The Impact of Early Childhood Factors on Dental Caries Incidence in First Permanent Molars: A 7-Year Follow-Up Study

2021 ◽  
pp. 1-7
Author(s):  
Bruno Emmanuelli ◽  
Jessica Klöckner Knorst ◽  
Gabriele Rissotto Menegazzo ◽  
Fausto Medeiros Mendes ◽  
Thiago Machado Ardenghi
Keyword(s):  
Dental Caries ◽  
Assessment System ◽  
Caries Detection ◽  
Individual Factors ◽  
Community Centers ◽  
Cultural Community ◽  
Permanent Molars ◽  
The Impact ◽  
First Permanent Molars

The development of dental caries in first permanent molars has been extensively investigated. However, studies are inconclusive in determining the influence of contextual and individual factors on dental caries incidence in this group of teeth. The aim of this study was to evaluate the influence of contextual and individual factors on dental caries incidence in first permanent molars. This 7-year cohort study was conducted with children (1–5 years of age) who had been assessed initially in a survey performed in 2010. Dental caries was assessed at the baseline through the International Caries Detection and Assessment System (ICDAS). Contextual and individual variables were collected at baseline and included the presence of cultural community centers in the neighborhood as well as demographic, socioeconomic, psychosocial, and biological characteristics. A multilevel Poisson regression model was used to investigate the influence of individual and contextual characteristics on dental caries incidence in first permanent molars (relative risk [RR] and 95% confidence interval [CI]). Of the 639 children examined at baseline, a total of 449 were reassessed after 7 years (70.3% retention rate). Children who lived in neighborhoods with cultural community centers had a lower risk of dental caries in first permanent molars at the follow-up (RR 0.78; 95% CI 0.62–0.99). Children from families with a low income (RR 1.34; 95% CI 1.03–1.76) and poor parental perception of children’s oral health (RR 1.56; 95% CI 1.18–2.06) were associated with a higher risk of dental caries in first molars. In conclusion, individual and contextual determinants showed an important role in the incidence of caries in first permanent molars.

scholarly journals The Correlation Analysis of Caries Status Between Primary Molars and First Permanent Molars

2020 ◽  
Author(s):  
Liang Xu ◽  
Yuee Liang ◽  
Leyi Chen ◽  
Xiaolin Lv ◽  
Haixia Liu ◽  
...  
Keyword(s):  
Dental Caries ◽  
Correlation Analysis ◽  
Assessment System ◽  
Caries Detection ◽  
Primary Molars ◽  
Risk Indicator ◽  
Chi Square ◽  
Chi Square Test ◽  
Permanent Molars ◽  
First Permanent Molars

Abstract Background: First permanent molars (FPMs) are the most critical teeth in the dental arc. Meanwhile they bear the highest risk for carious lesions. The aim of this study was to investigate the caries status of primary and permanent teeth among 8-9-year-old children in Guangzhou, and the correlation between the caries of primary molars and first permanent molars (FPMs).Methods: 119 samples of children aged 8-9 were included. The scoring and evaluation were processed in accordance with International Caries Detection and Assessment System (ICDAS). Statistical analysis was performed using SPSS 20.0 software package by means of Pearson Chi-square test and Kendall’s correlation.Results: Pearson Chi-Square test showed that the prevalence of dental caries of the first primary molars, second primary molars and primary molars had significant correlation with that of FPMs, while Kendall’s correlation analysis showed that they had weak positive correlation. What’s more, the Pearson chi-square test showed that there was no significant correlation between the degree of dental caries of different primary molars and FPMs.Conclusion: Caries in primary molars, especially the second molars, were considered to be a risk indicator for the development of permanent molars in the future. However, regardless of the degree of primary molars caries, the susceptibility of FPMs caries should be aware of. And pit and fissure sealants for them should be carried out as soon as possible.

scholarly journals The Correlation Analysis of Caries Status Between Primary Molars and First Permanent Molars

2020 ◽  
Author(s):  
Liang Xu ◽  
Yuee Liang ◽  
Leyi Chen ◽  
Xiaolin Lv ◽  
Haixia Liu ◽  
...  
Keyword(s):  
Dental Caries ◽  
Correlation Analysis ◽  
Assessment System ◽  
Caries Detection ◽  
Primary Molars ◽  
Risk Indicator ◽  
Chi Square ◽  
Chi Square Test ◽  
Permanent Molars ◽  
First Permanent Molars

Abstract Background First Permanent Molars (PFMs) are the most critical teeth in the dental arc. Meanwhile they bear the highest risk for carious lesions. The aim of this study is to investigate the caries status of primary and permanent teeth among 8-9-year-old children in Guangzhou, and the correlation between the caries of primary molars and first permanent molars(FPMs).Methods 119 samples of children aged 8-9 were included. The scoring and evaluation were processed in accordance with International Caries Detection and Assessment System (ICDAS). Statistical analysis was performed using SPSS 20.0 software package by means of Pearson Chi-square test and Kendall’s correlation.Results Pearson Chi-Square test showed that the prevalence of dental caries of the first primary molars, second primary molars and primary molars had significant correlation with that of FPMs while Kendall’s correlation analysis showed that they had weak positive correlation. What’s more, the Pearson chi-square test showed that there was no significant correlation between the degree of dental caries of different primary molars and PFM.Conclusion Caries in primary molars, especially the second molar, are considered to be a risk indicator for the development of permanent molars in the future. However, regardless of the degree of primary molars caries, the susceptibility of FPMs caries should be aware of. And pit and fissure sealants for them should be carried out as soon as possible.

Body Mass Index and Association With Caries in School-Aged Children With Orofacial Cleft: A Case-Control Study

2019 ◽  
Vol 57 (2) ◽  
pp. 169-176
Author(s):  
Anna Lena Sundell ◽  
Anna-Karin Nilsson ◽  
Agneta Marcusson ◽  
Carl-Johan Törnhage
Keyword(s):  
Body Mass Index ◽  
Dental Caries ◽  
Body Mass ◽  
Cleft Lip ◽  
Case Control ◽  
Assessment System ◽  
Caries Detection ◽  
Adopted Children ◽  
Cross Sectional ◽  
The Impact

Objective: Data on the association between body mass index (BMI) and dental caries in children with orofacial clefts are sparse. Therefore, studies on the impact of BMI on caries frequency in children with cleft lip and/or palate (CL/P) are of importance. The aim of the current study was to investigate the association between BMI and frequency of dental caries in children with and without CL/P. Height, weight, and BMI in children with CL/P were also compared to controls. Design: This study used a cross-sectional case-control design. Participants: One hundred and thirty-nine 5- and 10-year-old children with CL/P and 299 age-matched controls. Main Outcome Measures: Caries was recorded according to the International Caries Detection and Assessment System. Height and weight were recorded, and BMI was calculated as weight/height2. Results: There was no correlation between BMI and caries frequency. Weight, height, and BMI were significantly lower in all children with CL/P compared to controls. After adjustment for international adoption, only BMI was significantly lower in CL/P children compared to controls. Non-adopted children with CL/P were significantly heavier and longer than adopted children with CL/P. Conclusions: Five- and 10-year-old children with corrected CL/P seemed to have a lower BMI than controls, but there was no association between BMI and caries frequency. Internationally adopted children with CL/P were lighter and shorter than non-adopted CL/P children and controls.

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 Behavioral management using sequenced treatment paradigm and audiovisual distraction during dental treatment in children with attention deficit/hyperactivity disorder

2018 ◽  
Vol 12 (02) ◽  
pp. 262-268
Author(s):  
Kausar Sadia Fakhruddin ◽  
Hisham ElBatawi ◽  
Hatem M. El-Damanhoury
Keyword(s):  
Pulse Rate ◽  
Dental Treatment ◽  
Assessment System ◽  
Caries Detection ◽  
Behavioral Management ◽  
Blood Oxygen Saturation ◽  
Hyperactivity Disorder ◽  
Dental Procedures ◽  
Permanent Molars ◽  
First Permanent Molars

ABSTRACT Objective: The present study aimed to assess behavioral management using sequenced treatment approach and audiovisual distraction (AVD) with/without video eyewear during dental procedure in children with attention defi cit/hyperactivity disorder (ADHD). Materials and Methods: This clinical trial included 31 children (n = 21 boys; n = 10 girls), aged between 6.5 and 8.1 years, distributed into Group A (n = 17, children not on ADHD medication) and Group B (n = 14, children taking medication for ADHD symptoms). The study involved four sessions, 1 week apart. Sessions I and II included behavioral management assessment and dental screening, respectively, while participants watched cartoon movie using an AV distracter with/without a video eyewear. During Sessions III and IV, dental prophylaxis and sealants were placed on first permanent molars, respectively, for both upper and lower jaws in both the groups. During the procedure, children were distracted with AV distracter with/without a video eyewear, and the mean changes in blood oxygen saturation (SaO2) and pulse rate were recorded every 5 min. Independent samples t-test was used, assessing for significant changes in pulse rate and SaO2 during each visit in both groups. Results: Almost 95% (n = 113) of the first permanent molars showed signs of pit and fissure demineralization of varying severities, classifi ed as the International Caries Detection and Assessment System-codes 1–3. During Session IV, there were significant differences (P ≤ 0.03 and P ≤ 0.05) in mean pulse rate in both groups of children, respectively, during fissure sealants or preventive resin restoration application on their permanent molars while being distracted using AVD with video eyewear. Conclusion: Our study recommends splitting of dental visits into multiple short sessions and video eyewear distraction for optimum behavioral management during dental procedures of children with ADHD.

scholarly journals Prevalence and contributing factors of dental caries of 6-year-old children in four regions of China

PeerJ ◽  
2019 ◽  
Vol 7 ◽  
pp. e6997 ◽  
Author(s):  
Zhaoyou Wang ◽  
Wensheng Rong ◽  
Ying Zhang ◽  
Xiaojuan Zeng ◽  
Zhiqiang Li ◽  
...  
Keyword(s):  
Oral Health ◽  
Dental Caries ◽  
Assessment System ◽  
World Health ◽  
Caries Experience ◽  
Caries Prevalence ◽  
Contributing Factors ◽  
Permanent Molars ◽  
The Mean ◽  
First Permanent Molars

Background From 2005 to 2015, the prevalence of dental caries in both primary and permanent dentitions was significantly increased in China. Previous studies have shown that the prevalence of permanent dental caries in school-aged children had already reached 19.7%–54.0%, 97.5% affecting first permanent molars. This study aimed to investigate the prevalence and contributing factors of dental caries in 6-year-old children in four regions of China to provide information for oral health promotion programs. Methods A randomized cluster sampling method was employed in the study. All 6-year-old first grade children from the selected schools were invited to receive a clinical oral examination. Dental caries were diagnosed according to the World Health Organization criteria. The erupting first permanent molars were recorded using the modified International Caries Detection Assessment System. Questionnaires assessing children’s oral health-related behaviors and their caretakers’ oral health awareness and attitudes were completed by the children’s parents or guardians. Results Overall, 4,936 6-year-old school children participated in the survey. The prevalence of caries among these children was 87.7%, with a mean number of decayed, missing and filled teeth of 6.04 (SD, 4.24). In primary dentition, the caries prevalence was 87.7%, and the mean dmft score was 6.01 (SD, 4.22). In permanent dentition, the caries prevalence was 2.0%, the mean DFS score was 0.04 (SD, 0.31). All permanent dental caries occurred on the first permanent molars. Carious tooth surfaces were identified as modified ICDAS code “A” to indicate initial caries and distinct visual change in enamel. The mean DAS score of non-cavitated caries in the first permanent molars was 0.18 (SD, 0.67). Logistic regression analysis showed that regional and gender factors were significantly related to the caries experience of these children. Conclusions The 6-year-old children from four regions of China had sever primary dental caries and the first permanent molars were at high risk for dental caries. It is critical to protect permanent teeth from caries as early as the eruption of the first permanent molars.

scholarly journals IMPACT OF BARIATRIC SURGERY IN ANXIETY AND ORAL CONDITION OF OBESE INDIVIDUALS: A COHORT PROSPECTIVE STUDY

2021 ◽  
Vol 34 (3) ◽  
Author(s):  
Adriana Maria Fuzer Grael TINÓS ◽  
Gerson Aparecido FORATORI-JUNIOR ◽  
Wagner MARCENES ◽  
Felipe Borges CAMARGO ◽  
Francisco Carlos GROPPO ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Dental Caries ◽  
Assessment System ◽  
Caries Detection ◽  
Control Group ◽  
Obese Patients ◽  
Caries Lesion ◽  
Gingival Bleeding ◽  
Bariatric Patients ◽  
The Impact

ABSTRACT Background: Obesity and bariatric surgery may be related with mental and oral disorders. Aim: To evaluate the impact of bariatric surgery on anxiety, initial dental caries lesion and gingival bleeding in obese patients. Methods: Eighty-nine patients were divided in two groups: Control Group (CG) - obese patients and Experimental Group (EG) - patients submitted to bariatric surgery. EG was analyzed before and 12 months after bariatric surgery; for the CG, was respected an interval of 12 months between the evaluations. International Caries Detection and Assessment System, Gingival Bleeding Index and Trace-State Anxiety Inventory were used. Medical profile, anthropometrics data, sociodemographic and behavioral variables were considered. Results: There were no statistically significant differences between groups in evaluation times regarding to initial dental caries lesion and anxiety. However, the number of teeth with initial dental caries lesion (p=0.0033) and gingival bleeding (p<0.0001) increased significantly after bariatric surgery in EG. Conclusion: These results reinforce the need for multi-professional team follow-up, including dental care, for both obese and bariatric patients.

Dental caries and their treatment in first permanent molars

ORL ro ◽  
2017 ◽  
Vol 4 (37) ◽  
pp. 46
Author(s):  
Irina-Maria Gheorghiu ◽  
Loredana Mitran ◽  
Alexandru A Iliescu ◽  
Sânziana Scărlătescu ◽  
Paula Perlea ◽  
...  
Keyword(s):  
Dental Caries ◽  
Permanent Molars ◽  
First Permanent Molars

Detection of early occlusal caries of the first permanent molar using different techniques (An in vivo study)

2019 ◽  
Vol 31 (1) ◽  
pp. 1-8
Author(s):  
Samah F. Al-Qazzaz ◽  
Abeer M. Hassan
Keyword(s):  
Sensitivity And Specificity ◽  
Visual Inspection ◽  
Caries Detection ◽  
Occlusal Caries ◽  
Clinical Sensitivity ◽  
Permanent Molar ◽  
Permanent Molars ◽  
Early Caries ◽  
First Permanent Molars ◽  
Better Than

Background: Molars and premolars are considered as the most vulnerable teeth of caries attack, which is related to the morphology of their occlusal surfaces along with the difficulty of plaque removal. different methods were used for early caries detection that provide sensitive, accurate preoperative diagnosis of caries depths to establish adequate preventive measures and avoid premature tooth treatment by restoration. The aim of the present study was to evaluate the clinical sensitivity and specificity rates of DIAGNOdent and visual inspection as opposed to the ICDAS for the detection of initial occlusal caries in noncavitated first permanent molars. Materials and Methods: This study examined 139 occlusal surface of the first permanent molar pooled from fifty patients aged 8-9 years by three methods. The selected criteria include one occlusal site per tooth (first permanent molars) with carious lesions range from 0 to 3 according to ICDASII (gold standard) visual criteria then the clinical sensitivity and specificity of visual inspection according to Ekstrand et al.in 1997 and DIAGNOdent were performed. . Results: the highest correlation was found between the ICDASII and DIAGNOdent. The sensitivity of the DIAGNOdent for the enamel caries detection (D1) was better than that of visual inspection. The sensitivity and the specificity for the DIAGNOdent at D3 threshold were better than the D1 threshold and the visual inspection method. Conclusion: DIAGNOden pen can be used as a tool for early caries detection in cases of difficult diagnosis that provide good additional sensitivity to the visual inspection.

scholarly journals Dental caries among Finnish teenagers participating in physical activity and diet intervention: association with anthropometrics and behavioural factors

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Mirja Methuen ◽  
Sofia Kauppinen ◽  
Anna Liisa Suominen ◽  
Aino-Maija Eloranta ◽  
Juuso Väistö ◽  
...  
Keyword(s):  
Physical Activity ◽  
Dental Caries ◽  
Assessment System ◽  
Carbohydrate Intake ◽  
Caries Detection ◽  
Caries Experience ◽  
Food Record ◽  
Fat Percentage ◽  
Teenage Girls ◽  
Behavioural Factors

Abstract Background An association between childhood anthropometric measurements and dental caries is conflicting. The prevalence and severity of dental caries and its association with anthropometric and behavioural factors, were investigated among Finnish teenagers. Methods The study sample comprised 202 15–17-year-old participants in the Physical Activity and Nutrition in Children (PANIC) Study. Dental caries findings were recorded using International Caries Detection and Assessment System (ICDAS) criteria, including activity estimation; numbers of decayed teeth (DT) and decayed, missing and filled teeth (DMFT) were recorded. Body weight, height and waist circumference were measured and respective body mass index (BMI) was calculated. Body fat percentage was assessed by dual-energy X-ray absorptiometry. Health-related behaviours and consumption of food and drinks were assessed using questionnaires, and intake of nutrients using a 4-day food record. Results Mean DMFT for all the participants was 2.4 (SD = 2.9), DT 0.6 (SD = 1.3), and 36% had DMFT = 0. No difference between genders was observed. In bivariate analyses, use of sugar-sweetened beverages (SSB) three times or less per week and not having used snuff associated significantly, whereas higher carbohydrate intake (E%), toothbrushing less often than twice a day and higher caries experience at baseline almost significantly with DT > 0. In adjusted regression analyses, frequent use of SSB and higher carbohydrate intake increased the odds for DT > 0. Additionally, higher carbohydrate intake (E%) and infrequent tooth brushing significantly associated with a higher number of DT. Conclusion Caries prevalence is still low and similar in Finnish teenage girls and boys. Behavioural factors are, but anthropometric factors are not associated with dental caries.

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