One-year evaluation of inactive occlusal enamel lesions in children and adolescents

Objectives The aims of this study were to compare caries incidence and progression on sound occlusal surfaces and on surfaces presenting inactive enamel lesions in children and adolescents over 1 year and to estimate the risk of caries incidence and progression on these surfaces. Methods This prospe...

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Veröffentlicht in:Clinical oral investigations 2016-01, Vol.20 (1), p.133-139
Hauptverfasser: Zenkner, J. E. A., Carvalho, J. C., Wagner, M. B., Alves, L. S., de Oliveira, R. S., Rocha, R. O., Maltz, M.
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container_end_page 139
container_issue 1
container_start_page 133
container_title Clinical oral investigations
container_volume 20
creator Zenkner, J. E. A.
Carvalho, J. C.
Wagner, M. B.
Alves, L. S.
de Oliveira, R. S.
Rocha, R. O.
Maltz, M.
description Objectives The aims of this study were to compare caries incidence and progression on sound occlusal surfaces and on surfaces presenting inactive enamel lesions in children and adolescents over 1 year and to estimate the risk of caries incidence and progression on these surfaces. Methods This prospective cohort study followed 200 7-15-year-old caries-inactive schoolchildren over 1 year. Stage of eruption, occlusal plaque, and occlusal caries were recorded on permanent molars. Statistical analysis was performed using generalized estimating equations with a logistic link function. Results Twenty-two children (11 %) presented “caries progression” (at least one active lesion on molar teeth). At site level, no difference was observed in caries incidence and progression between sites classified either sound (2.6 %) or with inactive enamel lesion (3.9 %) at the baseline examination ( χ 2 test, p  = 0.48). Adjusted for plaque, stage of eruption, type of molar and dental arch, inactive enamel lesions presented a similar risk for caries progression than sound occlusal surfaces (OR = 0.98, 95 % CI = 0.40–2.38). Conclusion Within the limitations of this study, no difference was observed in caries incidence, progression, and risk on sound occlusal sites in comparison with sites presenting inactive enamel lesions. Clinical relevance Occlusal surfaces harboring inactive caries lesions did not require additional attention than the one normally given to sound occlusal surfaces over a 1-year period.
doi_str_mv 10.1007/s00784-015-1490-8
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E. A. ; Carvalho, J. C. ; Wagner, M. B. ; Alves, L. S. ; de Oliveira, R. S. ; Rocha, R. O. ; Maltz, M.</creator><creatorcontrib>Zenkner, J. E. A. ; Carvalho, J. C. ; Wagner, M. B. ; Alves, L. S. ; de Oliveira, R. S. ; Rocha, R. O. ; Maltz, M.</creatorcontrib><description>Objectives The aims of this study were to compare caries incidence and progression on sound occlusal surfaces and on surfaces presenting inactive enamel lesions in children and adolescents over 1 year and to estimate the risk of caries incidence and progression on these surfaces. Methods This prospective cohort study followed 200 7-15-year-old caries-inactive schoolchildren over 1 year. Stage of eruption, occlusal plaque, and occlusal caries were recorded on permanent molars. Statistical analysis was performed using generalized estimating equations with a logistic link function. Results Twenty-two children (11 %) presented “caries progression” (at least one active lesion on molar teeth). At site level, no difference was observed in caries incidence and progression between sites classified either sound (2.6 %) or with inactive enamel lesion (3.9 %) at the baseline examination ( χ 2 test, p  = 0.48). Adjusted for plaque, stage of eruption, type of molar and dental arch, inactive enamel lesions presented a similar risk for caries progression than sound occlusal surfaces (OR = 0.98, 95 % CI = 0.40–2.38). Conclusion Within the limitations of this study, no difference was observed in caries incidence, progression, and risk on sound occlusal sites in comparison with sites presenting inactive enamel lesions. Clinical relevance Occlusal surfaces harboring inactive caries lesions did not require additional attention than the one normally given to sound occlusal surfaces over a 1-year period.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-015-1490-8</identifier><identifier>PMID: 25976838</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Brazil - epidemiology ; Child ; Dental Caries - epidemiology ; Dental Caries - pathology ; Dental Enamel - pathology ; Dental Plaque Index ; Dentistry ; Disease Progression ; DMF Index ; Female ; Humans ; Incidence ; Male ; Medicine ; Molar ; Original Article ; Prospective Studies ; Risk Factors</subject><ispartof>Clinical oral investigations, 2016-01, Vol.20 (1), p.133-139</ispartof><rights>Springer-Verlag Berlin Heidelberg 2015</rights><rights>Springer-Verlag Berlin Heidelberg 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c442t-8adefb86dcdb54d0c99bb9a14cf1f1045b8a58c2818c80a8c8d67248dcd986d83</citedby><cites>FETCH-LOGICAL-c442t-8adefb86dcdb54d0c99bb9a14cf1f1045b8a58c2818c80a8c8d67248dcd986d83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00784-015-1490-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00784-015-1490-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25976838$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zenkner, J. E. A.</creatorcontrib><creatorcontrib>Carvalho, J. C.</creatorcontrib><creatorcontrib>Wagner, M. B.</creatorcontrib><creatorcontrib>Alves, L. S.</creatorcontrib><creatorcontrib>de Oliveira, R. S.</creatorcontrib><creatorcontrib>Rocha, R. O.</creatorcontrib><creatorcontrib>Maltz, M.</creatorcontrib><title>One-year evaluation of inactive occlusal enamel lesions in children and adolescents</title><title>Clinical oral investigations</title><addtitle>Clin Oral Invest</addtitle><addtitle>Clin Oral Investig</addtitle><description>Objectives The aims of this study were to compare caries incidence and progression on sound occlusal surfaces and on surfaces presenting inactive enamel lesions in children and adolescents over 1 year and to estimate the risk of caries incidence and progression on these surfaces. Methods This prospective cohort study followed 200 7-15-year-old caries-inactive schoolchildren over 1 year. Stage of eruption, occlusal plaque, and occlusal caries were recorded on permanent molars. Statistical analysis was performed using generalized estimating equations with a logistic link function. Results Twenty-two children (11 %) presented “caries progression” (at least one active lesion on molar teeth). At site level, no difference was observed in caries incidence and progression between sites classified either sound (2.6 %) or with inactive enamel lesion (3.9 %) at the baseline examination ( χ 2 test, p  = 0.48). Adjusted for plaque, stage of eruption, type of molar and dental arch, inactive enamel lesions presented a similar risk for caries progression than sound occlusal surfaces (OR = 0.98, 95 % CI = 0.40–2.38). Conclusion Within the limitations of this study, no difference was observed in caries incidence, progression, and risk on sound occlusal sites in comparison with sites presenting inactive enamel lesions. 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E. A.</au><au>Carvalho, J. C.</au><au>Wagner, M. B.</au><au>Alves, L. S.</au><au>de Oliveira, R. S.</au><au>Rocha, R. O.</au><au>Maltz, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>One-year evaluation of inactive occlusal enamel lesions in children and adolescents</atitle><jtitle>Clinical oral investigations</jtitle><stitle>Clin Oral Invest</stitle><addtitle>Clin Oral Investig</addtitle><date>2016-01-01</date><risdate>2016</risdate><volume>20</volume><issue>1</issue><spage>133</spage><epage>139</epage><pages>133-139</pages><issn>1432-6981</issn><eissn>1436-3771</eissn><abstract>Objectives The aims of this study were to compare caries incidence and progression on sound occlusal surfaces and on surfaces presenting inactive enamel lesions in children and adolescents over 1 year and to estimate the risk of caries incidence and progression on these surfaces. Methods This prospective cohort study followed 200 7-15-year-old caries-inactive schoolchildren over 1 year. Stage of eruption, occlusal plaque, and occlusal caries were recorded on permanent molars. Statistical analysis was performed using generalized estimating equations with a logistic link function. Results Twenty-two children (11 %) presented “caries progression” (at least one active lesion on molar teeth). At site level, no difference was observed in caries incidence and progression between sites classified either sound (2.6 %) or with inactive enamel lesion (3.9 %) at the baseline examination ( χ 2 test, p  = 0.48). Adjusted for plaque, stage of eruption, type of molar and dental arch, inactive enamel lesions presented a similar risk for caries progression than sound occlusal surfaces (OR = 0.98, 95 % CI = 0.40–2.38). Conclusion Within the limitations of this study, no difference was observed in caries incidence, progression, and risk on sound occlusal sites in comparison with sites presenting inactive enamel lesions. Clinical relevance Occlusal surfaces harboring inactive caries lesions did not require additional attention than the one normally given to sound occlusal surfaces over a 1-year period.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25976838</pmid><doi>10.1007/s00784-015-1490-8</doi><tpages>7</tpages></addata></record>
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subjects Adolescent
Brazil - epidemiology
Child
Dental Caries - epidemiology
Dental Caries - pathology
Dental Enamel - pathology
Dental Plaque Index
Dentistry
Disease Progression
DMF Index
Female
Humans
Incidence
Male
Medicine
Molar
Original Article
Prospective Studies
Risk Factors
title One-year evaluation of inactive occlusal enamel lesions in children and adolescents
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