Effectiveness of a preventive program based on caries risk assessment and recall intervals on the incidence and regression of initial caries lesions in children

Autor(es)

Abanto, Jenny ^[1] ; Celiberti, Paula ^[2] ; Braga, Mariana Minatel ^[1] ; Vidigal, Evelyn Alvarez ^[1] ; Cordeschi, Thais ^[1] ; Haddad, Ana Estela ^[1] ; Boenecker, Marcelo ^[1]

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Sch Dent, Dept Pediat Dent & Orthodont, Sao Paulo - Brazil

^[2] Methodist Univ Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: International Journal of Paediatric Dentistry; v. 25, n. 4, p. 291-299, JUL 2015.
• Citações Web of Science: 3

Resumo

BackgroundEvidence on caries risk assessment (CRA) and recall intervals are limited in terms of caries prevention. AimTo assess the effectiveness of a program on the incidence and regression of initial caries lesions. DesignA total of 296 children aged 1-12years old were assessed by calibrated examiners for Gingival Bleeding Index, Dental Plaque Index, dmf-t/DMF-T Index, initial caries lesions, and caries lesion activity. Children were classified as low, moderate, and high caries risk with different recall interval visits. Statistical analysis included Cox regression and Kaplan-Meier curves. ResultsThe mean (SD) time of total follow-up for the sample was 11.5(5.5). Higher dmft index at baseline showed a higher risk of new initial lesions (HR=1.93; P<0.0001). Higher number of active initial lesions, at baseline and during follow-up visits, is a higher risk predictor for new initial lesions (HR=9.49; P<0.0001), as well as for no arrestment of active lesions during follow-up (HR=1.32; P<0.0001). Each follow-up visit attended presented a 77% lower risk of initial lesions. The majority (94.8%) of patients did not show new initial lesions. ConclusionsThe Program is effective on reducing the incidence and promoting regression of initial caries lesions in children. (AU)

• Processo FAPESP: 13/10330-8 - Tratamento conservador versus não-conservador da cárie dentária severa em pré-escolares e o seu impacto na qualidade de vida relacionada à saúde bucal, medidas antropométricas, perda de espaço e ansiedade: ensaio clínico randomizado
• Beneficiário: Jenny Haydee Abanto Alvarez
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado