There are no Clearly Superior Methods for Diagnosing, Predicting, and Noninvasively Treating Dental Caries

Ewoldsen, Nels; Koka, Sreenivas

doi:10.1016/j.jebdp.2009.11.008

Cited by 15 publications

(10 citation statements)

References 1 publication

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…A 3‐year clinical trial assessing 432 children, aged 9–14 years, identified former caries experience (DMFS > 18%) as the best predictor (odds ratio 4.9) (98). This is in agreement with the results of a recent systematic review (44), which identified former caries experience as the best predictor for future caries in adults. For example, in a 5‐year clinical trial assessing the impact of sugar intake, dose and frequency on the development of dental caries, 20% of the patients in the group with highest sugar intake did not show any caries increment.…”

Section: Caries Risk Assessmentsupporting

confidence: 92%

See 1 more Smart Citation

Prevention of crown and root caries in adults

Rodrigues¹,

Lussi²,

Seemann³

et al. 2010

Periodontology 2000

View full text Add to dashboard Cite

Section: Caries Risk Assessmentsupporting

confidence: 92%

“…Dentin lesions were detected by clinical inspection in only 13% of the cases, and by radiographic assessment in 44% of the cases. Thus, the combination of visual/tactile criteria and bite‐wing radiography appears superior to either detection method alone (44).…”

Section: Diagnostic Aspects Of Coronal and Root Caries In Adultsmentioning

confidence: 99%

Prevention of crown and root caries in adults

Rodrigues¹,

Lussi²,

Seemann³

et al. 2010

Periodontology 2000

View full text Add to dashboard Cite

“…14 Ewoldsen y Koka (2010) realizaron un análisis sistemático y encontraron que el recuento de Streptococcus mutans, Lactobacillus, pH salival, niveles de placa e ingesta de azúcar tienen baja precisión como predictores de caries dental; sugieren que el mejor predictor, hasta el momento, es la historia de caries dental aunque no es el óptimo. 37 En este estudio se demostró que los factores predictores de caries dental fueron pH salival menor a 4 (coeficiente ß: 58,4 ± 23,7), nivel de flujo salival menor a 0.5 ml/min (ß: 43,7 ± 10,8), conteo de S. mutans en la segunda área del cuadrado (ß: 25,02 ± 18,9).…”

Section: Discussionunclassified

Estimación Del Riesgo De Caries Dental Mediante El Uso Del Cariogram® en Estudiantes De Odontología: Análisis Preliminar

et al. 2011

View full text Add to dashboard Cite

RESUMENObjetivo: evaluar el riesgo de caries dental en los estudiantes de la Facultad de Odontología de la Universidad Santo Tomás en Bucaramanga y examinar la relación entre los factores incluidos en el examen y los resultados obtenidos por el Cariogram ® . Materiales y métodos: se realizó un estudio de corte transversal. La muestra la conformaron 24 estudiantes de I semestre. Para obtener el riesgo de caries de cada individuo, expresado como "la posibilidad de evitar nuevas lesiones", se hizo un examen clínico (CPO-D e índice de placa de Sillness y Löe), se analizaron muestras de saliva (Lactobacillus, Streptococcus mutans, secreción de saliva y capacidad tampón) y se diligenciaron cuestionarios de dieta. En el análisis univariado se determinaron las medidas de resumen y dispersión para todos los datos. El análisis bivariado incluyó la t de Student y el coeficiente de correlación de Pearson y en el multivariado, una regresión lineal. Para todas las pruebas, p ≤ 0,05. Resultados: gran parte de los estudiantes tuvieron un riesgo bajo de caries dental con una oportunidad de 76,8% para evitar futuras lesiones. El CPOD promedio de la muestra fue de 4,58 ± 3,32 y el del índice de placa fue 0,72 ± 1,01. Se observó una correlación significativa entre los resultados obtenidos por el Cariogram ® y las aplicaciones de fluoruro, la secreción de saliva, la capacidad de amortiguación y los niveles de Streptococcus mutans. Las variables de predicción que aportaron más al modelo fueron la capacidad de amortiguación por debajo de 4, la secreción de saliva por debajo de 0,5 ml/min y el recuento de Streptococcus mutans. Conclusión: la población evaluada mostró un bajo riesgo de caries dental. El modelo explicó el 90% de la variabilidad del riesgo de caries dental, que aumentó cuando el flujo de saliva era muy bajo y el pH de la saliva estaba por debajo de 4. CARIES RISK ASSESSMENT IN DENTAL STUDENTS USING CARIOGRAM ® COMPUTER MODEL: A PRELIMINARY REPORT ABSTRACTObjective: to assess caries risk in dental students from the School of Dentistry at the Santo Tomas University (Bucaramanga, Colombia) and to examine the relationship between the caries related factors and the results given by Cariogram ® . Methods: a descriptive observational cross sectional study was done. The sample consisted of 24 dental students from first grade. Data collection included a clinical examination (DMFT and plaque scores), saliva sampling (lactobacillus and mutans streptococci levels, saliva secretion and buffer capacity) and a dietary questionnaire. The caries risk of each individual, expressed as the chance to avoid new caries, was then obtained. Means, modes, medians and standard deviations were determined for all data. Bivariate analyses were performed by Student's t test and by Pearson correlation coefficient. A linear regression was done for the multivariate analysis. For all tests, p≤0.05 was considered statistically significant. Results: most of the students had a low caries risk with a 76,8% chance to avoid future caries. The mean DMFT of the s...

show abstract

“…All of the data collection forms used for this study is available on the DPBRN Supplement page (www.dentalpbrn.org/users/publications/supplement.aspx). The survey was pilot-tested to assess the feasibility and comprehension of each questionnaire item 23 .…”

Section: Methodsmentioning

confidence: 99%

Methods dentists use to diagnose primary caries lesions prior to restorative treatment: Findings from The Dental PBRN

Rindal¹,

Gordan²,

Litaker³

et al. 2010

Journal of Dentistry

View full text Add to dashboard Cite

Objective To (1) quantify the diagnostic techniques used by Dental Practice-Based Research Network (DPBRN) dentists before they decide to treat primary caries lesions surgically and (2) examine whether certain dentist, practice, and patient characteristics are associated with their use. Methods A total of 228 DPBRN dentists recorded information on 5,676 consecutive restorations inserted due to primary caries lesions on 3,751 patients. Practitioner-investigators placed a mean of 24.9 (SD=12.4) restorations. Lesions were categorized as posterior proximal, anterior proximal, posterior occlusal, posterior smooth, or anterior smooth. Techniques used to diagnose the lesion were categorized as clinical assessment, radiographs, and/or optical. Statistical analysis utilized generalized mixed-model ANOVA to account for the hierarchical structure of the data. Results By lesion category, the diagnostic technique combinations used most frequently were clinical assessment plus radiographs for posterior proximal (47%), clinical assessment for anterior proximal (51%), clinical assessment for posterior occlusal (46%), clinical assessment for posterior smooth (77%), and clinical assessment for anterior smooth (80%). Diagnostic technique was significantly associated with lesion category after adjusting for clustering in dentists (p<0.0001). Conclusion These results — obtained during actual clinical procedures rather than from questionnaire-based hypothetical scenarios — quantified the diagnostic techniques most commonly used during the actual delivery of routine restorative care. Diagnostic technique varied by lesion category and with certain practice and patient characteristics.

show abstract

There are no Clearly Superior Methods for Diagnosing, Predicting, and Noninvasively Treating Dental Caries

Cited by 15 publications

References 1 publication

Prevention of crown and root caries in adults

Prevention of crown and root caries in adults

Estimación Del Riesgo De Caries Dental Mediante El Uso Del Cariogram® en Estudiantes De Odontología: Análisis Preliminar

Methods dentists use to diagnose primary caries lesions prior to restorative treatment: Findings from The Dental PBRN

Contact Info

Product

Resources

About