Keywords
Molar
Molar hypomineralization
How to Cite
Abstract
Aim: Evaluate the longitudinal status of dental caries in the occlusal surface of first permanent molars (FPM) and to identify risk factors for the progression to cavitated caries lesions in a school oral health program. Methods: Children who were enrolled in the program between September 2017 and October 2019, 5 to 10 years-old, presenting the four FPM were included. Four calibrated examiners assessed dental caries according to Nyvad criteria. Descriptive analysis included frequency, mean, and standard deviation calculations. Chi-square test was used in the bivariate analysis and, logistic regression adjusted for cluster effect was used to identify significant risk factors for cavity among the following independent variables: gender, age in the baseline, deft, upper/lower molar, initial caries score, Molar Incisor Hypomineralization (MIH), fluorosis, occlusal sealing. Odds ratio (OR) and respective confidence intervals (CI) are presented. Results: From 174 children enrolled in the program between 2017/2019, 120 were reevaluated in 2022. Eleven (2.6%) FPM in 11 children (9.2%) presented cavitated caries in the follow up examination. Significant risk factors for cavity were caries experience in the primary teeth (OR = 5.59; CI: 1.4 – 22.3) and the presence of MIH (OR = 5.33; CI: 1.6 – 18.1). Most of the active lesions in the follow up were considered active in the baseline examination. Conclusions: The progression to cavity was relatively low, significantly influenced by past caries experience and MIH.
References
Featherstone JD. The continuum of dental caries-evidence for a dynamic disease process. J Dent Res. 2004;83 Spec No C:C39-42. doi: 10.1177/154405910408301s08.
Manji F, Dahlen G, Fejerskov O. Caries and periodontitis: contesting the conventional wisdom on their aetiology. Caries Res. 2018;52(6):548-64. doi: 10.1159/000488948.
Fejerskov O. Changing paradigms in concepts on dental caries: consequences for oral health care. Caries Res. 2004 May-Jun;38(3):182-91. doi: 10.1159/000077753.
World Health Organization. Global oral health status report: towards universal health coverage for oral health by 2030. Geneva: WHO; 2020. 100 p.
Marthaler TM. Changes in dental caries 1953-2003. Caries Res. 2004 May-Jun;38(3):173-81. doi: 10.1159/000077752.
Ministry of Health of Brazil. Health Care Secretariat. Health Surveillance Secretariat. [SB BRAZIL 2010: national research on oral health: main results]. Brasília: Ministry of Health of Brazil; 2012 [cited 2022 Dec3]. Available from: http://bvsms.saude.gov.br/bvs/publicacoes/pesquisa_nacional_saude_bucal.pdf. Portuguese.
Carvalho JC. Caries process on occlusal surfaces: evolving evidence and understanding. Caries Res. 2014;48(4):339-46. doi: 10.1159/000356307.
Carvalho JC, Ekstrand KR, Thylstrup A. Dental plaque and caries on occlusal surfaces of first permanent molars in relation to stage of eruption. J Dent Res. 1989 May;68(5):773-9. doi: 10.1177/00220345890680050401.
Zhu F, Chen Y, Yu Y, Xie Y, Zhu H, Wang H. Caries prevalence of the first permanent molars in 6-8 years old children. PLoS One. 2021 Jan;16(1):e0245345. doi: 10.1371/journal.pone.0245345.
Maltz M, Barbachan e Silva B, Carvalho DQ, Volkweis A. Results after two years of non-operative treatment of occlusal surface in children with high caries prevalence. Braz Dent J. 2003;14(1):48-54. doi: 10.1590/s0103-64402003000100009.
Batchelor PA, Sheiham A. Grouping of tooth surfaces by susceptibility to caries: a study in 5-16 year-old children. BMC Oral Health. 2004 Oct;4(1):2. doi: 10.1186/1472-6831-4-2.
Ekstrand KR, Christiansen J, Christiansen ME. Time and duration of eruption of first and second permanent molars: a longitudinal investigation. Community Dent Oral Epidemiol. 2003 Oct;31(5):344-50. doi: 10.1034/j.1600-0528.2003.00016.x.
Nyvad B, Machiulskiene V, Baelum V. Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions. Caries Res. 1999 Jul-Aug;33(4):252-60. doi: 10.1159/000016526.
Ghanim A, Silva MJ, Elfrink MEC, Lygidakis NA, Mariño RJ, Weerheijm KL, et al. Molar incisor hypomineralisation (MIH) training manual for clinical field surveys and practice. Eur Arch Paediatr Dent. 2017 Aug;18(4):225-42. doi: 10.1007/s40368-017-0293-9.
Mejàre I, Axelsson S, Dahlén G, Espelid I, Norlund A, Tranæus S, et al. Caries risk assessment. A systematic review. Acta Odontol Scand. 2014 Feb;72(2):81-91. doi: 10.3109/00016357.2013.822548.
Americano GC, Jacobsen PE, Soviero VM, Haubek D. A systematic review on the association between molar incisor hypomineralization and dental caries. Int J Paediatr Dent. 2017 Jan;27(1):11-21. doi: 10.1111/ipd.12233.
Crombie FA, Manton DJ, Palamara JE, Zalizniak I, Cochrane NJ, Reynolds EC. Characterisation of developmentally hypomineralised human enamel. J Dent. 2013 Jul;41(7):611-8. doi: 10.1016/j.jdent.2013.05.002.
Reis PPG, Oliveira AGS, Peres AMAM, Pontes NST, Jorge RC, Soviero VM. [Prevalence of dental caries and incisor molar hypomineralization in schoolchildren from Petrópolis: main results]. Petrópolis; 2020. 42 p. Portuguese.
Souza GCA, Roncalli AG. [Permanent first molar loss and need for endodontic treatment at age 12 in Brazil]. Tempus. 2020 Jul;13(3):9-23. Portuguese. doi: 10.18569/tempus.v13i3.2628.
Emmanuelli B, Knorst JK, Menegazzo GR, Mendes FM, Ardenghi TM. The impact of early childhood factors on dental caries incidence in first permanent molars: a 7-year follow-up study. Caries Res. 2021;55(3):167-73. doi: 10.1159/000515083.
Mahboobi Z, Pakdaman A, Yazdani R, Azadbakht L, Shamshiri AR, Babaei A. Caries incidence of the first permanent molars according to the Caries Assessment Spectrum and Treatment (CAST) index and its determinants in children: a cohort study. Bmc Oral Health. 2021;21(1):259. doi: 10.1186/s12903-021-01612-1.
Liu M, Xu X, Song Q, Zhang H, Zhang F, Lai G. Caries prevalence of the first permanent molar and associated factors among second-grade students in Xiangyun of Yunnan, China: a cross-sectional study. Front Pediatr. 2022 Sep;10:946176. doi: 10.3389/fped.2022.946176.
Aldossary MS, Alamri AA, Alshiha SA, Hattan MA, Alfraih YK, Alwayli HM. Prevalence of dental caries and fissure sealants in the first permanent molars among male children in Riyadh, Kingdom of Saudi Arabia. Int J Clin Pediatr Dent. 2018 Sep-Oct;11(5):365-70. doi: 10.5005/jp-journals-10005-1541.
Gudipaneni RK, Alkuwaykibi AS, Ganji KK, Bandela V, Karobari MI, Hsiao CY, et al. Assessment of caries diagnostic thresholds of DMFT, ICDAS II and CAST in the estimation of caries prevalence rate in first permanent molars in early permanent dentition-a cross-sectional study. BMC Oral Health. 2022 Apr;22(1):133. doi: 10.1186/s12903-022-02134-0.
Chouchene F, Masmoudi F, Baaziz A, Maatouk F, Ghedira H. Clinical status and assessment of caries on first permanent molars in a group of 6- to 13-year-old Tunisian school children. Clin Exp Dent Res. 2023 Feb;9(1):240-8. doi: 10.1002/cre2.676.
Muller-Bolla M, Courson F, Lupi-Pégurier L, Tardieu C, Mohit S, Staccini P, et al. Effectiveness of resin-based sealants with and without fluoride placed in a high caries risk population: multicentric 2-year randomized clinical trial. Caries Res. 2018;52(4):312-22. doi: 10.1159/000486426.
Kervanto-Seppälä S, Lavonius E, Pietilä I, Pitkäniemi J, Meurman JH, Kerosuo E. Comparing the caries-preventive effect of two fissure sealing modalities in public health care: a single application of glass ionomer and a routine resin-based sealant programme. A randomized split-mouth clinical trial. Int J Paediatr Dent. 2008 Jan;18(1):56-61. doi: 10.1111/j.1365-263X.2007.00855.x.
Ahovuo-Saloranta A, Forss H, Walsh T, Nordblad A, Mäkelä M, Worthington HV. Pit and fissure sealants for preventing dental decay in permanent teeth. Cochrane Database Syst Rev. 2017 Jul;7(7):CD001830. doi: 10.1002/14651858.CD001830.pub5.
Dirks OB. Posteruptive changes in dental enamel. J Dent Res. 1966;45(3):503-11. doi: 10.1177/00220345660450031101.
Que L, Jia M, You Z, Jiang LC, Yang CG, Quaresma AAD, et al. Prevalence of dental caries in the first permanent molar and associated risk factors among sixth-grade students in São Tomé Island. BMC Oral Health. 2021 Sep;21(1):483. doi: 10.1186/s12903-021-01846-z.
Cury JA, Rebelo MA, Del Bel Cury AA, Derbyshire MT, Tabchoury CP. Biochemical composition and cariogenicity of dental plaque formed in the presence of sucrose or glucose and fructose. Caries Res. 2000 Nov-Dec;34(6):491-7. doi: 10.1159/000016629.
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2024 Bianca Mattos dos Santos Guerra, Patrícia Papoula Gorni dos Reis , Roberta Costa Jorge , Vera Mendes Soviero
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