Do progression rates of initial and moderate caries lesions and sound surfaces of primary teeth increase significantly after 7 years?
Int J Paediatr Dent
; 2024 May 13.
Article
em En
| MEDLINE
| ID: mdl-38741210
ABSTRACT
BACKGROUND:
Initial caries lesions in primary teeth have presented a low progression rate after 2 years, but it could be higher in longer follow-ups.AIM:
To evaluate the progression rates of sound surfaces and initial and moderate caries lesions after 7 years.DESIGN:
This prospective 7-year cohort study included 639 preschool children aged 1-5 years in 2010. In 2017, 449 children were reassessed (70.3% retention rate). Dental caries was collected using the International Caries Detection and Assessment System (ICDAS) in both assessments. Incidence rate (IR) per 100 surface-years estimated the progression rates of sound surfaces and initial and moderate lesions for worse conditions. Cox regression with shared frailty evaluated the possible risk factors.RESULTS:
IR was 1.0% for sound surfaces, 2.8% and 4.2% for ICDAS scores 1 and 2, respectively, and about 17.0% for moderate lesions. The most significant risk factor for the progression was the presence of cavitated lesions in other teeth. The type of surface and tooth also influenced the outcome.CONCLUSION:
The progression rate of initial caries lesions in primary teeth remains low even after 7 years, but cavitated caries lesions in other teeth increase this risk. Moderate lesions demonstrate a higher risk of progression when compared to sound surfaces and initial caries lesions.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Int J Paediatr Dent
Assunto da revista:
ODONTOLOGIA
/
PEDIATRIA
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Brasil
País de publicação:
Reino Unido