Caries-risk assessment

The clinical behavior of Concise and Prisma Shield sealants for pit and fissure was analyzed by clinical/photographic evaluation. A hematoxylin-based staining solution was applied to the occlusal surface 7 days, 18 months, 36 months, and 11 years after the occlusal sealing, thus allowing the sealant material on the surface to be checked. At each analysis time, each occlusal surface was photographed, and the photographs corresponding to each time were submitted to clinical/photographic evaluation. Although the sealant materials showed marginal alterations over time, they did not require reapplication because the region composed of the pit and fissure remained covered.

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“…Caries lesions may start in pits and fissures soon after dental eruption 15) . If not prevented or treated, they may lead to dental loss.…”

Section: Discussionmentioning

confidence: 99%

Clinical/Photographic Evaluation of a Single Application of Two Sealants After Eleven Years

Sundfeld

Mauro

Briso

et al. 2004

Bull. Tokyo Dent. Coll.

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“…32,104,[107][108][109][110] Caries risk assessment is now the standard of care in paediatric dentistry, supporting individualized preventive programmes and restorative care specific to the child's current needs and perceived risk, and advising parents of their child's caries risk status. [105][106][107]118,119 Caries risk assessment can assist in determining optimal management for each child including dietary guidance, remineralization approaches, placement of sealants and restorations, the frequency of diagnostic radiographs and recall appointments, and in identifying those for whom parental support in reducing risk factors is indicated. 32,95,113,120,121 On a population basis, CRA can identify groups of children at high risk and action can be taken to optimize resource allocation in a public health system to prevent and treat caries.…”

Section: Sweet Drinks and General Health Of Childrenmentioning

confidence: 99%

Contemporary fluid intake and dental caries in Australian children

Messer

2011

Australian Dental Journal

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In Australia, caries experience of 6-year-old and 12-year-old children has increased since the mid to late 1990s. Previously, caries rates had declined, attributable to community water fluoridation. The recent caries increase has been attributed speculatively to changes in fluid intake, including increased consumption of sweet drinks and bottled waters. Increasing urbanization and globalization have altered children's diets worldwide, promoting availability and access to processed foods and sweet drinks. Studies in Australia and internationally have demonstrated significant associations between sweet drink intake and caries experience. Despite widespread fluoride availability in contemporary Australian society, the relationship between sugar consumption and caries development continues and restricting sugar intake remains key to caries prevention. Caries risk assessment should be included in treatment planning for all children; parents should be advised of their child's risk level and given information on oral health promotion. Readily-implemented caries risk assessment tools applicable to parents and clinicians are now available. Public health information should increase awareness that consuming sweet drinks can have deleterious effects on the dentition as well as the potential for promoting systemic disease. Restricting sales of sweet drinks and sweet foods and providing healthy food and drinks for purchase in schools is paramount.

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“…DMFT and DMFS used in this study for monitoring subject's caries risk, and we found that each parameter increased significantly in two groups. Different factors can modify subject's caries risk such as past caries experience, oral health habits, saliva secretion rate, diet frequency of type, socioeconomic levels 25) . Clinically significant changes in salivary functions may be considered an etiologic factor that contributes to the development or prevention of dental caries.…”

Section: Discussionmentioning

confidence: 99%

Treatment of post-orthodontic white spot lesions with CPP-ACP paste: A three year follow up study

Karabekiroğlu

Ünlü

Küçükyılmaz

et al. 2017

Dental Materials Journal

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To determine the efficacy of topical applications of 10% casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) paste in reverting white spot lesions (WSLs) after fixed orthodontic treatment. Forty one participants were randomly assigned to either the test group (CPP-ACP) or the control group (only fluoride toothpaste). All patients used regular fluoride-containing toothpaste. CPP-ACP paste or fluoridated toothpaste was applied on to tooth surfaces with WSLs twice a day during 36-month after de-bonding. The labial/buccal surfaces of teeth were assessed by use of DIAGNOdent pen (DD), Gorelick Index and ICDAS II criteria at baseline (T1) and 36-month (T2) follow-up visits. The total counts of Streptococcus mutans and Lactobacillus were obtained at T1 and T2. DMFT, DMFS, stimulated flow rate and buffer capacity were calculated in two appointments. Daily usage of CPP-ACP paste was not better than normal care for improving the appearance of WSLs after 36 months.

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Caries-risk assessment

Cited by 143 publications

References 90 publications

Clinical/Photographic Evaluation of a Single Application of Two Sealants After Eleven Years

Clinical/Photographic Evaluation of a Single Application of Two Sealants After Eleven Years

Contemporary fluid intake and dental caries in Australian children

Treatment of post-orthodontic white spot lesions with CPP-ACP paste: A three year follow up study

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