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

Dental caries
Molar
Molar hypomineralization

How to Cite

1.
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 Dec. 7];23(00):e243595. Available from: https://periodicos.sbu.unicamp.br/ojs/index.php/bjos/article/view/8673595

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.

https://doi.org/10.20396/bjos.v23i00.8673595
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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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