Association between Root Caries Occurrence and Periodontal State

Vehkalahti, Miira M.; Paunio, Ilkka

doi:10.1159/000261990

Cited by 26 publications

(38 citation statements)

References 8 publications

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“…The evaluation of whether the tooth to be extracted was more severely affected by caries than by periodontal disease or the opposite was tnaitily based on the information obtained from the radiographs taken at baseline. This is naturally a rough division, since both periodontitis and caries, especially root surface caries, are associated with poor oral hygiene and the two diseases therefore often develop sitnultaneously (24). Even so, in the vast tnajority of cases, we found that the radiographs obtained at the two examinations, supplemented with the dental history, were sufficient to compare caries and periodontitis as the major reason for tooth loss.…”

Section: Discussionmentioning

confidence: 80%

Incidence of tooth loss and dental caries in 60‐, 70‐ and 80‐year‐old Swedish individuals

Fure

Zickert

1997

Comm Dent Oral Epid

112

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The retention of natural teeth among the elderly is increasing and, in recent studies, dental caries has been identified as the main reason for teeth being extracted. The 5-year incidence of tooth loss and dental caries and the most crucial dental factors for tooth extraction were studied in a random sample of 60-, 70- and 80-year-old inhabitants of Gothenburg. Of the 208 persons examined at baseline, 148 (71%) participated in the follow-up examination: 69, 51 and 28 respectively in the different age groups. In all, 110 teeth had been extracted during the period in 40% of the participants. Only 9 persons had lost three or more teeth. The mean numbers of remaining teeth were 22. 18 and 15 respectively in the 60-, 70- and 80-year age groups and the mean numbers of teeth lost during the 5-year period increased with age from 0.4 in the 60-year-olds to 0.8 and 1.4 in the 70- and 80-year-olds (P < 0.05). The major reason for tooth extraction was dental caries and it was found in 60% of all cases and at a higher rate of 77% in the oldest age group. Fifty-one per cent had developed new coronal carious lesions and 61% had new root carious lesions, while 27% had not developed caries during the period. The mean 5-year increment in decayed and filled coronal surfaces increased with age from 2.3 in the 60-year-olds to 3.7 and 5.3 in the 70- and 80-year-olds (N.S.I. The increment in decayed and filled root surfaces was higher in women than men, 3.4 compared with 1.8 (N.S.), which also increased with age from 1.4 in the 60-year-olds to 2.4 and 5.5 in the 70- and 80-year-olds (P < 0.0001). It was concluded from this study that few teeth had been lost during the 5-year period but that dental caries still appeared to be a serious problem among some very elderly people.

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Section: Discussionmentioning

confidence: 80%

Incidence of tooth loss and dental caries in 60‐, 70‐ and 80‐year‐old Swedish individuals

Fure

Zickert

1997

Comm Dent Oral Epid

112

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“…Risk factors associated with root caries are age [Fure, 1998], oral hygiene [Ravald et al, 1993], high salivary yeast counts [Nähri et al, 1998], reduction of the salivary flow [Fure and Zickert, 1990], sugar consumption [Faine et al, 1992], coronal caries experience [Vehkalahti, 1987], root caries experience [Hand et al, 1991;Gilbert et al, 2001] and periodontal inflammation [Jones, 1995]. Vehkalahti and Paunio [1994] found a positive association between the presence of subgingival plaque and the occurrence of root caries. During aging the number of exposed root surfaces increases [Kalsbeek et al, 1998], making them vulnerable to caries.…”

mentioning

confidence: 99%

Host-Derived Proteinases and Degradation of Dentine Collagen in situ

Strijp¹,

Jansen

DeGroot³

et al. 2003

Caries Res

151

123

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Dentine root caries is a process of demineralization and degradation of the organic matrix by proteinases. In this in situ study, the presence and activity of the matrix metalloproteinases 1, 2 and 9 (MMP-1, MMP-2, MMP-9) in saliva and in completely demineralized dentine specimens were investigated. Furthermore, the activity of cathepsin B was determined in saliva. A correlation between these enzymes and the level of degraded collagen was investigated. Demineralized dentine specimens were mounted in the partial prosthesis of 17 volunteers. Saliva samples were taken at 0, 2 and 4 weeks. After 4 weeks, the enzymes were extracted from the dentine specimens and the collagen loss was assessed. The collagen loss varied between 0 and 40.3%. Zymography of the saliva and the dentine extract samples showed that (pro-)MMP-2 and (pro-)MMP-9 were present. The levels of active MMPs were assessed, using fluorogenic MMP-specific substrates. All but 3 of the 51 saliva samples showed MMP-1 activity ranging from 1.5 to 101.1 relative fluorescence units (RFU)/s. Forty-eight saliva samples showed gelatinolytic MMP-2/MMP-9 activity (1.7–141.1 RFU/s). MMP-1 activity was shown in all dentine extracts varying between 3.5 and 295.0 RFU/s. From the dentine extracts, 15 showed MMP-2/MMP-9 activity (0.2–13.7 RFU/s). The MMP activity from both saliva and dentine extracts did not correlate with the collagen loss. The activity of salivary cathepsin B varied from 4.8 to 42.2 arbitrary units/min. A positive correlation was found between salivary MMP activity and cathepsin B activity. This study revealed that gelatinolytic enzyme activity was present both in saliva and dentine collagen. No correlation could be observed, however, between the level of enzyme activity and the collagen loss of the dentine specimens.

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“…The cervical lesion had caused localized periodontal breakdown, thus generating discomfort and unaesthetic gingival inflammation. Untreated, this invagination could have led to carious radicular lesion and further alveolar bone resorption and attachment loss,[6] hence compromising the incisor long-term prognosis.…”

Section: Resultsmentioning

confidence: 99%

Clinical management of an atypical dental invagination

et al. 2016

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Dental invagination (DI) is a tooth malformation that usually affects permanent teeth. Its precise etiology is still controversial and represents a clinical challenge as it can favor the development of carious lesion or periodontal inflammation. This paper presents a case of a 23-year-old Caucasian male, where an atypical buccal DI could not be completely diagnosed in the dens invaginatus category. Furthermore, other differential diagnoses could not be confirmed. The dental malformation was seen on a permanent maxillary first incisor and was associated with periodontal inflammation and attachment loss. Successful clinical management of this case consisted of surgical restorative treatment and regular follow-up, accompanied by thorough oral hygiene procedures.

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Association between Root Caries Occurrence and Periodontal State

Cited by 26 publications

References 8 publications

Incidence of tooth loss and dental caries in 60‐, 70‐ and 80‐year‐old Swedish individuals

Incidence of tooth loss and dental caries in 60‐, 70‐ and 80‐year‐old Swedish individuals

Host-Derived Proteinases and Degradation of Dentine Collagen in situ

Clinical management of an atypical dental invagination

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