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Risk factors associated with occlusal caries in first permanent molars in a school program


Dental caries
Molar hypomineralization

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Guerra BM dos S, Reis PPG dos, Jorge RC, Soviero VM. Risk factors associated with occlusal caries in first permanent molars in a school program: longitudinal study. Braz. J. Oral Sci. [Internet]. 2024 May 6 [cited 2024 Jun. 16];23(00):e243595. Available from:


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.


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Copyright (c) 2024 Bianca Mattos dos Santos Guerra, Patrícia Papoula Gorni dos Reis , Roberta Costa Jorge , Vera Mendes Soviero


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