Top

Clinical Oral Investigations

Published in:

01-02-2019 | Original Article

Long-term follow-up of inactive occlusal caries lesions: 4-5-year results

Authors: J. E. A. Zenkner, A. Dalla Nora, L. S. Alves, J. Carvalho, M. B. Wagner, M. Maltz

Published in: Clinical Oral Investigations | Issue 2/2019

Abstract

Objective

To assess the clinical behavior of inactive caries lesion on the occlusal sites of permanent molars over 4–5 years and to estimate the risk for progression of caries-inactive sites compared with sound ones.

Methods

Clinical examinations were conducted at baseline (n = 258) and after 4–5 years and included the recording of dental plaque and dental caries at the occlusal surfaces and the eruption stage of each permanent molar.

Results

One hudred ninety-three schoolchildren were followed (response rate of 74.8%), totalizing 1152 teeth. Of the children, 30.6% (n = 59) presented at least one molar containing an active lesion, filling, or that had been extracted; according to the activity criterion, inactive lesions presented around a twofold increased risk for caries progression than sound surfaces (OR = 2.34 95%CI = 1.51–3.62). Thirteen percent (n = 25) of the children presented at least one molar progressing to dentine cavity, filling, or extraction; according to the severity criterion, inactive caries lesions presented a significantly higher risk for progression when compared with sound surfaces (OR = 2.69, 95% CI = 1.50–4.83).

Conclusion

The vast majority of lesions (85–90%) identified as inactive enamel caries at baseline did not progress over 4–5 years. Despite this fact, it was possible to detect an increased risk for caries progression in caries-inactive occlusal sites compared with the sound ones.

Clinical relevance

Considering the low progression rates, inactive caries lesions do not need a specific caries-controlling treatment and should be monitored longitudinally in the same manner as sound surfaces.

Amarante E, Raadal M, Espelid I (2008) Impact of diagnostic criteria on the prevalence of dental caries in Norwegian children aged 5, 12 and 18 years. Community Dent Oral Epidemiol 26:87–94. https://doi.org/10.1111/j.1600-0528.1998.tb01933.x.CrossRef

Ismail AI (1997) Clinical diagnosis of precavitated carious lesions. Community Dent Oral Epidemiol 25:13–23. https://doi.org/10.1111/j.1600-0528.1997.tb00895.xCrossRefPubMed

Carvalho JC, Thylstrup A, Ekstrand KR (1992) Results after 3 years of non-operative occlusal caries treatment of erupting permanent first molars. Community Dent Oral Epidemiol 20(4):187–192CrossRef

Nyvad B, Machiulskiene V, Baelum V (2003) Construct and predictive validity of clinical caries diagnostic criteria assessing lesion activity. J Dent Res 82:117–122. https://doi.org/10.1177/154405910308200208CrossRefPubMed

Maltz M, Barbachan e Silva B, Carvalho DQ, Volkweis A (2003) Results after two years of non-operative treatment of occlusal surface in children with high caries prevalence. Braz Dent J 14(1):48–54CrossRef

Ekstrand KR, Martignon S, Ricketts DJ, Qvist V (2007) Detection and activity assessment of primary coronal caries lesions: a methodologic study. Oper Dent 32:225–235. https://doi.org/10.2341/06-63CrossRefPubMed

Guedes RS, Piovesan C, Ardenghi TM, Emmanuelli B, Braga MM, Ekstrand KR, Mendes FM (2014) Validation of visual caries activity assessment: a 2-yr cohort study. J Dent Res 93:101S–107S. https://doi.org/10.1177/0022034514531017CrossRefPubMedPubMedCentral

Corrigendum (2015) Corrigendum. J Dent Res 94(12):1784. https://doi.org/10.1177/0022034515607203CrossRef

Iijima Y, Takagi O (2000) In situ acid resistance of in vivo formed white spot lesions. Caries Res 34:388–394. https://doi.org/10.1159/000016613CrossRefPubMed

10.

Koulourides T, Cameron B (1980) Enamel remineralization as a factor in the pathogenesis of dental caries. J Oral Pathol 9(5):255–269. https://doi.org/10.1111/j.1600-0714.1980.tb00383.xCrossRefPubMed

11.

Maltz M, Scherer SC, Parolo CC, Jardim JJ (2006) Acid susceptibility of arrested enamel lesions: in situ study. Caries Res 40:251–255. https://doi.org/10.1159/000092234CrossRefPubMed

12.

Ferreira Zandoná A, Santiago E, Eckert GJ, Katz BP, Pereira de Oliveira S, Capin OR, Mau M, Zero DT (2012) The natural history of dental caries lesions: a 4-year observational study. J Dent Res 91:841–846. https://doi.org/10.1177/0022034512455030CrossRefPubMedPubMedCentral

13.

Zenkner JE, Carvalho JC, Wagner MB, Alves LS, de Oliveira RS, Rocha RO, Maltz M (2016) One-year evaluation of inactive occlusal enamel lesions in children and adolescents. Clin Oral Investig 20(1):133–139. https://doi.org/10.1007/s00784-015-1490-8CrossRefPubMed

14.

Piovesan C, Mendes FM, Antunes JL, Ardenghi TM (2011) Inequalities in the distribution of dental caries among 12-year-old Brazilian schoolchildren. Braz Oral Res 25:69–75. https://doi.org/10.1590/S1806-83242011000100012CrossRefPubMed

15.

Carvalho JC, Ekstrand KR, Thylstrup A (1989) Dental plaque and caries on occlusal surfaces of first permanent molars in relation to stage of eruption. J Dent Res 68:773–779. https://doi.org/10.1177/00220345890680050401CrossRefPubMed

16.

Cook RJ, Sackett DL (1995) The number needed to treat: a clinically useful measure of treatment effect. BMJ 310:452–454. https://doi.org/10.1136/bmj.310.6977.452CrossRefPubMedPubMedCentral

17.

Piovesan C, Ardenghi TM, Guedes RS, Ekstrand KR, Braga MM, Mendes FM (2012) Activity assessment has little impact on caries parameters reduction in epidemiological surveys with preschool children. Community Dent Oral Epidemiol 41:204–211. https://doi.org/10.1111/cdoe.12004CrossRefPubMed

18.

Zenkner JA, Alves LS, de Oliveira RS, Bica RH, Wagner MB, Maltz M (2013) Influence of eruption stage and biofilm accumulation on occlusal caries in permanent molars: a generalized estimating equations logistic approach. Caries Res 47:177–182. https://doi.org/10.1159/000345076CrossRefPubMed

19.

Carvalho JC, Mestrinho HD, Oliveira LS, Varjão MM, Aimée N, Qvist V (2017) Validation of the visible occlusal plaque index (VOPI) in estimating caries lesion activity. J Dent 64:37–44. https://doi.org/10.1016/j.jdent.2017.06.003CrossRefPubMed

Title: Long-term follow-up of inactive occlusal caries lesions: 4-5-year results
Authors: J. E. A. Zenkner
A. Dalla Nora
L. S. Alves
J. Carvalho
M. B. Wagner
M. Maltz
Publication date: 01-02-2019
Publisher: Springer Berlin Heidelberg
Published in: Clinical Oral Investigations / Issue 2/2019
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI: https://doi.org/10.1007/s00784-018-2498-7

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Long-term follow-up of inactive occlusal caries lesions: 4-5-year results

Abstract

Objective

Methods

Results

Conclusion

Clinical relevance

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Objective

Methods

Results

Conclusion

Clinical relevance

Please log in to get access to this content

Other articles of this Issue 2/2019

Evaluation of risk factors for oral infection with potential for spread in a 1-year cohort study

The relationship between masticatory ability, age, and dental and prosthodontic status in an institutionalized elderly dentate population in Qingdao, China

Influence of 2D vs 3D imaging and professional experience on dental implant treatment planning

Micro-CT evaluation of different final irrigation protocols on the removal of hard-tissue debris from isthmus-containing mesial root of mandibular molars

The ratios of pro-inflammatory to anti-inflammatory cytokines in the serum of chronic periodontitis patients with and without type 2 diabetes and/or smoking habit

Breakdown of demarcated opacities related to molar-incisor hypomineralization: a longitudinal study