Progression of proximal caries in children with different caries indices: A 4-year radiographic study

Abstract

A high caries index increases the risk of developing caries in the sound proximal surfaces of posterior primary teeth and causes faster progression of the external half of the enamel lesions in the first permanent molars and posterior primary teeth.

Ex vivo Evaluation of Caries Infiltration after Different Application Times in Primary Molars

“…The thinner surface layer is more easily abraded during acid etching exposing almost completely the more porous structure in the subsurface. Children recruited for the current study had moderate to high caries experience, being considered at high risk for the development and progression of proximal caries in primary molars [Vanderas et al, 2006]. Therefore, we estimate that the proximal lesions were active and highly porous.…”

“…In the absence of cavitation a noninvasive approach based on plaque control, fluoridation, and dietary counseling has been recommended [Kidd and Fejerskov, 2004]. However, if good compliance of the patient cannot be achieved, proximal lesions often progress and require restorative treatment [Mejàre, 2000;Vanderas et al, 2006].Fissure sealants are effective in arresting noncavitated caries lesions in occlusal surfaces [Griffin et al, 2008; Bakhshandeh et al, 2011; Borges et al, 2011]. Promising results were observed after sealing proximal caries with fissure sealants, adhesives, or polyurethane patches [Martignon et al, 2006Alkilzy et al, 2011].…”

Penetration depths of an infiltrant into proximal caries lesions in primary molars after different application times in vitro

“…In the absence of cavitation, noninvasive strategies, mainly based on plaque control and fluorides, have been recommended to arrest the caries process 2 . This approach is expected to be successful in patients at lower risk for caries progression particularly for lesions restricted to the enamel; however, in patients at high caries risk or, irrespective of the risk, for those caries lesions that have reached radiographically the enamel dentin junction, caries progression can frequently be observed ending up in a restoration of the respective tooth site 3–6 . Moreover, the progression rate of proximal caries lesions in primary molars is significantly higher than in permanent teeth 3–5 .…”

“…[3][4][5][6] Moreover, the progression rate of proximal caries lesions in primary molars is significantly higher than in permanent teeth. [3][4][5] When invasive treatment is indicated for proximal caries lesions, sound dental hard tissues are inevitably destroyed during cavity preparation. Additionally, restorations have a limited survival and the tooth might be introduced to a restorative circle.…”

Accuracy of pen‐type laser fluorescence device and radiographic methods in detecting approximal carious lesions in primary teeth – an in vivo study

“…It is important that proximal caries be accurately detected and that lesion progression be properly assessed, especially in primary molar teeth. A high caries index increases the risk of caries on sound approximal surfaces of posterior primary teeth and causes faster progression of the external half of enamel lesions in posterior primary teeth. The presence of caries is often detected by a visual‐tactile clinical examination combined with bitewing (BW) radiography.…”