Risk of initial and moderate caries lesions in primary teeth to progress to dentine cavitation: a 2-year cohort study

Autor(es)

Guedes, Renata S. ^{[1, 2]} ; Piovesan, Chaiana ^{[1, 2]} ; Floriano, Isabela ^[1] ; Emmanuelli, Bruno ^[3] ; Braga, Mariana M. ^[1] ; Ekstrand, Kim R. ^[4] ; Ardenghi, Thiago M. ^[3] ; Mendes, Fausto M. ^[1]

Afiliação do(s) autor(es)

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

^[2] Ctr Univ Franciscano, Sch Dent, Santa Maria, RS - Brazil

^[3] Univ Fed Santa Maria, Dept Stomatol, BR-97119900 Santa Maria, RS - Brazil

^[4] Sch Dent, Fac Hlth Sci, Dept Cariol & Endodont & Clin Genet, Copenhagen - Denmark

• Tipo de documento: Artigo Científico
• Fonte: International Journal of Paediatric Dentistry; v. 26, n. 2, p. 116-124, MAR 2016.
• Citações Web of Science: 6

Resumo

AimTo investigate the risk of sound surfaces, and initial and moderate caries lesions to progress to dentine cavitation in preschool children. DesignA cohort study was designed with 639 children (12-59months old) who had been examined by visual inspection during a survey in 2010. After 2years, 469 children were re-examined regarding the presence of dentine cavitations. The probability of progression was calculated for sound and carious (initial and moderate lesions) surfaces. Relative risk of progression and 95% confidence intervals for each condition compared with sound surfaces were calculated using multilevel Poisson regression analysis. Association with explanatory variables, including caries experience of the children, was also investigated. ResultsThe higher the initial score attributed to the dental surface, the more likely was the progression. Moreover, children with severe lesions at baseline had higher risk of having a sound surface or a non-cavitated caries lesion progressing to cavitation when compared with caries-free children; however, this increased risk was not observed in children with only initial caries lesions. ConclusionsInitial caries lesions present a low frequency of progression. Moreover, sound surfaces and initial caries lesions in children already presenting cavitations are more likely to progress to more severe conditions. (AU)

• Processo FAPESP: 11/17068-1 - Avaliação de fatores de risco de cárie relacionados à capital social e religiosidade e alterações no impacto da doença na qualidade de vida de crianças
• Beneficiário: Renata Saraiva Guedes
• Modalidade de apoio: Bolsas no Brasil - Doutorado