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Effectiveness of non-operative approaches in active enamel carious lesions: a retrospective longitudinal study.
Arduim, Andressa da Silva; Gonçalves, Debora Plotnik; Scherer, Maitê Munhoz; Araújo, Fernando Borba de; Lenzi, Tathiane Larissa; Casagrande, Luciano.
Afiliação
  • Arduim ADS; Universidade Federal do Rio Grande do Sul - UFRS, Dental Graduate Program, Porto Alegre, RS, Brazil.
  • Gonçalves DP; Universidade Federal do Rio Grande do Sul - UFRS, Dental Graduate Program, Porto Alegre, RS, Brazil.
  • Scherer MM; Universidade Federal do Rio Grande do Sul - UFRS, Dental Graduate Program, Porto Alegre, RS, Brazil.
  • Araújo FB; Universidade Federal do Rio Grande do Sul - UFRS, School of Dentistry, Post-Graduate Program in Pediatric Dentistry, Porto Alegre, RS, Brazil.
  • Lenzi TL; Universidade Federal do Rio Grande do Sul - UFRS, School of Dentistry, Post-Graduate Program in Pediatric Dentistry, Porto Alegre, RS, Brazil.
  • Casagrande L; Universidade Federal do Rio Grande do Sul - UFRS, School of Dentistry, Post-Graduate Program in Pediatric Dentistry, Porto Alegre, RS, Brazil.
Braz Oral Res ; 37: e057, 2023.
Article em En | MEDLINE | ID: mdl-37255077
The aim of the study was to investigate the effectiveness of non-invasive and micro-invasive treatments in active enamel carious lesions in high-caries-risk children. Clinical records of children treated in a dental school setting were retrospectively screened for active enamel carious lesions treated non-invasively (topical fluoride applications, oral hygiene instruction, or dietary guidance) or micro-invasively (sealant). The control of active carious lesions was set as the main outcome established by the combination of inactivation and non-progression of the lesions based on Nyvad and ICDAS criteria, respectively. Individual and clinical factors associated with the outcome were analyzed by Poisson regression. The sample consisted of 105 high-caries-risk children with a mean age of 8.3 (± 2.4) years. From a total of 365 active enamel carious lesions, most lesions (84.1%) were active non-cavitated carious lesions (ICDAS scores 1 and 2) and only 15.9% presented localized enamel breakdown (ICDAS score 3). Of these, 72.6% were inactivated and 92.1% did not progress (mean time of 6.5 ± 4.1 months). The prevalence of controlled carious lesions was higher among children older than 6 years (PR:1.43; 95%CI:1.00-2.03; p = 0.04) and in those with better biofilm control (PR:0.99; 95%CI: 0.98-0.99; p = 0.03). Non-operative approaches are effective for controlling active enamel carious lesions. The majority of active enamel carious lesions became inactive and did not progress after treatment. Caries control was associated with older children and better biofilm control.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cárie Dentária Tipo de estudo: Guideline / Observational_studies / Risk_factors_studies Limite: Adolescent / Child / Humans Idioma: En Revista: Braz Oral Res Assunto da revista: ODONTOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
PubMed Links
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Cárie Dentária Tipo de estudo: Guideline / Observational_studies / Risk_factors_studies Limite: Adolescent / Child / Humans Idioma: En Revista: Braz Oral Res Assunto da revista: ODONTOLOGIA Ano de publicação: 2023 Tipo de documento: Article País de afiliação: Brasil País de publicação: Brasil