ◽  
pp. 105566562098020
Author(s):  
Prabhat Kumar Chaudhari ◽  
Om P. Kharbanda ◽  
Rama Chaudhry ◽  
Ravindra Mohan Pandey ◽  
Shashank Chauhan ◽  
...  
Keyword(s):  
Protective Factors ◽  
Cleft Lip ◽  
Cross Sectional Study ◽  
Buffering Capacity ◽  
Sectional Study ◽  
Caries Risk ◽  
Cross Sectional ◽  
Microbial Counts ◽  
High Caries Risk ◽  
Caries Lesions

Objective: The aim of the study was to analyze the caries protective factors, salivary parameters, and microbial counts in high caries risk children with cleft lip and/or palate (CL/P). Design: This was a cross-sectional study. Setting: This study was conducted in a tertiary health care teaching hospital in New Delhi, India. Participants: The study was conducted in 40 children, 20 with CL/P and 20 without aged between 5 and 12 years. Methods: Children with 2 or more caries lesions in both groups were included in this study. Demographic details, dental caries of affected teeth (World Health Organization criteria for Decayed Missing Filled Teeth [WHO-DMFT] and International Caries Detection and Assessment System [ICDAS II]), caries protective factors, salivary parameters, and microbial counts were recorded by one calibrated investigator. Main Outcome Measures: Caries protective factors, salivary parameters, and microbial profile. Results: The Chi-square (χ2) test and Pearson correlation were used for statistical analysis. All the children participating in the study brushed their teeth only once in a day and consumed sweets more than twice a day. None of the children had ever received fluoride varnish. Resting saliva had a low buffering capacity in 80% of children with CL/P and 95% of children without CL/P. Microbial assessment of stimulated saliva showed that with the increases in the numbers (DMFT scores ≥4) and severity (ICDAS codes from 1-2 to 5-6) of caries lesions, both Streptococci and Lactobacilli counts were ≥105 colony-forming units/mL of saliva in the both groups. Conclusions: Children with CL/P showed limited access to caries protective measures and low buffering capacity in resting saliva, along with elevated levels of salivary Streptococci and Lactobacilli in stimulated saliva.

scholarly journals Assessment of Knowledge and Attitudes of Traumatic Dental Injuries among Saudi Dental Students: A Multicenter Cross-Sectional Study

2020 ◽  
Vol 2020 ◽  
pp. 1-6
Author(s):  
Sundus Bukhary
Keyword(s):  
Alveolar Bone ◽  
Cross Sectional Study ◽  
Dental Students ◽  
Sectional Study ◽  
Cross Sectional ◽  
Root Fracture ◽  
Knowledge And Attitudes ◽  
Traumatic Dental Injuries ◽  
Dental Schools ◽  
Dental Injuries

Introduction. The aim of this multicenter cross-sectional study was to assess the knowledge and attitudes of senior dental students in Riyadh, Saudi Arabia, regarding the management of traumatic dental injuries. Materials and Methods. A stratified random sample of fourth- and fifth-year dental students in different dental schools was given a two-part questionnaire; the first part included demographic questions, while the second part included case scenario questions related to knowledge and attitudes regarding the emergency management of concussion, crown fractures, luxation injuries, root fracture, and alveolar bone fracture. Data were statistically analysed using chi-square and ordinal logistic regression tests. The significance was set at p<0.05. Results. A total of 359 dental students participated in this study. The proportion of students from all dental schools with correct responses to each set of questions was as follows: alveolar bone fracture (78.4%), root fracture (70.1%), intrusive luxation (57.1%), complicated crown fracture (39.7%), uncomplicated crown fracture (35.5%), extrusive luxation (35%), concussion (31.1%), and lateral luxation (26.8%). The mean overall knowledge score of the participants was 3.421 ± 0.49. No statistically significant difference was found on any of the questions regarding the gender or year of study p>0.05. Conclusion. Based on the findings of this study, dental students’ knowledge of the management of traumatic dental injuries in the Riyadh region of Saudi Arabia ranges from low to moderate. Thus, there is a need to improve the knowledge of management of traumatic dental injuries among dental students.

scholarly journals Knowledge, Perceived Risk, and Preventive Behaviors amidst Covid-19 Pandemic among Dental Students in Malaysia

2021 ◽  
Vol 9 (12) ◽  
pp. 151
Author(s):  
Azlini Ismail ◽  
Nur Hanisah Ismail ◽  
Nur Yasrin Maisarah Abu Kassim ◽  
Widya Lestari ◽  
Ahmad Faisal Ismail ◽  
...  
Keyword(s):  
Perceived Risk ◽  
Knowledge Score ◽  
Cross Sectional Study ◽  
Dental Students ◽  
Preventive Behavior ◽  
Sectional Study ◽  
Preventive Behaviors ◽  
Cross Sectional ◽  
The Mean ◽  
Dental Schools

Purpose: Coronavirus disease 19 (COVID-19) has affected dental education in Malaysia. However, studies on dental students’ knowledge, perception, and behaviors with regards to COVID-19 are very limited. Thus, this study aims to determine the knowledge status, perceived risk, and preventive behaviors of dental students in Malaysia regarding COVID-19. Methods: A cross-sectional study was conducted among students from 13 dental schools across Malaysia using online questionnaires. Results: From 355 respondents, 93.5% obtained a high score of knowledge of COVID-19. Female respondents scored higher than males in perceived risks and preventive behaviors. Chinese respondents scored highest in knowledge, while Malay respondents had the highest perceived risk score. The mean preventive behavior score did not vary across ethnicity. On-campus students scored higher in knowledge and perceived risk whereas off-campus students practiced more preventive behaviors. Clinical students’ knowledge score was higher than preclinical students. Final year students scored higher in knowledge and perceived risk compared to their juniors. Conclusion: The majority of dental students have good knowledge and a high perceived risk of COVID-19, and they practiced most of the preventive behaviors. However, the latest information on this disease should be incorporated into dental schools’ curriculums and updated periodically.

scholarly journals Self-perceived competence of dental students regarding the management of orofacial pain: a cross-sectional study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Muhammad Taqi ◽  
Asaad Javed Mirza ◽  
Maaz Asaad Javed ◽  
Shama Asghar ◽  
Maria Khadija ◽  
...  
Keyword(s):  
Online Survey ◽  
Orofacial Pain ◽  
Perceived Competence ◽  
Cross Sectional Study ◽  
Dental Students ◽  
Sectional Study ◽  
Chi Square ◽  
Cross Sectional ◽  
Almost All ◽  
Dental Schools

Abstract Background There is limited data on Pakistani dental students perceived competence in managing orofacial pain (OFP). This study aims to evaluate dental students self-perceived competence regarding the management of orofacial pain. Methods This cross-sectional study was conducted in Karachi at randomly selected two public and four private dental schools. This survey was conducted online from November 2020 to December 2020 in six dental schools. A questionnaire link was sent to the 475 students. A chi-square test and independent-sample t-test were conducted to assess the frequency distribution and compare mean scores of knowledge, diagnosis, and management parameters. Results Of the 475 students, 280 students filled the online survey leaving a response rate of 59%. A significant number of fourth-year students, 65 (51%, p = 0.005), feels knowledgeable regarding neuropathic pain compared to third-year students. The majority of the fourth-year students, 100 (78%, p = 0.010), feel comfortable managing intraoral pain. Almost all the students reported thinking that they need more knowledge related to five types of OFP. The fourth-year students had high mean scores related to knowledge, comfort in diagnosing and managing OFP categories. Conclusion This study found that dental students perceived competence regarding orofacial pain management varies in relation to specific categories, being lowest for psychogenic pain.

scholarly journals Performance of careHPV, hybrid capture 2 and visual inspection with acetic acid for detection of high-grade cervical lesion in Tanzania: A cross-sectional study

PLoS ONE ◽  
2019 ◽  
Vol 14 (6) ◽  
pp. e0218559 ◽  
Author(s):  
Johnson Katanga ◽  
Susanne K. Kjaer ◽  
Rachel Manongi ◽  
Chun Sen Wu ◽  
Thomas Iftner ◽  
...  
Keyword(s):  
Acetic Acid ◽  
Visual Inspection ◽  
Cross Sectional Study ◽  
Cervical Lesion ◽  
High Grade ◽  
Sectional Study ◽  
Cross Sectional ◽  
Hybrid Capture ◽  
Hybrid Capture 2

scholarly journals A cross-sectional study on the level of severity of dental caries in adults.

2021 ◽  
Vol 10 (3) ◽  
pp. 1-10
Author(s):  
Clarisse Díaz-Reissner ◽  
◽  
Juan Roldán-Merino ◽  
Irma Casas-García ◽  
◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Cross Sectional Study ◽  
Caries Experience ◽  
General Level ◽  
Sectional Study ◽  
Cross Sectional ◽  
Clinical Variables ◽  
Low Level ◽  
Caries Lesions

Introduction: Oral diseases affect some 3.9 billion people worldwide, the most prevalent are dental caries, gingivitis, and periodontitis. Untreated dental caries lesions affect 35% of the population. Objective: To determine the level of severity of dental caries lesions in adults treated at public dental services in the cities of Asunción and Pirayú, Paraguay, in 2017. Material and Methods: Sociodemographic and clinical variables of oral health status were evaluated by means of a cross-sectional study using consecutive sampling. Two dentists were calibrated to perform the oral examination. Caries experience was evaluated using the DMF-T index. The Chi square test and Fisher's exact test were applied, with a confidence level of 95%. Results: 333 subjects with a mean age of 35 years participated in the study, 77.2% were females, and 64.0% did not have access to private health care services. The DMF-T index was 11.43 (SD=6.7); 12.6% obtained a very low level, 35.7% low level, 41.7% had a medium level, and 9.9% had a high level in the DMF-T index. The DMF-T index was significantly higher in females (p=0.001), in the age range of 50 to 59 years (p<0.001), in those who did not have access to private health services (p=0.008), in those who reported a negative self-evaluation of their oral health (p=0.04), in those with a normal molar ratio (p=0.023) and a very severe aesthetic index (p<0.001). Conclusion: The general level of severity of global caries was medium and associated with sociodemographic and clinical variables.

scholarly journals Evaluation of Dental Caries Among Preschool Children in Kathmandu- Using Significant Caries Index.

2017 ◽  
Vol 56 (207) ◽  
pp. 341-345 ◽  
Author(s):  
Senchhema Limbu ◽  
Parajeeta Dikshit ◽  
Tarakant Bhagat
Keyword(s):  
Preschool Children ◽  
Dental Caries ◽  
Total Sample ◽  
Cross Sectional Study ◽  
Health Needs ◽  
Sectional Study ◽  
Caries Prevalence ◽  
Cross Sectional ◽  
Restorative Treatment ◽  
Care Index

INTRODUCTION: Dental caries among preschool children is common but there is scarcity of updated data about its prevalence among Nepalese preschool children. This study was conducted to evaluate prevalence, Significant Caries Index, Caries pattern, Restorative care index and Disparity ratio among preschool children of Kathmandu aged 3-6 years. METHODS: A cross sectional study was conducted on 17 preschools of Kathmandu following WHO criteria. Data were analysed using SPSS 20 and descriptive statistics was applied. RESULTS: Prevalence of dental caries was 803 (55.6%) with a mean deft of 3.28±3.581 and Significant Caries Index score was 7.439. Caries pattern showed the most commonly decayed teeth were mandibular second molars followed by maxillary central incisors. The least affected teeth were mandibular lateral incisors. The restorative care index was 106 (7.32%) in the total sample size and 14 (2.86%) in the SiC and disparity ratio was 2.26. CONCLUSIONS: The SiC Index indicated high dental caries prevalence; severity rates and restorative care index indicated little experience of restorative treatment in preschool children of Kathmandu identifying the need for more targeted efforts to reach preschool children early to effectively address unmet oral health needs. KEYWORDS: caries pattern; dental caries; Kathmandu; preschool; significant caries index.

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