Posteruptive Changes in Dental Enamel

Dirks, O. Backer

doi:10.1177/00220345660450031101

Cited by 245 publications

(44 citation statements)

References 11 publications

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“…During the arrestment of enamel lesions, the tooth surface becomes gradually smooth, shiny and shows a reduction in opacity. [19][20][21] However, the present study did not show any change in surface texture and brightness after lesion consolidation, probably due to the fact that all specimens were previously polished in order to allow microhardness assay. Additionally, the relatively small depth reached by in vitro lesions 10,18 may have contributed to the lack of roughness changes.…”

Section: Discussioncontrasting

confidence: 68%

Artificial enamel dental caries treated with different topical fluoride regimes: An in situ study

Jardim¹,

Pagot²,

Maltz³

2008

Journal of Dentistry

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Section: Discussioncontrasting

confidence: 68%

Artificial enamel dental caries treated with different topical fluoride regimes: An in situ study

Jardim¹,

Pagot²,

Maltz³

2008

Journal of Dentistry

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“…The relationship between the eruption stage and dental caries has been studied in longitudinal trials. Dirks [1966], who studied buccal surfaces of first permanent molars, observed the arrestment and/or regression of the lesions as a result of changes in the oral environment during tooth eruption. Similar findings were observed on occlusal surfaces [Carvalho et al, 1991[Carvalho et al, , 1992Maltz et al, 2003].…”

Section: Introductionmentioning

confidence: 99%

Influence of Eruption Stage and Biofilm Accumulation on Occlusal Caries in Permanent Molars: A Generalized Estimating Equations Logistic Approach

Zenkner

Alves

Oliveira³

et al. 2012

Caries Res

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The aim of this study was to estimate the independent effects of biofilm accumulation and eruption stage on the occurrence of active caries lesions on occlusal surfaces of permanent molars. The sample consisted of 298 schoolchildren (6–15 years) who were examined by a calibrated examiner at a dental unit, using artificial light, a dental mirror and a WHO probe. The occurrence of visible biofilm on occlusal surfaces and the eruption stage of each permanent molar were recorded. After professional prophylaxis and air drying, the occlusal surfaces were classified as sound, caries-inactive or caries-active. To evaluate the association of eruption stage and biofilm accumulation with active caries lesions, a logistic regression model was used. Since data were clustered, odds ratios were obtained using generalized estimating equations with a logistic link function. 1,779 permanent molars were examined. All eruption stages were associated with active caries lesions. After adjustment for biofilm accumulation and type of molar, molars with occlusal surfaces partially exposed to the oral cavity were 63.6 times more susceptible to caries activity than molars with full occlusion (95% CI = 22.0–183.7). After adjustment for eruption stage and type of molar, teeth with a high degree of biofilm accumulation were 14.5 times more susceptible to caries activity than those without visible biofilm accumulation (95% CI = 6.5–32.4). No association between active caries and hardly detectable biofilm was found in this population. The present study found that the eruption stage of permanent molars is strongly associated with active caries lesions, adjusted for biofilm accumulation and type of molar.

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“…After the arrestment of the carious process, it is not advocated that the infected dentine should be removed and a filling be placed 5, 10,12 . The mechanism that causes the arrest of deep caries lesions does not seem to differ from that observed in non-cavitated surfaces during tooth eruption [13][14] or after mechanical removal of biofilm from non-cavitated teeth 15 . The present study suggests that it is not necessary to reopen the cavity to remove the demineralized dentine as the demineralized dentine, once sealed, can turn from active to inactive and harbors fewer microorganisms.…”

Section: Discussionmentioning

confidence: 90%

Indirect pulp treatment without re-entry in a permanent tooth: 36 months of follow-up

Simone

Steiner‐Oliveira

Braga

et al. 2014

RGO, Rev. Gaúch. Odontol.

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RESUMOUm novo conceito clínico no tratamento de lesões de cárie profunda é o tratamento pulpar indireto sem reabertura da cavidade. Tem sido demonstrado que a remoção completa da dentina cariada tornou-se desnecessária após selamento total do dente, pois os microorganismos remanescentes da dentina afetada não se proliferariam ou morreriam. Este relato de caso descreve o tratamento de lesões de cárie profunda de uma menina de 11 anos de idade com grande destruição coronária no primeiro molar permanente mandibular. As paredes dentinárias infectadas foram removidas com instrumentos manuais e a dentina afetada remanescente foi preenchida com cimento de ionômero de vidro e resina composta. Após 36 meses de acompanhamento, não se observou nenhum sinal e sintoma clínico e radiográfico de dano pulpar. Em conclusão, o tratamento pulpar indireto foi considerado uma boa alternativa para o tratamento de lesões de carie profunda, já que reduziu o risco de exposição pulpar, devido a não reabertura da cavidade, economizou tempo clínico para o paciente e o dentista e paralisou a progressão da lesão com aumento da densidade radiográfica e ausência de qualquer sintomatologia dolorosa.Termos de indexação: Cárie dentária. Capeamento da polpa dentária. Estudos longitudinais. Dentição permanente.

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Posteruptive Changes in Dental Enamel

Cited by 245 publications

References 11 publications

Artificial enamel dental caries treated with different topical fluoride regimes: An in situ study

Artificial enamel dental caries treated with different topical fluoride regimes: An in situ study

Influence of Eruption Stage and Biofilm Accumulation on Occlusal Caries in Permanent Molars: A Generalized Estimating Equations Logistic Approach

Indirect pulp treatment without re-entry in a permanent tooth: 36 months of follow-up

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