Influence of initial carious lesions on oral health planning


  • Andrea Videira Assaf Fluminense Federal University
  • Cristiana Tengan Department of Community Dentistry
  • Elaine Pereira da Silva Tagliaferro Department of Community Dentistry
  • Zuleica Pedroso Meneghim Department of Legal Dentistry University of Campinas.
  • Marcelo de Castro Meneghim Department of Community Dentistry- FOP/ UNICAMP-Piracicaba
  • Antonio Carlos Pereira Department of Community Dentistry- FOP/ UNICAMP-Piracicaba
  • Gláucia Maria Bovi Ambrosano Department of Community Dentistry- FOP/ UNICAMP-Piracicaba



Epidemiology. Dental caries. Diagnosis


The aim of this cross-sectional study was to verify the importance of including initial carious lesions (IL) in the oral health planning of a public health service. The sample comprised 692 schoolchildren at the ages of 5 (n=171), 6 (n=203), 12 (n=236) and 15 (n=82), enrolled in state schools in Iracemapolis, SP, Brazil. Clinical examination was performed, using dental mirror and CPI (Community Periodontal Index) probe, after tooth brushing and drying. Two diagnostic thresholds were used for measuring the outcome: diagnostic threshold based on cavitated lesions and diagnostic threshold based on the inclusion of IL. The mean value for dmft was 1.56 for 5-year-olds and 1.98 for 6-yearolds. The mean value for DMFT was 1.19 for the age of 12 and 2.90 for the age of 15. The dmft and DMFT indexes increased significantly for all ages (paired t test, p<0.05) when IL was included in the examinations (29.59%, 12.25%, 21.71%, 26.82% for the ages of 5, 6, 12 and 15, respectively). The inclusion of IL in surveys generated a statistically significant percent increase in caries indexes for all age groups, contributing to obtain additional information for oral health planning in public services.


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Author Biographies

Elaine Pereira da Silva Tagliaferro, Department of Community Dentistry

Possui graduação em Odontologia pela Faculdade de Odontologia de Ribeirão Preto - USP (1995), mestrado em PPG-Odontologia, área de Cariologia pela Faculdade de Odontologia de Piracicaba - UNICAMP (2004), doutorado em Programa de Pós Graduação Em Odontologia pela Faculdade de Odontologia de Piracicaba - UNICAMP (2008). 

Marcelo de Castro Meneghim, Department of Community Dentistry- FOP/ UNICAMP-Piracicaba

É graduado em Odontologia pela Faculdade de Odontologia de Piracicaba - Unicamp (1989), Mestre e Doutor em Odontologia Preventiva e Social, pela Universidade Estadual Paulista Júlio de Mesquita Filho/Unesp, em 1996 e 1999, respectivamente e Livre Docente pela FOP-Unicamp, em 2003. Atualmente é Professor Associado da FOP, no Departamento de Odontologia Social. Entre as funções administrativas exerceu a função de Coordenador Associado de Graduação (2006) e de Diretor Associado da FOP-UNICAMP (2006-2010).

Antonio Carlos Pereira, Department of Community Dentistry- FOP/ UNICAMP-Piracicaba

Possui graduação em Odontologia pela Universidade Estadual de Campinas (1989), mestrado em Saúde Pública pela Universidade de São Paulo (1993) e doutorado em Saúde Pública pela Universidade de São Paulo (1996). Desde 2003 é professor titular da Universidade Estadual de Campinas. Realizou seu pós Doutoramento nas Universidades de Nijmegen (Holanda)- 1998 e Indiana (EUA) em 2000. Faz parte do corpo editorial de diversas revistas nacionais e internacionais, além de consultor do Ministério da Saúde e outros órgãos. 

Gláucia Maria Bovi Ambrosano, Department of Community Dentistry- FOP/ UNICAMP-Piracicaba

Possui graduação em Engenharia Agronômica pela Universidade de São Paulo (1983), mestrado em Ciências pela Universidade de São Paulo (1987) e doutorado em Ciências pela Universidade de São Paulo (1994). 


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How to Cite

Assaf AV, Tengan C, Tagliaferro EP da S, Meneghim ZP, Meneghim M de C, Pereira AC, Ambrosano GMB. Influence of initial carious lesions on oral health planning. Braz. J. Oral Sci. [Internet]. 2016 Jan. 19 [cited 2023 Feb. 4];5(19):1217-22. Available from:




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