Longitudinal Study of the Caries Susceptibility of Occlusal and Proximal Surfaces of First Permanent Molars

Ripa, Louis W.; Leske, Gary S.; Varma, Andre O.

doi:10.1111/j.1752-7325.1988.tb03154.x

Cited by 72 publications

(45 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In earlier longitudinal caries studies it was reported that caries risk of permanent fi rst molars was highest 1-4 years after emergence and decreased thereafter [Carlos and Gittelsohn, 1965;Abernathy et al, 1986], while more recently the absence of a peak in caries susceptibility was recorded [Ripa et al, 1988;Suni et al, 1998;Harkanen et al, 2002;Seppä et al, 2002;Leroy et al, 2004]. The hazard plots ( fi g. 3 ), however, give evidence for both -seemingly contradictory -results.…”

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

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

show abstract

“…Occlusal surfaces are the predilection sites for the development of dental caries [Backer Dirks, 1965;Ripa et al, 1988;Rohr et al, 1991]. The complex morphology and the presence of organic matter from the reduced enamel epithelium and acquired pellicle [Gillings and Buonocore, 1961] in the pits and fissures of these surfaces may interfere with the ability of LF and DELF to detect incipient caries.…”

mentioning

confidence: 99%

An in vitro Comparison between Laser Fluorescence and Visual Examination for Detection of Demineralization in Occlusal Pits and Fissures

Zandoná¹,

Analoui²,

Beiswanger³

et al. 1998

Caries Res

View full text Add to dashboard Cite

It has been demonstrated that when excited by laser light carious enamel appears dark compared to luminescent sound enamel. The aim of this study was to compare the sensitivity and specificity of visual exams (V), laser fluorescence (LF) and dye-enhanced LF (DELF) for detecting demineralization in occlusal pits and fissures. The actual presence of lesions was determined by subsequent confocal laser microscopy (CM), which was compared to histology (H). Independent clinical examiners visually graded three sites on occlusal surfaces of extracted, human premolars as sound or carious and also rated the color of each graded site as: 0 = same as surrounding enamel; 1 = white; 2 = light brown, or 3 = brown/dark brown. An argon laser was used to illuminate the teeth for LF and DELF; the images were captured with a CCD camera and then analyzed. DELF images were captured after the teeth had been exposed to 0.075% sodium fluorescein. Sections were then cut from each specimen and analyzed by CM and H for the presence or absence of caries. Results showed that DELF (0.72) was significantly more sensitive (p < 0.05) than LF (0.49) and V (0.03) for detecting caries, but there were no significant differences among the methods in specificity (V 1.00; LF 0.67; DELF 0.60). When color was used as an indication of caries in V (VC, sensitivity 0.47; specificity 0.70), V exams were not different from LF. The area under the ROC curve, using H as the gold standard and CM as the test, was 0.78. Results indicated that DELF was the best diagnostic tool and that VC and LF were equally effective as diagnostic methods, when color of fissures was included as an indication of demineralization in the visual exam.

show abstract

“…As pit and fissure caries is biofilm related, age should not be a consideration for dental sealants. Research indicates that occlusal caries susceptibility does not diminish throughout life, therefore, adults can benefit from dental sealants as can children [24]. Some dental professionals are reticent to place dental sealants even though their efficacy is strongly supported in the scientific literature.…”

Section: Prevention Componentmentioning

confidence: 99%

Dental Hygiene Participation in Managing Incipient and Hidden Caries

Barnes

2005

Dental Clinics of North America

View full text Add to dashboard Cite

Longitudinal Study of the Caries Susceptibility of Occlusal and Proximal Surfaces of First Permanent Molars

Cited by 72 publications

References 14 publications

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

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

An in vitro Comparison between Laser Fluorescence and Visual Examination for Detection of Demineralization in Occlusal Pits and Fissures

Dental Hygiene Participation in Managing Incipient and Hidden Caries

Contact Info

Product

Resources

About