Caries progression and need for reintervention on occlusal ICDAS 4 lesions after different treatments: a retrospective university-based study

Detalhes bibliográficos
Autor(a) principal: Lunkes, Nadini
Data de Publicação: 2022
Outros Autores: Scherer, Maitê, Arduim, Andressa, Angst, Patricia, Casagrande, Luciano, Rodrigues, Jonas, Lenzi, Tathiane
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Dental Science
Texto Completo: https://ojs.ict.unesp.br/index.php/cob/article/view/3125
Resumo: Objective: To assess the caries progression and the need for reintervention on occlusal ICDAS 4 lesions afterdifferent treatments. Material and Methods: The sample consisted of records of children treated in a public settingwho had at least an occlusal ICDAS 4 lesion in primary and/or permanent molars. The radiographic images ofICDAS 4 lesions at the first and last appointments were classified as absence of radiolucency, radiolucent imageat the enamel–dentin junction, at the outer half or inner of the dentin. The need for retreatment after differenttreatments (non-invasive - topical fluoride applications, oral hygiene instructions and dietary guidance, microinvasive- resin-based sealant, or invasive - restoration) was assessed by reviewing clinical and radiographicrecords. The need for retreatment was defined as any complication requiring mending (e.g., caries progression,total loss of sealant, or restoration failure). The Poisson regression model was used to investigate the associationbetween individual and tooth-related variables and the outcome. Results: Among the 111 lesions in 81 patients,most (73.0%) lesions were in primary molars. Most lesions (52.3%) did not exhibit radiolucency, whereas 29.7%had radiolucency at the outer half of the dentin. The mean follow-up was 18.8 ± 6.5 months. After follow-up,82.9% of the lesions did not require retreatment. The prevalence of ICDAS 4 lesions that did not need retreatmentwas higher among lesions with radiolucency at dentin (p=0.01). Conclusion: Most occlusal ICDAS 4 lesions didnot require reintervention, especially those exhibiting radiolucency in the outer half of the dentin.KEYWORDSDental caries; Clinical decision-making; Dental radiography.
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spelling Caries progression and need for reintervention on occlusal ICDAS 4 lesions after different treatments: a retrospective university-based studyObjective: To assess the caries progression and the need for reintervention on occlusal ICDAS 4 lesions afterdifferent treatments. Material and Methods: The sample consisted of records of children treated in a public settingwho had at least an occlusal ICDAS 4 lesion in primary and/or permanent molars. The radiographic images ofICDAS 4 lesions at the first and last appointments were classified as absence of radiolucency, radiolucent imageat the enamel–dentin junction, at the outer half or inner of the dentin. The need for retreatment after differenttreatments (non-invasive - topical fluoride applications, oral hygiene instructions and dietary guidance, microinvasive- resin-based sealant, or invasive - restoration) was assessed by reviewing clinical and radiographicrecords. The need for retreatment was defined as any complication requiring mending (e.g., caries progression,total loss of sealant, or restoration failure). The Poisson regression model was used to investigate the associationbetween individual and tooth-related variables and the outcome. Results: Among the 111 lesions in 81 patients,most (73.0%) lesions were in primary molars. Most lesions (52.3%) did not exhibit radiolucency, whereas 29.7%had radiolucency at the outer half of the dentin. The mean follow-up was 18.8 ± 6.5 months. After follow-up,82.9% of the lesions did not require retreatment. The prevalence of ICDAS 4 lesions that did not need retreatmentwas higher among lesions with radiolucency at dentin (p=0.01). Conclusion: Most occlusal ICDAS 4 lesions didnot require reintervention, especially those exhibiting radiolucency in the outer half of the dentin.KEYWORDSDental caries; Clinical decision-making; Dental radiography.Institute of Science and Technology of São José dos Campos2022-05-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://ojs.ict.unesp.br/index.php/cob/article/view/312510.4322/bds.2022.e3125Brazilian Dental Science; Vol. 25 No. 2 (2022): Apr - Jun / 2022 - Published Mar 2022Brazilian Dental Science; v. 25 n. 2 (2022): Apr - Jun / 2022 - Published Mar 20222178-6011reponame:Brazilian Dental Scienceinstname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)instacron:UNESPenghttps://ojs.ict.unesp.br/index.php/cob/article/view/3125/4516Copyright (c) 2022 Brazilian Dental Scienceinfo:eu-repo/semantics/openAccessLunkes, NadiniScherer, MaitêArduim, AndressaAngst, PatriciaCasagrande, LucianoRodrigues, JonasLenzi, Tathiane2022-03-31T17:53:34Zoai:ojs.pkp.sfu.ca:article/3125Revistahttp://bds.ict.unesp.br/PUBhttp://ojs.fosjc.unesp.br/index.php/index/oaisergio@fosjc.unesp.br||sergio@fosjc.unesp.br2178-60112178-6011opendoar:2022-11-08T16:30:42.843459Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)true
dc.title.none.fl_str_mv Caries progression and need for reintervention on occlusal ICDAS 4 lesions after different treatments: a retrospective university-based study
title Caries progression and need for reintervention on occlusal ICDAS 4 lesions after different treatments: a retrospective university-based study
spellingShingle Caries progression and need for reintervention on occlusal ICDAS 4 lesions after different treatments: a retrospective university-based study
Lunkes, Nadini
title_short Caries progression and need for reintervention on occlusal ICDAS 4 lesions after different treatments: a retrospective university-based study
title_full Caries progression and need for reintervention on occlusal ICDAS 4 lesions after different treatments: a retrospective university-based study
title_fullStr Caries progression and need for reintervention on occlusal ICDAS 4 lesions after different treatments: a retrospective university-based study
title_full_unstemmed Caries progression and need for reintervention on occlusal ICDAS 4 lesions after different treatments: a retrospective university-based study
title_sort Caries progression and need for reintervention on occlusal ICDAS 4 lesions after different treatments: a retrospective university-based study
author Lunkes, Nadini
author_facet Lunkes, Nadini
Scherer, Maitê
Arduim, Andressa
Angst, Patricia
Casagrande, Luciano
Rodrigues, Jonas
Lenzi, Tathiane
author_role author
author2 Scherer, Maitê
Arduim, Andressa
Angst, Patricia
Casagrande, Luciano
Rodrigues, Jonas
Lenzi, Tathiane
author2_role author
author
author
author
author
author
dc.contributor.author.fl_str_mv Lunkes, Nadini
Scherer, Maitê
Arduim, Andressa
Angst, Patricia
Casagrande, Luciano
Rodrigues, Jonas
Lenzi, Tathiane
description Objective: To assess the caries progression and the need for reintervention on occlusal ICDAS 4 lesions afterdifferent treatments. Material and Methods: The sample consisted of records of children treated in a public settingwho had at least an occlusal ICDAS 4 lesion in primary and/or permanent molars. The radiographic images ofICDAS 4 lesions at the first and last appointments were classified as absence of radiolucency, radiolucent imageat the enamel–dentin junction, at the outer half or inner of the dentin. The need for retreatment after differenttreatments (non-invasive - topical fluoride applications, oral hygiene instructions and dietary guidance, microinvasive- resin-based sealant, or invasive - restoration) was assessed by reviewing clinical and radiographicrecords. The need for retreatment was defined as any complication requiring mending (e.g., caries progression,total loss of sealant, or restoration failure). The Poisson regression model was used to investigate the associationbetween individual and tooth-related variables and the outcome. Results: Among the 111 lesions in 81 patients,most (73.0%) lesions were in primary molars. Most lesions (52.3%) did not exhibit radiolucency, whereas 29.7%had radiolucency at the outer half of the dentin. The mean follow-up was 18.8 ± 6.5 months. After follow-up,82.9% of the lesions did not require retreatment. The prevalence of ICDAS 4 lesions that did not need retreatmentwas higher among lesions with radiolucency at dentin (p=0.01). Conclusion: Most occlusal ICDAS 4 lesions didnot require reintervention, especially those exhibiting radiolucency in the outer half of the dentin.KEYWORDSDental caries; Clinical decision-making; Dental radiography.
publishDate 2022
dc.date.none.fl_str_mv 2022-05-06
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://ojs.ict.unesp.br/index.php/cob/article/view/3125
10.4322/bds.2022.e3125
url https://ojs.ict.unesp.br/index.php/cob/article/view/3125
identifier_str_mv 10.4322/bds.2022.e3125
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://ojs.ict.unesp.br/index.php/cob/article/view/3125/4516
dc.rights.driver.fl_str_mv Copyright (c) 2022 Brazilian Dental Science
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Copyright (c) 2022 Brazilian Dental Science
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Institute of Science and Technology of São José dos Campos
publisher.none.fl_str_mv Institute of Science and Technology of São José dos Campos
dc.source.none.fl_str_mv Brazilian Dental Science; Vol. 25 No. 2 (2022): Apr - Jun / 2022 - Published Mar 2022
Brazilian Dental Science; v. 25 n. 2 (2022): Apr - Jun / 2022 - Published Mar 2022
2178-6011
reponame:Brazilian Dental Science
instname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)
instacron:UNESP
instname_str Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)
instacron_str UNESP
institution UNESP
reponame_str Brazilian Dental Science
collection Brazilian Dental Science
repository.name.fl_str_mv Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)
repository.mail.fl_str_mv sergio@fosjc.unesp.br||sergio@fosjc.unesp.br
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