Greater caries‐free survival of first permanent molars: Findings from a 7‐year follow‐up evaluation of a community‐based oral health preventive program

2020 ◽  
Vol 30 (4) ◽  
pp. 497-504
Author(s):  
Alfonso Escobar‐Rojas ◽  
Diego Fernando Rojas‐Gualdrón ◽  
Cecilia María Martínez ◽  
Lourdes Santos‐Pinto ◽  
Manuel Restrepo
Keyword(s):  
Oral Health ◽  
Community Based ◽  
Preventive Program ◽  
Free Survival ◽  
Permanent Molars ◽  
First Permanent Molars

scholarly journals Results after two years of non-operative treatment of occlusal surface in children with high caries prevalence

2003 ◽  
Vol 14 (1) ◽  
pp. 48-54 ◽  
Author(s):  
Marisa Maltz ◽  
Berenice Barbachan e Silva ◽  
Danusa Queiroz de Carvalho ◽  
Alexandre Volkweis
Keyword(s):  
Test Group ◽  
Basic Program ◽  
Control Group ◽  
Caries Prevalence ◽  
Occlusal Caries ◽  
Preventive Program ◽  
Permanent Molars ◽  
Recall System ◽  
Individual Disease ◽  
First Permanent Molars

The aim of this study was to describe the 2-year results of an individualized treatment program designed to control occlusal caries in erupting first permanent molars. The sample consisted of 145 five-to-six-year-old students divided into a control group (n=71) and a test group (n=74). All test children received a biannual basic preventive program and a recall system according to individual disease activity. The basic program consisted of 3 (March) and 2 (August) sessions of oral hygiene orientation and toothbrushing with fluoride gel. The analysis of the baseline and 1-2-year data showed a significant reduction in the number of active lesions in the test group. In the control group, there were initially 70 active lesions and after two years 68 surfaces remained with disease and 24 surfaces had been filled. The children in the test group had 80 surfaces with active lesions initially and after two years only 3 surfaces with disease remained. From the 15 cavitated lesions, only 5 surfaces needed to be filled. This program showed that care of erupting teeth on an individualized basis can control occlusal caries.

scholarly journals A Four-Year Follow-Up Case Report of Hypomineralized Primary Second Molars Rehabilitated with Stainless Steel Crowns

Children ◽  
2021 ◽  
Vol 8 (10) ◽  
pp. 923
Author(s):  
Luísa Bandeira Lopes ◽  
Vanessa Machado ◽  
João Botelho
Keyword(s):  
Stainless Steel ◽  
Case Report ◽  
General Anesthesia ◽  
Treatment Approach ◽  
Primary Molars ◽  
Second Primary ◽  
Correct Treatment ◽  
Permanent Molars ◽  
First Permanent Molars

Hypomineralized primary second molars (HPSM) are characterized by enamel opacities accompanied by hypersensitivity and atypical caries lesion, on one to four primary second molars. The correct treatment and follow-ups of those teeth have an important impact on a correct eruption of the first permanent molars and future occlusion. Hence, this report aims to describes a case of a severe HPSM in all second molars of a four-year-old girl and subsequent four-year follow-ups. The rehabilitation involved the placement of four stainless steel crowns on all four second primary molars under general anesthesia. Concerning the available literature and the case severity of HPSM, the treatment approach proposed for the case provided good functional outcome.

scholarly journals Fissure Depth and Caries Incidence in First Permanent Molars: A Five-Year Follow-Up Study in Schoolchildren

2019 ◽  
Vol 16 (19) ◽  
pp. 3550 ◽  
Author(s):  
Leonor Sánchez-Pérez ◽  
María Esther Irigoyen-Camacho ◽  
Nelly Molina-Frechero ◽  
Marco Zepeda-Zepeda
Keyword(s):  
Dental Caries ◽  
Estimating Equation ◽  
Equation Model ◽  
Generalized Estimating Equation ◽  
Tooth Morphology ◽  
Follow Up Study ◽  
Permanent Molars ◽  
First Permanent Molars ◽  
Generalized Estimating

This study aimed to evaluate the association between the fissure depth (tooth morphology) of permanent molars and dental caries incidence with a five-year follow-up period. In total, 110 Mexican schoolchildren aged seven years were recruited at baseline, of which 88 children completed the follow-up assessments. The fissure depths of the first permanent lower molars were recorded, and dental caries [decayed, missing, and filled deciduous surfaces (dmfs) and decayed, missing, and filled permanent surfaces (DMFS)] was evaluated annually. A generalized estimating equation model was constructed for evaluating the association between dental caries and fissure depth. The initial and final DMFS scores were 0.02 (±0.2) and 1.55 (±2.49), respectively. The generalized estimating equation model showed that children with deep molar fissures were more likely to develop caries lesions, (Odds Ratio OR = 3.15, p = 0.028) compared to children with shallow fissures. Moreover, dental caries in primary teeth (OR = 1.07, p = 0.005) was associated with the development of carious lesions in the permanent dentition. Fissure depth was a useful predictor of dental caries, according to this five-year follow-up study. The detection of deep occlusal fissures in the lower first permanent molars could contribute to the identification of children at high risk of dental caries. Tooth morphology may be used to identify children at a higher caries risk, particularly in settings with limited resources.

scholarly journals Retrospective Study on the Survival Rate of Preformed Metal Crowns in Permanent First Molars

2020 ◽  
Vol 47 (2) ◽  
pp. 140-147
Author(s):  
Nayoung Oh ◽  
Soonhyeun Nam ◽  
Jaesik Lee ◽  
Hyunjung Kim
Keyword(s):  
Survival Rate ◽  
Cox Regression ◽  
Regression Analyses ◽  
Preformed Metal Crowns ◽  
Long Term Follow Up ◽  
Permanent Molars ◽  
Restoration Failure ◽  
First Permanent Molars

This study analyzed the longevity of preformed metal crowns (PMCs) in first permanent molars and evaluated factors influencing their survival during a long-term follow-up period. In all, 115 first permanent molars treated with PMCs between June 2008 and June 2018 were retrospectively analyzed. The overall combined success rate for the study group was 84.3%. The 5-year survival rate was 82.8%. Multivariate Cox regression analyses identified distal cavities and mandibular PMC placement as risk factors for restoration failure. Careful placement of PMCs at the final try-in stage augments the longevity of the crown.

scholarly journals Caries prevalence of the first permanent molars in 6–8 years old children

PLoS ONE ◽  
2021 ◽  
Vol 16 (1) ◽  
pp. e0245345
Author(s):  
Fudong Zhu ◽  
Yao Chen ◽  
Yunxian Yu ◽  
Yanyi Xie ◽  
Haihua Zhu ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Oral Health ◽  
Dental Caries ◽  
Zhejiang Province ◽  
Multiple Logistic Regression ◽  
Caries Prevalence ◽  
Caries Risk ◽  
Factors Affecting ◽  
Permanent Molars ◽  
First Permanent Molars

Dental caries is one of the most common infectious diseases affecting 6–8-year-old children, especially their first permanent molars (FPMs). This study explored the prevalence of dental caries on FPMs by analyzing the oral health status of 1,423,720 children aged 6–8 years in Zhejiang Province, China. The data were extracted from the dental electronic records of the schoolchildren attending the Oral Health Promotion Project (OHPP), conducted during 2013–2017 in Zhejiang Province. Multiple logistic regression models were used to determine the factors affecting dental caries. Boys and girls accounted for 53.2% and 46.8% of the subjects, respectively. From 2013 to 2017, the prevalence of dental caries on FPMs increased: 2013: 20.4%; 2014: 25.3%; 2015: 24.5%; 2016: 27.0%; and 2017: 29.0%, despite the OHPP conducted. Based on multiple logistic regression model, girls had a significantly higher risk of FPM caries compared to boys (OR = 1.38, 95% CI: 1.37–1.39, p < 0.0001); compared with the caries rates in urban areas, the caries risk was significantly higher in rural areas (OR = 1.15, 95% CI: 1.14–1.16, p < 0.0001). In terms of geographic location in Zhejiang Province, the odds ratios of the caries risk of the east, south, west, and north were 1.35 (1.33–1.36), 1.3 (1.28–1.31), 0.81 (0.8–0.83), and 0.82 (0.81–0.84), respectively (p < 0.0001), by considering the central region as a reference. The caries prevalence of FPMs was high, with an increasing tendency and gender, social, cultural, and environmental factors affecting the caries prevalence.

scholarly journals Effect of Bite Opening on the Correction of Dental Anterior Cross Bite – A Novel Approach

2021 ◽  
Vol 30 (02) ◽  
pp. 107-112
Author(s):  
Abul Khair Zalan ◽  
◽  
Anser Maxood ◽  
Mohammad Haroon Dalili ◽  
Hira Zaman ◽  
...  
Keyword(s):  
Glass Ionomer Cement ◽  
Open Bite ◽  
Glass Ionomer ◽  
Anterior Open Bite ◽  
Exact Test ◽  
Novel Approach ◽  
Permanent Molars ◽  
First Permanent Molars ◽  
Ionomer Cement

OBJECTIVES: To correct dental origin anterior crossbite by placement of Glass Ionomer cement occlusal stops on mandibular first permanent molars for maximum of two weeks. METHODOLOGY: 16 patients (age: 7-11 years) with dental anterior crossbite were treated by placement of Glass Ionomer cement occlusal stops on mandibular first permanent molars for maximum of 2 weeks to create 1mm anterior open bite. The patients were then recalled after 1 month, 3 months and 6 months for follow up visits. Fisher’s exact test applied using SPSS version # 25. RESULTS: 13 out of 16 patients were treated successfully within two weeks of placement of occlusal stops. Follow-up at six months showed no relapse in any of the corrected cases. CONCLUSION: Placement of glass ionomer cement occlusal stops for two weeks on mandibular first permanent molars is an easy approach to correct dental anterior crossbite. KEYWORDS: Crossbite, Malocclusion, Glass ionomer cement, Corrective orthodontics

scholarly journals FISSURE CARIES: DIAGNOSTIC ASPECTS OF CURATION IN THE SCHOOL DENTAL OFFICE

2020 ◽  
Vol 15 (4) ◽  
pp. 149-154
Author(s):  
Leysan Muratova ◽  
Oskar Ismagilov ◽  
Elena Statseva ◽  
Aydar Ablyazov
Keyword(s):  
Comparison Group ◽  
Physical Barrier ◽  
Clinical Method ◽  
Non Invasive ◽  
Dental Office ◽  
Permanent Molars ◽  
Fissure Sealing ◽  
Masticatory Surface ◽  
First Permanent Molars

Subject. The problem of fissure caries remains one of the key in modern cariesology. For individual prevention, the most effective is the method of sealing fissures and fossae of the surface of the teeth. By sealing (sealing) fissures, the creation of a physical barrier for cariogenic factors and microbial plaque, remineralization of hard tooth tissues is achieved. The goal is to evaluate the effectiveness of fissure sealing in 9-year-old children living in Kazan. Methodology. The study was conducted using the clinical method and statistical analysis of the data. In total, 137 children aged 9 years old, studying in the third grades of the gymnasium No. 102 of Kazan, took part in it. The main group included 82 schoolchildren who performed non-invasive fissure sealing (the first permanent molars) with UltraSeal XT plus sealant, the comparison group consisted of 55 students who did not have fissure sealing. Results. After 12 months, out of 165 teeth previously coated with sealant, sealant on 95 teeth was completely preserved (57.6 % of cases), sealant fell out or partially retained (tooth is intact) in 36.4 %, fissure caries at the place of sealant was detected in 6.1 % The effectiveness of fissure sealing, which consists in maintaining a healthy masticatory surface of hard tooth tissues, after 12 months of follow-up was 91.9 % with a reduction of caries of 76.7 %. A comparison of the data clearly showed that the condition of the first molars, which was used to seal the fissures, allows us to talk about the preservation of intact fissures in 88 % of cases, while 56 % of unsealed molars are prone to caries of fissures and only 44 % remain intact after a year. Conclusions. A clinical study confirms that sealing fissures is a reliable and reasonable method for the prevention of fissure caries.

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