Root Caries in an Optimally Fluoridated and a High-fluoride Community

Burt, Brian A.; Ismaïl, Amid I.; Eklund, Stephen A.

doi:10.1177/00220345860650090801

Cited by 115 publications

(65 citation statements)

References 16 publications

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“…Even though observational cohort studies such as the FDCS do have less inferential power than randomized controlled clinical trials, they nonetheless offer the important advantages of using a sample that is representative of a defined population, they include persons regardless of whether they actually seek dental care, and they monitor change due to dental care that is provided in 'realworld' private practice settings where the overwhelming majority of dental care is delivered [Guess et al, 1995;Gilbert et al, 1998a]. We also remind the reader that subgingival root surfaces were not assessed for root caries, which may have caused an underestimate of root caries incidence [Burt et al, 1986;Locker et al, 1989;Katz, 1996].…”

Section: Discussionmentioning

confidence: 99%

Twenty–Four Month Incidence of Root Caries among a Diverse Group of Adults

Gilbert¹,

Duncan²,

Dolan³

et al. 2001

Caries Res

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Objectives: (1) Describe for a diverse sample the 24–month incidence of root caries, and (2) test its association with a broad range of clinical, behavioral, financial, and sociodemographic factors. Methods: The Florida Dental Care Study was a cohort study of randomly selected subjects who had at least 1 tooth and were 45 years or older at baseline. In–person interviews and clinical examinations were conducted at baseline and 24 months, with 6–monthly telephone interviews between those times; 723 subjects participated for both examinations. A multinomial logistic regression was done to predict whether the subject was in one of four mutually exclusive groups [new root decay only (NDO); new root filling(s) only (NFO); both new decay and new filling(s) (BOTH), or had neither (NONE)]. Results: Thirty–six percent of subjects had at least 1 new root decayed and/or filled surface (DFS); 17% were in the NDO group, 14% in the NFO group, and 5% in the BOTH group. When limited to participants who had a nonzero increment, the mean (SD) DFS was 2.7 (2.9). Baseline clinical condition (presence of root decay, root filling(s), coronal decay, noncarious root defects, number of teeth present, percent of teeth with at least 4 mm of attachment loss) was predictive of moving from the NONE group into the NDO, NFO, or BOTH groups. The addition of behavioral, financial, and sociodemographic factors improved model fit. For example, regular dental attenders were significantly more likely to move from the NONE group into the NFO group, but regular attendance was not associated with a lower probability of moving from the NONE group into the NDO or BOTH groups. Conclusions: Root caries is a substantive dental health problem in this diverse sample of adults. These analyses demonstrate the utility of disaggregating caries incidence into four mutually exclusive groups for predictive models.

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Section: Discussionmentioning

confidence: 99%

Twenty–Four Month Incidence of Root Caries among a Diverse Group of Adults

Gilbert¹,

Duncan²,

Dolan³

et al. 2001

Caries Res

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“…Several human studies showed fewer root carious lesions in adults benefiting from fluoridated water supplies [Brustman, 1986;Burt et al, 1986;Hunt et al, 1989;Locker et al, 1989]. Interestingly, Stamm et al [1990] investigated that lifelong residents of a fluoridated (1.6 ppm) community in Ontario, Canada, had 77% less root caries compared to lifelong residents of a nearby unfluoridated community (0.2 ppm).…”

Section: Use Of Dentifrices Containing Fluoride For the Management Ofmentioning

confidence: 99%

Reversal of Primary Root Caries Using a Dentifrice with a High Fluoride Content

Lynch¹,

Baysan²

2001

Caries Res

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Root caries is a widespread problem and can be quite serious in older populations. The restoration of root carious lesions is often difficult. Compared to enamel caries, there has been limited research into the pharmaceutical management of primary root caries lesions (PRCLs), and many of these studies have been carried out in vitro, with limited numbers of clinical trials. Fluoride is presently a cornerstone in dentifrice formulations for cost-effective and anticaries therapy. It is generally accepted that fluoride ions promote remineralization of tooth substances and reduce the rate of demineralization. The use of a dentifrice with a high fluoride content may be considered to reverse PRCLs, since more fluoride is required for the remineralization of roots than for enamel. This paper reviews the effects of dentifrices with high fluoride contents on the management of root caries.

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“…Moreover, the access to approximal RCLs for restorative management is limited or requires extensive removal of sound dental hard tissues. Therefore, several approaches to prevent initiation (Burt et al 1986;Mojon et al 1998;Tan et al 2010) or inactivate RCLs (Papas et al 2007;Ekstrand et al 2013) have been proposed.…”

Section: Introductionmentioning

confidence: 99%

Systematic Review on Noninvasive Treatment of Root Caries Lesions

2014

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The present systematic review critically summarizes results of clinical studies investigating chemical agents to reduce initiation or inactivation of root caries lesions (RCLs). Outcomes were DMFRS/DFRS (decayed, missing, filled root surfaces), surface texture (hard/soft), and/or RCI (root caries index). Three electronic databases were screened for studies from 1947 to 2014. Cross-referencing was used to further identify articles. Article selection and data abstraction were done in duplicate. Languages were restricted to English and German. Mean differences (MD) were calculated for changes in DMFRS/DFRS. Risk ratios (RR) were calculated for changes in surface texture and RCI in a random effects model. Thirty-four articles with 1 or more agents were included; they reported 30 studies with 10,136 patients who were 20 to 101 y old; and they analyzed 28 chemical agents (alone or in combination). Eleven studies investigated dentifrices, 10 rinses, 8 varnishes, 3 solutions, 3 gels, and 2 ozone applications. Meta-analyses revealed that dentifrices containing 5,000 ppm Regular use of dentifrices containing 5,000 ppm F -and quarterly professionally applied CHX or SDF varnishes seem to be efficacious to decrease progression and initiation of root caries, respectively. However, this conclusion is based on only very few well-conducted randomized controlled trials.

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Root Caries in an Optimally Fluoridated and a High-fluoride Community

Cited by 115 publications

References 16 publications

Twenty–Four Month Incidence of Root Caries among a Diverse Group of Adults

Twenty–Four Month Incidence of Root Caries among a Diverse Group of Adults

Reversal of Primary Root Caries Using a Dentifrice with a High Fluoride Content

Systematic Review on Noninvasive Treatment of Root Caries Lesions

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