Pattern of Dental Caries in an Adult Rural Population

Manji, Firoze; Fejerskov, O.; Bælum, Vibeke

doi:10.1159/000261155

Cited by 87 publications

(55 citation statements)

References 13 publications

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“…As this considerably hampers attempts to identify the causes of caries lesion initiation, we prefer to include the non-cavitated stages in the diagnostic system [Gadegaard and Fejerskov, 1983;Manji et al, 1989] to obtain more valid estimates of prevalence and severity of the disease [Groeneveld, 1985;Manji et al, 1991]. It is noteworthy that this is now also being considered as very important when attempting to develop appropriate prevention and treatment strategies for child populations [Pitts and Fyffe, 1988;Ismail et al, 1992Ismail et al, , 1997Pitts, 1997].…”

Section: Discussionmentioning

confidence: 99%

Ten–Year Incidence of Dental Caries in Adult and Elderly Chinese

Luan

Bælum²,

Fejerskov

et al. 2000

Caries Res

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Only very few longitudinal studies on dental caries are available in adults and elderly. Therefore, the aim of the present study was to describe the patterns of lesion progression in a group of adult and elderly Chinese followed over a 10–year period of time. In 1984, 587 persons aged 20–80 years were examined and by 1994, 440 of these were still available and re–examined by the same two examiners. All restorations, periodontal conditions and dental caries were recorded for all teeth and surfaces. Only caries data are reported here. Dental caries on coronal surfaces was classified as sound, non–cavitated, cavitated without or with pulp involvement or filled. On root surfaces, lesions were classified as sound, active caries or restored. Prior to analysis of the data, a series of drop–out analyses was carried out showing that most of the drop–outs were above 60 years of age at baseline, and death of participants was the major drop–out reason. A total of 2,114 teeth were lost, 36% of which had a deep dentin lesion at baseline. The distribution of persons according to number of new lesions/restorations over 10 years was highly skewed in all age groups, the prevalence increasing with age. Molars had the highest risk of becoming carious/restored over the 10–year period, and a remarkably low proportion of teeth had the same caries diagnosis after 10 years, indicative of lesion progression. When comparing the 1984 DFT/DMFT with the figures for 1994, there were no statistically significant differences indicating that the period and cohort effects cancel out each other. There was a significant increase with age of the number of new DFT. It can be concluded that dental caries is a major health problem in contemporary adult and elderly Chinese populations, and that caries incidence increases with old age.

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Section: Discussionmentioning

confidence: 99%

Ten–Year Incidence of Dental Caries in Adult and Elderly Chinese

Luan

Bælum²,

Fejerskov

et al. 2000

Caries Res

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“…been shown that diagnosis of caries at the cavitation level results in a significant underestimation of the actual caries experience in populations [Pitts and Fyffe, 1988;Manji et al, 1989;Ismail et al, 1992;Bjarnason et al, 1993;Kuzmina et al, 1995;Sköld et al, 1995;Machiulskiene et al, 1998]. …”

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confidence: 99%

Reliability of a New Caries Diagnostic System Differentiating between Active and Inactive Caries Lesions

Mačhiulskienė²,

1999

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Current scoring systems for dental caries do not consider the dynamic nature of the disease. The aims of the present study were to describe a new set of clinical caries diagnostic criteria which differentiate between active and inactive caries lesions at both the cavitated and non–cavitated levels and to evaluate the reliability of this criteria system in a population with high caries experience. Ten diagnostic codes were defined: 0 = sound; 1 = active (intact); 2 = active (surface discontinuity); 3 = active (cavity); 4 = inactive (intact); 5 = inactive (surface discontinuity); 6 = inactive (cavity); 7 = filling; 8 = filling with active caries; 9 = filling with inactive caries. Distinction between active and inactive caries lesions was made on the basis of a combination of visual and tactile criteria. The inter– and intra–examiner reliability was assessed through repeated examinations of 50 children by 2 recorders over a period of 3 years. The percentage agreement of caries diagnoses varied between 94.2 and 96.2%. The kappa values ranged between 0.74 and 0.85 for intra–examiner examinations and between 0.78 and 0.80 for inter–examiner examinations; 81.6% of all misclassifications involved non–cavitated caries lesions. Disagreement between sound surfaces and non–cavitated active or non–cavitated inactive lesions (31.3 and 31.2%, respectively) was more common than disagreement between non–cavitated active and non–cavitated inactive lesions (10.6%). The probability of reconfirming a sound, non–cavitated active or non–cavitated inactive caries lesion – given that the surface was diagnosed as either sound, non–cavitated active or non–cavitated inactive at the first examination – was 98.0, 68.7 and 72.5%, respectively. The results show that the use of a new set of clinical caries diagnostic criteria based on activity assessment can be performed with a high reliability, even when non–cavitated diagnoses are included in the criteria system.

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“…The dental caries of children were recorded by disposable mouth mirror and dental explorer. The diagnosis of dental caries was carried out according to the criteria of Manji et al [12]. This allows recording decayed lesion by severity.…”

Section: Methodsmentioning

confidence: 99%

The Bilateral Occurrence of Caries in First Permanent Molaramong 7-12 Years Old Children Attending Dental Hospital/College of Dentistry, University of Baghdad

2017

IJSR

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Aim of study: The purpose of the present study was to determine the severity and bilateral occurrence of caries in first permanent molar among 7-12 years old children attending Dental Hospital/ College of Dentistry, University of Baghdad.Material and method:The total sample composed 100 children (55 boys and 45girls) with an age (7-12) years. Those children were attending the Prevention and Pedodontics dental clinic in the College of Dentistry, Baghdad University as a first visit.Information regarding the name, age and gender of the patient was registered prior to the examination.Oral examination were carried out according to the criteria of (WHO 1997).The diagnosis of dental caries was carried out according to the criteria of Manji et al1989.This allows recording decayed lesion by severity.Result: The occurrence of caries was the highest percentage on left side73% than right side (69%) for maxillary teeth while in mandibular teeth the higher percentage was on the right side (92%) than the left side (82%). D 2 was the highest among mandibular and maxillary teeth for both sides in all age group while D 4 was the lowest percentage. The bilateral occurrence of caries was higher in lower jaw (80%) than upper jaw (64%). Concerning the occurrence of bilateral caries severity D 2 registered the highest percentage for upper and lower jaw (26%-20%) respectively. Conclusion: A high bilateral occurrence demands careful prevention strategies including fissure sealants, topical fluoride applications .The knowledge of caries pattern would help clinicians in the formulation of appropriate treatment strategies.

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Pattern of Dental Caries in an Adult Rural Population

Cited by 87 publications

References 13 publications

Ten–Year Incidence of Dental Caries in Adult and Elderly Chinese

Ten–Year Incidence of Dental Caries in Adult and Elderly Chinese

Reliability of a New Caries Diagnostic System Differentiating between Active and Inactive Caries Lesions

The Bilateral Occurrence of Caries in First Permanent Molaramong 7-12 Years Old Children Attending Dental Hospital/College of Dentistry, University of Baghdad

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