Caries Experience in the Deciduous Dentition as Predictor for Caries in the Permanent Dentition

Pelkwijk, A. ter; Helderman, W.H. van Palenstein; Dijk, J.W.E. van

doi:10.1159/000261241

Cited by 33 publications

(19 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This is in full agreement with previous findings [ter Pelkwijk et al, 1990;Helfenstein et al, 1991;Steiner et al, 1992;Disney et al, 1992;Mattiasson-Robertson and Twetman, 1993] Predictive Ability In order to evaluate how accurately children with high future caries increment can be identified by using the combined baseline risk indicator (dmfs, plaque indices and 'score 7'), the information in table 3 needs to be analysed in more depth. The considerations mentioned in the 'Results' section leave only two rows that can be considered useful.…”

Section: Risk Predictorssupporting

confidence: 83%

The Value of a Baseline Caries Risk Assessment Model in the Primary Dentition for the Prediction of Caries Incidence in the Permanent Dentition

et al. 2001

View full text Add to dashboard Cite

To establish a reliable screening method for caries prediction and to identify predominant risk factors, this study tested whether a cross–sectional caries risk model assessed at age 7 could be used to predict future caries onset in the permanent first molars at age 10 in 3,303 children born in 1989. As prediction variables, assessing the believed risk, baseline data at age 7 on oral health status, oral hygiene level, oral health behaviour and sociodemographic factors were used. The real risk, based on data collected for the first permanent molars during the follow–up, was assessed by different approaches. Cumulative incidence during the 3–year observation period was 31.6%, ranging from 22.4% in the believed low–risk group to 43.2% in the believed high–risk group. A stepwise logistic regression analysis was performed with net caries increment as outcome measure, adjusted for the real time at risk, using eruption times. Baseline dmfs and occlusal and buccal plaque indices were highly significant for having a high caries increment in permanent first molars with respective odds ratios of 1.07, 1.43 and 1.35. Brushing less than once a day and the daily use of sugar–containing drinks between meals were confirmed as risk factors (OR 2.43 and 1.25, respectively). The logistic regression analysis provided a sensitivity of 59–66% and a specificity of 65.7–72.8%, which indicates that the risk marker did not have an important predictive power. None of the socio–demographic and behavioural variables had enough predictive power at community level to be useful for identifying caries susceptible children. Even the power of dmfs at baseline must be considered modest.

show abstract

Section: Risk Predictorssupporting

confidence: 83%

The Value of a Baseline Caries Risk Assessment Model in the Primary Dentition for the Prediction of Caries Incidence in the Permanent Dentition

et al. 2001

View full text Add to dashboard Cite

show abstract

“…Studies have shown that children with a low caries activity in the deciduous dentition have a high chance of having a low caries activity in the permanent dentition [ter Pelkwijk et al, 1990;Powell, 1998;Li and Wang 2002;Peretz et al, 2003]. We assume, therefore, that the level of caries activity over the 5-year period is not an explanation for the differences observed in the caries-preventive effect of the two sealant materials in the present study.…”

Section: Discussionmentioning

confidence: 62%

Caries-Preventive Effect of a One-Time Application of Composite Resin and Glass Ionomer Sealants after 5 Years

Beiruti

Frencken²,

Hof³

et al. 2005

Caries Res

Self Cite

View full text Add to dashboard Cite

The aim of the present trial was to (1) compare the caries-preventive effect of glass ionomer sealants, placed according to the atraumatic restorative treatment (ART) procedure, with composite resin sealants over time and (2) investigate the caries-preventive effect after complete disappearance of sealant material. Forty-six boys and 57 girls, mean age 7.8 years, were randomly divided into two treatment groups in a parallel-group study design. A light-polymerized composite resin sealant material and a high-viscosity glass ionomer were each placed in 180 fully erupted first molars in their respective treatment groups. Evaluation took place annually for 5 years by calibrated examiners. After 5 years, 86% composite resin and 88% glass ionomer sealants did not survive. Three categories of re-exposure periods for caries development in pits and fissures after complete loss of sealants were distinguished: 0–1, 1–2 and 2–3 years. In the 2- to 3-year group, 13 and 3% of pits and fissures previously sealed with composite resin and glass ionomer, respectively, were diagnosed as having developed a dentine lesion. The relative risks (95% CI) of dentine lesion development in surfaces sealed with glass ionomer compared to those sealed with composite resin after 3, 4 and 5 years were 0.22 (0.06–0.82), 0.32 (0.14–0.73) and 0.28 (0.13–0.61), respectively. The relative risks of dentine lesion development in pits and fissures previously sealed with glass ionomer compared with composite resin over re-exposure periods of 1–2 and 2–3 years were 0.26 (0.14–0.48) and 0.25 (0.09–0.68), respectively. We conclude that the caries-preventive effect of high-viscosity glass ionomer sealants, placed using the ART procedure, was between 3.1 and 4.5 times higher than that of composite resin sealants after 3–5 years. Furthermore, high-viscosity (ART) glass ionomer sealants appear to have a four times higher chance of preventing caries development in re-exposed pits and fissures of occlusal surfaces in first molars than light-cured composite resin sealant material over a 1- to 3-year period. A well-designed clinical trial using different types of oral health personnel should be implemented to confirm these initial results.

show abstract

“…In previous reports dealing with the correlation between caries prevalence in the primary and caries development in the permanent dentition [Poulsen and Holm, 1980;ter Pelkwijk et al, 1990;Gray et al, 1991;Raadal and Espelid, 1992;Li and Wang, 2002] the relationship was expressed by sensitivity, specifi city, positive and negative predictive values. Based on high positive predictive values and sensitivity individuals can be selected who will benefi t from preventive strategies (e.g.…”

Section: Discussionmentioning

confidence: 99%

Effect of Caries Experience in Primary Molars on Cavity Formation in the Adjacent Permanent First Molar

et al. 2005

View full text Add to dashboard Cite

This study sought to address the influence of a sound versus affected first and/or second deciduous molar on the incidence of visible caries experience in the adjacent permanent first molar. Clinical and questionnaire data were obtained from a 6-year prospective oral health screening project in Flanders, Belgium (Signal-Tandmobiel^® project), where 4,468 children (born in 1989) were examined annually during their primary school time. A multiple survival model allowing for dependent data with possible censoring was applied. The impact of timing of tooth emergence (determining the period at risk), gender, presence of sealants and reported oral hygiene habits was also considered. Cavity formation in permanent first molars was clearly influenced by the status of the adjacent primary molars;the effect of the second deciduous molar was most pronounced. Moreover, if both deciduous molars experienced caries and the child presented with poor oral hygiene, a peak in cavity formation of the permanent first molar 1–2 years after emergence was noticed. On the other hand, if a child presented with good oral hygiene, no peak was observed;caries risk increased slightly over time. No significant benefit from restoring primary molars could be demonstrated, possibly because of methodological limitations.

show abstract

Caries Experience in the Deciduous Dentition as Predictor for Caries in the Permanent Dentition

Cited by 33 publications

References 13 publications

The Value of a Baseline Caries Risk Assessment Model in the Primary Dentition for the Prediction of Caries Incidence in the Permanent Dentition

The Value of a Baseline Caries Risk Assessment Model in the Primary Dentition for the Prediction of Caries Incidence in the Permanent Dentition

Caries-Preventive Effect of a One-Time Application of Composite Resin and Glass Ionomer Sealants after 5 Years

Effect of Caries Experience in Primary Molars on Cavity Formation in the Adjacent Permanent First Molar

Contact Info

Product

Resources

About