Caries progression and need for reintervention on occlusal ICDAS 4 lesions after different treatments: a retrospective university-based study
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
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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oai:ojs.pkp.sfu.ca:article/3125 |
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UNESP-20 |
network_name_str |
Brazilian Dental Science |
repository_id_str |
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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 |
_version_ |
1788346902365863936 |