Caries Research
Original Paper
Presence of Initial Caries Lesions as a Risk Factor for Caries in Preschool Children: A Cohort StudyGuedes R.S.a, b · Piovesan C.a · Ardenghi T.M.c · Emmanuelli B.c · Braga M.M.a · Mendes F.M.aaDepartment of Pediatric Dentistry, School of Dentistry, University of São Paulo, São Paulo, bSchool of Dentistry, Centro Universitário Franciscano, and cDepartament of Stomatology, Federal University of Santa Maria, Santa Maria, Brazil
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Article / Publication Details
Received: March 09, 2017
Accepted: July 26, 2017
Published online: December 13, 2017
Issue release date: February 2018
Number of Print Pages: 10
Number of Figures: 1
Number of Tables: 5
ISSN: 0008-6568 (Print)
eISSN: 1421-976X (Online)
For additional information: https://www.karger.com/CRE
Abstract
The aim of this study was to evaluate the influence of initial noncavitated caries lesions on cavitated caries increment in preschool children. A 2-year cohort study was designed to include the participants of a survey on dental caries performed in 2010. Preschool children (12-59 months old) were examined for dental caries and classified as children with no caries lesions, with only initial lesions, with at least 1 moderate caries lesion, and with extensive lesions. Socioeconomic data were also collected. After 2 years, 466 children were re-examined (follow-up rate of 72.9%) only for cavitated lesions. Association between caries incidence at 2 levels of severity and caries experience and other variables was evaluated using hierarchical Poisson regression analysis. The children with moderate and extensive caries lesions at baseline presented a higher risk of presenting both outcomes than the children with no caries lesions. Nevertheless, the children with only initial lesions had a higher risk of developing at least 1 new cavitated carious lesion, but not for a more severe increment in caries. Subgroup analysis stratified by the children's age showed that the influence of the presence of initial caries lesions on cavitated caries increment was only observed in children aged 12-35 months. In conclusion, although the presence of moderate and extensive lesions at baseline is a significant predictor for cavitated caries increment after 2 years in preschool children at all ages, the presence of only initial caries lesions is also associated, but with less severe caries incidence.
© 2017 S. Karger AG, Basel
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References
- Bhaskar V, McGraw KA, Divaris K: The importance of preventive dental visits from a young age: systematic review and current perspectives. Clin Cosmet Investig Dent 2014;6:21-27.
- Divaris K: Predicting dental caries outcomes in children: a “risky” concept. J Dent Res 2016;95:248-254.
- Guedes RS, Ardenghi TM, Piovesan C, Emmanuelli B, Mendes FM: Influence of initial caries lesions on quality of life in preschool children: a 2-year cohort study. Community Dent Oral Epidemiol 2016a;44:292-300.
- Guedes RS, Piovesan C, Ardenghi TM, Emmanuelli B, Braga MM, Ekstrand KR, Mendes FM: Validation of visual caries activity assessment: a 2-yr cohort study. J Dent Res 2014;93:101S-107S.
- Guedes RS, Piovesan C, Floriano I, Emmanuelli B, Braga MM, Ekstrand KR, Ardenghi TM, Mendes FM: Risk of initial and moderate caries lesions in primary teeth to progress to dentine cavitation: a 2-year cohort study. Int J Paediatr Dent 2016b;26:116-124.
- Gussy M, Ashbolt R, Carpenter L, Virgo-Milton M, Calache H, Dashper S, Leong P, de Silva A, de Livera A, Simpson J, Waters E: Natural history of dental caries in very young Australian children. Int J Paediatr Dent 2016;26:173-183.
- Ismail AI, Lim S, Tellez M: Tooth surface level caries progression in the primary dentition among preschool children. Caries Res 2015;49:442-448.
- Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, Pitts NB: The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol 2007;35:170-178.
- Kuhnisch J, Ekstrand KR, Pretty I, Twetman S, van Loveren C, Gizani S, Spyridonos Loizidou M: Best clinical practice guidance for management of early caries lesions in children and young adults: An EAPD policy document. Eur Arch Paediatr Dent 2016;17:3-12.
- Lee HJ, Kim JB, Jin BH, Paik DI, Bae KH: Risk factors for dental caries in childhood: a five-year survival analysis. Community Dent Oral Epidemiol 2015;43:163-171.
- Leong PM, Gussy MG, Barrow SY, de Silva-Sanigorski A, Waters E: A systematic review of risk factors during first year of life for early childhood caries. Int J Paediatr Dent 2013;23:235-250.
- Mejare I, Axelsson S, Dahlen G, Espelid I, Norlund A, Tranaeus S, Twetman S: Caries risk assessment. A systematic review. Acta Odontol Scand 2014;72:81-91.
- Pienihakkinen K, Jokela J, Alanen P: Assessment of caries risk in preschool children. Caries Res 2004;38:156-162.
- Piovesan C, Ardenghi TM, Guedes RS, Ekstrand KR, Braga MM, Mendes FM: Activity assessment has little impact on caries parameters reduction in epidemiological surveys with preschool children. Community Dent Oral Epidemiol 2013;41:204-211.
- Pitts NB, Richards D: Personalized treatment planning. Monogr Oral Sci 2009;21:128-143.
- Senneby A, Mejare I, Sahlin NE, Svensater G, Rohlin M: Diagnostic accuracy of different caries risk assessment methods. A systematic review. J Dent 2015;43:1385-1393.
- Twetman S, Fontana M, Featherstone JD: Risk assessment - can we achieve consensus? Community Dent Oral Epidemiol 2013;41:e64-e70.
- Victora CG, Huttly SR, Fuchs SC, Olinto MT: The role of conceptual frameworks in epidemiological analysis: a hierarchical approach. Int J Epidemiol 1997;26:224-227.
- Warren JJ, Blanchette D, Dawson DV, Marshall TA, Phipps KR, Starr D, Drake DR: Factors associated with dental caries in a group of American Indian children at age 36 months. Community Dent Oral Epidemiol 2016;44:154-161.
- Young DA, Featherstone JD, Roth JR, Anderson M, Autio-Gold J, Christensen GJ, Fontana M, Kutsch VK, Peters MC, Simonsen RJ, Wolff MS: Caries management by risk assessment: implementation guidelines. J Calif Dent Assoc 2007;35:799-805.
- Zhang Q, van Palenstein Helderman WH: Caries experience variables as indicators in caries risk assessment in 6-7-year-old Chinese children. J Dent 2006;34:676-681.
Article / Publication Details
Received: March 09, 2017
Accepted: July 26, 2017
Published online: December 13, 2017
Issue release date: February 2018
Number of Print Pages: 10
Number of Figures: 1
Number of Tables: 5
ISSN: 0008-6568 (Print)
eISSN: 1421-976X (Online)
For additional information: https://www.karger.com/CRE
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