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Sample records for caries background aims

  1. The VicGeneration study - a birth cohort to examine the environmental, behavioural and biological predictors of early childhood caries: background, aims and methods

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    Dashper Stuart

    2010-02-01

    Full Text Available Abstract Background Dental caries (decay during childhood is largely preventable however it remains a significant and costly public health concern, identified as the most prevalent chronic disease of childhood. Caries in children aged less than five years (early childhood caries is a rapid and progressive disease that can be painful and debilitating, and significantly increases the likelihood of poor child growth, development and social outcomes. Early childhood caries may also result in a substantial social burden on families and significant costs to the public health system. A disproportionate burden of disease is also experienced by disadvantaged populations. Methods/Design This study involves the establishment of a birth cohort in disadvantaged communities in Victoria, Australia. Children will be followed for at least 18 months and the data gathered will explore longitudinal relationships and generate new evidence on the natural history of early childhood caries, the prevalence of the disease and relative contributions of risk and protective biological, environmental and behavioural factors. Specifically, the study aims to: 1. Describe the natural history of early childhood caries (at ages 1, 6, 12 and 18 months, tracking pathways from early bacterial colonisation, through non-cavitated enamel white spot lesions to cavitated lesions extending into dentine. 2. Enumerate oral bacterial species in the saliva of infants and their primary care giver. 3. Identify the strength of concurrent associations between early childhood caries and putative risk and protective factors, including biological (eg microbiota, saliva, environmental (fluoride exposure and socio-behavioural factors (proximal factors such as: feeding practices and oral hygiene; and distal factors such as parental health behaviours, physical health, coping and broader socio-economic conditions. 4. Quantify the longitudinal relationships between these factors and the development and

  2. The VicGeneration study - a birth cohort to examine the environmental, behavioural and biological predictors of early childhood caries: background, aims and methods

    OpenAIRE

    Dashper Stuart; Gussy Mark; Calache Hanny; de Silva-Sanigorski Andrea M; Gibson Jane; Waters Elizabeth

    2010-01-01

    Abstract Background Dental caries (decay) during childhood is largely preventable however it remains a significant and costly public health concern, identified as the most prevalent chronic disease of childhood. Caries in children aged less than five years (early childhood caries) is a rapid and progressive disease that can be painful and debilitating, and significantly increases the likelihood of poor child growth, development and social outcomes. Early childhood caries may also result in a ...

  3. Microstructure and mechanical changes induced by Q-Switched pulse laser on human enamel with aim of caries prevention

    Science.gov (United States)

    Apsari, R.; Pratomo, D. A.; Hikmawati, D.; Bidin, N.

    2016-03-01

    This study was conducted to determine the effect of Q-Switched Nd: YAG laser energy dose to human enamel caries. The specifications of Q-Switched Nd: YAG laser as followed: wavelength of 1064 nm and 6 ns pulse width. Caries enamel samples taken from human teeth molars of 17-35 ages and the type of media caries. Energy doses used in this study were 723.65 mJ/cm2, 767.72 mJ/cm2, and 1065.515 mJ/cm2; 5 Hz repetition rate, and 20 second exposure time. Samples characterized the surface morphology and the percentage of constituent elements, especially calcium/phosphorus (Ca/P) with FESEM-EDAX. The fraction volume and crystallinity percentage of hydroxyapatite (HA) with XRD and hardness value using Vickers Microhardness Test. The results indicated that exposure of Q-Switched Nd:YAG laser on enamel caries resulting cracks, holes, and melt due to plasma production effects in the surface. Plasma production effect also resulted in micro properties such as percentage of Ca/P was close to normal, the fraction volume and crystallinity percentage of HA went up but did not change the crystal structure (in terms of the lattice structure). The hardness value also rose as linear as exposure energy dose caused by phototermal effect. Based on the results, Q-Switched Nd:YAG laser can be used as contactless drill dental caries replacement candidate with the additional therapy effect such as localized caries in order to avoid the spread, the ratio of Ca/P approaching healthy teeth, the fraction volume and crystallinity percentage of HA rose and established stronger teeth with peak energy dose 1065.515 mJ/cm2.

  4. Clinical evaluation of Krimidanta Pratishedha (anti-caries) activity of Triphaladi Gandusha in high risk dental caries patients

    OpenAIRE

    Atara, Achyuta G.; Manjusha, R.; Shukla, Vinay J.; Vaghela, Dharmendra B.; Rooparalia, Brijesh

    2014-01-01

    Background: Dental caries is the most common complaint encountered in clinical practice. Virtually every adult in the world has experience of dental caries. It affects almost 80% of the population. It is now being viewed in dual perspective- “caries as a disease” and “caries as a lesion”. Aims: To evaluate the efficacy of Triphaladi Gandusha for its anti-caries activity and improvement in Oral Hygiene Index in high risk patients of dental caries and to compare the efficacy of prevalent method...

  5. SPOrt an Experiment Aimed at Measuring the Large Scale Cosmic Microwave Background Polarization

    CERN Document Server

    Carretti, E; Bernardi, G; Cecchini, S; Macculi, C; Sbarra, C; Monari, J; Orfei, A; Poloni, M; Poppi, S; Bölla, G; Bonometto, S A; Gervasi, M; Sironi, G; Zannoni, M; Tucci, M; Baralis, M; Peverini, O A; Tascone, R; Virone, G; Fabbri, R; Nicastro, L; Ng, K W; Razin, V A; Vinyajkin, E N; Sazhin, M V; Strukov, I A

    2002-01-01

    SPOrt (Sky Polarization Observatory) is a space experiment to be flown on the International Space Station during Early Utilization Phase aimed at measuring the microwave polarized emission with FWHM = 7deg, in the frequency range 22-90 GHz. The Galactic polarized emission can be observed at the lower frequencies and the polarization of Cosmic Microwave Background (CMB) at 90 GHz, where contaminants are expected to be less important. The extremely low level of the CMB Polarization signal (< 1 uK) calls for intrinsically stable radiometers. The SPOrt instrument is expressly devoted to CMB polarization measurements and the whole design has been optimized for minimizing instrumental polarization effects. In this contribution we present the receiver architecture based on correlation techniques, the analysis showing its intrinsic stability and the custom hardware development carried out to detect such a low signal.

  6. Evaluation of pH, buffering capacity, viscosity and flow rate levels of saliva in caries-free, minimal caries and nursing caries children: An in vivo study

    OpenAIRE

    Dwitha Animireddy; Venkata Thimma Reddy Bekkem; Pranitha Vallala; Sunil Babu Kotha; Swetha Ankireddy; Noorjahan Mohammad

    2014-01-01

    Background and Aim: The present study was undertaken to evaluate the pH, buffering capacity, viscosity and flow rate of saliva in caries free, minimal caries and nursing caries children and to evaluate the relationship of these on the caries activity of children. Materials and Methods: A total of 75 school children of age group between 4 and 12 years were selected and divided into three equal groups: Group I, Group II and Group III, consisting of 25 subjects each. Group I included caries-free...

  7. Evaluation of pH, buffering capacity, viscosity and flow rate levels of saliva in caries-free, minimal caries and nursing caries children: An in vivo study

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    Dwitha Animireddy

    2014-01-01

    Full Text Available Background and Aim: The present study was undertaken to evaluate the pH, buffering capacity, viscosity and flow rate of saliva in caries free, minimal caries and nursing caries children and to evaluate the relationship of these on the caries activity of children. Materials and Methods: A total of 75 school children of age group between 4 and 12 years were selected and divided into three equal groups: Group I, Group II and Group III, consisting of 25 subjects each. Group I included caries-free subjects, Group II included subjects with minimal caries and Group III included subjects with nursing caries. Saliva samples were collected from all subjects and were estimated for flow rate, pH, buffering capacity and viscosity. Results: There was a significant decrease in the mean salivary flow rate, salivary ph and salivary buffer capacity and a significant increase in the salivary viscosity among caries-free subjects, subjects with minimal caries and subjects with nursing caries. Conclusion: The physicochemical properties of saliva, such as salivary flow rate, pH, buffering capacity and viscosity, has a relation with caries activity in children and act as markers of caries activity.

  8. Caries remineralisation and arresting effect in children by professionally applied fluoride treatment – a systematic review

    OpenAIRE

    Gao, Sherry Shiqian; Zhang, Shinan; Mei, May Lei; Lo, Edward Chin-Man; Chu, Chun-Hung

    2016-01-01

    Background As a low-cost and easily operated treatment, the use of professionally applied topical fluoride was approved for preventing dental caries and remineralising early enamel caries or white spot lesions. It is also used to arrest dentine caries. The aim of this study is to investigate the clinical efficacy of professional fluoride therapy in remineralising and arresting caries in children. Method A systematic search of publications from 1948 to 2014 was conducted using four databases: ...

  9. The Danish National Birth Cohort--its background, structure and aim

    DEFF Research Database (Denmark)

    Olsen, J; Melbye, M; Olsen, S F;

    2001-01-01

    ) was established. A large cohort of pregnant women with long-term follow-up of the offspring was the obvious choice because many of the exposures of interest cannot be reconstructed with sufficient validity back in time. The study needs to be large, and it is aimed to recruit 100,000 women early in pregnancy...... bank has been set up with blood taken from the mother twice during pregnancy and blood from the umbilical cord taken shortly after birth. Data collection started in 1996 and the project covered all regions in Denmark in 1999. By August 2000. a total of 60,000 pregnant women had been recruited...

  10. Prevalence of candida albicans in dental plaque and caries lesion of early childhood caries (ECC) according to sampling site

    Science.gov (United States)

    Ghasempour, Maryam; Sefidgar, Seyed Ali Asghar; Eyzadian, Haniyeh; Gharakhani, Samaneh

    2011-01-01

    Background: Candida albicans may have cariogenic potential but its role in caries etiology has not been established. The aim of this study was to determine candida albicans in supragingival dental plaque and infected dentine of cervical and proximal in early childhood caries (ECC). Methods: This cross-sectional study was carried out on 6o children aged 2-5 years, which were divided into 3 groups: children with at least one cervical caries; children with at least one proximal caries and caries-free. The infected dentine was collected from cervical and proximal caries lesions and plaque samples were collected from the three groups in order to compare the frequency of candida albicans in the collected sites. All samples were cultured in Sabouraud and CHROMagar medium and the cases that were positive for candida albicans were cultured in germ tube. Data were collected and analyzed. Results: The mean age of the children was 3.9 years. From 100 samples, candida albicans samples were isolated in 55%, mold fungi were found in 29% cases and there was no fungal growth in 16% of the samples. In plaque samples, candida albicans were found in 15% of caries-free samples, 20% of the proximal and 80% of the cervical caries. In samples extracted from the caries, candida albicans were found in 60% of the proximal and 100% of the cervical caries. Mothers with university educational level had children with more cervical decays, caries free and proximal caries, respectively. Conclusion: The results showed that prevalence of Candida albicans in dental plaque and caries lesions of children with early childhood caries were relatively high and the prevalence was higher in cervical caries group. PMID:24551436

  11. Dental caries vaccine

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    Shivakumar K

    2009-01-01

    Full Text Available Dental caries is one of the most common diseases in humans. In modern times, it has reached epidemic proportions. Dental caries is an infectious microbiologic disease of the teeth that results in localized dissolution and destruction of the calcified tissue. Dental caries is a mulitifactorial disease, which is caused by host, agent, and environmental factors. The time factor is important for the development and progression of dental caries. A wide group of microorganisms are identified from carious lesions of which S. mutans , Lactobacillus acidophilus , and Actinomyces viscosus are the main pathogenic species involved in the initiation and development of dental caries. In India, surveys done on school children showed caries prevalence of approximately 58%. Surveys among the U.S. population showed an incidence of 45.3% in children and 93.8% in adults with either past or present coronal caries. Huge amounts of money and time are spent in treating dental caries. Hence, the prevention and control of dental caries is the main aim of public health, eventually the ultimate objective of public health is the elimination of the disease itself. Recently, dental caries vaccines have been developed for the prevention of dental caries. These dental caries vaccines are still in the early stages.

  12. Prevention of dental caries: A review of effective treatments

    Science.gov (United States)

    Sicca, Claudio; Bobbio, Elena; Quartuccio, Natale; Nicolò, Giovanni

    2016-01-01

    Background The objective of this study is to review medical and non medical treatments for prevention of caries. Material and Methods A comprehensive literature search of the most relevant and updated published studies from 01/01/2002 through December 2015 in PubMed/MEDLINE, Embase and Scopus databases regarding the efficacy of strategies and treatments aiming to prevent the development of caries was performed selecting papers on the basis of the Evidence-based Medicine Criteria. Results We identified thirty systematic reviews on prevention of caries. Analyzing the data the retrieved literature, performance of prevention treatments seems to be high. Conclusions Prevention treatments may have a relevant impact on the avoiding the development of caries planning. Key words:Dental caries, prevention, fluoride. PMID:27957278

  13. Factors increasing the caries risk of second primary molars in 5-year-old Dutch children

    NARCIS (Netherlands)

    Elfrink, Marlies E C; Schuller, Annemarie A; Veerkamp, Jaap S J; Poorterman, Jan H G; Moll, Henriette A; ten Cate, Bob J M

    2010-01-01

    BACKGROUND: Caries is still a prevalent condition in 5-year-old children. At present, knowledge regarding some aetiological factors, like deciduous molar hypomineralization (DMH), is limited. AIM: To investigate aetiological factors both directly and indirectly associated with caries in second prima

  14. Quantitative detection of Streptococcus mutans and bacteria of dental caries and no caries groups in permanent teeth from a north China population

    Institute of Scientific and Technical Information of China (English)

    WANG Zhan-yong; WANG Jian-qiu; ZHOU Yan; ZHAO Dong; XIAO Bai

    2012-01-01

    Background Streptococcus mutans (S.mutans) is the prime pathogen of dental caries.There are few reports that studied the relationship between S.mutans,bacteria and dental caries in permanent teeth when compared to those in primary teeth.This study aimed to detect S.mutans and bacteria of dental caries and non-caries groups in permanent teeth from a north China population by real-time polymerase chain reaction (PCR) and compare the relationship between the number of these bacteria and the prevalence of dental caries in permanent teeth.Methods Human saliva samples were collected from 142 subjects with permanent teeth.According to their dental tooth (DT),142 subjects were divided into a dental caries group (DT≥1) and a non-caries group (DT=0).With specific primers for S.mutans and 16S rRNA,the total number of S.mutans and total bacteria of 142 saliva samples were detected by real-time PCR and statistically analyzed.Results There was no significant difference between the detection rates of S.mutans (P=0.118) and medians of S.mutans (P=0.115).The ratio of S.mutans to total bacteria in people with dental caries was significantly higher than in those without caries (P <0.001),but the total number of bacteria in people with dental caries was significantly lower than in those without caries (P <0.001).Conclusions S.mutans had different effects on caries in the permanent teeth of several individuals from a north China population.The ratios of S.mutans to total bacteria in saliva detected by real-time PCR with Sm479F/R and 16S RNA primers were closely associated with the prevalence of dental caries in the same population.These assays may be useful for the assessment of an individual's risk of dental caries.

  15. Early Childhood Caries

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    Yumiko Kawashita

    2011-01-01

    Full Text Available Dental caries is one of the most common childhood diseases, and people continue to be susceptible to it throughout their lives. Although dental caries can be arrested and potentially even reversed in its early stages, it is often not self-limiting and progresses without proper care until the tooth is destroyed. Early childhood caries (ECC is often complicated by inappropriate feeding practices and heavy infection with mutans streptococci. Such children should be targeted with a professional preventive program that includes oral hygiene instructions for mothers or caregivers, along with fluoride and diet counseling. However, these strategies alone are not sufficient to prevent dental caries in high-risk children; prevention of ECC also requires addressing the socioeconomic factors that face many families in which ECC is endemic. The aim of this paper is to systematically review information about ECC and to describe why many children are suffering from dental caries.

  16. Salivary pH and Buffering Capacity as Risk Markers for Early Childhood Caries: A Clinical Study

    OpenAIRE

    D. Jayaraj; Ganesan, S.

    2015-01-01

    ABSTRACT Background: The diagnostic utility of saliva is currently being explored in various branches of dentistry, remarkably in the field of caries research. This study was aimed to determine if assessment of salivary pH and buffering capacity would serve as reliable tools in risk prediction of early childhood caries (ECC). Materials and methods: Paraffin-stimulated salivary samples were collected from 50 children with ECC (group I) and 50 caries free children (group II). Salivary pH and bu...

  17. Efficacy of three-tone disclosing agent as an adjunct in caries risk assessment

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    Mungara Jayanthi

    2015-01-01

    Full Text Available Background: Today, most approaches to caries viewed that catastrophic change in normal plaque biofilm is responsible for the disease. The behavior and composition of the biofilm are a reflection of the oral environment; the caries is a reflection of adverse changes occurring in that environment. Thus, it is important to identify the pathogenicity of the plaque biofilm so as to predict the caries risk. The recently developed three-tone plaque disclosing agent was used to test its ability in identifying the pathogenicity of plaque. Aim: To assess the efficacy of three-tone plaque disclosing agent in identifying the plaque pathogenicity and correlate with the clinical caries status and microbiological findings. Materials and Methods: Sixty children of 6-13 years age group of both sexes were clinically examined for caries and plaque scores, and then disclosing agent was applied; the color stained plaque samples were collected and cultured for microbiological assessment, and the data were analyzed based on the caries status of the children. Results: There was a significant difference between the pathological plaque of caries active and caries free group (P < 0.05. The pathological plaque scores and the total colony counts, Streptococcus counts and mutans streptococci counts increased with the increase in caries. Conclusion: Three-tone plaque disclosing agent was effective in identifying pathological plaque and can be used as one of the chairside adjuvants in caries risk assessment.

  18. Association of parental stress and early childhood caries

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    Seyed Ebrahim Jabbarifar

    2009-01-01

    Full Text Available Background:Little research has been carried out on whether the parental stress affects children′s oral health in general and dental caries in particular. This study aimed to investigate the association be-tween parental stress and early childhood caries (ECC. Methods: A cross-sectional study was designed that included 250 children of 4-6 year-old; 127 ones attended the pediatric department of Isfahan School of Dentistry who had early childhood caries and a comparison group of 123 caries free children attended five kindergartens and pre-schools in Isfahan city. Clinical examinations were conducted to evaluate the caries status. The parents of the two study groups completed the self-administrated long form of the Parenting Stress Index questionnaire. De-tails of their socio-demographic status were gathered too. The collected data were analyzed by SPSS version 11.5. The nonparametric Mantel-Haenszel test for correlation statistics was used to determine bivariate associations between total parenting stress and their domains scores in the two groups; i.e., those with early childhood caries and the caries free group. Results: Mean score of PSI in the early childhood caries and caries free group were 286.66 ± 66.26 and 273.87 ± 31.03, respectively. There was not any significant relationship between total parental stress and ECC. The scores of the following domains of PSI demonstrated significant differences between ECC and CF groups: child reinforcement, child distractibility, child deficit attention, life stress and relationship with spouse (P = 0.01, 0.01, 0.001, 0.005 respectively. Conclusion: Findings of this study did not show any significant association between total parenting stress score and prevalence of early childhood caries.

  19. Caries risk estimation in children regarding values of saliva buffer system components and carboanhydrase activity

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    Šurdilović Dušan

    2008-01-01

    Full Text Available Background/Aim. One of the preconditions for efficacious systematic reduction of caries prevalence and prophylaxis is the determination of risks of this disease appearance. The aim of this study was to prove the significance of salivary carboanhydrase activity determination in estimation of caries risk in children. Methods. The study included 123 children of average age of 13.4±0.3 years and permanent dentition. The children were divided into two groups according to caries risk (low and high caries risk groups. Two samples of saliva - unstimulated and stimulated one were taken from each child. Salivary carboanhydrase activity, as well as pH value, bicarbonate and phosphate buffer levels were estimated in both group of saliva samples. Results. The investigation showed significantly higher carboanhydrase activity (p < 0.001 in both saliva samples in low caries risk group compared to high caries risk one. In children with low caries risk, both unstimulated and stimulated saliva show significantly higher bicarbonate and phosphate buffer concentrations (p < 0.001, as well as pH values. Conclusion. The lower caries incidence could be expected in children with high carboanhydrase activity and higher salivary buffer system parameters levels. The presented results suggest that salivary carboanhydrase activity represents the important marker of individual susceptibility for caries appearance in children.

  20. Caries risk assessment models in caries prediction

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    Amila Zukanović

    2013-11-01

    Full Text Available Objective. The aim of this research was to assess the efficiency of different multifactor models in caries prediction. Material and methods. Data from the questionnaire and objective examination of 109 examinees was entered into the Cariogram, Previser and Caries-Risk Assessment Tool (CAT multifactor risk assessment models. Caries risk was assessed with the help of all three models for each patient, classifying them as low, medium or high-risk patients. The development of new caries lesions over a period of three years [Decay Missing Filled Tooth (DMFT increment = difference between Decay Missing Filled Tooth Surface (DMFTS index at baseline and follow up], provided for examination of the predictive capacity concerning different multifactor models. Results. The data gathered showed that different multifactor risk assessment models give significantly different results (Friedman test: Chi square = 100.073, p=0.000. Cariogram is the model which identified the majority of examinees as medium risk patients (70%. The other two models were more radical in risk assessment, giving more unfavorable risk –profiles for patients. In only 12% of the patients did the three multifactor models assess the risk in the same way. Previser and CAT gave the same results in 63% of cases – the Wilcoxon test showed that there is no statistically significant difference in caries risk assessment between these two models (Z = -1.805, p=0.071. Conclusions. Evaluation of three different multifactor caries risk assessment models (Cariogram, PreViser and CAT showed that only the Cariogram can successfully predict new caries development in 12-year-old Bosnian children.

  1. Nutrition and Experimental Dental Caries

    OpenAIRE

    田村,俊吉; タムラ, シュンキチ; Shunkichi, TAMURA

    1983-01-01

    Nutrition is an effective factor for the inhibition of the development of dental caries. The constitution of diet has a strong bearing on the development of dental caries. However the theoretical background regarding the development of dental caries has not been sastifactorily established. Experimentally, we have clarified the relation of nutrition and dental caries in rats. Experimental animals used in this study were Wistar strain Albino rats (closed colony, Tamura, 1950). Young rats of 21 ...

  2. Heavy smoking and severe dental caries in Indonesian men

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    Sumartono, Wasis

    2016-12-01

    Full Text Available BACKGROUND: In Indonesia, the prevalence of dental caries is 85%–99% and 67.4% of males aged 15 years or older are current users of tobacco. The aim of this study was to examine the association between heavy smoking and severe dental caries. METHODS: The authors used secondary data from Basic Health Research 2007. Respondents were Indonesian males aged 45–54 years (n = 34 534. Decay, Missing, Filled Teeth (DMFT value was used to define severe dental caries with 31.4% of respondents having DMFT value ≥ 8, the cutoff point of severe dental caries in this study. In addition, the enumerators recorded socio-demographic characteristics (age, socio-economic status, education, and job, tooth brushing and smoking behavior of respondents. Chi-square test was used to compare the prevalence of severe dental caries between heavy smokers (defined as Brinkman Index or BI ≥ 400 and never smokers (BI = 0. The multivariable logistic regression model was used to estimate adjusted association between heavy smoking and dental caries severity. RESULTS: The prevalence of severe dental caries among never smokers, light smokers (BI 1-399 and heavy smokers was 24.9%, 32.5%, and 38.7% respectively (p < 0.005. Compared to never smokers, the adjusted ORs of having severe dental caries among light smokers and heavy smokers were 1.45 (95% CI: 1.37-1.53 and 1.70 (95% CI: 1.59 – 1.81, respectively. CONCLUSIONS: Smoking is a risk factor of severe dental caries in Indonesian men with dose-and-response association revealed between the exposure and the outcome. Indonesian dentists, individually and collectively, have to participate in smoking prevention and control more actively.

  3. Variations among dentists in visual and radiographic diagnosis of occlusal caries

    OpenAIRE

    Pourhashemi J.; Mohandes F; AR. Talaeipour

    2008-01-01

    "nBackground and Aim: Diagnosis of occlusal caries in early stages is more difficult than other types, and  needs practical proficiency and accuracy as well as application of advanced and modern equipments. The aim of this study was to evaluate the variations among dentists in diagnosis of occlusal caries. "nMaterials and Methods: In this descriptive cross-sectional study, 6 permanent first molar teeth of 8-10 years old children with occlusal caries of 1, 2 and 3 degrees we...

  4. Rampant Caries

    Science.gov (United States)

    Guzman-Armstrong, Sandra

    2005-01-01

    Although dental caries in the pediatric and adolescent population has consistently declined in the United States, it is still the most common childhood disease. Dental problems are the number one reason for missing school next to the common cold. Dental caries are an infectious, communicable disease resulting in destruction of tooth structure by…

  5. Body mass index and dental caries in children aged 5 to 8 years attending a dental paediatric referral practice in the Netherlands

    OpenAIRE

    Jong-Lenters, M. de; van Dommelen, P.; Schuller, A.A.; Verrips, E.H.W.

    2015-01-01

    Background Obesity and dental caries are widely-recognised problems that affect general health. The prevention of both dental caries and obesity have proven very difficult: children and their parents may need professional support to achieve behaviour change. To find out whether both dental caries and overweight in childhood can be targeted using a common risk factor approach, it is necessary to establish whether the two diseases are indeed linked. The aim of the present study was therefore to...

  6. A comparative evaluation of DIAGNOdent with visual and radiography for detection of occlusal caries: An in vitro study

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    Sridhar N

    2009-01-01

    Full Text Available Background: The diagnosis of dental caries is fundamental to the practice of dentistry. Despite the fact that dental caries has declined considerably, it is still a problem of great importance. The reduction in caries prevalence has not occurred uniformly for all the surfaces. The greatest reduction was observed at lesions located on smooth surfaces, so that occlusal caries are most common in children. Aim: The purpose of this study is to determine the clinical efficacy of DIAGNOdent in detecting occlusal caries. Materials and Methods: A total number of 50 teeth were subjected for visual, radiographic, and DIAGNOdent examinations. All the three methods were compared to histology which is a gold standard. Results: The result obtained showed that DIAGNOdent is superior to visual and radiographic methods in diagnosing occlusal caries.

  7. Dental caries: Therapeutic possibilities

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    Perić Tamara

    2008-01-01

    Full Text Available Contemporary tendencies in dentistry are based on the concept of maximal protection of healthy tooth tissues. Caries removal has been done traditionally with mechanical rotary instruments that are fast and precise. However, conventional cavity preparation has potential adverse effects to the pulp due to heat, pressure and vibrations. Moreover, drilling often causes pain and requires local anaesthesia, and these procedures are frequently perceived as unpleasant. Etiology, development and prevention of dental caries are better understood today and new restorative materials that bond micromechanically and/or chemically to dental tissues have been introduced. Thus, development of a new, less destructive caries removal technique is allowed. In the last decades, many alternative methods have been introduced in an attempt to replace rotary instruments. These are claimed to be efficient and selective for diseased tissues and to offer comfortable treatment to the patients. New methods include air abrasion, air polishing, ultrasonic, polymer burs, enzymes, systems for chemo-mechanical caries removal, and lasers. The aim of this paper was to discuss various caries removal techniques and possibilities of their use in clinical practice. Based on the literature review it can be concluded that none of the new caries removal methods can completely replace conventional rotary instruments.

  8. Caries diagnosis using laser fluorescence

    Science.gov (United States)

    Zanin, Fatima A. A.; Pinheiro, Antonio L. B.; Souza-Campos, Dilma H.; Brugnera, Aldo, Jr.; Pecora, Jesus D.

    2000-03-01

    Caries prevention is a goal to be achieved by dentist in order to promote health. There are several methods used to detect dental caries each one presenting advantages and disadvantages, especially regarding hidden occlusal caries. The improvement of laser technology has permitted the use of laser fluorescence for early diagnosis of hidden occlusal caries. The aim of this study was to assess the efficacy of the use of 655 nm laser light on the detection of hidden occlusal caries. Forty molar teeth from patients of both sexes which ages ranging from 10 - 18 years old were used on this study. Following manufacture's instructions regarding the use of the equipment, the teeth had their occlusal surface examined with the DIAGNOdent. Twenty six of 40 teeth had hidden occlusal caries detected by the DIAGNOdent. However only 17 of these 26 teeth showed radiographic signs of caries the other 9 teeth showed no radiological signs of the lesion. Radiographic examination was able to identify 34,61% of false negative cases. This means that many caries would be left untreated due to the lack of diagnosis using both visual and radiographic examination. The use of the DIAGNOdent was effective in successfully detecting hidden occlusal caries.

  9. Prognosis of caries increment with past caries experience variables.

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    van Palenstein Helderman, W H; van't Hof, M A; van Loveren, C

    2001-01-01

    This study aimed to select past caries experience variables as caries predictors and to compare their prognostic accuracy with the variables used in a method of caries prognosis developed in a Swiss child population. The data used for the analyses originated from an 8-year longitudinal study starting in 1980 on caries of 7.5-year-old Dutch children. Stepwise logistic regression analyses provided predictor variables. The newly introduced variables D23fi, D(123)i and D23pifi were interchangeable and the most powerful caries predictors. For the sake of uniformity and ease of application, D23fi (number of fissures of the permanent first molar with non-cavitated or cavitated caries lesions) was chosen as the first variable in the logistic regression equations. The gain in accuracy of the second and third predictor variables (number of sound primary molars and the number of buccal and lingual smooth surfaces of the permanent first molar with non-cavitated or cavitated caries) in the regression equations was limited. The D1 condition of surfaces could be omitted from the prediction models. The present forced three-predictor-regression equations for 7.5-, 9.5- and 11.5-year-old children were evaluated to assess their prognostic performance by using the area under the ROC curve as a measure of prognostic quality. For the present regression equations, the area under the ROC curve was 81-87%, which was higher compared to the Swiss regression equations for caries prognosis.

  10. Frequency, biofilm formation and acid susceptibility of streptococcus mutans and streptococcus sobrinus in saliva of preschool children with different levels of caries activity

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    Maryam Ghasempour

    2013-01-01

    Full Text Available Background: One of the causative factors in development of dental caries is microorganisms. Two species of Mutans streptococci including Streptococcus mutans and Streptococcus sobrinus are associated with dental caries in human beings. The aim of this study was to investigate the frequency of S. mutans and S. sobrinus in saliva of children with different caries activity and ability to form biofilm and acid susceptibility of these microorganisms. Materials and Methods: This analytical case-control study was performed on 83 preschool children, 4-6 years old. Children were divided into two groups including 41 caries-active and 42 caries-free children. Non-stimulated saliva samples were collected and culture and polymerase chain reaction techniques were used. Statistical analysis was performed using t-test, Chi-square, ANOVA, and Kappa tests. Results: S. mutans and S. sobrinus were found in 65% and 21.6% of the samples respectively. S. mutans was isolated from 75.6% of caries-active and 54.8% of caries-free children. Figures for S. sobrinus were 29.2% and 14.3% respectively. Acid susceptibility of microorganisms isolated from saliva was 87.43 in caries-active children and 94.30 for caries-free children. Biofilm formation of microorganisms in caries-active and caries-free children was 0.77 and 0.73, respectively. Conclusion: Frequency of S. mutans in caries-active children was significantly higher than caries-free children, but the difference in frequency of S. sobrinus was not significant. Acid susceptibility of microorganisms in caries-active children was significantly lower, but the ability to form biofilm was not significantly different in two groups.

  11. Inequalities of caries experience in Nevada youth expressed by DMFT index vs. Significant Caries Index (SiC over time

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    Mobley Connie

    2011-04-01

    Full Text Available Abstract Background With the increasingly polarized distribution of dental caries among children and adolescents, the usual DMFT measure has become a less meaningful population descriptor. To re-focus on identifying the high caries prevalence group the Significant Caries Index (SiC was created. The aims of this study were to analyze the prevalence and severity of dental caries in Nevada youth over a period of eight years and to compare its expression by means of DMFT and SiC; analyze the caries trends in the population and their underlying factors, and determine whether Nevada youth were at risk for significantly high levels of dental caries. Methods Retrospective data was analyzed from a series of sequential, standardized oral health surveys across eight years (2001/2002-2008/2009 that included over 62,000 examinations of adolescents 13-19 years of age, attending public/private Nevada schools. Mean Decayed-Missing-Filled Teeth index (DMFT and Significant Caries Index (SiC were subsequently computed for each academic year. Descriptive statistics were reported for analysis of comparative DMFT and SiC scores in relation to age, gender, racial background, and residence in a fluoridated/non-fluoridated community. Logistic regression analysis was used to analyze the differential impact of the variables on the probability of being in the high caries prevalence group. Results Comparison of students' mean DMFT to National (NHANES data confirmed that dental caries remains a common chronic disease among Nevada youth, presenting higher prevalence rates and greater mean scores than the national averages. Downward trends were found across all demographics compared between survey years 1 and 6 with the exception of survey year 3. An upward trend began in survey year six. Over time, the younger group displayed an increasing proportion of cariesfree individuals while a decreasing proportion was found among older examinees. As expected, the mean SiC score was

  12. Spectroscopic Detection of Caries Lesions

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    Mika Ruohonen

    2013-01-01

    Full Text Available Background. A caries lesion causes changes in the optical properties of the affected tissue. Currently a caries lesion can be detected only at a relatively late stage of development. Caries diagnosis also suffers from high interobserver variance. Methods. This is a pilot study to test the suitability of an optical diffuse reflectance spectroscopy for caries diagnosis. Reflectance visible/near-infrared spectroscopy (VIS/NIRS was used to measure caries lesions and healthy enamel on extracted human teeth. The results were analysed with a computational algorithm in order to find a rule-based classification method to detect caries lesions. Results. The classification indicated that the measured points of enamel could be assigned to one of three classes: healthy enamel, a caries lesion, and stained healthy enamel. The features that enabled this were consistent with theory. Conclusions. It seems that spectroscopic measurements can help to reduce false positives at in vitro setting. However, further research is required to evaluate the strength of the evidence for the method’s performance.

  13. Prediction of dental caries activity

    OpenAIRE

    Crossner, Claes-Göran

    1980-01-01

    The aim of the present thesis was to find a test for prediction of caries activity which would be useful in routine clinical work.Correlations between oral health, general health, food habits and socioeconomic conditions were investigated in 4- and 8-year-old children. It was found that the salivary secretion rate and the prevalence of oral lactobacilli were factors which might be useful in caries prediction.In 5- and 8-year-old children negative correlations between caries frequency and secr...

  14. Caries risk assessment in young adults

    DEFF Research Database (Denmark)

    Petersson, Gunnel Hänsel; Twetman, Svante

    2015-01-01

    BACKGROUND: To validate baseline caries risk classifications according to the Cariogram model with the actual caries development over a 3-year period in a group of young adults living in Sweden. METHODS: The study group consisted of 1,295 19-year-old patients that completed a comprehensive clinical...

  15. [Dental caries--therapeutic possibilities].

    Science.gov (United States)

    Perić, Tamara; Marković, Dejan; Zivković, Slavoljub

    2008-01-01

    Contemporary tendencies in dentistry are based on the concept of maximal protection of healthy tooth tissues. Caries removal has been done traditionally with mechanical rotary instruments that are fast and precise. However, conventional cavity preparation has potential adverse effects to the pulp due to heat, pressure and vibrations. Moreover, drilling often causes pain and requires local anaesthesia, and these procedures are frequently perceived as unpleasant. Etiology, development and prevention of dental caries are better understood today and new restorative materials that bond micromechanically and/or chemically to dental tissues have been introduced. Thus, development of a new, less destructive caries removal technique is allowed. In the last decades, many alternative methods have been introduced in an attempt to replace rotary instruments. These are claimed to be efficient and selective for diseased tissues and to offer comfortable treatment to the patients. New methods include air abrasion, air polishing, ultrasonic, polymer burs, enzymes, systems for chemo-mechanical caries removal, and lasers. The aim of this paper was to discuss various caries removal techniques and possibilities of their use in clinical practice. Based on the literature review it can be concluded that none of the new caries removal methods can completely replace conventional rotary instruments.

  16. The Frequency of Streptococcus Mutans and Lactobacillus spp.in 3-5-year- old Children with and without Dental Caries

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    Moulana, Z.

    2013-01-01

    Full Text Available AbstractBackground and Objective: The high occurrence of early childhood caries (ECC is one of the most common problems in children dentistry. Streptococcus mutans and lactobacilli.spp are closely associated with the development of early childhood caries (ECC. Therefore, the aim of this study was to investigate the frequency of streptococcus mutans and lactobacilli.spp in 3-5 –year- old children with and without dental caries.Material and Methods: This case-control study was conducted on 60 children aged 3 -5-years, without any history of systemic disease, who had not received any antibiotic therapy and fluoride usage during the last month. The cases were divided into three groups of early childhood caries, usual caries and caries-free. The infected dentin samples were collected from cervical and proximal in ECC and usual caries group, respectively. Also in all the three groups, the samples of dental plaque from buccal surfaces were collected and immediately immersed into Brain Heart Infusion (BHI broth medium. After that, the diluted sample was plated onto MitisSalivarius agar (Difco for detecting streptococcus mutans and Rogosa agar (Difco for detecting lactobacilli.spp. Data were analyzed by Chi- Square and ANOVA.Results: of the samples taken from dental plaque, S. mutans is observed in 90% of ECC, 80% of proxymolcarries and in 25% of caries-free individuals. Based on the results, the presence of S.mutans in the group of caries is significantly higher than that of without caries, but there is no significant difference between the two groups of caries. In addition, lactobacill.spp is isolated from 60% ofthe samples, but there is no significant difference between two groups of caries and caries-free. The average of decayed, missing and filled teeth (DMFT index in the group with early childhood caries (6.95±1.572 and usual caries (5.80±1.105 is different significantly. Pearson correlation test shows that there is a significant relationship

  17. Current possibilities in occlusal caries management

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    Hrvoje Jurić

    2013-11-01

    Full Text Available Dental caries is a multifactorial disease that affects most populations throughout the world and it is still the primary cause of oral pain and tooth loss. The occlusal surfaces of posterior teeth are the most vulnerable sites for dental caries due to their anatomy. Therefore, the aim of the following article is to summarize current knowledge on occlusal caries development and the possibilities of its prevention. Although the overall caries rate today has fallen for populations in industrialized countries, the rate of occlusal surface caries has not decreased. This may be explained with fact that topically applied fluorides and their mode of action prevent caries better on smooth than on occlusal surfaces. As we know, tooth decay of first permanent molars causes a great deal of different short and long term difficulties for patients. Therefore, there is a continuous need for implementation of programs for caries prevention in permanent teeth. Nowadays, we like to treat our patients by minimally invasive methods. A very important step in our effective preventive treatment is sealing pits and fissures as a cornerstone of occlusal caries management. Reliable assessment of caries activity is also very important for defining treatment needs and plans. A very important decision, which should be made during occlusal caries management, is the selection of restorative material according to the treatment plan. Conclusion. Current possibilities in occlusal caries prevention and management are very effective. Therefore, dentists today do not have any excuse for avoiding the philosophy of Minimally Invasive Dentistry, especially when we talk about caries management of occlusal surfaces in permanent molars.

  18. Relationship between interproximal caries and using bitewing radiographs in patient older than twenty

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    Goodarzipur D

    2011-02-01

    Full Text Available "nBackground and Aims: Caries and bone loss are the most common diseases in oral cavity. The prevalence of these diseases will be reduced by controlling their risk factors. In this study, bitewing radiographs of patients were examined to illustrate the relationship between caries and bone loss."nMaterials and Methods: One-hundred and fifty bitewing radiographs of 86 patients were evaluated. In these radiographs, caries and distance between alveolar crest and CEJ were measured. In addition, confounding variables (contact type, tooth type, tooth surface were assessed. Furthermore, patients were asked about the use of other possible risk factors of bone loss like smoking, brushing, and flossing. The data were analyzed using Regression analysis."nResults: Findings of this study showed that the relationship between caries and bone loss was significant (P=0.02. Also, there were significant relationships between flossing (P=0.03, tooth type (P=0.0001 tooth surface (P=0.02 and bone loss. Finally the multivariate analyses considering confounding variables illustrate significant relationship between caries and bone loss (P=0.0001."nConclusion: Caries and bone loss have important roles as the risk factors for each other. Thus, it is necessary to prevent these risk factors and treat them as soon as possible to reduce these diseases.

  19. Comparing caries risk profiles between 5- and 10- year-old children with cleft lip and/or palate and non-cleft controls

    DEFF Research Database (Denmark)

    Sundell, Anna Lena; Ullbro, Christer; Marcusson, Agneta

    2015-01-01

    of cleft lip and/or palate (CL(P)) children with non-cleft controls in the same age using a computerized caries risk assessment model. METHODS: The study group consisted of 133 children with CL(P) (77 subjects aged 5 years and 56 aged 10 years) and 297 non-cleft controls (133 aged 5 years and 164 aged 10......BACKGROUND: Previous studies have suggested that children with oral clefts may have higher caries prevalence in comparison with non-cleft controls but the relative importance of the potential risk factors is not clear. The aim of this study was to compare the caries risk profiles in a group...

  20. Aims & Scope

    Institute of Scientific and Technical Information of China (English)

    2014-01-01

    Asian Pacific Journal of Tropical Biomedicine(APJTB)aims to set up and provide an international academic communication platform for physicians,medical scientists,allied health scientists and public health workers,especially those in the Asian Pacific region and worldwide on tropical biomedicine,infectious diseases and public health,and to meet the growing challenges

  1. Routine versus aggressive upstream rhythm control for prevention of early atrial fibrillation in heart failure : background, aims and design of the RACE 3 study

    NARCIS (Netherlands)

    Alings, M.; Smit, M. D.; Moes, M. L.; Crijns, H. J. G. M.; Tijssen, J. G. P.; Brugemann, J.; Hillege, H. L.; Lane, D. A.; Lip, G. Y. H.; Smeets, J. R. L. M.; Tieleman, R. G.; Tukkie, R.; Willems, F. F.; Vermond, R. A.; Van Veldhuisen, D. J.; Van Gelder, I. C.

    2013-01-01

    Rhythm control for atrial fibrillation (AF) is cumbersome because of its progressive nature caused by structural remodelling. Upstream therapy refers to therapeutic interventions aiming to modify the atrial substrate, leading to prevention of AF. The Routine versus Aggressive upstream rhythm Control

  2. Introducing a Dental Caries Marking Software and Evaluate Radiologists’ Disagreement in Caries Detection Using this Software

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    Baseri H

    2015-03-01

    Full Text Available Statement of Problem: Bitewing radiograph is the main reference for diagnosis of proximal and recurrent caries. There is no software for gathering and analyzing radiologists’ opinion in the field of caries detection on digital bitewing radiograph (DBR. Objectives: The main aim of this study is to introduce the first windows application that could be used for marking caries on DBR. This software is called Dental Caries Marking Software (DCMS. The second aim is to create the first DBR caries dataset to be used for future software development projects in the field of automatic caries detection; also gathering and documenting the disagreements and critiques regarding DCMS. Materials and Methods: DCMS has been designed and implemented by the researchers of this study. This software is divided into two parts. The first part is DCMS writer that is used for gathering the user’s opinion and The second part is DCMS analyzer that is used for reading and analyzing the user’s opinion file. Eight radiologists with different experiences used DCMS for marking dental caries on 200 DBR, 50 of which were repeated twice for assessing the accuracy of each radiologist. Results: A total of 3833 points were marked by 8 users on 150 non repetitive DBR. Only 35 points were marked similarly by 8 users; in other words, 8 users totally agreed with 4% of the caries points. According to 50 repetitive DBR, the maximum accuracy of users was 69% and the minimum was 50%. Conclusions: There is significant debate over the diagnosis of caries on DBR; therefore, for unifying the radiologist’s opinions, the need for intelligent caries detection software is apparent. DCMS is useful software for gathering caries data. Moreover, the use of conventional display monitor has negative impacts on accurate diagnosis of caries on DBR.

  3. Aims & Scope

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    <正>Asian Pacific Journal of Tropical Biomedicine(APJTB)aims to set up and provide an international academic communication platform for physicians,medical scientists,allied health scientists and public health workers,especially those in the Asian Pacific region and worldwide on tropical biomedicine,infectious diseases and public health,and to meet the growing challenges of understanding,preventing and controlling the dramatic global emergence and reemergence of infectious diseases in the Asian Pacific region.

  4. Aims & Scope

    Institute of Scientific and Technical Information of China (English)

    2013-01-01

    <正>Asian Pacific Journal of Tropical Biomedicine(APJTB)aims to set up and provide an international academic communication platform for physicians,medical scientists,allied health scientists and public health workers,especially those in the Asian Pacific region and worldwide on tropical biomedicine,infectious diseases and public health,and to meet the growing challenges of understanding,preventing and controlling the dramatic global emergence and reemergence of infectious diseases in the Asian Pacific region.

  5. Fluoride varnishes and enamel caries

    NARCIS (Netherlands)

    Bruyn, Hugo de

    1987-01-01

    Topical fluoride applications have the aim of increasing the fluoride uptake in enamel and consequently reducing caries. In the early ‘60s fluoride varnishes were introduced because they had a long contact period with the enamel which resulted in a higher fluoride uptake than from other topical appl

  6. On dental caries and caries-related factors in children and teenagers.

    Science.gov (United States)

    Alm, Anita

    2008-01-01

    Dental caries is still a common disease among children and adolescents. The aims of the present thesis were therefore: 1) to investigate the approximal caries prevalence in posterior teeth in 15-year-olds, 2) to study past caries experience in the primary dentition in relation to future caries development and need for treatment, 3) to investigate factors during early childhood which are associated with caries development later in life, and 4) to study the association between age-specific body mass index (isoBMI) and approximal caries status in 15-year-olds. Paper I has a retrospective design and the analyses were based on record data from a randomly selected sample. Papers II, III and IV are based on radiographic analyses of posterior teeth in 15-year-olds followed longitudinally from 1 to 15 years of age. The data for these studies were selected from examinations, interviews and questionnaires from early childhood and school health care records at 15 years (isoBMI values). The result showed that the approximal caries prevalence in 15-year-olds is underestimated in official caries data, since initial caries lesions are not included in these statistics. Two thirds of all 15-year-olds had approximal caries and initial caries constituted 86% of the total number of caries lesions. There was a strong relationship between caries in early childhood and approximal caries prevalence in the posterior teeth at 15 years of age. Children with caries experience at 6 years received significantly more treatment in the primary dentition during the period from 7 to 12 years compared with children who were caries free at the same age. Further, it was pointed out that parents' attitudes to dental health and psychosocial factors during early childhood have an effect on approximal caries in 15-year-olds. Additionally, plaque on primary incisors at 1 year of age and infrequent toothbrushing at 3 years of age were associated with a high caries experience at 15 years. It was also

  7. Evaluation of non-microbial salivary caries activity parameters and salivary biochemical indicators in predicting dental caries

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    A Kaur

    2012-01-01

    Full Text Available Aim: The aim of the present study was the evaluation of non-microbial salivary caries activity parameters and salivary biochemical indicators in predicting dental caries. Materials and Methods: The present study was carried out on 60 children, aged 4-6 years, selected from the schools of Panchkula district, Haryana, on the basis of their caries status. Level of hydration, flow rate, pH, buffering capacity, relative viscosity, calcium, phosphorus and alkaline phosphatase levels in caries-free and caries-active children were evaluated. Results: Results showed that 90% of subjects in the caries-free group and 30% of subjects in the caries-active group had normal level of hydration value of less than 60 s and the difference was found to be statistically very highly significant. Normal flow rate of stimulated saliva was found in 90% of the subjects in caries-free group and 33.3% subjects in the caries active group and difference was found to be statistically very highly significant. Adequate salivary pH was found in 100% subjects in caries-free group and 30% in caries-active group and the difference was statistically very highly significant. Conclusion: To conclude, within limitations of this study, it became clear that normal level of hydration and higher values for flow rate, pH, buffering capacity of saliva lead to good oral health and a reduced caries occurrence. Increased salivary viscosity plays a role in increasing caries incidence. Salivary biochemical indicators like calcium, phosphorus and alkaline phosphatase also play their respective role in determining caries susceptibility of an individual. These salivary parameters can be used as diagnostic tool for caries risk assessment.

  8. A literature review of the relationship between breastfeeding and early childhood caries

    Directory of Open Access Journals (Sweden)

    Narjes Amiri TehraniZadeh

    2012-01-01

    Full Text Available Background and Aims: Improper feeding is one of the most important etiologic factors in early childhood caries (ECC. In some clinical trials, breast feeding (BF is mentioned as a causing factor in ECC. Results in this topic are different or even controversial. It is vital that all general advices given out are consistent with general health education messages. The aim of this study was to conduct a systematic review on the relationship between breast feeding and early childhood caries. Materials and Methods: Articles, guidelines, related books, and specific databases such as SID, PubMed, Scirus, Elsevier, American Association of Pediatric Dentistry (AAPD, American Association of Pediatrics (AAP and American Dental Association (ADA were searched for related topics cited since 1990. Early childhood caries definition, breast feeding and other variables such as sample size, study location and study design were analyzed.Results: According to data analysis, there was a lack of methodological consistency and inconsistent definitions of ECC and BF in the literature making it difficult to draw conclusions. Results about relationship between prolonged BF and ECC were inconclusive. There was a positive relationship between nocturnal BF and ECC. A history of BF did not have any effect on the caries incidence.Conclusion: Because of the role of breast feeding in children's health, it is important to inform the parents about the possibility of dental caries due to nocturnal breast feeding.

  9. PRIMARY CARIES: AN OVERVIEW

    Directory of Open Access Journals (Sweden)

    Gaurav Solanki

    2012-01-01

    Full Text Available Primary caries is an initial lesions produced by direct extension from an external surface. Dental caries is called as tooth decay or a cavity is a disease in which bacterial processes changes carbohydrate to acid which than dematerializes the hard tooth structure like enamel, dentin and cementum. Streptococcus mutans and Lactobacillus are the bacteria responsible for the dental caries by acid production. This article throws light on the dental caries disease, its sign and symptoms, treatment and prevention of it. A review of some patents on dental caries is also provided that summarizes the recent technical advancements taken place in this area.

  10. [Aims and background of the anticorruption law].

    Science.gov (United States)

    Mühlhausen, H

    2002-01-01

    Corruption not only should be banned sociopolitically, it is a tort of law in Germany. Any employee in public duty has a special responsibility. That is the reason why the law does not tolerate any kind of corruption particularly in the public workplace. On trial the facts have to be established. A medical doctor is liable only if he abused his position to get an advantage. Doctors who are in charge of economic decisional power have to be aware that their responsibility for public money is important and that any personal advantage, which is linked to economic decisions will be problematic. Therefore the principles of transparency and rational economics have to be acknowledged.

  11. Dental Calculus Arrest of Dental Caries

    Science.gov (United States)

    Keyes, Paul H.; Rams, Thomas E.

    2016-01-01

    Background An inverse relationship between dental calculus mineralization and dental caries demineralization on teeth has been noted in some studies. Dental calculus may even form superficial layers over existing dental caries and arrest their progression, but this phenomenon has been only rarely documented and infrequently considered in the field of Cariology. To further assess the occurrence of dental calculus arrest of dental caries, this study evaluated a large number of extracted human teeth for the presence and location of dental caries, dental calculus, and dental plaque biofilms. Materials and methods A total of 1,200 teeth were preserved in 10% buffered formal saline, and viewed while moist by a single experienced examiner using a research stereomicroscope at 15-25× magnification. Representative teeth were sectioned and photographed, and their dental plaque biofilms subjected to gram-stain examination with light microscopy at 100× magnification. Results Dental calculus was observed on 1,140 (95%) of the extracted human teeth, and no dental carious lesions were found underlying dental calculus-covered surfaces on 1,139 of these teeth. However, dental calculus arrest of dental caries was found on one (0.54%) of 187 evaluated teeth that presented with unrestored proximal enamel caries. On the distal surface of a maxillary premolar tooth, dental calculus mineralization filled the outer surface cavitation of an incipient dental caries lesion. The dental calculus-covered carious lesion extended only slightly into enamel, and exhibited a brown pigmentation characteristic of inactive or arrested dental caries. In contrast, the tooth's mesial surface, without a superficial layer of dental calculus, had a large carious lesion going through enamel and deep into dentin. Conclusions These observations further document the potential protective effects of dental calculus mineralization against dental caries. PMID:27446993

  12. Accuracy of digital panoramic regarding interproximal caries detection

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    Goodarzi Pour D

    2011-02-01

    Full Text Available "nBackground and Aims: Conventional radiological equipments in our country are going to be converted to digital system using computed radiology (CR technology. If we know the accuracy of digital panoramic radiography for detection of small defects in tooth, it will be useful in cases with difficulty for taking the intraoral radiographs. The aim of this study was to evaluate sensitivity and specificity of digital panoramic radiography for detection of proximal caries compared with the bitewing radiography."nMaterials and Methods: One-hundred patients who had been ordered for taking both bitewing and panoramic radiography were included in this study. Panoramic and then bitewing radiographs were observed by a maxillofacial radiologist and interproximal caries were recorded. Sensitivity and specificity of digital panoramic radiography (CI=95% was calculated compared with the bitewing radiography as a gold standard."nResults: This study showed that the values for sensitivity and specificity were 62.7% (CI 95%=57.7%-67.5% and 91.0% (CI 95%=89.2%-92.5%, respectively."nConclusion: Sensitivity of digital panoramic is less than bitewing radiography even with processing before printing. Therefore, bitewing radiography is superior for detection of inter proximal caries.

  13. Enamel remineralization: controlling the caries disease or treating early caries lesions?

    Directory of Open Access Journals (Sweden)

    Jaime Aparecido Cury

    2009-06-01

    Full Text Available The emphasis currently given to new technologies for enamel remineralization suggests that the changes in the understanding of the dental caries disease, which occurred in the last century, were either not yet adopted or were forgotten. Just like in the past, when the disease was "treated" by restoring cavities, there is presently a misunderstanding on the concept of incipient lesion remineralization. The aim of this paper was to review some concepts about caries, the natural phenomenon of enamel remineralization and the effect of fluoride (F on it, and also to discuss the clinical relevance of remineralizing products recently launched in the marketplace aiming to "treat early caries lesions".

  14. Dental caries characteristics in the first permanent molar in school age children.

    Directory of Open Access Journals (Sweden)

    Yoel González Beriau

    2009-04-01

    Full Text Available Background: Dental caries is one of the main health problems in children. The first permanent molar presents caries more frequently than any other. Objective: To describe the characteristics of dental caries in the first permanent molars in children between 6 and 13 years-old, and to assess oral hygiene and knowledge about the subject in all the patients treated in the stomatology consultation Barrio adentro “El Guapo”, from November 2005 to March 2006. Methods: A descriptive, transversal study showed that most of the patients had dental caries. It was proved that many of them had, at least, on of the first molars affected by dental caries. The quotient first molar affected/ patient was higher than one. Results: There was a decrease in the percentage of healthy permanent first molars. Poor oral hygiene prevailed, with a medium knowledge level on the subject. Most of the parents didn´t know about the first molar dental cavity. Conclusions: It was needed to perform educative tasks aimed at this age group to avoid further damage to this important tooth, central for the development of the stomatognathic system.

  15. Dental caries in Uruguayan adults and elders: findings from the first Uruguayan National Oral Health Survey.

    Science.gov (United States)

    Álvarez, Licet; Liberman, Judith; Abreu, Soledad; Mangarelli, Carolina; Correa, Marcos B; Demarco, Flávio Fernando; Lorenzo, Susana; Nascimento, Gustavo G

    2015-08-01

    This study aimed to assess dental caries status and associated factors in Uruguayan adults and elders using data from the first Uruguayan National Oral Health Survey. Data were representative of the country as a whole. Socio-demographic information was collected with a closed questionnaire. Dental caries was assessed by clinical examination using the DMFT index. The final sample consisted of 769 participants. Mean DMFT was 15.20 and 24.12 for the 35-44 and 65-74-year age groups, respectively. Mean number of decayed teeth was 1.70 in adults and 0.66 in elders. Multivariate analyses showed higher prevalence of dental caries associated with age 65-74 years, low socioeconomic status, use of public dental services, presence of gingivitis; for decayed teeth, age 35-44 years, low socioeconomic status, use of public dental services, infrequent tooth brushing, need for oral health care, and presence of root caries showed higher severity. Uruguayan adults and elders from disadvantaged backgrounds concentrated a heavier burden of dental caries.

  16. Dental caries among children visiting a mobile dental clinic in South Central Kentucky: a pooled cross-sectional study

    OpenAIRE

    2013-01-01

    Background Dental caries is one of the most common chronic childhood diseases affecting a large portion of children in the United States. The prevalence of childhood dental caries in Kentucky is among the highest in the nation. The purposes of this study are to (1) compare sociodemographic differences between caries and no caries groups and (2) investigate factors associated with untreated dental caries among children who visited a mobile dental clinic in South Central Kentucky. Methods Study...

  17. Assessment of social, demographic determinants and oral hygiene practices in relation to dental caries among the children attending Anganwadis of Hingna, Nagpur

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    Shweta Suresh Bhayade

    2016-01-01

    Full Text Available Background: In developing countries, dental caries is the most common disease of the early childhood. Its increased prevalence in younger age group have been predictive of oral health problems in future, affecting oral health and development leading to several morbid conditions of oral and general health. Prevalence and incidence of dental caries is highly influenced by a number of risk factors such as gender, age, socioeconomic status, dietary patterns, and oral hygiene habits. Aim: To assess social, demographic determinants and oral hygiene practices in relation to dental caries among the children attending Anganwadis of Hingna, Nagpur. Materials and Methodology: A cross sectional study in 27 Anganwadis of Hingna, Nagpur was carried out over a period of two months and a total of 324 subjects attending the Anganwadis were enrolled. Social, demographic and oral hygiene practices in relation to dental caries were assessed in the study population. Results: Out of 324 subjects, 206 had dental caries and 38 were found to be malnourished. A significant association was found among age, malnutrition, parent′s educational status, oral hygiene practices, total number of siblings, and dental caries. Conclusion: Anganwadis should be addressed routinely on effective oral and general health promoting strategies which must include education of parents, oral and general health issues, risk factors for dental caries, and malnutrition in children below 5 years of age.

  18. A Comparative Evaluation of the Efficacy of Different Caries Excavation Techniques in reducing the Cariogenic Flora: An in vivo Study

    Science.gov (United States)

    Yadav, Gunjan; Tripathi, Abhay Mani; Mehrotra, Mridul; Saha, Sonali; Garg, Nishita

    2016-01-01

    Background Caries excavation is a noninvasive technique of caries removal with maximum preservation of healthy tooth structure. Aim To compare the efficacy of three different caries excavation techniques in reducing the count of cariogenic flora. Materials and methods Sixty healthy primary molars were selected from 26 healthy children with occlusal carious lesions without pulpal involvement and divided into three groups in which caries excavation was done with the help of (1) carbide bur; (2) polymer bur using slow-speed handpiece; and (3) ultrasonic tip with ultrasonic machine. Samples were collected before and after caries excavation for microbiological analysis with the help of sterile sharp spoon excavator. Samples were inoculated on blood agar plate and incubated at 37°C for 48 hours. After bacterial cultivation, the bacterial count of Streptococcus mutans was obtained. Statistical analysis All statistical analysis was performed using SPSS 13 statistical software version. Kruskal-Wallis analysis of variance, Wilcoxon matched pairs test, and Z test were performed to reveal the statistical significance. Results The decrease in bacterial count of S. mutans before and after caries excavation was significant (p < 0.001) in all the three groups. Conclusion Carbide bur showed most efficient reduction in cariogenic flora, while ultrasonic tip showed almost comparable results, while polymer bur showed least reduction in cariogenic flora after caries excavation. How to cite this article Hassan AF, Yadav G, Tripathi AM, Mehrotra M, Saha S, Garg N. A Comparative Evaluation of the Efficacy of Different Caries Excavation Techniques in reducing the Cariogenic Flora: An in vivo Study. Int J Clin Pediatr Dent 2016;9(3):214-217. PMID:27843252

  19. Prevention, diagnosis and minimally invasive treatment of dental caries

    OpenAIRE

    Lai, Gianfranco

    2016-01-01

    Aim: Study the news overtures to prevention, diagnosis and therapy of caries disease. Methods: We conducted one randomized controlled clinical trial (RCT), one cross-sectional study and one systematic review with meta-analysis. The RCT evaluated the efficacy of the Carisolv and CeraBur. In the cross-sectional study we evaluated the efficacy of a new device to detect caries lesions: DIAGNOcam. The systematic review of the literature was conducted to evaluate efficacy of polyols in caries pr...

  20. Indicators for root caries in Danish persons with recently diagnosed Alzheimer's disease

    DEFF Research Database (Denmark)

    Ellefsen, Birita; Morse, Douglas E; Waldemar, Gunhild;

    2012-01-01

    doi: 10.1111/j.1741-2358.2011.00560.x Indicators for root caries in Danish persons with recently diagnosed Alzheimer's disease Objective:  To identify indicators of root caries among persons with newly diagnosed Alzheimer's disease (AD). Background:  Few studies have investigated dental caries...

  1. Fluoride Varnish Effect on Preventing Dental Caries in a Sample of 3-6 Years Old Children

    OpenAIRE

    Mohammadi, Tayebeh Malek; Hajizamani, Abolghasem; Hajizamani, Hamid Reza; Abolghasemi, Batol

    2015-01-01

    Background: Early childhood caries is one of the most prevalent chronic diseases of children that affect their life and their family in different aspects. Using different types of fluoride is one of the most effective ways for preventing the disease. Fluoride varnish is a topical fluoride product which could use in the community even by non-professional. This study aimed to assess the effect of fluoride varnish on dental caries in a group of children aged 3-6 years old in Kerman kindergarten ...

  2. STUDY OF PREVALENCE OF DENTAL CARIES AMONG THE POPULATION OF JAGDALPUR, CHHATTISGARH

    Directory of Open Access Journals (Sweden)

    Raichoor Anil Kumar

    2016-07-01

    Full Text Available BACKGROUND Dental caries is a major and significant oral health condition that affects about 50 to 60% of the population in India among oral diseases. Unfortunately in rural areas oral health care is often limited due to lack of perceived need for dental care among the rural population, financial constraints as well as shortage of dental manpower. AIM This study aims to determine the prevalence of dental caries among the general population of Jagdalpur and also determine the important factors that could have contributed to the disease. SETTING AND DESIGN Case records of patients who reported to the Department of Dentistry were studied retrospectively. Information about decayed, missed, filled teeth, occupation, oral hygiene techniques as well as dental visits was recorded. METHODS AND MATERIAL Retrospective data of 100 patients who visited the Department of Dentistry was collected from the medical records division. Case sheets having incomplete information or patients who were aged below 5 years and above 75 years were not considered for the study. STATISTICAL ANALYSIS Was done using software SPSS 17.0 version. Chi square test (Descriptive Statistics was done to test the significance of nonparametric analysis. P values were considered significant at 0.05% level. RESULTS Of the 100 case records that were examined, dental caries was more prevalent in males than females with asymptomatic significance of both dental caries and missing teeth to be statistically significant. Restored teeth contributed to almost 72.72% of the population. CONCLUSION The prevalence of dental caries among the rural general population is significantly high. Less frequent dental visits and improper or inadequate brushing technique/methods could have contributed to the high incidence of dental caries. Creating awareness regarding proper oral hygiene methods as well as regular dental checkup is recommended.

  3. Effects of Autolog Saliva on Biofilm Formation of Streptococcus mutans Isolated from Caries and Caries-free Subjects

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    Felicia Paramita

    2012-12-01

    Full Text Available Saliva and Streptococcus mutans play role in biofilm formation. Saliva and S.mutans virulence are different between subjects with and without caries. Objective: The aim of this study was to evaluate the effects of autolog saliva on biofilm formation of S. mutans isolated from caries and caries-free subjects. Materials and Methods: Saliva and plaque samples are obtained from caries and caries-free subjects. Plaque samples were cultured on TYS20B for 3 days. Selected colonies were picked and cultured on TSB for 3 days. After colony counting, biofilm assay was conducted and inoculated for one day. The biofilm was tested using crystal violet binding assay and quantified by measuring the optical density at 655 nm wavelength. Result: The optical density of S. muttans biofilm isolated from subjects with caries were different from taste with no caries. Biofilm formation of S. muttans isolated from caries and caries-free subjects with and without the presence of autolog saliva were different. Conclusion: Autolog saliva influences S. mutans biofilm formation and there is a tendency that is higher than those from subjects with no caries.DOI: 10.14693/jdi.v17i2.48

  4. Inhibition of secondary caries in a bacterial based in vitro caries model

    OpenAIRE

    Schneider, Franziska

    2010-01-01

    The aim of this study was to evaluate the preventive effect of fluoride precipitation with calcium hydroxide on secondary caries in a bacterial based in vitro caries model. Caries-free, retained wisdom teeth were randomly divided into four groups (n=30). The enamel was cut off and cylindrical cavities 3 mm in diameter and 1,5 mm in depth were prepared on each dentine surface. The cavities of Group A and B were restored with composite (Z100) only. A fluoride solution (43,500 ppm Fˉ as magne...

  5. Geo-mapping of time trends in childhood caries risk a method for assessment of preventive care

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    Strömberg Ulf

    2012-06-01

    Full Text Available Abstract Background Dental caries is unevenly distributed within populations with a higher burden in low socio-economy groups. Several attempts have been made to allocate resources to those that need them the most; there is a need for convenient approaches to population-based monitoring of caries risk over time. The aim of this study was to develop the geo-map concept, addressing time trends in caries risk, and demonstrate the novel approach by analyzing epidemiological data from preschool residents in the region of Halland, Sweden. Methods The study population consisted of 9,973 (2006 and 10,927 (2010 children between 3 to 6years of age (~77% of the eligible population from whom caries data were obtained. Reported dmfs>0 for a child was considered as the primary caries outcome. Each study individual was geo-coded with respect to his/her residence parish (66 parishes in the region. Smoothed caries risk geo-maps, along with corresponding statistical certainty geo-maps, were produced by using the free software Rapid Inquiry Facility and the ESRI ArcGIS system. Parish-level socioeconomic data were available. Results The overall proportion of caries-free (dmfs=0 children improved from 84.0% in 2006 to 88.6% in 2010. The ratio of maximum and minimum (parish-level smoothed relative risks (SmRRs increased from 1.76/0.44=4.0 in 2006 to 2.37/0.33=7.2 in 2010, which indicated an increased geographical polarization of early childhood caries in the population. Eight parishes showed evidential, positional changes in caries risk between 2006 and 2010; their corresponding SmRRs and statistical certainty ranks changed markedly. No considerable parallel changes in parish-level socioeconomic characteristics were seen during the same time period. Conclusion Geo-maps based on caries risk can be used to monitor changes in caries risk over time. Thus, geo-mapping offers a convenient tool for evaluating the effectiveness of tailored health promotion and preventive

  6. Caries og drikkevandets kvalitet

    DEFF Research Database (Denmark)

    Arvin, Erik; Bardow, Allan; Bruvo, Maja;

    2011-01-01

    Drikkevandskvaliteten har stor betydning for forekomsten af caries blandt 15 årige skolebørn, også selv om de bruger fluoridholdigt tandpasta. Ud over den kendte effekt af fluorid har vi vist, at calcium også har en væsentlig betydning. Begge ioner forebygger caries. Denne viden har væsentlig...

  7. Visual Inspection for Caries Detection

    DEFF Research Database (Denmark)

    Gimenez, T; Piovesan, C; Braga, M M

    2015-01-01

    We aimed to perform a systematic review including a meta-analysis to evaluate the overall accuracy of visual methods for detecting carious lesions and to identify possible sources of heterogeneity among the studies included. Two reviewers searched PubMed, Embase, Scopus, and other sources through...... July 2014 to identify published and nonpublished studies in English. Studies of visual inspection were included that 1) assessed accuracy of the method in detecting caries lesions; 2) were performed on occlusal, proximal, or free smooth surfaces in primary or permanent teeth; 3) had a reference...... (from 5,808 articles initially identified) and 1 abstract (from 168) met the inclusion criteria. In general, the analysis demonstrated that the visual method had good accuracy for detecting caries lesions. Although laboratory and clinical studies have presented similar accuracy, clinically obtained...

  8. The Effect of Topical Iodine and Fluoride Varnish Combination in Preventing Early Childhood Caries: A Pilot Study

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    Zahra Hashemi

    2015-12-01

    Full Text Available Background: Early Childhood Caries (ECC in the earliest stage is preventable. The studies indicate oral bacteria play an important role in pathogenesis of dental caries. According to high prevalence of ECC, alternative therapies should be explored in order to reduce the occurrence of it. Aim: This study aims to assess the effectiveness of a product containing Povidone Iodine 10% and Sodium Fluoride 0.2% as a supplementary intervention for preventing ECC.Materials and Methods: Thirty-seven children aged 4 to 6 year-old were recruited. Maxillary incisors on each side of the mouth were selected either as a test or control group. Early caries detection examinations were conducted using International Caries Detection and Assessment System (ICDAS clinically and photographically. In a double-blind, placebo-controlled clinical study, a product containing a mixture of  Povidone Iodine 10%  and Sodium Fluoride 0.2%  was applied to the designated incisors of the test group participants. This application was performed every week for a 3-month. The control group participants received a placebo mixture during the same time interval. The caries detection examinations were conducted again after 6 months and the results were compared. The data was analyzed with SPSS V.18, using McNemar test.Results: The incidence of carious lesions increased for the control group while it decreased in the test group (P

  9. Evaluating performance of dental caries detection methods among third-year dental students

    Science.gov (United States)

    2013-01-01

    Background Reliable caries detection is a cornerstone in the modern caries treatment schema. This study aimed to evaluate adopting traditional and new caries detection methods by third-year dental students. Methods Fifty-seven students were given lectures on caries detection, after which they evaluated 27 extracted carious teeth using traditional clinical assessment (CE), Nyvad’s, and ICDAS methods. On three teeth they also performed DIAGNOdent pen® (LF) scanning. Histological scores of the sectioned teeth (ICDAS, LF) and activity estimations of the lesions by the supervisors were used as golden standards (Nyvad, CE). For the ICDAS method , sensitivity and specificity were calculated using dentine caries (D3) as a cut-off point. Mean ICC and kappa values were calculated to evaluate interexaminer agreement for all lesions and methods. Spearman’s correlation coefficient evaluated LF scanning. Results ICDAS method presented good sensitivity (0.78) and specificity (0.87). The inter-examiner agreement for different methods was fair or good (CE ICC = 0.69, κ = 0.53; Nyvad’s method ICC = 0.68, κ = 0.48, ICDAS ICC = 0.66, κ = 0.47). Variation in LF values was the greatest with lesions extending to middle third of dentin. In that case, the Spearman’s correlation coefficient was also the weakest. Conclusions To follow the guidelines by the European Core Curriculum on Cariology, the third year dental students are introduced to methods for detecting lesion depth and assessing lesion activity as well as using new caries detection methods. Their performance in estimating lesion depth is good, and fair to good in estimating lesion activity even after basic training only. PMID:24314305

  10. Laser-induced fluorescence as a method of early caries diagnosis

    Science.gov (United States)

    Mielczarek, Agnieszka; Wiewior, Piotr

    2001-07-01

    Use of lasers in dentistry dates back 20 years but is still not fully exploited, especially when concerning the hard dental tissues. Over the past many efforts and actions have been involved in testing and developing new methods for caries diagnosis. The implementation of these methods in general dental practice is unfortunately still limited because too little scientific evidence exists to support them. One of the age-old concerns for dentists is that decay is often discovered too late. Dentists commonly use x-ray imaging for early caries detection, but this method cannot reveal decay at a sufficiently early stage to avoid restorative methods. Generally, if a caries lesion si detected by x-ray, the mineral loss within the tooth is normally very high and will need invasive treatment. Several laser based techniques, as also other optical methods of detecting caries lesions at an early stage seem to be very promising. Fluorescence of tooth structure is observed when hard tissues are illuminated using laser light. Decayed areas appear dark and provide a contrast against the healthy background surrounding them, so discriminating sound and carious tissues. The aim of this study was to present the possibilities of using laser induced fluorescence in the diagnosis of early caries lesions. The current state-of-the-art is presented, as well as results of our investigations. In our studies an argon ion laser was used to illuminate the teeth and the fluorescence pictures were captured with a CCD camera and then analyzed. Results confirmed that laser induced fluorescence can be used as a sensitive method of caries diagnosis.

  11. Caries-related factors and bacterial composition of supragingival plaques in caries free and caries active Algerian adults

    Institute of Scientific and Technical Information of China (English)

    Amina Hoceini; Nihel Klouche Khelil; Ilhem Ben-Yelles; Amine Mesli; Sara Ziouani; Lotfi Ghellai; Nadia Aissaoui; Fatima Nas; Mounia Arab

    2016-01-01

    Objective: To compare oral hygiene practices, education and social background, food intake and oral malodor of Algerian adults suffering from dental caries with normal controls, and to determine and compare the bacterial composition of the supragingival plaques from the above-mentioned groups.Methods: Participants completed a questionnaire and were clinically examined for dental caries using decayed, missing and filled teeth index according to the criteria laid down by the World Health Organization. Supragingival plaque samples were collected from 50 caries-free adults(CF) and 50 caries-active adults(CA). Standard procedures of culture and identification of aerobic and anaerobic bacteria were used. Data were analyzed using Chi-square test.Results: A total of 117 bacterial strains were isolated from supragingival plaques in CF group subjects, 76(64.96%) of them belonged to 9 aerobic genera, and 41(35.04%) to 9anaerobic genera(P < 0.05). While in the second group, 199 strains were isolated, 119(59.80%) of the strains belonged to 10 aerobic genera and 80(40.20%) to 10 anaerobic bacteria(P < 0.05). Streptococcus mutans, Enterococcus faecium, Aerococcus viridans,Actinomyces meyeri, Lactobacillus acidophilus and Eubacterium limosum showed a significantly higher prevalence in the CA group(P < 0.05). The findings revealed that CA group had a high sugar intake(80%). A significantly higher frequency of tooth brushing(P < 0.000) and a significantly less self-reported oral malodor(P < 0.000) and tooth pain(P < 0.000) were found in CF group, while there was no association of socioeconomic levels and intake of meal snacks with dental caries.Conclusions: This study confirms the association of some aciduric bacteria with caries formation, and a direct association of sugar intake and cultural level with dental caries.Furthermore, oral hygiene practices minimize the prevalence of tooth decay.

  12. Barriers to adopting and implementing an oral health programme for managing early childhood caries through primary health care providers in Lima, Peru

    NARCIS (Netherlands)

    Pesaressi, E.; Villena, R.S.; Sanden, W.J.M. van der; Mulder, J.; Frencken, J.E.F.M.

    2014-01-01

    BACKGROUND: To identify barriers to participation in a primary oral health care programme aimed at preventing early childhood caries, as perceived by nurses. METHODS: Of a total of 140 randomly selected nurses employed in 40 government health centres in Lima, 123 completed a pre-tested questionnaire

  13. The association between social deprivation and the prevalence and severity of dental caries and fluorosis in populations with and without water fluoridation

    Directory of Open Access Journals (Sweden)

    McGrady Michael G

    2012-12-01

    Full Text Available Abstract Background To determine the association between social deprivation and the prevalence of caries (including caries lesions restricted to enamel and enamel fluorosis in areas that are served by either fluoridated or non-fluoridated drinking water using clinical scoring, remote blinded, photographic scoring for caries and fluorosis. The study also aimed to explore the use of remote, blinded methodologies to minimize the effect of examiner bias. Methods Subjects were male and female lifetime residents aged 11–13 years. Clinical assessments of caries and fluorosis were performed on permanent teeth using ICDAS and blind scoring of standardized photographs of maxillary central incisors using TF Index (with cases for fluorosis defined as TF > 0. Results Data from 1783 subjects were available (910 Newcastle, 873 Manchester. Levels of material deprivation (Index of Multiple Deprivation were comparable for both populations (Newcastle mean 35.22, range 2.77-78.85; Manchester mean 37.04, range 1.84-84.02. Subjects in the fluoridated population had significantly less caries experience than the non-fluoridated population when assessed by clinical scores or photographic scores across all quintiles of deprivation for white spot lesions: Newcastle mean DMFT 2.94 (clinical; 2.51 (photo, Manchester mean DMFT 4.48 (clinical; 3.44 (photo and caries into dentine (Newcastle Mean DMFT 0.65 (clinical; 0.58 (photo, Manchester mean DMFT 1.07 (clinical; 0.98 (photo. The only exception being for the least deprived quintile for caries into dentine where there were no significant differences between the cities: Newcastle mean DMFT 0.38 (clinical; 0.36 (photo, Manchester mean DMFT 0.45 (clinical; 0.39 (photo. The odds ratio for white spot caries experience (or worse in Manchester was 1.9 relative to Newcastle. The odds ratio for caries into dentine in Manchester was 1.8 relative to Newcastle. The odds ratio for developing fluorosis in Newcastle was 3.3 relative

  14. A Review on Traditional Caries Diagnostic Systems and Introduction of New International Caries Detection and Assessment System (ICDAS

    Directory of Open Access Journals (Sweden)

    Malek Mohammadi T.

    2011-04-01

    Full Text Available Dental caries is a chronic infection disease that manifests itself through demineralization of dental tissues and cavitations in the tooth structure. The diagnosis of dental caries poses challenges due to the complex interaction of multiple endogenous causal factors. Naturally, visual and visual-tactile examinations have been the most commonly used diagnostic aids in caries examination for many years. A major drawback in common dental examination was the use of varied diagnostic criteria by various authors. Some extensive reviews regarding this have emphasized the need for a unique system for the diagnosis of such caries. Thus, International Caries Detection and Assessment System (ICDAS emerged as a benchmark for detection and assessment of dental caries. The main objective of the new system is to improve the level of information to help make informed decision about diagnosis, prognosis, and clinical management of caries at both individual and public health levels.This study aimed to review traditional caries diagnosis methods and also describe the philosophy of the new ICDAS system for diagnosis and assessment of caries and also demonstrate how it can serve as a basis and benchmark for clinical and epidemiological research.

  15. Diagnostic Accuracy of Digital and Conventional Radiography in the Detection of Non-Cavitated Approximal Dental Caries

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    Farida Abesi

    2012-03-01

    Full Text Available Background: Radiography plays an important role in the detection of interproximal caries.Objectives: The aim of the present study was to determine diagnostic accuracy of chargecoupled devices (CCD, Photo Stimulable Phosphor (PSP and film radiography in detecting non-cavitated caries.Patients and Methods: Seventy-two non-cavitated approximal surfaces of extracted human posterior teeth were radiographed under standardized conditions using three intraoral modalities: CCD Dixi3 (Planmeca, Finland, PSP Digora PCT (Soredex, Finland, and E-speed film (Kodak, USA. Radiographs were interpreted by four observers and caries lesions were classified as sound (R0, restricted to enamel (R1, reaching the dentinoenamel junction (DEJ and the outer half of the dentin (R2 and the inner half of the dentin (R3. The teeth were subsequently sectioned for histological analysis which served as the gold standard for radiographic examination.Results: Microscopic examinations showed that the distribution of caries were 63.9% sound, 18.1% enamel, 9.7% DEJ and outer half of the dentin and 8.3% into the inner half of the dentin.The sensitivity and specificity of film, CCD and PSP for the detection of enamel caries were 38% and 98%; 15% and 96 %; and 23% and 98%, respectively. The sensitivity and specificity of film, CCD and PSP for the detection of both dentin and enamel caries were 55% and 100%; 45% and 100% ; and 55% and 100%, respectively.Conclusions: The results demonstrated that the diagnostic accuracy of digital images is similar to that of conventional film radiography in the detection of non-cavitated approximal caries.

  16. Xilitol and dental caries.

    NARCIS (Netherlands)

    Smits, Marten Titus

    1987-01-01

    Dental caries is a widespread multifactoral disease. The main sympthons are minaral loss from tooth enemal and dentine, eventually leading to total destruction of the teeth, pain, impairment of mastication and problems with facial esthetics. ... Zie: Summary

  17. Family related factors associated with caries prevalence in the primary dentition of five-year-old children

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    Amrita Sujlana

    2015-01-01

    Full Text Available Background: Habits formed in childhood dictate lifestyle choices made as adults. These encompass both oral hygiene and dietary habits which in turn affect dental caries status. Children largely acquire these habits from modeling/observing parents and other family members. Aim: The purpose of this study was to assess the caries status of 5-year-olds, and evaluate associations between dental caries and family-related factors. Materials and Methods: A cohort of 400 children were examined for dental caries using the WHO criteria. Parents were interviewed using a self-structured questionnaire to collect data with regard to variables under evaluation. Statistical analysis: Collected data was subjected to descriptive analysis using the SPSS 12.0 version. Risk factor association with dental caries was investigated using a stepwise logistic regression analysis with P-values 0 were: Mother with low basic education (OR = 1.3, higher number of siblings (OR = 1.4, high snacking frequency (OR = 2.0, parental inability to control sugar consumption (OR = 1.0 parental laxness about the child′s tooth brushing (OR = 1.5, parents brushing their own teeth less than twice daily (OR= 2.0 and unassisted brushing by the child (OR = 1.8. Conclusion: It is thus mandatory to focus on parents′ education level, attitudes and family-structure when planning preventive programs for young children.

  18. A comparative in vitro efficacy of conventional rotatory and chemomechanical caries removal: Influence on cariogenic flora, microhardness, and residual composition

    Directory of Open Access Journals (Sweden)

    Rene Garcia-Contreras

    2014-01-01

    Full Text Available Background: Chemomechanical caries removal system is part of the minimal invasive dentistry; the aim of the study was to compare the amount of bacteria after caries removal with chemomechanical system and conventional rotatory instruments and to test the Vickers microhardness and micro-RAMAN analysis of residual dentin after excavation. Materials and Methods: Molars were induced for demineralization, confirmed with DIAGNOdent; Streptococcus mutans were inoculated into the cavities and filled. Caries removal was performed with rotatory instruments and chemomechanical system; surviving bacteria were cultured for 24 and 48 hours at 37΀C. Vickers microhardness and micro-RAMAN analysis were tested after excavation. Data were analyzed with Wilcoxon, continuity correction, odds ratio, ANOVA post hoc Tukey test, and Spearman correlation. Results: Demineralization was significantly detectable at 240 hours of incubation; conventional rotatory instruments and chemomechanical caries removal were effective in 19.4%-22.6% and 25.8%-32.3%, respectively. Vickers microhardness of chemomechanical system was higher (P < 0.0001 than conventional rotatory instruments and comparable to healthy dentin. Micro-RAMAN analysis showed that healthy dentin is correlated to chemomechanical system (R 2 = 0.683, P < 0.00001 and drilling with burs (R 2 = 0.139, P < 0.00001. Conclusion: The chemomechanical system is effective for caries elimination, comparable to conventional rotatory instruments; the remaining Vickers microhardness and composition surface tissue are similar to healthy dentin.

  19. A comparative in vitro efficacy of conventional rotatory and chemomechanical caries removal: Influence on cariogenic flora, microhardness, and residual composition

    Science.gov (United States)

    Garcia-Contreras, Rene; Scougall-Vilchis, Rogelio Jose; Contreras-Bulnes, Rosalia; Sakagami, Hiroshi; Morales-Luckie, Raul Alberto; Nakajima, Hiroshi

    2014-01-01

    Background: Chemomechanical caries removal system is part of the minimal invasive dentistry; the aim of the study was to compare the amount of bacteria after caries removal with chemomechanical system and conventional rotatory instruments and to test the Vickers microhardness and micro-RAMAN analysis of residual dentin after excavation. Materials and Methods: Molars were induced for demineralization, confirmed with DIAGNOdent; Streptococcus mutans were inoculated into the cavities and filled. Caries removal was performed with rotatory instruments and chemomechanical system; surviving bacteria were cultured for 24 and 48 hours at 37°C. Vickers microhardness and micro-RAMAN analysis were tested after excavation. Data were analyzed with Wilcoxon, continuity correction, odds ratio, ANOVA post hoc Tukey test, and Spearman correlation. Results: Demineralization was significantly detectable at 240 hours of incubation; conventional rotatory instruments and chemomechanical caries removal were effective in 19.4%-22.6% and 25.8%-32.3%, respectively. Vickers microhardness of chemomechanical system was higher (P < 0.0001) than conventional rotatory instruments and comparable to healthy dentin. Micro-RAMAN analysis showed that healthy dentin is correlated to chemomechanical system (R2 = 0.683, P < 0.00001) and drilling with burs (R2 = 0.139, P < 0.00001). Conclusion: The chemomechanical system is effective for caries elimination, comparable to conventional rotatory instruments; the remaining Vickers microhardness and composition surface tissue are similar to healthy dentin. PMID:25506140

  20. Glucosyltransferase B/C expression in Streptococcus mutans of rampant and caries-free children

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    Yetty Herdiati H. Nonong

    2009-12-01

    Full Text Available Background: Streptococcus mutans (S. mutans as specific bacteria causing dental caries have cariogenic characteristic related to glucosyltransferase (gtf B/C that can change sucrose into insoluble glucan. Insoluble glucan functions as an attachment media and bacteria colonization, and also as a source of extracellular polysaccharide which is needed for the bacteria and may lead to caries formation. Purpose: The aim of this study was to find out the gtf B/C expression in isolated S. mutans from dental plaque of rampant and caries-free children. Methods: An observational study was done on 96 isolated bacteria grown in sucrose and bacitracin containing media, which include S. mutans INA 99, S. Mutans EU3, S.mutans EU7, S.EU10a, and S.mutans 10b. PCR technique was used as amplification technique for gtf B/C. Result: This study showed that gtf B/C gene was found in S. mutans, S. constellatus, S. bovis, S. anginosus, L. fermentum, L. salivarius, and Kleibsiella oxytoca. The presence of gtf B/C gene was found in 9 of 10 samples identified in the sample of rampant caries children. Conclusion: The gtf B/C enzyme was found not only in S. mutans, but also in other bacteria.

  1. Hyperactive Children are at Risk of Dental Caries -An Analytical Study

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    C Jeevika

    2013-01-01

    Full Text Available Background: Attention-deficit/hyperactivity disorder (ADHD is well recognized in western countries, but there were no much reports of ADHD from India. Aim: To determine the relationship of ADHD with dental caries. Materials & Method : A cross-sectional analytical study was carried out among 120 children aged around 8-15 years who were randomly selected from normal and special schools located in Chennai city. The children were categorized as ADHD according to the criteria of Diagnostic and Statistical Manual of Mental Disorders (DSM-IV.The questionnaire was given to parents and teachers. It included details of DSM- IV criteria, age, sex, demographic details, past dental history, hours diet chart and any medication taken previously. The oral hygiene status was assessed using Oral Hygiene index simplified (OHI-S and the caries experience was recorded using DMFT index. Categorical data were compared by the Chi-square test. The odds ratio (OR was calculated with logistic regression. A multivariate analysis was carried out to adjust for gender, dental caries status of primary and permanent teeth. Results : Males are more in ADHD group when compared to females. Oral Hygiene Status of ADHD group was significantly better than control group. ADHD children were 3.1 times more odds of getting dental caries than children in the control group.

  2. Co-Relationships between Glandular Salivary Flow Rates and Dental Caries

    Science.gov (United States)

    de Guillory, Carolina Diaz; Schoolfield, John D; Johnson, Dorthea; Yeh, Chih-Ko; Chen, Shuo; Cappelli, David P; Bober-Moken, Irene G; Dang, Howard

    2013-01-01

    Objective This study was designed to evaluate the relationship of age, gender, ethnicity and salivary flow rates on dental caries in an adult population using data collected from the Oral Health San Antonio Longitudinal Study of Aging (OH:SALSA). Background Saliva is essential to maintain a healthy oral environment and diminished output can result in dental caries. Although gender and age play a role in the quantity of saliva, little is known about the interaction of age, gender and ethnicity on dental caries and salivary flow rates. Materials and Methods Data from the 1,147 participants in the OH: SALSA was analyzed. The dependent variables were the number of teeth with untreated coronal caries, number of teeth with root caries, and the number of coronal and root surfaces with untreated caries. The independent variables were stimulated and unstimulated glandular salivary flow rates along with the age, sex, and ethnicity (e.g. European or Mexican ancestry) of the participants. Results Coronal caries experience was greater in younger participants while root surface caries experience was greater in the older participants. Coronal caries was lower in the older age groups while the root caries experience increased. Men had a statistically significant (p<0.02) higher experience of root caries than women. Values for unstimulated and stimulated parotid salivary flow rates showed no age difference and remained constant with age, whereas the age differences in the unstimulated and stimulated submandibular/sublingual salivary flow rates were significant. The mean number of teeth with coronal and root caries was higher in Mexican-Americans than in European-Americans. Conclusions Over one-fourth of the adults between the ages of 60 and 79 have untreated root caries over one-third having untreated coronal caries. Lower salivary flow rates play a significant role in the both the number of teeth and the number of surfaces developing caries in these adults. Women and individuals

  3. The predisposing factors between dental caries and deviations from normal weight

    Directory of Open Access Journals (Sweden)

    Amandeep Chopra

    2015-01-01

    Full Text Available Background: Dental caries and deviations from normal weight are two conditions which share several broadly predisposing factors. So it′s important to understand any relationship between dental state and body weight if either is to be managed appropriately. Aims: The study was done to find out the correlation between body mass index (BMI, diet, and dental caries among 12-15-year-old schoolgoing children in Panchkula District. Materials and Methods: A multistage sample of 12-15-year-old school children (n = 810 in Panchkula district, Haryana was considered. Child demographic details and diet history for 5 days was recorded. Data regarding dental caries status was collected using World Health Organization (1997 format. BMI was calculated and categorized according to the World Health Organization classification system for BMI. The data were subjected to statistical analysis using chi-square test and binomial regression developed using the Statistical Package for Social Sciences (SPSS 20.0. Results: The mean Decayed Missing Filled Teeth (DMFT score was found to be 1.72 with decayed, missing, and filled teeth to be 1.22, 0.04, and 0.44, respectively. When the sample was assessed based on type of diet, it was found that vegetarians had higher mean DMFT (1.72 as compared to children having mixed diet. Overweight children had highest DMFT (3.21 which was followed by underweight (2.31 and obese children (2.23. Binomial regression revealed that females were 1.293 times at risk of developing caries as compared to males. Fair and poor Simplified-Oral Hygiene Index (OHI-S showed 3.920 and 4.297 times risk of developing caries as compared to good oral hygiene, respectively. Upper high socioeconomic status (SES is at most risk of developing caries. Underweight, overweight, and obese are at 2.7, 2.5, and 3 times risk of developing caries as compared to children with normal BMI, respectively. Conclusion: Dental caries and deviations from normal weight are two

  4. Infiltrating/sealing proximal caries lesions

    DEFF Research Database (Denmark)

    Martignon, S; Ekstrand, K R; Gomez, J

    2012-01-01

    This randomized split-mouth controlled clinical trial aimed at assessing the therapeutic effects of infiltration vs. sealing for controlling caries progression on proximal surfaces. Out of 90 adult students/patients assessed at university clinics and agreeing to participate, 39, each with 3...... differences in lesion progression between infiltration and placebo (P = 0.0012) and between sealing and placebo (P = 0.0269). The study showed that infiltration and sealing are significantly better than placebo treatment for controlling caries progression on proximal lesions. No significant difference...

  5. The caries balance: the basis for caries management by risk assessment.

    Science.gov (United States)

    Featherstone, John D B

    2004-01-01

    Dental caries progression or reversal depends upon the balance between demineralization and remineralization. The 'Caries Balance' is determined by the relative weight of the sums of pathological factors and protective factors. Minimally invasive dentistry aims at the least possible removal of enamel or dentin, including reducing pathological factors and enhancing remineralization to avoid any removal of hard tissues. A structured caries risk assessment should be carried out based upon the concept of the caries balance. Following the risk assessment a treatment plan is devised which leads to the control of dental caries for the patient. The balance between pathological and preventive factors can be swung in the direction of caries intervention and prevention by the active role of the dentist and his/her auxiliary staff. Much is now understood about the mechanism of dental caries. We have known for a long time that demineralization of enamel, dentin or cementum is caused by organic acids that are generated by so-called acidogenic bacteria in the plaque when these bacteria feed upon fermentable carbohydrates (Silverstone, 1973; Featherstone, 2000; Loesche, 1986). The natural repair process is remineralization, which occurs when the pH rises again and calcium and phosphate from saliva together with fluoride enter the subsurface region of the lesion and form a new veneer on the existing crystal remnants in the lesion (Ten Cate and Featherstone, 1991). This veneer is less soluble than the original mineral and resists further acid attacks. The key to improved dental health for all is now for the dental profession to embrace this knowledge and put it into practice in the real world, to inhibit caries formation and progression, and to enhance the natural repair process.

  6. Cavity lining after excavating caries lesions

    DEFF Research Database (Denmark)

    Schwendicke, Falk; Göstemeyer, Gerd; Gluud, Christian

    2015-01-01

    OBJECTIVES: After removal of dentin caries lesions, cavity lining has been advocated. Non-clinical data support this approach, but clinical data are sparse and ambiguous. We aimed at evaluating the benefits and harms of cavity lining using meta-analysis and Trial Sequential Analysis. DATA: We...... included randomized clinical trials comparing restorations without versus with cavity lining for treating primary caries lesions. Only trials reporting failure (defined as need to re-retreat) after ≥1 year follow-up were included. Trial selection, data extraction, and risk of bias assessment were conducted....... STUDY SELECTION: From 128 studies, three randomized trials (89/130 patients or teeth), all treating primary teeth, were included. The trials had high risk of bias. All trials compared no lining versus calcium hydroxide lining after selective caries removal followed by adhesive restoration. Follow...

  7. Caries experience in schoolchildren in Bucharest, Romania

    DEFF Research Database (Denmark)

    Funieru, Cristian; Twetman, Svante; Funieru, Elena;

    2014-01-01

    OBJECTIVE: This cross-sectional study aimed to investigate the prevalence and experience of dental caries among children from public middle schools in Bucharest in relation to socioeconomic status and access to school-based dental care. METHODS: Clinical data were collected from 1,595 schoolchild...

  8. Risk factors for early childhood caries in disadvantaged populations.

    Science.gov (United States)

    Arora, Amit; Schwarz, Eli; Blinkhorn, Anthony Stevenson

    2011-11-01

    Early childhood caries is a significant international public health problem. The aim of this paper was to review the current evidence of the risk factors for dental caries in disadvantaged children under 6 years of age. Medline, Cochrane, and PubMed database searches were conducted. Systematic reviews were used where available, or meta-analyses; randomized, controlled trials; and cohort, case-control, and cross-sectional studies (in that order). Studies were restricted to those published in English from 1990 to October 2010. Early childhood caries has a complex etiology with biological, behavioral, and sociodemographic influences. Evidence suggests that young children are most likely to develop caries if Streptococcus mutans is acquired at an early age, although this is influenced by other factors, such as oral hygiene, fluoride, diet, dental visit patterns, socioeconomic status, ethnicity, and health literacy. Etiological pathways should be taken into consideration when designing interventions to prevent dental caries in disadvantaged preschool children.

  9. A novel LED-based device for occlusal caries detection.

    Science.gov (United States)

    Aktan, Ali Murat; Cebe, Mehmet Ata; Ciftçi, Mehmet Ertuğrul; Sirin Karaarslan, Emine

    2012-11-01

    The aim of this in-vitro study was to compare the performance of laser-based (DIAGNOdent, KaVo, Biberach, Germany) and LED-based (Midwest Caries I.D., DENTSPLY Professional, New York, USA) caries detectors in the detection of occlusal caries in permanent molars. The study consisted of 129 visually sound or non-cavitated pits or fissures in 82 extracted permanent human molar teeth. Two trained examiners used the laser-based and LED-based caries detectors to examine the fissures for caries. The teeth were then sectioned at the surfaces suspected of containing occlusal caries and histologically evaluated using stereomicroscopy as a gold standard. Inter-examiner reliability of the caries detector examination was assessed using Cohen's Kappa statistics. The sensitivity, specificity, and accuracy in diagnosing occlusal caries using the two devices were calculated according to appropriate cut-off scores. Receiver operating characteristic (ROC) curves were also determined to compare the diagnostic performance of the devices in occlusal caries diagnosis. The cut-off level of significance was taken as p = 0.005. Cohen's Kappa showed substantial agreement for the laser-based caries detector (0.74), and almost perfect agreement for the LED-based (0.89) caries detector. The specificity of the laser-based device varied from 0.49 to 0.97 at T1 and T2. Its sensitivity varied from 0.33 to 0.65 at T1 and T2. The specificity of the LED-based device varied from 0.48 to 0.56 at T1 and T2. Its sensitivity varied from 0.65 to 0.84 at T1 and from 0.80 to 0.84 at T2. Taking the limitations of the current study into consideration, the DIAGNOdent laser pen was more accurate in determining when teeth were free of occlusal caries than was the Midwest Caries I.D. LED-based device, although the Midwest Caries I.D. device more often revealed the presence of occlusal caries than did the DIAGNOdent pen.

  10. Geo-mapping of caries risk in children and adolescents - a novel approach for allocation of preventive care

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    Holmén Anders

    2011-09-01

    Full Text Available Abstract Background Dental caries in children is unevenly distributed within populations with a higher burden in low socio-economy groups. Thus, tools are needed to allocate resources and establish evidence-based programs that meet the needs of those at risk. The aim of the study was to apply a novel concept for presenting epidemiological data based on caries risk in the region of Halland in southwest Sweden, using geo-maps. Methods The study population consisted of 46,536 individuals between 3-19 years of age (75% of the eligible population from whom caries data were reported in 2010. Reported dmfs/DMFS>0 for an individual was considered as the primary caries outcome. Each study individual was geo-coded with respect to his/her residence parish. A parish-specific relative risk (RR was calculated as the observed-to-expected ratio, where the expected number of individuals with dmfs/DMFS>0 was obtained from the age- and sex-specific caries (dmfs/DMFS>0 rates for the total study population. Smoothed caries risk geo-maps, along with corresponding statistical certainty geo-maps, were produced by using the free software Rapid Inquiry Facility and the ESRI® ArcGIS system. Results The geo-maps of preschool children (3-6 years, schoolchildren (7-11 years and adolescents (12-19 years displayed obvious geographical variations in caries risk, albeit most marked among the preschoolers. Among the preschool children the smoothed relative risk (SmRR varied from 0.33 to 2.37 in different parishes. With increasing age, the contrasts seemed to diminish although the gross geographical risk pattern persisted also among the adolescents (SmRR range 0.75-1.20. Conclusion Geo-maps based on caries risk may provide a novel option to allocate resources and tailor supportive and preventive measures within regions with sections of the population with relatively high caries rates.

  11. Evaluation of Symmetrical or Asymmetrical Pattern of Nursing Caries in 3-5 Year-Old Children at Kindergartens in Tehran During 2009-2010

    Directory of Open Access Journals (Sweden)

    Vahid Pourtalebi Firozabadi

    2013-02-01

    Full Text Available Background and Aims: Nursing Caries (NC is a destructive form of caries because of incorrect nutritional habits in infants that affects deciduous teeth after eruption. Familiarity with the pattern of this type of caries and evaluation of its symmetrical or asymmetrical pattern is necessary for effective and scientific diagnosis and treatment. The aim was to assess the symmetrical or asymmetrical aspects of Nursing Caries in children between3-5 years old.Materials and Methods: In this cross-sectional study, 10 kindergartens were randomly selected by the TehranWelfare Organization. 115 children with NC caries entered to study after examination. Written consents were obtained from the parents. The dmfs in upper primary incisors and upper and lower primary canines, as well as the first primary molars were assessed and the caries pattern in terms of symmetrical or asymmetrical aspects wasevaluated. The data were analyzed by ANOVA, LSD, Chi-square and Fisher tests.Results: In 53.9% of the children with NC, the anterior teeth were affected symmetrically, while 46.1% indicated an asymmetrical pattern. In general, 32.2% of the teeth were affected in a symmetrical pattern and 67.8% of them in an asymmetrical pattern. About the relationship between the breastfeeding from the right or left breast and the symmetrical pattern of the NC, 51% of the children were equally breastfed from both breasts. However, in the asymmetrical NC pattern with more impact in the right side of dentition, 50% of the children had been breastfed from the left side and in children with more caries in the left side of dentition, 50% of them had been breastfed rom the right side (P=0.01.Conclusion: NC has symmetrical and asymmetrical patterns. Direction of mother for breastfeeding affects the symmetrical and asymmetrical pattern of NC.

  12. Incidence of distal caries in mandibular second molars due to impacted third molars: Nonintervention strategy of asymptomatic third molars causes harm? A retrospective study

    Science.gov (United States)

    Srivastava, Nikhil; Shetty, Akshay; Goswami, Rahul Dev; Apparaju, Vijay; Bagga, Vivek; Kale, Saurabh

    2017-01-01

    Background: Removal of impacted third molars is the most common oral surgical procedure. Many investigators have questioned the necessity of removal in patients who are free of symptoms or associated pathologies. Aim: The aim of this retrospective study was to evaluate the incidence of caries on distal aspect of mandibular second molars in patients referred for corresponding third molar assessment and to identify its association with angular position and depth of the impacted mandibular third molars based on the classification of Pell and Gregory. Methodology: Records of 150 patients with impacted third molar presenting to the Department of Oral and Maxillofacial Surgery, Sri Rajiv Gandhi College of Dental Sciences and Hospital, were assessed retrospectively. The radiographic angulation and depth of mandibular third molar impaction were determined and compared to determine the relationship with incidence of caries on the distal surface of the second molar. Results: According to this study results, 37.5% cases show caries on the distal aspect of mandibular second molars. The incidence of caries with mesioangular impacted third molars was 55%. A majority of these mesioangular cases were Level B and Class I as per the Pell and Gregory classification. Conclusion: The prophylactic extraction of mandibular third molars is indicated if the angulation is between 30° and 70° and is justified by incidence of distal caries in the second molars. PMID:28251102

  13. Genetics and caries: prospects

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    Alexandre Rezende Vieira

    2012-01-01

    Full Text Available Caries remains the most prevalent non-contagious infectious disease in humans. It is clear that the current approaches to decrease the prevalence of caries in human populations, including water fluoridation and school-based programs, are not enough to protect everyone. The scientific community has suggested the need for innovative work in a number of areas in cariology, encompassing disease etiology, epidemiology, definition, prevention, and treatment. We have pioneered the work on genetic studies to identify genes and genetic markers of diagnostic, prognostic, and therapeutic value. This paper summarizes a presentation that elaborated on these initial findings.

  14. Developments in caries diagnosis and their relationship to treatment decisions and quality of care - ORCA Saturday Afternoon Symposium 1997

    NARCIS (Netherlands)

    Verdonschot, EH; Angmar-Mansson, B; ten Bosch, JJ; Deery, CH; Huysmans, MCDNJM; Pitts, NB; Waller, E

    1999-01-01

    This symposium report evaluates the achievements made in caries diagnostic research since the previous symposium held in 1992. The symposium aimed at presenting the state of the art of caries diagnostic methods, on presenting the links between caries diagnosis and subsequent treatment decisions and

  15. The influence of caries disclosing agents and cavity disinfectants on microleakage of gingival floor of class V composite resin restorations

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    Safarcherati H

    2007-06-01

    Full Text Available Background and Aim: An important purpose of adhesive dentistry is restriction of cavity preparation to carious dentin removal and conservation of sound dentin. Application of caries disclosing agents and cavity disinfectants can help achieving this goal. The aim of this study was to evaluate the effect of caries disclosing agents and cavity disinfectants on microleakage of composite resin restorations. Materials and Methods: This experimental in-vitro study was performed on class V cavities in 48 extracted human sound premolars. The teeth were randomly divided into four equal groups. In group 1 caries detector dye (Seek, Ultradent, USA and in group 2 cavity disinfectant (Consepsis, Ultradent, USA were applied on dentinal surfaces. In group 3 both mentioned materials were applied. Group 4 was considered as control group. PQ1 bonding agent and Amelogen composite were used to restore the cavities. Gingival microleakage was assessed by dye penetration. Data were analyzed by Kruskall Wallis and Dunn tests. P<0.05 was the level of significance.Results: Group 2 showed the least and group 4 showed the highest microleakage;however no statistical significant difference was found among the groups.Conclusion: The use of caries disclosing agent (Seek and cavity disinfectant (Consepsis Liquid did not adversely affect the sealing ability of dentin bonding resins.

  16. Milk fluoridation for the prevention of dental caries

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    Jolán Bánóczy

    2013-11-01

    Full Text Available The aim of this review is to give an overview of 55 years experience of milk fluoridation and draw conclusions about the applicability of the method. Fluoridated milk was first investigated in the early 1950s, almost simultaneously in Switzerland, the USA and Japan. Stimulated by the favourable results obtained from these early studies, the establishment of The Borrow Dental Milk Foundation (subsequently The Borrow Foundation in England gave an excellent opportunity for further research, both clinical and non-clinical, and a productive collaboration with the World Health Organization which began in the early 1980s. Numerous peer-reviewed publications in international journals showed clearly the bioavailability of fluoride in various types of milk. Clinical trials were initiated in the 1980s – some of these can be classed as randomised controlled trials, while most of the clinical studies were community preventive programmes. Conclusion. These evaluations showed clearly that the optimal daily intake of fluoride in milk is effective in preventing dental caries. The amount of fluoride added to milk depends on background fluoride exposure and age of the children: commonly in the range 0.5 to 1.0 mg per day. An advantage of the method is that a precise amount of fluoride can be delivered under controlled conditions. The cost of milk fluoridation programmes is low, about € 2 to 3 per child per year. Fluoridation of milk can be recommended as a caries preventive measure where the fluoride concentration in drinking water is suboptimal, caries experience in children is significant, and there is an existing school milk programme.

  17. Caries-risk profiles in Italian adults using computer caries assessment system and ICDAS

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    Giovanna CARTA

    2015-01-01

    Full Text Available The aim of this study was to examine the correlation among socio-behavioral factors, caries status and caries risk, calculated through Cariogram, in an adult population. Four hundred eighty subjects (mean age 40.73, SE ± 0.33 randomly selected from the municipal electoral registry consented to participate in the survey. Subjects were examined, and the International Caries Detection Assessment System (ICDAS index was registered. A highly structured questionnaire was submitted to investigate (1 personal data (i.e., age, gender, educational level, job categorization, (2 life-style behavior (i.e., smoking and dietary habits, and (3 oral health behavior (i.e., tooth brushing, use of fluoride and dental check-up frequency. An evaluation of the mutans streptococci concentration in saliva was also performed. Information on caries-related factors was entered into the Cariogram in order to generate an individual caries risk profile for each subject. Multinomial logistic regression was performed using Cariogram levels as the dependent variable. The possible correlated variables were analyzed using the principal component analysis (PCA. Considering ICDAS scores, 5.62% of the sample had at least an initial decay (ICDAS = 1-2, whereas 40.83% of the sample presented at least one moderate decay (ICDAS = 3-4 and 17.08% a severe decay (ICDAS = 5-6. Decay at ICDAS levels 5-6 and more than 5 missing teeth were statistically associated with Cariogram scores (OR = 2.36, 95%CI = 1.83–3.03 and OR = 1.43, 95%CI = 1.13–1.82, respectively. The results suggest that the Cariogram model was able to identify caries-related factors in an adult population. A direct association among the risk categories from Cariogram, the caries status and some socio-behavioral variables was verified.

  18. Caries-risk profiles in Italian adults using computer caries assessment system and ICDAS.

    Science.gov (United States)

    Carta, Giovanna; Cagetti, Maria Grazia; Cocco, Fabio; Sale, Silvana; Lingström, Peter; Campus, Guglielmo

    2015-01-01

    The aim of this study was to examine the correlation among socio-behavioral factors, caries status and caries risk, calculated through Cariogram, in an adult population. Four hundred eighty subjects (mean age 40.73, SE ± 0.33) randomly selected from the municipal electoral registry consented to participate in the survey. Subjects were examined, and the International Caries Detection Assessment System (ICDAS) index was registered. A highly structured questionnaire was submitted to investigate (1) personal data (i.e., age, gender, educational level, job categorization), (2) life-style behavior (i.e., smoking and dietary habits), and (3) oral health behavior (i.e., tooth brushing, use of fluoride and dental check-up frequency). An evaluation of the mutans streptococci concentration in saliva was also performed. Information on caries-related factors was entered into the Cariogram in order to generate an individual caries risk profile for each subject. Multinomial logistic regression was performed using Cariogram levels as the dependent variable. The possible correlated variables were analyzed using the principal component analysis (PCA). Considering ICDAS scores, 5.62% of the sample had at least an initial decay (ICDAS = 1-2), whereas 40.83% of the sample presented at least one moderate decay (ICDAS = 3-4) and 17.08% a severe decay (ICDAS = 5-6). Decay at ICDAS levels 5-6 and more than 5 missing teeth were statistically associated with Cariogram scores (OR = 2.36, 95%CI = 1.83-3.03 and OR = 1.43, 95%CI = 1.13-1.82, respectively). The results suggest that the Cariogram model was able to identify caries-related factors in an adult population. A direct association among the risk categories from Cariogram, the caries status and some socio-behavioral variables was verified.

  19. Caries risk assessment

    DEFF Research Database (Denmark)

    Mejàre, I; Axelsson, S; Dahlén, G

    2014-01-01

    OBJECTIVE: To assess the ability of multivariate models and single factors to correctly identify future caries development in pre-school children and schoolchildren/adolescents. STUDY DESIGN: A systematic literature search for relevant papers was conducted with pre-determined inclusion criteria. ...

  20. Dental caries among children visiting a mobile dental clinic in South Central Kentucky: a pooled cross-sectional study

    Science.gov (United States)

    2013-01-01

    Background Dental caries is one of the most common chronic childhood diseases affecting a large portion of children in the United States. The prevalence of childhood dental caries in Kentucky is among the highest in the nation. The purposes of this study are to (1) compare sociodemographic differences between caries and no caries groups and (2) investigate factors associated with untreated dental caries among children who visited a mobile dental clinic in South Central Kentucky. Methods Study subjects were children aged 6 to 15 years who participated in the school-based dental sealant program through the mobile dental clinic operated by the Institute for Rural Health at Western Kentucky University between September 2006 and May 2011 (n = 2,453). Descriptive statistics were calculated for sociodemographic factors (age, gender, race/ethnicity, insurance status, and urban versus rural residential location) and caries status. We used chi-square tests to compare sociodemographic differences of children stratified by caries and no caries status as well as three levels of caries severity. We developed a logistic regression model to investigate factors associated with untreated dental caries while controlling for sociodemographic characteristics. Results The proportion of children having untreated dental caries was 49.7% and the mean number of untreated dental caries was 2.0. The proportion of untreated dental caries was higher in older children, children with no insurance and living in rural residential locations, and caries severity was also higher in these groups. Odds ratio indicated that older ages, not having private insurance (having only public, government-sponsored insurance or no insurance at all) and rural residential location were associated with having untreated dental caries after controlling for sociodemographic characteristics of children. Conclusions Untreated dental caries was more likely to be present in older children living in rural areas without

  1. Efficacy of Two Caries Detector Dyes in the Diagnosis of Dental Caries

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    Sh. Etemad-Moghadam

    2010-06-01

    Full Text Available Objective: The aim of the present study was to evaluate the efficacy of two caries detector dyes in the diagnosis of dental caries.Materials and Methods: Twenty extracted human posterior teeth without pulpal exposure were sectioned mesiodistally through the center of the lesions using a water-cooled disk.The tooth halves were randomly divided into two groups and treated with Caries Detector (CD and Caries Check (CC detector dyes. Access cavities were prepared followed by caries removal and dye application. All cavities were arbitrarily divided into two right and left sections and excavation of the stained areas was performed on the left parts, while the right sections remained untouched. Bacterial penetration into dentinal tubules was evaluated using Gram-stained decalcified sections under light microscopy. Sensitivity and specificity of both dyes were calculated.Results: The sensitivity of CD and CC were 74% and 71%,respectively. The specificity obtained for both dyes was 100%.Conclusion: Considering the low sensitivity of the dyes evaluated in the present study, it seems that they may not be reliable when used as the sole diagnostic technique for detection of carious lesions in posterior teeth.

  2. Risk factors for dental caries in children with developmental disabilities.

    Science.gov (United States)

    Braúna, Ana Paula Vasques Sales; Abreu, Mauro Henrique Nogueira Guimarães de; Resende, Vera Lúcia Silva; Castilho, Lia Silva de

    2016-06-14

    The aim of the present study was to investigate risk factors for dental caries in children with developmental disabilities who were treated at a clinical reference service for patients with special needs in Belo Horizonte, MG, Brazil. This is a retrospective cohort study that evaluated 401 dental charts of individuals without dental caries or restorations in their first dental appointment. The dependent variable was the time of occurrence of new dental caries or restorations and was measured in months. Gender, age, International Code of Diseases (ICD), mother´s education, sugar consumption, use of fluoride toothpaste, oral hygiene, mouth breathing, reports of xerostomia, gingival status, use of psychotropic or asthma drugs, and history of asthma were covariates. The Cox proportional hazards regression model was used to estimate the raw and adjusted hazard ratios and their respective 95% confidence intervals. The average time that individuals remained free of dental caries/restoration was equal to 107.46 months (95%CI 95.41 to 119.51), with a median of caries-free children up to 94 months. For each point increase in the scale of sucrose consumption, the increase in caries risk was 1.07 (95%CI 1.01 to 1.15). Sucrose consumption was the only risk factor for dental caries found in this group of individuals with developmental disabilities.

  3. Health behaviors and family characteristics in early childhood influence caries development. A longitudinal study based on data from MoBa

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    Tove I. Wigen

    2014-12-01

    Full Text Available Background: Lifestyle diseases including dental caries are partly preventable, and associated with health behavior. Establishing favorable health behavior is one main challenge both in general and dental health services. The purpose of this paper was to focus on cross-disciplinary research that has the potential to prevent development of both dental caries and other lifestyle diseases. More specifically the aim was to study how family characteristics and health behavior in pregnancy and early childhood influence caries development in preschool children.Material and methods: Data from dental examination of 5 year old children in the public dental services was linked to data from MoBa. In total, 1348 children were followed from pregnancy to 5 years of age. The data has provided opportunity to follow longitudinally the development of oral health behavior in early childhood in a large sample, and to study associations between caries development during preschool age and information in the MoBa database.Results: Results from the studies showed that tooth brushing frequency established at 1.5 year of age was stable through preschool age. Caries development in preschool age was related to child and maternal risk behavior in early childhood and to characteristics of risk families.Conclusion: Cross-disciplinary research using MoBa data has given new knowledge on dental caries development in early childhood in Norway. This knowledge can be used in clinical practice both in general and dental health services to improve preventive efforts towards early childhood caries and other lifestyle diseases.

  4. Prioritizing the Risk Factors of Severe Early Childhood Caries

    OpenAIRE

    Noha Samir Kabil; Sherif Eltawil

    2017-01-01

    Severe early childhood caries remains the most common chronic disease affecting children. The multifactorial etiology of caries has established a controversy about which risk factors were more significant to its development. Therefore, our study aimed through meticulous statistical analysis to arrange the “well agreed upon” common risk factors in order of significance, to aid the clinician in tailoring an adequate preventive program. The study prioritized or reshuffled the risk factors contri...

  5. Relationship between Untreated Dental Caries and Weight and Height of 6- to 12-Year-Old Primary School Children in Bangladesh

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    Masuma Pervin Mishu

    2013-01-01

    Full Text Available Background. Children in low-income developing countries are likely to suffer from undergrowth. Dental caries is another common problem in these countries. Aim. To examine the association between untreated dental caries in primary and permanent teeth with age-adjusted height and weight among 6–12-year-old children in Bangladesh. Design. Social, behavioural, and clinical data were collected from 1699 children in nine different randomly selected primary schools in socially deprived areas of Bangladesh. The associations of age-adjusted weight and height and being underweight with dental caries were examined adjusting for sex, area of residence, socioeconomic position, skipping meals, tooth cleaning, and doctor visits. Results. 26% of the children were underweight and 55% had untreated dental caries. Children with at least one decayed tooth were significantly underweight with odds ratios 1.6 (95% CI 1.1, 2.3 and 1.5 (95% CI 1.1, 2.0 for 6–8-years and 9–12-year-old children, respectively, in the adjusted model. The number of decayed teeth was inversely and significantly associated with the standardized age-adjusted weight. Conclusions. The findings highlight the association between untreated dental caries and being underweight in primary school children in socially deprived areas in low-income developing countries and emphasize the need to integrate oral and general health policies with social policies.

  6. Caries risk assessment in schoolchildren - a form based on Cariogram® software

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    Renata Nunes CABRAL

    2014-10-01

    Full Text Available Identifying caries risk factors is an important measure which contributes to best understanding of the cariogenic profile of the patient. The Cariogram® software provides this analysis, and protocols simplifying the method were suggested. Objectives: The aim of this study was to determine whether a newly developed Caries Risk Assessment (CRA form based on the Cariogram® software could classify schoolchildren according to their caries risk and to evaluate relationships between caries risk and the variables in the form. Material and Methods: 150 schoolchildren aged 5 to 7 years old were included in this survey. Caries prevalence was obtained according to International Caries Detection and Assessment System (ICDAS II. Information for filling in the form based on Cariogram® was collected clinically and from questionnaires sent to parents. Linear regression and a forward stepwise multiple regression model were applied to correlate the variables included in the form with the caries risk. Results: Caries prevalence, in primary dentition, including enamel and dentine carious lesions was 98.6%, and 77.3% when only dentine lesions were considered. Eighty-six percent of the children were classified as at moderate caries risk. The forward stepwise multiple regression model result was significant (R2=0.904; p<0.00001, showing that the most significant factors influencing caries risk were caries experience, oral hygiene, frequency of food consumption, sugar consumption and fluoride sources. Conclusion: The use of the form based on the Cariogram® software enabled classification of the schoolchildren at low, moderate and high caries risk. Caries experience, oral hygiene, frequency of food consumption, sugar consumption and fluoride sources are the variables that were shown to be highly correlated with caries risk.

  7. Actinomyces spp. gene expression in root caries lesions

    Science.gov (United States)

    Dame-Teixeira, Naile; Parolo, Clarissa Cavalcanti Fatturi; Maltz, Marisa; Tugnait, Aradhna; Devine, Deirdre; Do, Thuy

    2016-01-01

    Background The studies of the distribution of Actinomyces spp. on carious and non-carious root surfaces have not been able to confirm the association of these bacteria with root caries, although they were extensively implicated as a prime suspect in root caries. Objective The aim of this study was to observe the gene expression of Actinomyces spp. in the microbiota of root surfaces with and without caries. Design The oral biofilms from exposed sound root surface (SRS; n=10) and active root caries (RC; n=30) samples were collected. The total bacterial RNA was extracted, and the mRNA was isolated. Samples with low RNA concentration were pooled, yielding a final sample size of SRS=10 and RC=9. Complementary DNA (cDNA) libraries were prepared and sequenced on an Illumina® HiSeq 2500 system. Sequence reads were mapped to eight Actinomyces genomes. Count data were normalized using DESeq2 to analyse differential gene expression applying the Benjamini-Hochberg correction (false discovery rate [FDR]0.05), except for Actinomyces OT178 (p=0.001) and Actinomyces gerencseriae (p=0.004), which had higher read counts in the SRS. Genes that code for stress proteins (clp, dnaK, and groEL), enzymes of glycolysis pathways (including enolase and phosphoenolpyruvate carboxykinase), adhesion (Type-2 fimbrial and collagen-binding protein), and cell growth (EF-Tu) were highly – but not differentially (p>0.001) – expressed in both groups. Genes with the most significant upregulation in RC were those coding for hypothetical proteins and uracil DNA glycosylase (p=2.61E-17). The gene with the most significant upregulation in SRS was a peptide ABC transporter substrate-binding protein (log2FC=−6.00, FDR=2.37E-05). Conclusion There were similar levels of Actinomyces gene expression in both sound and carious root biofilms. These bacteria can be commensal in root surface sites but may be cariogenic due to survival mechanisms that allow them to exist in acid environments and to

  8. Drugs that promote dental caries.

    Science.gov (United States)

    2015-02-01

    Dental caries result from erosion of tooth enamel or cementum by acidic substances produced by bacteria found in dental plaque. Caries can lead to pulp necrosis and tooth loss. Risk factors include certain dietary habits, poor oral hygiene, and dry mouth. Diabetes and Sjogren's syndrome can also promote dental caries. Psychotropic substances such as cocaine, methamphetamine, heroin and cannabis can promote dental caries. Many medicinal drugs facilitate the formation of dental caries, through various mechanisms; they include formulations with a high sugar content; drugs that cause dry mouth (especially antimuscarinics); drugs that lower the buccal pH (inhaled powders, etc.); and drugs that cause demineralisation (tetracyclines, etc.). In practice, patients (and parents) should be informed that some drugs can increase the risk of dental caries. They should be encouraged to adapt and reinforce dental hygiene, and advised to visit a dentist regularly.

  9. Nature vs. nurture in dental caries.

    Science.gov (United States)

    Mandel, I D

    1994-10-01

    Why are some people more resistant to dental caries than others? Certainly diet plays a part, but are there hereditary factors that affect caries development? This report explores genetic components that appear related to caries resistance and susceptibility.

  10. Effect of Nutritional Habits on Dental Caries in Permanent Den¬tition among Schoolchildren Aged 10-12 Years: A Zero-In-flated Generalized Poisson Regression Model Approach

    Directory of Open Access Journals (Sweden)

    Afshin ALMASI

    2016-03-01

    Full Text Available Background: The aim of this study was to assess the associations between nutrition and dental caries in permanent dentition among schoolchildren.Methods: A cross-sectional survey was undertaken on 698 schoolchildren aged 10 to 12 yr from a random sample of primary schools in Kermanshah, western Iran, in 2014. The study was based on the data obtained from the questionnaire containing information on nutritional habits and the outcome of decayed/missing/filled teeth (DMFT index. The association between predictors and dental caries was modeled using the Zero Inflated Generalized Poisson (ZIGP regression model.Results: Fourteen percent of the children were caries free. The model was shown that in female children, the odds of being in a caries susceptible sub-group was 1.23(95% CI: 1.08-1.51 times more likely than boys (P=0.041. Additionally, mean caries count in children who consumed the fizzy soft beverages and sweet biscuits more than once daily was 1.41(95% CI: 1.19-1.63 and 1.27 (95% CI: 1.18-1.37 times more than children that were in category of less than 3 times a week or never, respectively.Conclusions: Girls were at a higher risk of caries than boys were. Since our study showed that nutritional status may have significant effect on caries in permanent teeth, we recommend that health promotion activities in school should be emphasized on healthful eating practices; especially limiting beverages containing sugar to only occasionally between meals. Keywords: Nutritional habits, Dental caries, Zero Inflated Generalized Poisson regression model, Schoolchildren

  11. EAPD interim seminar and workshop in Brussels May 9 2015 Non-invasive caries treatment

    OpenAIRE

    van Loveren, C.; van Palenstein Helderman, W.

    2016-01-01

    Aim This was to collect information for the 9th European Academy of Paediatric Dentistry Interim Seminar and Workshops to discuss the state of art on non-invasive caries therapy to be used if possible to formulate clinical guidelines by European experts in paediatric dentistry Methods Based on systematic reviews and additional papers were assessed for methods to prevent caries initiation and caries progression both in the state of pre-cavitation and cavitation without invasive technologies. R...

  12. FDI Global Caries Initiative; implementing a paradigm shift in dental practice and the global policy context.

    Science.gov (United States)

    Fisher, J; Johnston, S; Hewson, N; van Dijk, W; Reich, E; Eiselé, J-L; Bourgeois, D

    2012-08-01

    The implementation of a new paradigm for caries management is necessary for the profession to respond effectively to changing population health needs. The FDI Global Caries Initiative (GCI) is a 10 year programme aimed at developing and implementing a new paradigm for caries management, one that would contribute to a common vision of health. The article reviews the global health policy landscape and examines how it might influence and shape the implementation of the GCI.

  13. A randomized clinical trial on arresting dentin caries in preschool children by topical fluorides

    OpenAIRE

    Duangthip, Duangporn

    2015-01-01

    Introduction: Silver diammine fluoride (SDF) has been found to be effective in preventing and arresting dental caries in children. The annual or semi-annual application of SDF may not be practical in migratory populations or effective high caries risk patients. So far, no data are available about the effectiveness of intensive fluoride treatment in arresting dental caries in primary teeth. Objectives: This study aimed to compare the effectiveness of three topical fluoride application prot...

  14. Evaluation of total antioxidant level of saliva in modulation of caries occurrence and progression in children

    OpenAIRE

    Naveen Reddy Banda; Garima Singh; Vandana Markam

    2016-01-01

    Context: Recent studies have implicated a direct relation between dental caries and salivary total antioxidant level (TAL), which can be suggested as an indicator (either harmful or protective) for susceptibility of individuals for dental caries. Aim: To evaluate the total antioxidant level (TAL) in unstimulated saliva of children, and to correlate the TAL with caries experience and BMI (body mass index). Settings and Design: 60 children, aged 6-12 yrs, were randomly selected for the study. T...

  15. Prioritizing the Risk Factors of Severe Early Childhood Caries

    Directory of Open Access Journals (Sweden)

    Noha Samir Kabil

    2017-01-01

    Full Text Available Severe early childhood caries remains the most common chronic disease affecting children. The multifactorial etiology of caries has established a controversy about which risk factors were more significant to its development. Therefore, our study aimed through meticulous statistical analysis to arrange the “well agreed upon” common risk factors in order of significance, to aid the clinician in tailoring an adequate preventive program. The study prioritized or reshuffled the risk factors contributing to severe early childhood caries and placed them in the order of their significance as follows: snacking of sugary food several times a day, increased number of siblings to three or more, night feeding, child self-employed brushing, mother’s caries experience, two siblings, on demand feeding, once/day sugary food, sharing utensils, one sibling, male gender, father’s education, late first dental visit, brushing time, mother’s education, no dental visit, decreased brushing frequency, and no night brushing.

  16. Altered Bacterial Profiles in Saliva from Adults with Caries Lesions

    DEFF Research Database (Denmark)

    Belstrøm, D; Fiehn, N-E; Nielsen, C H

    2014-01-01

    The aim of this study was to learn whether presence of caries in an adult population was associated with a salivary bacterial profile different from that of individuals without untreated caries. Stimulated saliva samples from 621 participants of the Danish Health Examination Survey were analyzed...... using the Human Oral Microbe Identification Microarray technology. Samples from 174 individuals with dental caries and 447 from a control cohort were compared using frequency and levels of identified bacterial taxa/clusters as endpoints. Differences at taxon/cluster level were analyzed using Mann......-Whitney's test with Benjamini-Hochberg correction for multiple comparisons. Principal component analysis was used to visualize bacterial community profiles. A reduced bacterial diversity was observed in samples from subjects with dental caries. Five bacterial taxa (Veillonella parvula, Veillonella atypica...

  17. Fluoride Importance in Controlling Caries and Fluorosis

    OpenAIRE

    Gaurav Solanki

    2012-01-01

    The use of fluorides for oral health has always involved a balance between the protective benefit against dental caries and the risk of developing fluorosis. The link between fluoride and dental health was established to determining the causes of dental fluorosis or enamel mottling. Fluorosis in Indian children was highly prevalent in the early 1990s. Policy were introduced to control fluoride exposure and to reduce the prevalence of fluorosis. The study aimed of describing the prevalence, se...

  18. Early Childhood Caries with the Perspective of Pediatrician

    Directory of Open Access Journals (Sweden)

    Ibrahim Bucak

    2016-09-01

    Full Text Available Aim: Early childhood caries are characterized by the presence of at least one or more decayed, missing or filled teeth surfaces in any primary tooth of a child 24-72 months of age. The prevalance of early childhood caries is variable among the world because of wide range of contributing aetiological factors. Aim of this study to determine the prevalance and aetiologic factors of early childhood caries, in South East Anatolia Region of Turkey and evaluated as a pediatrician view. Material and Method: Patients admitted to pediatric polyclinics for any reason, aging between 24 to 72 months, were enrolled in this study. The children who had dental caries and who had not were examined by a dentist. Families were requested to voluntarily answer questions asked by our staff who follow a questionnaire. This questionnaire contains breastfeeding, usage of vitamin D, multivitamin formulations, iron supplements, baby bottle and pacifier, as well as consumpion of yogurt, acidic drinks, in addition to health habits of brushing teeth, check up by the dentist, cigarette usage of parents (mother, father or both. Results: 553 patients were included the study. Early childhood caries was determined to be 33,1 %. As a result of this study, we found that pacifier usage, multiviamin supplements and acidic drinks were significantly contributing to early childhood caries. Discussion: We advise refrainment from pacifier usage and unnecesary consumption of multivitamin supplemantation, acidic drinks or at least brushing of teeth rightafter consumption of these foods in childhood.

  19. Best clinical practice guidance for management of early caries lesions in children and young adults

    DEFF Research Database (Denmark)

    Kühnisch, J; Ekstrand, K R; Pretty, I;

    2016-01-01

    BACKGROUND: The European Academy of Paediatric Dentistry (EAPD) encourages prevention and arrest of active dental caries. Therefore, the present guidance provides evidence- and clinically-based recommendations for detecting and diagnosing early/non-cavitated caries lesions, risk assessment and di...

  20. Body mass index and dental caries in children aged 5 to 8 years attending a dental paediatric referral practice in the Netherlands

    NARCIS (Netherlands)

    Jong-Lenters, M. de; Dommelen, P. van; Schuller, A.A.; Verrips, E.H.W.

    2015-01-01

    Background Obesity and dental caries are widely-recognised problems that affect general health. The prevention of both dental caries and obesity have proven very difficult: children and their parents may need professional support to achieve behaviour change. To find out whether both dental caries an

  1. Body mass index and dental caries in children aged 5 to 8 years attending a dental paediatric referral practice in the Netherlands

    NARCIS (Netherlands)

    de Jong-Lenters, Maddelon; van Dommelen, Paula; Schuller, Annemarie A; Verrips, Erik H W

    2015-01-01

    BACKGROUND: Obesity and dental caries are widely-recognised problems that affect general health. The prevention of both dental caries and obesity have proven very difficult: children and their parents may need professional support to achieve behaviour change. To find out whether both dental caries a

  2. Dental caries experience in 12-year-old schoolchildren in southeastern Brazil

    Directory of Open Access Journals (Sweden)

    Silvia Cypriano

    2008-08-01

    Full Text Available The aim of this study was to evaluate the prevalence of caries-free children using DMFT and significant caries (SiC indexes in different caries prevalence groups in cities of the region of Campinas, São Paulo State, Brazil. The methodology proposed by the World Health Organization (1997 was used for caries diagnosis in 2,378 individuals. According to the DMFT index obtained in each evaluated city, 3 prevalence groups with representative samples were formed, being classified as low, moderate and high. SiC index was used to classify the one third of the population with the highest caries prevalence. In the low prevalence group, 32.4% of the children were caries free (DMFT=0, with mean DMFT of 2.29 and SiC index of 4.93. In the moderate prevalence group, 21.8% of the children were caries free, with mean DMFT of 3.36 and SiC of 6.74. Only 6.9% of the children in the high prevalence group were caries free and the mean DMFT was 5.54 (SiC=9.62. There was a great heterogeneity in dental caries distribution within the studied population, as well as a high caries prevalence considering the 3 classifications. Other indexes besides DMFT could be used to improve oral health assessment during establishment of the treatment plan and intervention.

  3. The Marketplace for New Caries Management Products: Dental Caries Detection and Caries Management by Risk Assessment

    OpenAIRE

    Berg Joel H

    2006-01-01

    Abstract The number of new technologies emerging each year in the realm of dental caries management is growing at an exponential rate. Examining the patent literature, one can see that this growth rate will likely continue, with the outcome that dentistry will see an expanded growth in managing dental caries by risk assessment with medicinal therapeutic interventions. Restorative dentistry solutions, treating the results of dental caries, will continue to grow, while technologies to identify ...

  4. Investigation of salivary function and oral microbiota of radiation caries-free people with nasopharyngeal carcinoma.

    Directory of Open Access Journals (Sweden)

    Jingyang Zhang

    Full Text Available Radiation caries have been reported to be correlated with radiotherapy-induced destruction of salivary function and changes in oral microbiota. There have been no published reports detailing patients who have remained radiation caries-free following radiotherapy for nasopharyngeal carcinoma. The aim of this study was to investigate the relationship between salivary function, oral microbiota and the absence of radiation caries. Twelve radiation caries-free patients and nine patients exhibiting radiation caries following irradiated nasopharyngeal carcinoma were selected. V40, the dose at which the volume of the contralateral parotid gland receives more than 40 Gy, was recorded. Stimulated saliva flow rate, pH values and buffering capacity were examined to assess salivary function. Stimulated saliva was used for molecular profiling by Denaturing Gradient Gel Electrophoresis. Mutans streptococci and Lactobacilli in saliva were also cultivated. There were no significant differences in V40 between radiation caries-free individuals and those with radiation caries. Compared with normal values, the radiation caries-free group had significantly decreased simulated saliva flow rate, while there were no significant differences in the saliva pH value and buffering capacity. Similar results were observed in the radiation caries group. There was no statistical difference in microbial diversity, composition and log CFU counts in cultivation from the radiation caries-free group and the radiation caries group. Eleven genera were detected in these two groups, among which Streptococcus spp. and Neisseria spp. had the highest distribution. Our results suggest that changes in salivary function and in salivary microbiota do not explain the absence of radiation caries in radiation caries-free individuals.

  5. Root caries, root surface restorations and lifestyle factors in adult Danes

    DEFF Research Database (Denmark)

    Christensen, Lisa Bøge; Jensen, Allan Bardow; Ekstrand, Kim

    2015-01-01

    AIM: To investigate selected lifestyle factors in relation to active caries and restored root surface lesions in adults. MATERIALS AND METHODS: Based on clinical examinations and questionnaires, data on root caries, socioeconomic status, body mass index, dietary habits, alcohol consumption, tobacco...... dentures were significantly associated with presence of active root caries (p tobacco use and alcohol...... consumption, as well as wearing dentures, were significantly associated with the occurrence of untreated caries and restored root surface lesions, especially in persons over 45. Thus, such lifestyle factors should be taken into consideration, identifying persons with a need of preventive dental services...

  6. A comparative evaluation of dental caries status among hearing-impaired and normal children of Malda, West Bengal, evaluated with the Caries Assessment Spectrum and Treatment

    Directory of Open Access Journals (Sweden)

    Sudipta Kar

    2016-01-01

    Full Text Available Context: Dental caries is one of the major modern-day diseases of dental hard tissue. It may affect both normal and hearing-impaired children. Aims: This study is aimed to evaluate and compare the prevalence of dental caries in hearing-impaired and normal children of Malda, West Bengal, utilizing the Caries Assessment Spectrum and Treatment (CAST. Settings and Design: In a cross-sectional, case-control study of dental caries status of 6-12-year-old children was assessed. Subjects and Methods: Statistically significant difference was found in studied (hearing-impaired and control group (normal children. In the present study, caries affected hearing-impaired children found to be about 30.51% compared to 15.81% in normal children, and the result was statistically significant. Regarding individual caries assessment criteria, nearly all subgroups reflect statistically significant difference except sealed tooth structure group, internal caries-related discoloration in dentin, and distinct cavitation into dentine group, and the result is significant at P < 0.05. Statistical Analysis Used: Statistical analysis was carried out utilizing Z-test. Results: Statistically significant difference was found in studied (hearing-impaired and control group (normal children. In the present study, caries effected hearing-impaired children found about 30.51% instead of 15.81% in normal children, and the result was statistically significant (P < 0.05. Regarding individual caries assessment criteria, nearly all subgroups reflect statistically significant difference except sealed tooth structure group, internal caries-related discoloration in dentin, and distinct cavitation into dentine group. Conclusions: Dental health of hearing-impaired children was found unsatisfactory than normal children when studied in relation to dental caries status evaluated with CAST.

  7. Caries prevention with fluoride toothpaste in children: an update

    DEFF Research Database (Denmark)

    Twetman, S

    2009-01-01

    AIM: The aim was to examine recent literature and review the caries-preventive effect of fluoride toothpaste in children. METHODS: Based on three comprehensive systematic reviews published in 2003, a broad search of the PubMed and Cochrane library databases was conducted for papers published 2002...... fluorosis in low-caries communities but not in socially deprived high-caries populations. CONCLUSIONS: The results reinforced the outstanding role of fluoride toothpaste as an effective caries preventive measure in children.......AIM: The aim was to examine recent literature and review the caries-preventive effect of fluoride toothpaste in children. METHODS: Based on three comprehensive systematic reviews published in 2003, a broad search of the PubMed and Cochrane library databases was conducted for papers published 2002...... of the study. The targeted papers were critically assessed concerning design, methodology and performance according to a pre-determined checklist. RESULTS: The initial search revealed 179 papers of which 15 met the inclusion criteria. There was strong evidence that daily use of fluoride toothpaste has...

  8. Association Between Nocturnal Breastfeeding and Snacking Habits and the Risk of Early Childhood Caries in 18- to 23-Month-Old Japanese Children

    OpenAIRE

    ,

    2015-01-01

    Background Early childhood caries (ECC) is one of the most prevalent chronic diseases among children. The aim of this cross-sectional study was to investigate the association between nocturnal breastfeeding, snacking habits, or other risk factors and ECC in 18- to 23-month-old Japanese children. Methods Study subjects were 1675 children aged 18 to 23 months. A self-administered questionnaire was completed by parents or guardians of the children. The survey contents included such things as num...

  9. Comparison of two different methods of detecting residual caries

    Science.gov (United States)

    Kütük, Zeynep Bilge; Ergin, Esra; Yalçın Çakır, Filiz; Gürgan, Sevil

    2017-01-01

    Objectives The aim of this study was to investigate the ability of the fluorescence-aided caries excavation (FACE) device to detect residual caries by comparing conventional methods in vivo. Materials and Methods A total of 301 females and 202 males with carious teeth participated in this study. The cavity preparations were done by grade 4 (Group 1, 154 teeth), grade 5 (Group 2, 176 teeth), and postgraduate (Group 3, 173 teeth) students. After caries excavation using a handpiece and hand instruments, the presence of residual caries was evaluated by 2 investigators who were previously calibrated for visual-tactile assessment with and without magnifying glasses and trained in the use of a FACE device. The tooth number, cavity type, and presence or absence of residual caries were recorded. The data were analyzed using the Chi-square test, the Fisher's Exact test, or the McNemar test as appropriate. Kappa statistics was used for calibration. In all tests, the level of significance was set at p = 0.05. Results Almost half of the cavities prepared were Class II (Class I, 20.9%; Class II, 48.9%; Class III, 20.1%; Class IV, 3.4%; Class V, 6.8%). Higher numbers of cavities left with caries were observed in Groups 1 and 2 than in Group 3 for all examination methods. Significant differences were found between visual inspection with or without magnifying glasses and inspection with a FACE device for all groups (p < 0.001). More residual caries were detected through inspection with a FACE device (46.5%) than through either visual inspection (31.8%) or inspection with a magnifying glass (37.6%). Conclusions Within the limitations of this study, the FACE device may be an effective method for the detection of residual caries. PMID:28194364

  10. Patient caries risk assessment

    DEFF Research Database (Denmark)

    Twetman, Svante; Fontana, Margherita

    2009-01-01

    Risk assessment is an essential component in the decision-making process for the correct prevention and management of dental caries. Multiple risk factors and indicators have been proposed as targets in the assessment of risk of future disease, varying sometimes based on the age group at which...... for prediction purposes, as measured until now in the literature, is at best questionable in schoolchildren, adolescents and adults. That is not to say these additional factors should not be assessed to help understand the strength of their associations with the disease experience in a particular patient......, and aid in the development of an individualized and targeted preventive and management plan....

  11. Pulp and plaque microbiotas of children with severe early childhood caries

    Directory of Open Access Journals (Sweden)

    Natalia I. Chalmers

    2015-02-01

    Full Text Available Background and objective: Bacterial invasion into pulps of primary teeth can lead to infection and premature tooth loss in children. This pilot study aimed to explore whether the microbiota of carious exposures of dental pulps resembles that of carious dentin or that of infected root canals. Design: Children with severe early childhood caries were studied. Children were consented and extent of caries, plaque, and gingivitis measured. Bacteria were sampled from carious lesion biofilms and vital carious exposures of pulps, and processed by anaerobic culture. Isolates were characterized from partial sequences of the 16S rRNA gene and identified by comparison with taxa in the Human Oral Microbiome Database (http://www.HOMD.org. The microbiotas of carious lesions and dental pulps were compared using univariate and multivariate approaches. Results: The microbiota of cariously exposed pulps was similar in composition to that of carious lesion biofilms except that fewer species/taxa were identified from pulps. The major taxa identified belonged to the phyla Firmicutes (mainly streptococci and Actinobacteria (mainly Actinomyces species. Actinomyces and Selenomonas species were associated with carious lesions whereas Veillonella species, particularly Veillonella dispar was associated with pulps. Other bacteria detected in pulps included Streptococcus mutans, Parascardovia denticolens, Bifidobacterium longum, and several Lactobacillus and Actinomyces species. By principal, component analysis pulp microbiotas grouped together, whereas those in caries biofilms were widely dispersed. Conclusions: We conclude that the microbiota of cariously exposed vital primary pulps is composed of a subset of species associated with carious lesions. Vital primary pulps had a dominant Firmicutes and Actinobacteria microbiota which contrasts with reports of endodontic infections which can harbor a gram-negative microbiota. The microbiota of exposed primary pulps may provide

  12. Design of the Xylitol for Adult Caries Trial (X-ACT

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    Amaechi Bennett T

    2010-09-01

    Full Text Available Abstract Background Dental caries incidence in adults is similar to that in children and adolescents, but few caries preventive agents have been evaluated for effectiveness in adults populations. In addition, dentists direct fewer preventive services to their adult patients. Xylitol, an over-the-counter sweetener, has shown some potential as a caries preventive agent, but the evidence for its effectiveness is not yet conclusive and is based largely on studies in child populations. Methods/Design X-ACT is a three-year, multi-center, placebo controlled, double-blind, randomized clinical trial that tests the effects of daily use of xylitol lozenges versus placebo lozenges on the prevention of adult caries. The trial has randomized 691 participants (ages 21-80 to the two arms. The primary outcome is the increment of cavitated lesions. Discussion This trial should help resolve the overall issue of the effectiveness of xylitol in preventing caries by contributing evidence with a low risk of bias. Just as importantly, the trial will provide much-needed information about the effectiveness of a promising caries prevention agent in adults. An effective xylitol-based caries prevention intervention would represent an easily disseminated method to extend caries prevention to individuals not receiving caries preventive treatment in the dental office. Trial Registration ClinicalTrials.Gov NCT00393055

  13. Dental caries characteristics in the first permanent molar in school age children. Comportamiento de la caries dental en el primer molar permanente en escolares.

    Directory of Open Access Journals (Sweden)

    Ana Gloria Vázquez de León

    2009-04-01

    Full Text Available Background: Dental caries is one of the main health problems in children. The first permanent molar presents caries more frequently than any other. Objective: To describe the characteristics of dental caries in the first permanent molars in children between 6 and 13 years-old, and to assess oral hygiene and knowledge about the subject in all the patients treated in the stomatology consultation Barrio adentro “El Guapo”, from November 2005 to March 2006. Methods: A descriptive, transversal study showed that most of the patients had dental caries. It was proved that many of them had, at least, on of the first molars affected by dental caries. The quotient first molar affected/ patient was higher than one. Results: There was a decrease in the percentage of healthy permanent first molars. Poor oral hygiene prevailed, with a medium knowledge level on the subject. Most of the parents didn´t know about the first molar dental cavity. Conclusions: It was needed to perform educative tasks aimed at this age group to avoid further damage to this important tooth, central for the development of the stomatognathic system.Fundamento: La caries dental continúa siendo el principal problema de salud de la población infantil. El diente

  14. Caries preventive efficiency of therapeutic complex accomponying orthodontic treatment of children with initial dental caries

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    Denga A.E.

    2013-12-01

    Full Text Available The use of orthodontic non-removable appliance in orthodontic treatment inter¬feres with the process of teeth mineralization, worsens level of oral cavity hygiene, stimulates development of caries process. The situation is complicated when a patient has an initial tooth decay. The aim of this study was to determine genetic characteristics of children with initial caries and clinical evaluation of effectiveness of the developed caries preventive therapeutic complex accompanying treatment of jaw facial anomalies (JFA. 47 children aged 12-14 with initial tooth decay participated in the examination. Complex diagnostics, including molecular genetic studies was carried out. Therapeutic complex for children, of the main group included remineralizing, adaptogenic, biogenic agents, which increase non-specific resistance, as well as infiltration ICON therapy before fixing braces. Caries preventive complex accompanying JFA treatment in children with primary tooth decay developed with regard to revealed genetic disorders of amelogenesis, 2-nd of phase detoxification, collagen formation, functional responses in the oral cavity, state of hard tissues of teeth and periodontal tissues enabled to preserve existing carious process, normalize periodontal and hygienic indices at all stages of treatment.

  15. The influence of dental caries on body growth in prepubertal children

    NARCIS (Netherlands)

    van Gemert-Schriks, M.C.M.; van Amerongen, E.W.; Aartman, I.H.A.; Wennink, J.M.B.; ten Cate, J.M.; de Soet, J.J.

    2011-01-01

    Dental decay and dental treatment are suggested to be related to body growth in children. The aim of this study was first to assess the relation between dental caries and body proportions cross-sectionally in a Suriname caries child population and secondly to investigate whether dental treatment had

  16. An in vitro comparison between two methods of electrical resistance measurement for occlusal caries detection

    NARCIS (Netherlands)

    Kuhnisch, J; Heinrich-Weltzien, R; Tabatabaie, M; Stosser, L; Huysmans, MCDNJM

    2006-01-01

    Because of different measurement techniques and the easier design of the CRM prototype, this in vitro study aimed to compare the diagnostic performance and reproducibility of two electrical methods (Electronic Caries Monitor III, ECM and Cariometer 800, CRM) for occlusal caries detection, and to eva

  17. Differentiation of salivary bacterial profiles of subjects with periodontitis and dental caries

    DEFF Research Database (Denmark)

    Belstrøm, Daniel; Fiehn, Nils-Erik; Nielsen, Claus H

    2015-01-01

    Bacterial profiles of saliva in subjects with periodontitis and dental caries have been demonstrated to differ from that of oral health. The aim of this comparative analysis of existing data generated by the Human Oral Microbe Identification Microarray (HOMIM) from 293 stimulated saliva samples...... was to compare bacterial profiles of saliva in subjects with periodontitis and dental caries....

  18. Caries experience in a child population in a deprived area of Brazil, using ICDAS II.

    NARCIS (Netherlands)

    Amorim, R.G. de; Figueiredo, M.J.; Leal, S.C.; Mulder, J.; Frencken, J.E.F.M.

    2012-01-01

    The aim of the present study was to assess the caries experience of children aged 6 to 7 years old in a socially deprived suburban area of Brazil's Federal District, using the ICDAS II system and to investigate determinants of dental caries. The survey was carried out in six public schools by three

  19. Differentiation of salivary bacterial profiles of subjects with periodontitis and dental caries

    Directory of Open Access Journals (Sweden)

    Daniel Belstrøm

    2015-04-01

    Full Text Available Bacterial profiles of saliva in subjects with periodontitis and dental caries have been demonstrated to differ from that of oral health. The aim of this comparative analysis of existing data generated by the Human Oral Microbe Identification Microarray (HOMIM from 293 stimulated saliva samples was to compare bacterial profiles of saliva in subjects with periodontitis and dental caries.

  20. Precision disablement aiming system

    Energy Technology Data Exchange (ETDEWEB)

    Monda, Mark J.; Hobart, Clinton G.; Gladwell, Thomas Scott

    2016-02-16

    A disrupter to a target may be precisely aimed by positioning a radiation source to direct radiation towards the target, and a detector is positioned to detect radiation that passes through the target. An aiming device is positioned between the radiation source and the target, wherein a mechanical feature of the aiming device is superimposed on the target in a captured radiographic image. The location of the aiming device in the radiographic image is used to aim a disrupter towards the target.

  1. Protocol for Northern Ireland Caries Prevention in Practice Trial (NIC-PIP) trial: a randomised controlled trial to measure the effects and costs of a dental caries prevention regime for young children attending primary care dental services

    OpenAIRE

    Noble Solveig; Sutton Matthew; Crealey Grainne; O'Neill Ciaran; Killough Seamus; Donaldson Michael; Milsom Keith M; Tickle Martin; Greer Margaret; Worthington Helen V

    2011-01-01

    Abstract Background Dental caries is a persistent public health problem with little change in the prevalence in young children over the last 20 years. Once a child contracts the disease it has a significant impact on their quality of life. There is good evidence from Cochrane reviews including trials that fluoride varnish and regular use of fluoride toothpaste can prevent caries. The Northern Ireland Caries Prevention in Practice Trial (NIC-PIP) trial will compare the costs and effects of a c...

  2. Incidence of dental caries in chronic urticaria

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    Kaur Surrinder

    1991-01-01

    Full Text Available Three hundred patients of chronic urticaria were screened for dental affections. Sixty two (20.66% patients were detected to have dental caries. Among the control group which com-prised of 100 patients, 20% had dental caries. There was thus no increased incidence of dental caries among patients with urticaria. Only 2 patients had remission of urticaria following treat-ment of caries. Dental caries therefore is probably not a cause of chronic urticaria.

  3. The role of Hsp0, CD-8 and IFN-γ in immunopathobiogenesis of periapical granuloma in dental caries

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    Risya Cilmiaty

    2014-03-01

    Full Text Available Background: The incidence of dental caries with periapical granulomas in Indonesia is quite high. However, the mechanism of the formation of periapical granulomas in dental caries caused by bacterial infection in immunopathobiogenesis cannot be explained completely. Thus, this explanation is necessary in order to be used as a basis for diagnostic, preventive and therapeutic measures. Purpose: This research was aimed to determine the role of Hsp60, CD-8 and IFN-γ in immunopatobiogenesis of periapical granuloma in dental caries. Methods: This research was an analytic observational study with cross sectional approach. Samples of this research were 36 teeth of patients with dental caries, consisting of 18 caries teeth with periapical granulomas and 18 caries teeth without periapical granulomas. The variables observed in this research were Hsp60, CD-8 and IFN-γ. Measurements were conducted by using immunohistochemical methods on periapical tissue. Results: The mean of Hsp60, CD-8 and IFN-γ in granuloma group was significantly higher than those in non granuloma group (p<0.05. The positive role of IFN-γ on the incidence of granulomas appeared to be more prominent. Conclusion: The study suggested that in immunopathobiogenesis of periapical granuloma in dental caries, Hsp60, CD-8 and IFN-γ played important roles, but the role of IFN-γ was found to be more prominent.Latar belakang: Angka kejadian gigi karies dengan granuloma periapikal di Indonesia cukup tinggi, Namun mekanisme terbentuknya granuloma periapikal pada gigi karies yang disebabkan oleh infeksi bakteri secara imunopatobiogenesis belum dapat dijelaskan secara tuntas. Adanya penjelasan ini diperlukan agar dapat digunakan sebagai dasar pengembangan diagnosis, langkah preventif dan terapinya. Tujuan: Penelitian ini bertujuan untuk mengetahui peran Hsp60, CD-8 dan IFN-γ dalam immunopatobiogenesis dari granuloma periapikal karies gigi. Metode: Penelitian ini merupakan penelitian observasional

  4. Metatranscriptomics reveals overall active bacterial composition in caries lesions

    Directory of Open Access Journals (Sweden)

    Aurea Simón-Soro

    2014-10-01

    Full Text Available Background: Identifying the microbial species in caries lesions is instrumental to determine the etiology of dental caries. However, a significant proportion of bacteria in carious lesions have not been cultured, and the use of molecular methods has been limited to DNA-based approaches, which detect both active and inactive or dead microorganisms. Objective: To identify the RNA-based, metabolically active bacterial composition of caries lesions at different stages of disease progression in order to provide a list of potential etiological agents of tooth decay. Design: Non-cavitated enamel caries lesions (n=15 and dentin caries lesions samples (n=12 were collected from 13 individuals. RNA was extracted and cDNA was constructed, which was used to amplify the 16S rRNA gene. The resulting 780 bp polymerase chain reaction products were pyrosequenced using Titanium-plus chemistry, and the sequences obtained were used to determine the bacterial composition. Results: A mean of 4,900 sequences of the 16S rRNA gene with an average read length of 661 bp was obtained per sample, giving a comprehensive view of the active bacterial communities in caries lesions. Estimates of bacterial diversity indicate that the microbiota of cavities is highly complex, each sample containing between 70 and 400 metabolically active species. The composition of these bacterial consortia varied among individuals and between caries lesions of the same individuals. In addition, enamel and dentin lesions had a different bacterial makeup. Lactobacilli were found almost exclusively in dentin cavities. Streptococci accounted for 40% of the total active community in enamel caries, and 20% in dentin caries. However, Streptococcus mutans represented only 0.02–0.73% of the total bacterial community. Conclusions: The data indicate that the etiology of dental caries is tissue dependent and that the disease has a clear polymicrobial origin. The low proportion of mutans streptococci

  5. Relation of salivary calcium, phosphorus and alkaline phosphatase with the incidence of dental caries in children

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    Vijayaprasad K

    2010-09-01

    Full Text Available Aim: The purpose of this study was to assess possible relationship of Calcium, Phosphorus and Alkaline-phophatase levels in saliva with incidence of caries in child patients. Settings and Design: Children (n=75 attending Department of Pedodontics, St. Joseph Dental college, Eluru, with and without caries were categorized in to Group I: Consisting of 25 children with non-rampant caries, Group II: Consisting of 25 children with rampant caries, Group III: Consisting of 25 children without caries. (Control group. Materials and Methods: The samples of saliva were collected one week after oral prophylaxis. Unstimulated directly expectorated whole saliva samples were collected in clean, dry, sterilized glass bottles and fitted with proper rubber stoppers immediately. The samples were subjected to biochemical assay for estimation of calcium, phosphorus and alkaline phosphatase levels. Statistical analysis used: ANOVA. Results: The alkaline Phosphatase activity for rampant caries group was 18.66 K.A, and control group was 4.68 K.A. The values of alkaline phosphatase activity for minimal caries group was 6.16 KA. Conclusion: Saliva could reflect a caries risk situation was supported by the fact that alkaline phosphatase activity was very much significantly higher in caries prone groups.

  6. Evaluation of Interproximal Caries with Using of Bitewing Radiography in Dental Student of Islamic Azad University

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    S. Sahba

    2004-09-01

    Full Text Available Statement of Problem: Dental caries is one of the common diseases in the world. It is an infective disease which is caused by loss of minerals and destruction of dental tissues. One of the most effective ways to diagnose the interproximal caries is radiography. Bitewing radiography is the best way for caries diagnosis.Purpose: The aim of this study was to evaluate the prevalence of the interproximal caries in dental students of Islamic Azad University.Materials and Methods: This research was a cross sectional study that was conducted on 89 students of the Azad University consisting of 48 females and 41 males who were selected by random sampling. For each individual student left and right posterior bitewing radiographs were taken with a standard method (the interproximal spaces were between 6-7,5,6 and 4,5. Thus 12 interproximal spaces were examined in each individual. The most proximal cavitation surfaces were detected in the upper Jaw.Results: Results revealed that 6 individuals (6.7% were totally caries free and 83 individuals (93.3% showed interproxmal caries. Out of 1068 proximal spaces which had been studied 794 Spaces (73.4% were caries free and 274 surfaces (25.7% had caries.Conclusion: The high incidence of proximal caries and the possibility of missing them in the routine examinations make the bitewing radiographs an effective procedure for diagnosis.

  7. Fluoride use in Controlling Dental Caries and Fluorosis

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    Gaurav Solanki

    2012-07-01

    Full Text Available Policy were introduced to control fluoride exposure and to reduce the prevalence of fluorosis. The study aimed of describing the prevalence, severity and risk factors for fluorosis, and to describe the trend of fluorosis among Indian children. The study also aimed of exploring the effect of the change in fluoride exposure on dental fluorosis and caries. Establishing an appropriate use of fluoride toothpaste could be successful in reducing fluorosis without a significant increase in caries experience. The use of fluorides for oral health has always involved a balance between the protective benefit against dental caries and the risk of developing fluorosis. The link between fluoride and dental health was established to determining the causes of dental fluorosis or enamel mottling. Fluorosis in Indian children was highly prevalent in the early 1990s.

  8. Gene-environment Interactions in the Etiology of Dental Caries.

    Science.gov (United States)

    Yildiz, G; Ermis, R B; Calapoglu, N S; Celik, E U; Türel, G Y

    2016-01-01

    Dental caries is a multifactorial disease that can be conceptualized as an interaction between genetic and environmental risk factors. The aim of this study is to examine the effects of AMELX, CA6, DEFB1, and TAS2R38 gene polymorphism and gene-environment interactions on caries etiology and susceptibility in adults. Genomic DNA was extracted from the buccal mucosa, and adults aged 20 to 60 y were placed into 1 of 2 groups: low caries risk (DMFT ≤ 5; n = 77) and high caries risk (DMFT ≥ 14; n = 77). The frequency of AMELX (+522), CA6 (T55M), DEFB1 (G-20A), and TAS2R38 (A49P) single-nucleotide polymorphisms was genotyped with the polymerase chain reaction-restriction fragment length polymorphism method. Environmental risk factors examined in the study included plaque amount, toothbrushing frequency, dietary intake between meals, saliva secretion rate, saliva buffer capacity, mutans streptococci counts, and lactobacilli counts. There was no difference between the caries risk groups in relation to AMELX (+522) polymorphism (χ(2) test, P > 0.05). The distribution of CA6 genotype and allele frequencies in the low caries risk group did not differ from the high caries risk group (χ(2) test, P > 0.05). Polymorphism of DEFB1 (G-20A) was positively associated, and TAS2R38 (A49P) negatively associated, with caries risk (χ(2) test, P = 0.000). There were significant differences between caries susceptibility and each environmental risk factor, except for the saliva secretion rate (Mann-Whitney U test, P = 0.000). Based on stepwise multiple linear regression analyses, dental plaque amount, lactobacilli count, age, and saliva buffer capacity, as well as DEFB1 (G-20A), TAS2R38 (A49P), and CA6 (T55M) gene polymorphism, explained a total of 87.8% of the variations in DMFT scores. It can be concluded that variation in CA6 (T55M), DEFB1 (G-20A), and TAS2R38 (A49P) may be associated with caries experience in Turkish adults with a high level of dental plaque, lactobacilli count

  9. Dermatoglyphics: A genetic marker of early childhood caries

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    C Anitha

    2014-01-01

    Full Text Available Background: It is an accepted fact that genetics plays an important role in determination of palmar dermatoglyphic patterns. Since caries is a multifactorial disease with the influence of genetic pattern, this study was undertaken to explore the possibility of dermatoglyphics as a noninvasive and early predictor of dental caries in children, so as to initiate preventive oral health measures at an early age. Materials and Methods: The study group comprised of 200 children aged between 4 and 5 years. The dmfs score was evaluated. The experimental group (Group 1, comprised of 100 children with early childhood caries (ECC with dmfs >5. The control group (Group 2 comprised of 100 children with dmfs score of 0. Results: An increased frequency of ulnar loops in caries-free children and whorls in children with ECC was observed. Low mean atd angle and low mean. Total ridge count was observed in the ECC group. Conclusion: There is definite variation in dermatoglyphics between the ECC and caries-free group, indicating that dermatoglyphic patterns can be used as a predictive tool for children with ECC.

  10. Precision laser aiming system

    Science.gov (United States)

    Ahrens, Brandon R.; Todd, Steven N.

    2009-04-28

    A precision laser aiming system comprises a disrupter tool, a reflector, and a laser fixture. The disrupter tool, the reflector and the laser fixture are configurable for iterative alignment and aiming toward an explosive device threat. The invention enables a disrupter to be quickly and accurately set up, aligned, and aimed in order to render safe or to disrupt a target from a standoff position.

  11. Relationship among salivary carbonic anhydrase VI activity and flow rate, biofilm pH and caries in primary dentition.

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    Frasseto, F; Parisotto, T M; Peres, R C R; Marques, M R; Line, S R P; Nobre Dos Santos, M

    2012-01-01

    This study aimed to determine the activity of carbonic anhydrase isoenzyme VI (CAVI) in the saliva of preschool children with caries and to investigate the relationship between caries and salivary CAVI activity, salivary flow rate and biofilm pH before and after a 20% sucrose rinse. Thirty preschool children aged 45.3-80.3 months were divided into two groups: a caries-free group and a caries group. Clinical examinations were conducted by one examiner (κ = 0.95) according to WHO criteria (dmfs) and early caries lesions. From each subject, CAVI activity, salivary flow rate and plaque pH were determined before and after a sucrose rinse. The results were submitted to Wilcoxon, Mann-Whitney and Spearman correlation tests (α = 0.05). The results showed that prerinse CAVI activity and its variation were higher in the saliva from caries children than from caries-free children. No difference was found between the two groups in postrinse salivary CAVI activity. After rinsing, biofilm pH differences were lower in both groups (p = 0.0012 and p = 0.0037 for the caries and caries-free groups, respectively). Also, after the sucrose rinse, salivary flow rate significantly increased in caries and caries-free groups (p = 0.0003, p = 0.0037). The variation of salivary CAVI activity was negatively correlated with caries (r = -0.501, p = 0.005). Child's age showed a positive correlation with caries (r = 0.456, p = 0.011). These results suggest that variation of salivary CAVI activity and child's age are associated with dental caries in preschool children.

  12. Dental caries in HIV-seropositive women.

    Science.gov (United States)

    Phelan, J A; Mulligan, R; Nelson, E; Brunelle, J; Alves, M E A F; Navazesh, M; Greenspan, D

    2004-11-01

    Reports that compare dental caries indices in HIV-seropositive (HIV+) subjects with HIV-seronegative (HIV-) subjects are rare. The objective of this study was to determine if there was an association between HIV infection and dental caries among women enrolled in the Women's Interagency HIV Study. Subjects included 538 HIV+ and 141 HIV- women at baseline and 242 HIV+ and 66 HIV- women at year 5. Caries indices included DMFS and DFS (coronal caries) and DFSrc (root caries). Cross-sectional analysis of coronal caries data revealed a 1.2-fold-higher caries prevalence among HIV+ women compared with HIV- women. Longitudinally, DMFS increased with increasing age and lower average stimulated salivary volume. Root caries results were not significant except for an overall increased DFSrc associated with smoking. Anti-retroviral therapy was not identified as a risk factor for dental caries.

  13. A New Dietary Intake Measure and Its Relationship to Caries Experience

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    T Malek Mohammadi

    2005-10-01

    Full Text Available Aim the main aim of this study was to examine the usability of a new dietary measure among a high caries population and examine whether reported food intake, when weighted by frequency and cariogenicity, was associated with increased caries rates within a high caries population. Key method Two hundred and eighteen children with caries were examined using standard caries diagnostic criteria. The examinations were carried out by a single calibrated dental examiner. A food frequency table was completed by the parents of each participant and this was analysed by weighting foods’ cariogenic potential by the frequency of consumption, and summing the product. The total cariogenicity score for each child was then plotted against its dmft and dt and correlation coefficients were calculated. Result the mean cariogenicity score using this new measure was 71.02, with a range of 31.96 to 135.24. The standard deviation was 16.72. Total cariogenicity scores using the new measure and dmft were weakly correlated, with the Pearson correlation co-efficient being 0.130 and for dt 0.131. These correlations did not reach significance. Conclusion The study has demonstrated that in children with caries, reported food intake (when weighted by frequency and cariogenicity and caries are only weakly and non-significantly associated. Dietary intake, when measured in a way, which takes account of all food groups, was therefore not strongly associated with caries when measured on an individual level.

  14. Restorative treatment thresholds for occlusal primary caries among dentists in the dental practice-based research network

    DEFF Research Database (Denmark)

    Gordan, Valeria V; Bader, James D; Garvan, Cynthia W

    2010-01-01

    OBJECTIVES. The authors report on a study aimed at quantifying the carious lesion depths at which dentists intervene surgically for cases of varying caries penetration and caries risk. They also aimed to identify characteristics that are associated with surgical intervention. METHODS: The investi...

  15. Dermatoglyphic patterns and salivary pH in subjects with and without dental caries: A cross-sectional study

    Science.gov (United States)

    Yamunadevi, Andamuthu; Dineshshankar, Janardhanam; Banu, Safeena; Fathima, Nilofar; Ganapathy; Yoithapprabhunath, Thukanayakanpalayam Ragunathan; Maheswaran, Thangadurai; Ilayaraja, Vadivel

    2015-01-01

    Background: Dermatoglyphic patterns, which are regularly used in judicial and legal investigations, can be valuable in the diagnosis of many diseases associated with genetic disorders. Dental caries although of infectious origin, may have a genetic predisposition. Hence, we evaluated the correlation between dental caries and dermatoglyphic patterns among subjects with and without dental caries and evaluated its association with environmental factors such as salivary pH. Materials and Methods: Totally, 76 female students within the age group of 18-23 years were clinically examined, and their decayed, missing, filled teeth (DMFT) score and oral hygiene index-simplified were recorded. Based on their DMFT score, they were divided into following three groups; group I (n = 16, DMFT score = 0), group II (n = 30, DMFT score Dermatoglyphic pattern distribution in caries-free group showed more ulnar loops than high caries group (group III) while high caries group showed more whorl patterns. Presence of whorl with double loop, whorl within a loop was associated with high DMFT score. The total finger ridge count was lower in caries group. The mean salivary pH was higher in caries-free group than high caries group. Thus, we conclude that dermatoglyphic patterns may be potential diagnostic tool for detecting patients prone to develop dental caries. PMID:26283816

  16. Risk indicators of coronal and root caries in Greek middle aged adults and senior citizens

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    Mamai-Homata Eleni

    2012-06-01

    Full Text Available Abstract Background Dental caries is the result of a complex interplay of multiple determinants which may change overtime. Therefore, periodic surveys of caries experience and redetermination of the risk indicators of the disease are needed. The aim of this study was to assess the prevalence and severity of coronal and root caries in Greeks aged 35-44 and 65-74-year-old in relation to socio-demographic parameters. Furthermore, trends in coronal caries experience of the 35-44-year-olds were investigated. Methods A sample of 1188 35-44-year-old and 1093 65-74-year-old individuals was selected in 2005 according to WHO guidelines for national pathfinder surveys. Caries was assessed in dentate subjects using the DMFT, DMFS, RDFS and RCI indices. Socio-demographic data were also collected. Univariate and multivariate regression analyses were performed to identify the effect of socio-demographic parameters. Results The mean DMFT and DMFS scores of the adults were 14.06 and 45.78 respectively, while those of the senior citizens were 20.63 and 89.82. Among the 35-44-year-ods, men and those having a higher educational attainment had significantly lower DMFS values (women OR = 1.679, CI: 1.243-2.267 and >12 years of education OR = 0.321, CI: 0.193-0.535 respectively, while educational level was the only predictor of DMFS in senior citizens (OR = 0.279, CI: 0.079-0.992. The mean DMFT score of the 35-44-year-olds has not improved since 1985, but there was a remarkable reduction in the number of DT related to a simultaneous increase in the number of FT. The mean RDFS rose from 0.39 in adults to 2.66 in senior citizens. The mean RDFS score of the middle aged adults was significantly correlated with education (OR = 0.346, CI: 0.180-0.664. The RCI was almost four times greater in seniors (9.73 than in adults (2.53. There were significant differences in caries experience between the surveyed regions. MS and RDS were the major components of the

  17. Childhood caries in the state of Kentucky, USA: a cross-sectional study

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    Kandel Elizabeth A

    2012-09-01

    Full Text Available Abstract Background Untreated dental caries afflicts almost one third of school-aged children in the United States and many of them are from disadvantaged families. This cross-sectional study was undertaken to investigate the prevalence of untreated caries in north central Kentucky, USA and to examine the relationships between the available demographic variables and untreated childhood caries as reported on the forms from the Smile Kentucky! program. Methods During the fall of 2008, caries status was assessed during the visual oral screening examination component of “SmileKentucky!”– a model of the American Dental Association’s Give Kids A Smile program. Parents had completed brief surveys concerning 3,488 elementary school children aged 5 to 13 years who participated in the program. A secondary analysis was conducted using univariate, bivariate and multivariate statistical methods. Results Untreated caries was reported in 33% of children. Bivariate and logistic regression analyses found that the most significant risk factors for having untreated caries were living in the metropolitan Louisville, Kentucky area, not having had a dental visit in the previous 3 years and not having any form of dental insurance. Conclusions Untreated caries in elementary school children is prevalent in north-central Kentucky despite efforts to improve access to care. The results suggest that additional family and community preventive initiatives are needed to reduce the development of childhood caries in this area of the United States.

  18. A Comparative Study on Dental Caries Prevalence in Diabetic Children in Isfahan in the Summer of 2000

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    P Samimi

    2004-04-01

    Full Text Available Background: There is a relationship between dental caries and high blood sugar. This study was designed to investigate the prevalence of dental caries among diabetic children in Isfahan, Iran. Methods: Diabetic children from pediatric ward of hospitals were compared to a control healthy group of children. Results: The mean DMFT was significantly higher in diabetic children compared to the control group. Conclusion: The result of this study confirms previous researches on prevalence of dental caries in children. Keywords: Dental Caries, Diabetes Mellitus, Pediatrics

  19. DIAGNOdent: an optical method for caries detection.

    Science.gov (United States)

    Lussi, A; Hibst, R; Paulus, R

    2004-01-01

    The onset of caries is characterized by demineralization of dental hard tissues. Optimal fluoridation with respective oral hygiene habits and diet may stop the progression of a lesion and even allow for its remineralization. The aim of modern dentistry must be a preventive approach rather than invasive repair of the disease. This is possible only with early detection and respective preventive measures. Some of today's diagnostic tools are not sensitive enough to detect this early onset of destruction. Tools based on fluorescence could have the possibility to overcome this problem. This overview will focus on today's knowledge of one possible tool, the DIAGNOdent.

  20. Oratest: A new concept to test caries activity

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    S Saxena

    2013-01-01

    Full Text Available Caries activity tests are based on the concept of a specific odontogenic infection, the principle causative organism being streptococci mutans. Their predominance is attributed to its acidogenic and aciduric nature after a selective growth advantages over the other non- acid tolerant organisms. Many studies on caries activity are aimed at finding relevant microorganisms. Till date, the ideal method to evaluate in terms of sensitivity, specialization and reliability has not been found. Many of these caries activity tests require extensive work up time and additional equipment. Rosenberg et al. in 1989 developed Oratest, a simple, economical, non- invasive and less time-consuming test for estimating the oral microbial level. The test is simple and consists of rinsing the mouth with 10 ml of sterile milk, 3 ml of which is mixed with 0.12 ml of 0.1% methylene blue dye and observed for colour change. The present study sample consists of twenty five children with dental caries and twenty five controls, free of caries, gingivitis and other oral ailments. This study is being conducted in the department of Oral Pathology & Microbiology and is in the preliminary phase so further results are awaited.

  1. Effect of endurance training on dental erosion, caries, and saliva.

    Science.gov (United States)

    Frese, C; Frese, F; Kuhlmann, S; Saure, D; Reljic, D; Staehle, H J; Wolff, D

    2015-06-01

    The aim of this investigation was to give insights into the impact of endurance training on oral health, with regard to tooth erosion, caries, and salivary parameters. The study included 35 triathletes and 35 non-exercising controls. The clinical investigation comprised oral examination, assessment of oral status with special regard to caries and erosion, saliva testing during inactivity, and a self-administered questionnaire about eating, drinking, and oral hygiene behavior. In addition, athletes were asked about their training habits and intake of beverages and sports nutrition. For saliva assessment during exercise, a subsample of n = 15 athletes volunteered in an incremental running field test (IRFT). Athletes showed an increased risk for dental erosion (P = 0.001). No differences were observed with regard to caries prevalence and salivary parameters measured during inactivity between athletes and controls. Among athletes, a significant correlation was found between caries prevalence and the cumulative weekly training time (r = 0.347, P = 0.04). In athletes after IRFT and at maximum workload, saliva flow rates decreased (P = 0.001 stimulated; P = 0.01 unstimulated) and saliva pH increased significantly (P = 0.003). Higher risk for dental erosions, exercise-dependent caries risk, and load-dependent changes in saliva parameters point out the need for risk-adapted preventive dental concepts in the field of sports dentistry.

  2. [Dietary habits and early childhood caries intensity among young children].

    Science.gov (United States)

    Bagińska, Joanna; Stokowska, Wanda

    2006-01-01

    The aim of this study was to evaluate the influence of a diet and the feeding method on caries intensity among children aged 36-48 months. Dental examination was carried out in 255 children and their mothers were asked about child's dietary habits. The population checked was divided into three groups: with dmf = 0, dmf 1-3 and dmf > or = 4. Statistically significant correlation between caries intensity and bottle feeding during sleep and frequency of eating cariogenic food were shown. Parents of young children should be educated about the influence of dietary habits on dental condition.

  3. Calcium-phosphate-osteopontin particles for caries control

    DEFF Research Database (Denmark)

    Schlafer, Sebastian

    Oftentimes caries lesions develop in protected sites that are difficult to access by self-performed mechanical tooth cleaning. At present, there is a growing interest in chemical adjuncts to mechanical procedures of oral hygiene that aim at biofilm control rather than biofilm eradication. Calcium......-phosphate-osteopontin particles are a new promising therapeutic approach to caries control. They are designed to bind to dental biofilms and interfere with biofilm build-up, lowering the bacterial burden on the tooth surface without affecting bacterial viability in the oral cavity. Moreover, they dissolve when pH in the biofilm...

  4. Association of Dermatoglyphic Peculiarities with Dental Caries in Preschool Children of Lucknow, India

    Science.gov (United States)

    Saha, Sabyasachi; Jagannath, GV; Singh, Sanjay; Saha, Sonali; Garg, Nishita

    2016-01-01

    ABSTRACT Background: Dermatoglyphics refers to study of the intricate dermal ridge configurations on the skin covering the palmar and plantar surfaces of hand and feet. The basis of considering dermatoglyphic patterns as genetic marker for dental caries is that the epithelium of finger buds as well as enamel has ectodermal origin, and both develop at the same time of intrauterine life. Aim: To assess the relationship between fingerprint patterns and dental caries among preschool children of Lucknow city. Study design: This study was of cross-sectional design. Materials and methods: The study group comprised 512 preschool children 2-6 years of age. The prevalence of caries was recorded using "Dentition status and treatment needs" (WHO basic oral health assessment form, 1997). They were divided into three groups as follows: Group I (dmft score = 0-2), group II (dmft score = 3-4) and group III (dmft score ≥5). The handprints of each child were taken using a stamp pad. The fingertip patterns were analyzed according to the classical method and were classified according to the topological method. The frequency of occurrence of type of dermatoglyphic pattern on fingertip of each digit was noted. Statistics: Chi-square test was used to test the significant difference in proportions. Means were compared using Student’s t-test and analysis of variance (ANOVA) or F-test. Results: Subjects belonging to groups II and III showed maximum occurrence of whorl pattern on all digits. Group I subjects had maximum occurrence of arch pattern. All the variables had statistically significant value, with a degree of divergence of specific dermatoglyphic patterns among all three groups. Conclusion: The dental caries susceptibility of an individual increased with incidence of whorl pattern and it decreased with incidence of arch pattern. How to cite this article: Singh E, Saha S, Jagannath GV, Singh S, Saha S, Garg N. Association of Dermatoglyphic Peculiarities with Dental Caries in

  5. Caries-related factors and bacterial composition of supragingival plaques in caries free and caries active Algerian adults

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    Amina Hoceini

    2016-08-01

    Conclusions: This study confirms the association of some aciduric bacteria with caries formation, and a direct association of sugar intake and cultural level with dental caries. Furthermore, oral hygiene practices minimize the prevalence of tooth decay.

  6. Assessment of dental caries predictors in 6-year-old school children - results from 5-year retrospective cohort study

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    Masood Mohd

    2012-11-01

    Full Text Available Abstract Background This was a retrospective cohort study undertaken to assess the rate and pattern of dental caries development in 6-year-old school children followed-up for a period of 5 years, and to identify baseline risk factors that were associated with 5 years caries experience in Malaysian children. Methods This 5-years retrospective cohort study comprised primary school children initially aged 6 years in 2004. Caries experience of each child was recorded annually using World Health Organization criteria. The rates of dental caries were recorded in prevalence and incidence density of carious lesions from baseline to final examination. Risk assessment was done to assess relative risk for caries after 5 years in children with baseline caries status. Simple and multiple logistic regression analysis were performed to identify significant independent risk factors for caries. Results The sample consisted of 1830 school children. All components of DMFT showed significant differences between baseline and final examination. Filled teeth (FT component of the DMFT showed the greatest increases. Results revealed the initial baseline caries level in permanent dentition was a strong predictor for future caries after 5 years (RR=3.78, 95% CI=3.48-4.10, P0.001. Logistic regression analysis showed significant association between caries occurrence and residence (urban/rural (OR=1.80, Pp observed from baseline and after 5 years was 5.80 persons/100 person-year of observation. The rate of new caries-affected tooth (IDt in the period from baseline and after 5-years was 0.76 teeth/100 teeth-year of observation. Conclusion The majority of 12-year-old school children (70% were caries-free and most of the caries were concentrated in only a small proportion (30% of them. We found that the presence of caries in permanent teeth at the age of 6 years was a strong predictor of future caries development in this population. The strong evidence of early permanent teeth

  7. Calcium-phosphate-osteopontin particles for caries control

    DEFF Research Database (Denmark)

    Schlafer, Sebastian

    Oftentimes caries lesions develop in protected sites that are difficult to access by self-performed mechanical tooth cleaning. At present, there is a growing interest in chemical adjuncts to mechanical procedures of oral hygiene that aim at biofilm control rather than biofilm eradication. Calcium......-phosphate-osteopontin particles are a new promising therapeutic approach to caries control. They are designed to bind to dental biofilms and interfere with biofilm build-up, lowering the bacterial burden on the tooth surface without affecting bacterial viability in the oral cavity. Moreover, they dissolve when pH in the biofilm...... drops to 6 or below and release buffering phosphate ions that stabilize biofilm pH above the critical level for enamel dissolution. With that twofold approach, calcium-phosphate-osteopontin particles may make a relevant contribution to clinical caries control....

  8. New methodology for studying the structural ecology of occlusal caries

    DEFF Research Database (Denmark)

    Dige, Irene; Grønkjær, Lene; Nyvad, Bente

    Microbiological studies of occlusal dental biofilms have hitherto been hampered by inaccessibility to the sampling site and demolition of the original biofilm architecture. The aim of the present study was to explore the spatial distribution of bacterial taxa in vivo at various stages of occusal...... caries, applying a new methodology involving preparation of embedded hard dental tissue slices for fluorescence in situ hybridization (FISH) and confocal microscopy. 11 extracted teeth were included in the study and classified according to their occlusal caries status (active/inactive/sound; cavitated......-bacterial origin resembling developmental protein, calculus and/or dead bacteria. Bacterial invasion with penetration into the dentinal tubules was seen only at advanced stages of the caries process with manifest cavity formation. It is concluded that the new methodology represents a valuable supplement...

  9. Specifics of proximal caries and their diagnostics in posterior teeth

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    Wojcik-Checinska Ilona

    2015-06-01

    Full Text Available Proximal surfaces are the second in turn after the occlusal surfaces, as being the most exposed places to the carious process. The specificity of changes and location makes the diagnostic of approximal cavities difficult. The aim of the study was to collect information on possibilities of detection, monitoring and assessment of carious lesions located on proximal surfaces, starting from the early stage. On the base of current literature, chosen methods of diagnosis, from conventional, to advanced technologies were presented. Current literature also suggests that none of the diagnostic methods exclude the possibility of misdiagnosis of proximal caries. Therefore, during the diagnosing of doubtful cases, it is advisable to employ several methods of assessment, with simultaneous individual appraisal of caries risk factors, such as oral hygiene, frequency of eating sweets or the number of active caries foci.

  10. Early caries detection: comparison of two procedures. A pilot study

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    Fabrizio Guerra

    2016-12-01

    Full Text Available Caries is one of the most common chronic diseases and the main cause of tooth loss. Early detection provides a better evaluation of the disease and improves the chances to succeed of prevention strategies. This pilot study aims to compare the effectiveness of ICDAS-II system (International Caries Detection and Assessment System and the fluorescence terminal (Proof of VistaCam iX intraoral camera, in the early diagnosis and assessment of caries in permanent teeth. Results shows a fair correlation between ICDAS II and VistaCam iX Proof; intraoral camera proved to be a useful support to the ICDAS II visual / tactile monitoring of carious lesions in occlusal surfaces.

  11. Early Childhood Dental Caries: A Rising Dental Public Health Crisis

    Science.gov (United States)

    Gomez, Grace Felix

    2013-01-01

    The aim of this article is to examine the literature and review the risk factors and disparities contributing to early childhood caries (ECC), which is a major health problem among preschoolers in the United States of America. A search was conducted using MEDLINE, PubMed, Google Scholar, and the Cochrane Library databases and the key terms…

  12. Developing explanatory models of health inequalities in childhood dental caries

    DEFF Research Database (Denmark)

    Pine, Cynthia M; Adair, Pauline M; Petersen, Poul Erik

    2004-01-01

    OBJECTIVE: Long-term aim is to determine optimum interventions to reduce dental caries in children in disadvantaged communities and minimise the effects of exclusion from health care systems, of ethnic diversity, and health inequalities. DESIGN: Generation of initial explanatory models, study pro...

  13. Health promotion and dental caries.

    Science.gov (United States)

    Maltz, Marisa; Jardim, Juliana Jobim; Alves, Luana Severo

    2010-01-01

    The central idea of the Brazilian health system is to prevent the establishment of disease or detect it as early as possible. Prevention and treatment of dental caries are related to behavioral factors, including dietary and oral hygiene habits, which are related to many chronic diseases. Dental health promotion therefore should be fully integrated into broadly based health-promoting strategies and actions such as food and health policies, and general hygiene (including oral hygiene), among others. For decades, a linear relationship between sugar consumption and caries has been observed. Recent data has indicated that this relationship is not as strong as it used to be before the widespread use of fluoride. However, diet is still a key factor acting in the carious process. Oral hygiene is a major aspect when it comes to caries, since dental biofilm is its etiological factor. Oral hygiene procedures are effective in controlling dental caries, especially if plaque removal is performed adequately and associated with fluoride. An alternative to a more efficient biofilm control in occlusal areas is the use of dental sealants, which are only indicated for caries-active individuals. If a cavity is formed as a consequence of the metabolic activity of the biofilm, a restorative material or a sealant can be placed to block access of the biofilm to the oral environment in order to prevent caries progress. The prevention of dental caries based on common risk-factor strategies (diet and hygiene) should be supplemented by more disease-specific policies such as rational use of fluoride, and evidence-based dental health care.

  14. Health promotion and dental caries

    Directory of Open Access Journals (Sweden)

    Marisa Maltz

    2010-01-01

    Full Text Available The central idea of the Brazilian health system is to prevent the establishment of disease or detect it as early as possible. Prevention and treatment of dental caries are related to behavioral factors, including dietary and oral hygiene habits, which are related to many chronic diseases. Dental health promotion therefore should be fully integrated into broadly based health-promoting strategies and actions such as food and health policies, and general hygiene (including oral hygiene, among others. For decades, a linear relationship between sugar consumption and caries has been observed. Recent data has indicated that this relationship is not as strong as it used to be before the widespread use of fluoride. However, diet is still a key factor acting in the carious process. Oral hygiene is a major aspect when it comes to caries, since dental biofilm is its etiological factor. Oral hygiene procedures are effective in controlling dental caries, especially if plaque removal is performed adequately and associated with fluoride. An alternative to a more efficient biofilm control in occlusal areas is the use of dental sealants, which are only indicated for caries-active individuals. If a cavity is formed as a consequence of the metabolic activity of the biofilm, a restorative material or a sealant can be placed to block access of the biofilm to the oral environment in order to prevent caries progress. The prevention of dental caries based on common risk-factor strategies (diet and hygiene should be supplemented by more disease-specific policies such as rational use of fluoride, and evidence-based dental health care.

  15. INCIDENCE OF SECONDARY ROOT CARIES LESIONS IN PATIENTS REFERRED FOR TREATMENT IN THE FACULTY OF DENTAL MEDICINE – SOFIA.

    Directory of Open Access Journals (Sweden)

    Mirela Marinova-Takorova

    2014-07-01

    Full Text Available Purpose: The aim of the presented study was to determine the incidence of secondary root caries lesions in patients referred for treatment in the Faculty of Dental Medicine – Sofia. Material/Methods: The subjects who took part in the study were patients referred for treatment of caries lesions in the Faculty of Dental Medicine, Sofia. They were interviewed for smoking, presence of systematic diseases and medications and debris and plaque were removed from natural teeth prior to examination. Dental examination was carried out with a dental mirror and a probe. Decayed, missed and filled teeth (DMFT were recorded. Root caries lesions, restorations of those lesions and secondary caries lesions were recorded separately. Results: A total number of 603 patients were examined. The frequency of appearance of root caries in the investigated population was 33.5% (202 patients. The whole number of root caries lesions was 857. Three hundred forty three (41.4% of those lesions were restored. Presence of secondary caries lesions was observed in 138 cases (39.1%. Conclusions: Based on the data obtained from the presented study it may be concluded that most of the root caries lesions remain untreated (58.8%. Secondary carious was diagnosed in 39.1% of the root caries restorations. The patients with secondary caries lesions presented with higher incidence of concomitant diseases and lower incidence of smoking.

  16. A comparative study of oral health amongst trisomy 21 children living in Riyadh, Saudi Arabia: Part 1 caries, malocclusion, trauma

    OpenAIRE

    Alsarheed, M

    2015-01-01

    Background: Trisomy 21 (T21) is a genetic disorder stemming from a chromosomal abnormality and characterized by general and mental retardation. Depending on the population, T21 is known to affect 1 in every 600–2000 live births. The current literature provides a mixed view on the oral health status of T21 individuals. Aim: To establish the prevalence of dental caries, malocclusion, and trauma amongst children with T21 compared with non-T21 children in Riyadh, Saudi Arabia. Methods: This...

  17. Influence of host-related risk indicators on dental caries in permanent dentition.

    Science.gov (United States)

    Delgado-Angulo, Elsa K; Bernabé, Eduardo

    2006-01-01

    The aim of this study was to assess the individual and grouped influence of host-related factors on dental caries experience in permanent dentition of 7-9 year-old children. One hundred and twenty one children were recruited applying a stratified cluster sampling without replacement. Clinical examinations, Colorimetric Test and non-stimulated and stimulated saliva collection were performed; the samples obtained were later incubated using Snyder culture medium. Simple and multiple binary logistic regression analyses were performed to assess the individual and grouped influence of the host-related factors and establish a modelfor predicting dental caries in permanent dentition. 78.5% of the evaluated children presented dental caries in permanent dentition. Binary logistic regression analyses revealMd that only dental caries in deciduous dentition and stimulated salivary flow were significantly associated to dental caries in permanent dentition. The final multivariate model showed that the adjusted OR was 1.76 for an increase of 1 tooth in dmft and 2.29 for a decrease of 1 ml in stimulated salivary flow. Dental caries in deciduous dentition is a risk indicator for dental caries in permanent dentition, and stimulated salivary flow is a protective factor Variables like enamel resistance to acid dissolution and buffer capacity are not related to dental caries in permanent dentition, making them inappropriate for risk studies.

  18. Maternal care influence on children’s caries prevalence in southern Brazil

    Directory of Open Access Journals (Sweden)

    Gabriela dos Santos PINTO

    2016-01-01

    Full Text Available Abstract This study aimed to investigate the influence of specific maternal-factors on caries prevalence in offspring. This cross sectional study was conducted in Pelotas, Brazil nested in a cohort of adolescent mothers with children aged 24–42 months. A questionnaire was administered to collect information in relationship to socio-economic, demographic, and behavioral maternal variables. The outcome (children’s dental caries prevalence – dmfs > 0 was collected from clinical examinations. Bivariate and multivariate analyses were conducted. A total of 538 mother/child dyads were evaluated and 15.1% of the children exhibited caries. Adjusted multivariate analysis showed children from mothers living without partners (p < 0.027 had more caries than those living with partners. Maternal perception of a child’s oral health was associated to occurrence of caries, particularly when mothers classified their child as poor and these children had a higher level of caries. In addition, mothers accurately evaluated their child’s teeth when associated with caries occurrence. Maternal oral health care practices were associated with children’s caries prevalence. Our results demonstrated mothers accurately evaluated the oral health of their offspring.

  19. AIMES Final Technical Report

    Energy Technology Data Exchange (ETDEWEB)

    Katz, Daniel S [Univ. of Illinois, Urbana-Champaign, IL (United States). National Center for Supercomputing Applications (NCSA); Jha, Shantenu [Rutgers Univ., New Brunswick, NJ (United States); Weissman, Jon [Univ. of Minnesota, Minneapolis, MN (United States); Turilli, Matteo [Rutgers Univ., New Brunswick, NJ (United States)

    2017-01-31

    This is the final technical report for the AIMES project. Many important advances in science and engineering are due to large-scale distributed computing. Notwithstanding this reliance, we are still learning how to design and deploy large-scale production Distributed Computing Infrastructures (DCI). This is evidenced by missing design principles for DCI, and an absence of generally acceptable and usable distributed computing abstractions. The AIMES project was conceived against this backdrop, following on the heels of a comprehensive survey of scientific distributed applications. AIMES laid the foundations to address the tripartite challenge of dynamic resource management, integrating information, and portable and interoperable distributed applications. Four abstractions were defined and implemented: skeleton, resource bundle, pilot, and execution strategy. The four abstractions were implemented into software modules and then aggregated into the AIMES middleware. This middleware successfully integrates information across the application layer (skeletons) and resource layer (Bundles), derives a suitable execution strategy for the given skeleton and enacts its execution by means of pilots on one or more resources, depending on the application requirements, and resource availabilities and capabilities.

  20. Aims of the Workshop

    CERN Document Server

    Dornan, P J

    2010-01-01

    There are challenges and opportunities for the European particle physics community to engage with innovative and exciting developments which could lead to precision measurements in the neutrino sector. These have the potential to yield significant advances in the understanding of CP violation, the flavour riddle and theories beyond the Standard Model. This workshop aims to start the process of a dialogue in Europe so that informed decisions on the appropriate directions to pursue can be made in a few years time.

  1. Aims and Scope

    Institute of Scientific and Technical Information of China (English)

    2015-01-01

    Chinese Nursing Research(CNR)is the official peer-reviewed research journal and an international platform of nursing academic exchange.This journal aims to promote excellence in nursing and health care through the dissemination of the latest,evidence-based,peer-reviewed research report,academic papers,review articles and clinical research,to reflect nursing academic trends,scientific research and

  2. Caries og de nye nationale indkaldeintervaller

    DEFF Research Database (Denmark)

    Ekstrand, Kim; Bruun, Gitte; Bakhshandeh, Azam

    2015-01-01

    obligatorisk at gøre under de nye retningslinjer. Det gennemgås, hvilke behandlinger der er relevante for patienten i forhold til de tre cariesdiagnoser: Caries dentalis progressiva superficialis (CS), Caries dentalis progressiva media (CM) og Caries dentalis progressiva profunda (CP). Diagnoserne angiver...

  3. Validation of Visual Caries Activity Assessment

    DEFF Research Database (Denmark)

    Guedes, R S; Piovesan, C; Ardenghi, T M

    2014-01-01

    We evaluated the predictive and construct validity of a caries activity assessment system associated with the International Caries Detection and Assessment System (ICDAS) in primary teeth. A total of 469 children were reexamined: participants of a caries survey performed 2 yr before (follow-up ra...

  4. The prevalence of questionable occlusal caries

    DEFF Research Database (Denmark)

    Makhija, Sonia K; Gilbert, Gregg H; Funkhouser, Ellen;

    2012-01-01

    Questionable occlusal caries (QOC) can be defined as clinically suspected caries with no cavitation or radiographic evidence of occlusal caries. To the authors' knowledge, no one has quantified the prevalence of QOC, so this quantification was the authors' objective in conducting this study...

  5. Kadar leptin saliva dan kejadian karies gigi anak obesitas (Salivary leptin levels and caries incidence in obese children

    Directory of Open Access Journals (Sweden)

    Elfrida Atzmaryanni

    2013-09-01

    Full Text Available Background: Children with obesity have a lower incidence of caries. Salivary leptin levels of obese children is higher than normal children. Leptin is protein hormone, contained in saliva. Salivary proteins maintain the balance of the ecosystem in the mouth. Purpose: The article was aimed to study the correlation of salivary leptin levels with caries incidence in obese children. Review: Mouth is reflection of the health status and so many changes occur as a weight gain. Child with obesity has a low incidence of caries than normal. This condition is associated with changes in oral cavity, especially the increase in salivary leptin. Caries is a disease of hard tissues cause by the activty of microorganisms, especially Streptococcus mutans. Salivary proteins maintain the balance of the ecosystem in the mouth. Leptin is a protein saliva, produced predominantly in adipose tissue and conduct active transport to saliva. Salivary leptin works in two ways: as an antimicrobial which prevents the attachment of bacteria on tooth surface or by inducing cytokine that affect the immune system in oral cavity. Conclusion: Salivary leptin is higher in obese children than in normal children. The low incidence of caries on obesity is associated with salivary leptin. Alteration in salivary composition and flow rate also decreased caries in obesity.Latar belakang: Anak yang mengalami obesitas memiliki insiden karies yang rendah. Kadar leptin saliva anak obesitas lebih tinggi dari anak normal. Leptin merupakan salah satu protein hormon yang terdapat di saliva. Protein saliva berfungsi untuk menjaga keseimbangan ekosistem di mulut. Tujuan: Artikel ini bertujuan mempelajari hubungan antara kadar leptin di dalam saliva dengan kejadian karies anak obesitas. Tinjauan pustaka: Rongga mulut merupakan cerminan dari status kesehatan dan banyak perubahan yang terjadi seiring peningkatan berat badan seseorang. Anak Obesitas memiliki insiden karies yang rendah jika dibandingkan

  6. Caries risk assessment in children

    DEFF Research Database (Denmark)

    Twetman, S

    2016-01-01

    displayed a high risk of bias. CONCLUSIONS: Based on the present summary of literature, it may be concluded: (1) a caries risk assessment should be carried out at the child's first dental visit and reassessments should be done during childhood (D); (2) multivariate models display a better accuracy than......PURPOSE: To summarise the findings of recent systematic reviews (SR) covering caries risk assessment in children, updated with recent primary studies. METHODS: A search for relevant papers published 2012-2014 was conducted in electronic databases. The systematic reviews were quality assessed...... the use of single predictors and this is especially true for preschool children (C); (3) there is no clearly superior method to predict future caries and no evidence to support the use of one model, program, or technology before the other (C); and (4) the risk category should be linked to appropriate...

  7. Are distinctive risk indicators associated with different stages of caries in children? A cross-sectional study

    Directory of Open Access Journals (Sweden)

    Maria Grazia Cagetti

    2016-12-01

    Full Text Available Abstract Background Actual caries figures emphasize the need to identify the risk indicators involved in the disease’s development. The hypothesis that certain risk indicators might affect the dynamic evolution of the caries process was assessed; to clarify this premise, a cross-sectional survey was performed in school children. Methods A total of 390 subjects aged 6–8 years old were randomly selected. Caries was assessed, and the subjects were stratified as follows: i highest caries score; ii most prevalent caries score; and iii number of affected teeth. Parents/guardians completed a questionnaire regarding vital statistics, socio-economic indicators, dietary habits, oral hygiene habits and oral health behaviours. Results Caries was detected in 42.31% of the subjects. Maternal nationality, parental education level, use of a sweetened pacifier at night, intake of lactose-free milk and toothbrushing frequency were statistically significant associated (p < 0.05 with subjects stratified according to the highest caries score. Parental educational level, maternal occupational status and use of a sweetened pacifier at night were associated (p < 0.05 with affected children stratified according to the most prevalent caries score. Maternal educational level and intake of lactose-free milk were associated with subjects with moderate caries stages compared to being caries-free (p = 0.01 and p = 0.02, respectively. Maternal nationality (p < 0.01 and toothbrushing frequency (p = 0.01 were associated with subjects affected by extensive lesions compared to caries-free children. In subjects affected by initial lesions as the most prevalent figure, gender (male and paternal occupation status (unemployed were statistically significant associated (p = 0.03 and p = 0.04, respectively compared to those affected by highest prevalence of extensive caries lesions. In children with the highest prevalence of moderate caries lesions

  8. A novel caries risk test.

    Science.gov (United States)

    Denny, Paul C; Denny, Patricia A; Takashima, Jona; Galligan, Joyce; Navazesh, Mahvash

    2007-03-01

    A diagnostic test is particularly beneficial if it reveals the level of susceptibility prior to onset of a disease process. In the case of childhood caries, such a diagnostic test affords the opportunity for preventive measures to be implemented before caries begins. Salivary glycoproteins contain a wealth of individually specific oligosaccharide motifs. Depending on microbial compatibilities and individual genotypes, the glycoproteins that form the pellicle coating of teeth may provide attachment sites that foster colonization leading to cariogenesis. Alternatively, certain oligosaccharides, when present in nonpellicle glycoproteins, can interact with planktonic bacteria and lower their ability to interact with the tooth surface. We have found that in young adults the ratio of the two classes of oligosaccharides present in resting saliva exhibits a strong correlation with caries history (DFT: number of decayed and filled teeth). Oligosaccharide moieties associated with the test are quantitated in dried spots of whole saliva on nitrocellulose using commercially available biotinylated lectins with a variety of reporters. A combination of multiple linear regression and neural net analyses were used to develop the algorithms that describe the relationship between oligosaccharide patterns and DFT. During test development several different groups of adults and children have been studied. The correlation algorithms routinely exceed an R(2) (coefficient of determination) of 0.96. When the test is applied to the saliva of children, it yields a projection of their future caries history. Modifying the test result metric to reflect the groups of teeth with caries in young adults, the test identifies those teeth at risk for future caries in children. This test outcome can then be accompanied with suggested specific preventive measures for each tooth group-based risk level.

  9. Dental caries and their treatment needs in 3-5 year old preschool children in a Rural District of India

    Directory of Open Access Journals (Sweden)

    Devanand Gupta

    2015-01-01

    Full Text Available Background: Dental problems in the preschool children are neglected by their parents as the deciduous teeth are going to shed off, and hence considered to be of no importance and more of economic burden if attended to them. Aims: This study was to determine the caries prevalence in preschool children (3-5-year-old of rural Moradabad district, to analyze the specific pattern of dental caries experience in this population and to assess the treatment needs among them. Material and Methods: Children within the age group of 3-5 years attending Anganwadi centers of rural Moradabad district were included in the study. Caries diagnosis was based on decayed, extracted, filled surface (defs and the treatment needs were recorded using World Health Organization (WHO oral health assessment form 1997. Results: Out of 1,500 children examined, 48.7% males and 52.6% females did not require any treatment. The mean decayed, extracted, filled teeth (deft value was found to be significantly high in 5-year-old participants when compared to 3-year-old participants (P < 0.01. Majority of the children required one surface filling followed by two surface fillings, caries arresting sealant care, extraction, crown bridge element, pulp care, and space maintainer. Conclusion: The most common pattern was pit and fissure, then maxillary anterior pattern, posterior proximal pattern, and posterior buccal lingual smooth surface pattern. The mean deft value was higher in males as compared to females. There is a greater need for oral health education among parents and teachers.

  10. Dental caries is correlated with knowledge of comprehensive food education in Japanese university students.

    Science.gov (United States)

    Ekuni, Daisuke; Tomofuji, Takaaki; Mizutani, Shinsuke; Furuta, Michiko; Irie, Koichiro; Azuma, Tetsuji; Kojima, Azusa; Iwasaki, Yoshiaki; Morita, Manabu

    2013-01-01

    In Japan, the "Food Education Basic Law" (The Basic Law on Shokuiku, food education) was enacted in 2005. The comprehensive food education programs, namely Shokuiku, aim to improve dietary practices to reduce lifestyle-related diseases. Dental caries is one of the diseases associated with inappropriate dietary habits. Thus, food education may influence the prevalence of dental caries. However, there are no data regarding the association between public based-food education and dental caries. The aim of the present study was to investigate the relationship between knowledge about comprehensive food education (Shokuiku) and dental caries experience in Japanese university students. A total of 2,184 students (1,240 men, 944 women), aged 18-20 years, were examined. They had attended the Shokuiku program while in junior/senior high school. The numbers of teeth present, and decayed, missing and filled teeth (DMFT) (dental caries experience) were recorded. Additional information was collected via a questionnaire regarding knowledge about food education, dietary habits and oral health behavior. Of the students, 315 men (20.7%) and 345 women (52.8%) reported that they know and can explain the meaning and content of the word "Shokuiku". After adjusting for potential confounding factors, subjects who did not have knowledge about Shokuiku had higher adjusted odds ratio (OR) for dental caries experience (DMFT >0) than those who had (adjusted OR, 1.23; 95% CI, 1.02-1.48; pfood education in university students correlates with low prevalence of dental caries.

  11. Clinical performance of two visual scoring systems in detecting and assessing activity status of occlusal caries in primary teeth

    DEFF Research Database (Denmark)

    Braga, M M; Ekstrand, K R; Martignon, S

    2010-01-01

    This study aimed to compare the clinical performance of two sets of visual scoring criteria for detecting caries severity and assessing caries activity status in occlusal surfaces. Two visual scoring systems--the Nyvad criteria (NY) and the ICDAS-II including an adjunct system for lesion activity...

  12. Effect of Fluoride Varnish on Streptococcus mutans Count in Saliva of Caries Free Children Using Dentocult SM Strip Mutans Test: A Randomized Controlled Triple Blind Study

    OpenAIRE

    A, Deepti; Jeevarathan, J; Muthu, MS; Prabhu V, Rathna; Chamundeswari

    2008-01-01

    Aims: The aim of this study was to estimate the count of Streptococcus mutans in saliva of caries free children using Dentocult SM strip mutans and to evaluate the effect of fluoride varnish on the Streptococcus mutans count in saliva of these caries free children. Methods and material: Thirty caries free children were selected for the study based on the information obtained from a questionnaire prepared. They were randomly assigned into the control group and the study group consisting of ten...

  13. Background Material

    DEFF Research Database (Denmark)

    Zandersen, Marianne; Hyytiäinen, Kari; Saraiva, Sofia;

    2016-01-01

    This document serves as a background material to the BONUS Pilot Scenario Workshop, which aims to develop harmonised regional storylines of socio-ecological futures in the Baltic Sea region in a collaborative effort together with other BONUS projects and stakeholders....

  14. Adjunct methods for caries detection

    DEFF Research Database (Denmark)

    Twetman, Svante; Axelsson, Susanna Bihari; Dahlén, Gunnar

    2012-01-01

    Abstract Objective. To assess the diagnostic accuracy of adjunct methods used to detect and quantify dental caries. Study design. A systematic literature search for relevant papers was conducted with pre-determined inclusion and exclusion criteria. Abstracts and full text articles were assessed i...

  15. Sociobehavioral Factors Associated with Caries Increment: A Longitudinal Study from 24 to 36 Months Old Children in Thailand

    Directory of Open Access Journals (Sweden)

    Karl Peltzer

    2014-10-01

    Full Text Available The aim of this study is to investigate sociobehavioral risk factors from the prenatal period until 36 months of age, and the caries increment from 24 to 36 months of the child in Thailand. The data utilized in this study come from the prospective cohort study of Thai children (PCTC from prenatal to 36 months of the child in Mueang Nan district, Northern Thailand. The total sample size recruited was 783 infants. The sample size with dental caries data was 603 and 597, at 24 months and at 36 months, respectively. The sample size of having two assessment points with a dental examination (at 24 months and at 36 months was 597. Results indicate that the caries increment was 52.9%, meaning from 365 caries free children at 24 months 193 had developed dental caries at 36 months. The prevalence of dental caries was 34.2% at 24 months (n = 206 and 68.5% at 36 months of age (n = 409. In bivariate analysis, higher education of the mother, lower household income, bottle feeding of the infant, frequent sweet candy consumptions, and using rain or well water as drinking water were associated with dental caries increment, while in multivariate conditional logistic regression analysis lower household income, higher education of the mother, and using rain or well water as drinking water remained associated with dental caries increment. In conclusion, a very significant increase in caries development was observed, and oral health may be influenced by sociobehavioural risk factors.

  16. [Aiming for zero blindness].

    Science.gov (United States)

    Nakazawa, Toru

    2015-03-01

    -independent factors, as well as our investigation of ways to improve the clinical evaluation of the disease. Our research was prompted by the multifactorial nature of glaucoma. There is a high degree of variability in the pattern and speed of the progression of visual field defects in individual patients, presenting a major obstacle for successful clinical trials. To overcome this, we classified the eyes of glaucoma patients into 4 types, corresponding to the 4 patterns of glaucomatous optic nerve head morphology described: by Nicolela et al. and then tested the validity of this method by assessing the uniformity of clinical features in each group. We found that in normal tension glaucoma (NTG) eyes, each disc morphology group had a characteristic location in which the loss of circumpapillary retinal nerve fiber layer thickness (cpRNFLT; measured with optical coherence tomography: OCT) was most likely to occur. Furthermore, the incidence of reductions in visual acuity differed between the groups, as did the speed of visual field loss, the distribution of defective visual field test points, and the location of test points that were most susceptible to progressive damage, measured by Humphrey static perimetry. These results indicate that Nicolela's method of classifying eyes with glaucoma was able to overcome the difficulties caused by the diverse nature of the disease, at least to a certain extent. Building on these findings, we then set out to identify sectors of the visual field that correspond to the distribution of retinal nerve fibers, with the aim of detecting glaucoma progression with improved sensitivity. We first mapped the statistical correlation between visual field test points and cpRNFLT in each temporal clock-hour sector (from 6 to 12 o'clock), using OCT data from NTG patients. The resulting series of maps allowed us to identify areas containing visual field test points that were prone to be affected together as a group. We also used a similar method to identify visual

  17. The relationship between dental caries and obesity among primary school children aged 5 to 14 years

    Directory of Open Access Journals (Sweden)

    Yao Yingshui

    2014-07-01

    Full Text Available Background: Previous study revealed that the link between dental caries and obesity has been controversial. The purpose of this research is to investigate the association between dental caries and obesity among primary school children in Wannan area, China. Methods: A cross-sectional study was designed to collect the routine health screening data for primary school children aged 5-14 years inWannan area,China, Overweight and obesity status were determined using the International Obesity Task Force standard (IOTF BMI cut-off points. Caries status was recorded based on WHO recommendations. Results: Our results revealed that the overall caries prevalence of the subjects was 44.9%, Maximum number of caries affected children belonged to underweight and normal group, followed by overweight, and the least number was obesity. These differences were statistically significant (chi-square test, P < 0.001. Children with obesity were 1.908 times (OR =1.908; CI95%=1.750, 2.079 more likely have caries than children with underweight or health weight. Overweight children were 1.547 times (OR = 1.547; CI95% = 1.479, 1.618 more likely to have caries than children with underweight or health weight. After adjusted the gender and age, a statistically significant association was also observed between body mass index categories and caries. Conclusions: Obesity may have a significant effect on caries prevalence of primary school children in Wannan area, China. The importance of obesity should not only be emphasized with respect to general diseases but also with regard to carious lesions.

  18. Korean version of child perceptions questionnaire and dental caries among Korean children.

    Science.gov (United States)

    Shin, Hye-Sun; Han, Dong-Hun; Shin, Myung-Seop; Lee, Hyun-Jin; Kim, Mi-Sun; Kim, Hyun-Duck

    2015-01-01

    Although dental caries has been a major oral health problem for children, the association between dental caries and oral health related quality of life has been still controversial. This study aims to evaluate the association between the Korean version of the Child Perceptions Questionnaire (K-CPQ) and dental caries among Korean children. Eight hundred one school children aged 8 to 14 years participated in this study. After the K-CPQ was validated we performed an association study. The K-CPQ was self-reported. Dental caries were evaluated by dentists using the World Health Organization Index. Correlation analyses (intraclass correlation coefficient, Cronbach's alpha and Pearson's correlation coefficient [r]) and linear regression models (partial r) including age, gender and type of school were applied. Untreated deciduous dental caries was associated with the K-CPQ(8-10) overall score (partial r = 0.15, P caries (FT) was associated with the K-CPQ11-14 overall domain (partial r = 0.14, P = 0.002) as well as with the oral symptoms domain (partial r = 0.16, P = 0.001). This association was highlighted among public school children. Our data indicate that K-CPQ was independently associated with dental caries. The K-CPQ could be a practical tool to evaluate the subjective oral health among Korean children aged 8 to 14.

  19. Anthropometric measurements and dental caries in children: a systematic review of longitudinal studies.

    Science.gov (United States)

    Li, Ling-Wei; Wong, Hai Ming; Peng, Si-Min; McGrath, Colman P

    2015-01-01

    There is growing interest in the association between anthropometric measurements and dental caries in childhood over time (life-course studies). The aim of this review was to identify and systematically review the evidence of the association between anthropometric measurements and dental caries in childhood over time. PubMed, Institute for Scientific Information (ISI) Web of Knowledge, the Cochrane Library, and 6 other databases were searched to identify effective articles. A systematic approach involving critical appraisal was conducted to examine the relation between anthropometric measurements and dental caries in preschool- and school-aged populations from longitudinal studies. An initial search identified 1338 studies, with 59 potentially effective studies (κ = 0.82) and 17 effective studies (κ = 0.88). The quality of reporting among the studies ranged from 19.5 to 30.0 according to the Strengthening the Reporting of Observational studies in Epidemiology (STROBE) criteria. Among the effective studies, 2 studies in which caries was used to predict anthropometric measurements consistently found an inverse association and 15 studies in which anthropometric measurements were used to predict caries were inconsistent, with results appearing to be influenced by nonuniformity of assessments, setting, and procedure of measurements; age and ethnicity of participants; and confounders of dental caries. In conclusion, among >1000 studies identified, 17 informed this systematic review. The quality of reporting of these studies varied considerably. Evidence of the association between anthropometric measurements and dental caries is conflicting and remains inconclusive.

  20. Prevalence of nursing caries and its relationship with feeding practices among preschool children of Lucknow City

    Directory of Open Access Journals (Sweden)

    Ridhi Narang

    2013-01-01

    Full Text Available Aim: To assess the prevalence of nursing caries and its relationship with feeding practices in preschool children of Lucknow city. Materials & Method: A sample of 512 preschool going children was selected through multistage cluster random sampling. Mothers provided information regarding demographic data and feeding practices. Dental caries experience was recorded using Dentition status and treatment needs (WHO Basic Oral Health Survey 1997. Association between 2 variables was obtained using chi square test. One way ANOVA was used for multiple group comparisons. Results: The prevalence of nursing caries was 33.1%. Children having mixed type of feeding practices had statistically highly significant (p<0.001 caries experience than those children solely fed on bottle or breast. Also, children who were breast fed at night had a highly significant (p<0.001 caries experience than those who were not breast fed. Conclusions: The prevalence of nursing caries was high and was significantly associated with mixed type of feeding practices and who were breastfed or bottlefed at night. nursing caries, bottle feeding, breast feeding, preschool

  1. The Use of Probiotic Strains in Caries Prevention: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Guglielmo Campus

    2013-07-01

    Full Text Available This paper aims to provide a systematic review of the caries-prevention effect of probiotics in human. The hypothesis was that the administration of probiotic strains might play a role in caries lesion prevention and in the control of caries-related risk factors. The main relevant databases (Medline, Embase were searched. Quality of the Randomized Clinical Trials (RCTs was classified using the “Consolidated Standards of Reporting Trials” (CONSORT checklist and the Impact Factor (IF value of each journal was recorded. Sixty-six papers were identified, and 23 fulfilled the inclusion criteria. Only three studies had caries lesion development as outcome, all the others reported caries risk factors as interim evaluation. Using the CONSORT Score, the papers were coded as 4 excellent, 9 good and 10 poor. The mean IF value recorded was 1.438. Probiotics may play a role as antagonistic agent on mutans streptococci (MS, acidogenic/aciduric bacteria that contributes to the caries process. In two-thirds of the selected papers, probiotics have demonstrated the capacity to reduce MS counts in saliva and/or plaque in short-term. The effect of probiotics on the development of caries lesion seems encouraging, but to date, RCTs on this topic are insufficient to provide scientific clinical evidence.

  2. Effect of changing the kilovoltage peak on radiographic caries assessment in digital and conventional radiography

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    Zayet, Mohamed Khalifa; Helaly, Yara Rabee; Eiid, Salma Belal [Dept. of Oral Radiology, Faculty of Oral and Dental Medicine, Cairo University, Cairo (Egypt)

    2014-09-15

    This study aimed to investigate the effect of changing the kilovoltage peak (kVp) on the radiographic assessment of dental caries. Seventy-five extracted posterior teeth with proximal caries or apparently sound proximal surfaces were radiographed with conventional E-speed films and a photostimulable phosphor system using 60 kVp and 70 kVp for the caries assessment. The images were evaluated by three oral radiologists and compared with the results of the stereomicroscope analysis. No statistically significant difference was found between 60 kVp and 70 kVp for the caries detection, determination of caries extension into dentin, and caries severity in either the conventional or the digital images. Good to very good inter-observer and intra-observer agreements were found for both kilovoltage values on the conventional and digital images. Changing the kilovoltage between 60 kVp and 70 kVp had no obvious effect on the detection of proximal caries or determination of its extension or severity.

  3. Food expenditures, cariogenic dietary practices and childhood dental caries in southern Brazil.

    Science.gov (United States)

    Feldens, C A; Rodrigues, P H; Rauber, F; Chaffee, B W; Vitolo, M R

    2013-01-01

    Family expenditures on food for children may represent an important barrier to the adoption of healthy feeding practices in populations of low socioeconomic status. The aim of this study was to explore the relationship between cariogenic feeding practices, expenditures on food for children and dental caries. This cross-sectional study included 329 four-year-old children from São Leopoldo in southern Brazil. Cariogenic dietary practices were assessed at 4 years of age using two 24-hour recalls conducted with the children's mothers. Expenditures on food for children were estimated based on all reported food items and the respective amounts ingested. Early childhood caries and severe early childhood caries were assessed by clinical examination at 4 years of age. Cariogenic dietary habits were not associated with lower food expenditures. On the contrary, in multivariable regression analysis, the intake of chocolate (p = 0.007), soft drinks (p = 0.027) and a higher number of meals and snacks per day (p food for children. No statistically significant differences were observed in food expenditures or in the proportion of household income spent on feeding children between caries-free children, those with early childhood caries and those with severe early childhood caries. In conclusion, keeping children free of dental caries does not necessarily increase food expenditures or the proportion of household income spent on feeding children in low-socioeconomic status populations. Some cariogenic dietary practices were associated with greater expenditures on child feeding.

  4. Caries prevalence and risk factors among children aged 0 to 36 months

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    Santos Ana Paula Pires dos

    2002-01-01

    Full Text Available The aim of this study was to assess the prevalence of caries and risk factors in outpatients of the Pediatric Ambulatory of the Pedro Ernesto University Hospital aging up to 36 months. After signing informed consent forms, the parents answered a structured questionnaire in order to evaluate risk factors for dental caries, including socioeconomic status, oral hygiene and dietary habits. A single investigator carried out the dental examination which assessed the presence of caries, biofilm and gingival bleeding. The data were analyzed by means of the Epi Info program, utilizing the chi-squared test. The children?s mean age was 22.9 months. The prevalence of caries, including white spot lesions, was 41.6%, and the mean def-s was 1.7 (± 2.5. The most affected teeth were the maxillary incisors, and the most common lesion was the white spot. No significant associations were found between the prevalence of caries and socioeconomic status, frequency of oral hygiene, nocturnal bottle- and breast-feeding or cariogenic food and beverage intake during the day. However, the association between caries and oral hygiene quality (dental biofilm was statistically significant (p < 0.001. The results suggest that the presence of a thick biofilm was the most important factor for the occurrence of early childhood caries in the evaluated sample.

  5. Impact of Oral Health Behaviors on Dental Caries in Children with Intellectual Disabilities in Guangzhou, China

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    Zifeng Liu

    2014-10-01

    Full Text Available Dental care is consistently reported as one of the primary medical needs of children with disabilities (IDC. The aim of the present study was to explore the influence of oral health behaviors on the caries experience in children with intellectual disabilities in Guangzhou, China. A cross-sectional study was carried out in 477 intellectually disabled children, 12 to 17 years old, who were randomly selected from special educational schools in Guangzhou. A self-administered parental questionnaire was used to collect data on socio-demographic characteristics and oral health behavior variables, and 450 valid questionnaires were returned. Multiple regression analysis was used to examine the factors associated with dental caries. The average age of those in the sample was 14.6 years (SD = 1.3, 68.4% of whom were male, and the caries prevalence rate was 53.5% (DMFT = 1.5 ± 2.0. The factors significantly affecting the development of dental caries in IDC included gender, the presence or absence of cerebral palsy, and the frequency of dental visits and toothbrushing. In conclusion, the presence of cerebral palsy contributed to an increase risk of caries experience in intellectually disabled children, while toothbrushing more than twice a day and routine dental visits were caries-protective factors. Oral health promotion action may lead to a reduction in dental caries levels in IDC.

  6. The Comparison between Two Different Digital Panoramic Radiography Techniques in the Detection of Proximal Caries

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    Hossein Hoseini Zarch

    2013-03-01

    Full Text Available Introduction: Although proximal dental caries are very common, clinical examinations cannot detect them all. Panoramic radiography has been widely used in dentistry for both diagnosis and screening. This study aimed to investigate and compare the efficacy of two digital panoramic radiography techniques in the diagnosis of proximal caries. Methods: A total number of 60 patients referred to a dental radiology center, all had complete dental system and bitewing radiographies, were included. The patients were randomly divided into two groups of 30 patients. For the first and second groups, CR and DR images were obtained respectively. Images were obtained from the distal of the third tooth to the distal of the eighth. Bitewing images were compared with CR and DR images regarding the detection of caries. Kappa index and chi-squared statistics were employed to analyze the results. Results: There was a high agreement rate between bitewing images and CR (Kappa=0.775 and DR (Kappa=o.762 images in detecting caries. Also no significant difference was shown between CR and DR techniques in the detection of caries (0.543. However, DR and CR images are not efficient enough to be prescribed as the sole imaging technique to detect proximal caries. Conclusion: DR and CR techniques could be good imaging techniques for the detection of dental caries as a companion to clinical examinations

  7. Determinant Factors of Untreated Dental Caries and Lesion Activity in Preschool Children Using ICDAS.

    Science.gov (United States)

    Pinto-Sarmento, Tássia Cristina de Almeida; Abreu, Mauro Henrique; Gomes, Monalisa Cesarino; Costa, Edja Maria Melo de Brito; Martins, Carolina Castro; Granville-Garcia, Ana Flávia; Paiva, Saul Martins

    2016-01-01

    The aim of the present study was to investigate determinant factors associated with the presence of dental caries and lesion activity in preschool children. A population-based, cross-sectional study was carried out with 843 children of aged three to five years enrolled at public and private preschools in the city of Campina Grande, Brazil. A questionnaire addressing socio-demographic data and oral health care was self-administered by parents/caregivers. Three dentists previously calibrated examined the children for the diagnosis of dental caries and lesion activity using the International Caries Detection and Assessment System (ICDAS). Nutritional status was evaluated based on the body mass index. Logistic regression analysis for complex samples was performed (α = 5%). The prevalence of dental caries was 66.3%. Among the children with caries, 88.0% had active lesions. Dental caries was more prevalent in girls (OR = 1.53, 95%CI: 1.05-2.23), in children from families with a monthly household income ≤US$312.50 (OR = 2.38, 95%CI: 1.65-3.43) and those whose mothers had up to eight years of schooling (OR = 1.55, 95%CI: 1.07-2.23). Lesion activity was significantly associated with mother's schooling ≤ 8 years (OR = 2.15, 95%CI: 1.15-4.00). The prevalence rates of dental caries and lesion activity were high and mainly associated with a lower socioeconomic status and mother's schooling.

  8. Comparison between Two Digital Panoramic Radiography Techniques for Proximal Caries Detection

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    Mina Shafagh Motlagh

    2013-03-01

    Full Text Available Introduction: Although proximal dental caries are very common, clinical examinations cannot detect them all. Panoramic radiography has been widely used in dentistry for both diagnosis and screening. This study aimed to investigate and compare the efficacy of two digital panoramic radiography techniques in the diagnosis of proximal caries. Methods: A total number of 60 patients referred to a dental radiology center, all had complete dental system and bitewing radiographies, were included. The patients were randomly divided into two groups of 30 patients. For the first and second groups, CR and DR images were obtained respectively. Images were obtained from the distal of the third tooth to the distal of the eighth. Bitewing images were compared with CR and DR images regarding the detection of caries. Kappa index and chi-squared statistics were employed to analyze the results. Results: There was a high agreement rate between bitewing images and CR (Kappa=0.775 and DR (Kappa=o.762 images in detecting caries. Also no significant difference was shown between CR and DR techniques in the detection of caries (0.543. However, DR and CR images are not efficient enough to be prescribed as the sole imaging technique to detect proximal caries. Conclusion: DR and CR techniques could be good imaging techniques for the detection of dental caries as a companion to clinical examinations.

  9. Determinant Factors of Untreated Dental Caries and Lesion Activity in Preschool Children Using ICDAS.

    Directory of Open Access Journals (Sweden)

    Tássia Cristina de Almeida Pinto-Sarmento

    Full Text Available The aim of the present study was to investigate determinant factors associated with the presence of dental caries and lesion activity in preschool children. A population-based, cross-sectional study was carried out with 843 children of aged three to five years enrolled at public and private preschools in the city of Campina Grande, Brazil. A questionnaire addressing socio-demographic data and oral health care was self-administered by parents/caregivers. Three dentists previously calibrated examined the children for the diagnosis of dental caries and lesion activity using the International Caries Detection and Assessment System (ICDAS. Nutritional status was evaluated based on the body mass index. Logistic regression analysis for complex samples was performed (α = 5%. The prevalence of dental caries was 66.3%. Among the children with caries, 88.0% had active lesions. Dental caries was more prevalent in girls (OR = 1.53, 95%CI: 1.05-2.23, in children from families with a monthly household income ≤US$312.50 (OR = 2.38, 95%CI: 1.65-3.43 and those whose mothers had up to eight years of schooling (OR = 1.55, 95%CI: 1.07-2.23. Lesion activity was significantly associated with mother's schooling ≤ 8 years (OR = 2.15, 95%CI: 1.15-4.00. The prevalence rates of dental caries and lesion activity were high and mainly associated with a lower socioeconomic status and mother's schooling.

  10. Dental pain, socioeconomic status, and dental caries in young male adults from southern Brazil

    OpenAIRE

    2005-01-01

    The aim of this study was to assess dental pain prevalence and its association with dental caries and socioeconomic status in 18-year-old males from Florianópolis, Santa Catarina, Brazil. A cross-sectional study was conducted in a random sample (n = 414) selected from the Brazilian Army conscription list in 2003. Dental pain during the 12 months prior to the interview was recorded as the outcome. Socioeconomic data were obtained through a questionnaire. Dental caries experience was registered...

  11. Salivary Microbiome Diversity in Caries-Free and Caries-Affected Children

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    Shan Jiang

    2016-11-01

    Full Text Available Dental caries (tooth decay is an infectious disease. Its etiology is not fully understood from the microbiological perspective. This study characterizes the diversity of microbial flora in the saliva of children with and without dental caries. Children (3–4 years old with caries (n = 20 and without caries (n = 20 were recruited. Unstimulated saliva (2 mL was collected from each child and the total microbial genomic DNA was extracted. DNA amplicons of the V3-V4 hypervariable region of the bacterial 16S rRNA gene were generated and subjected to Illumina Miseq sequencing. A total of 17 phyla, 26 classes, 40 orders, 80 families, 151 genera, and 310 bacterial species were represented in the saliva samples. There was no significant difference in the microbiome diversity between caries-affected and caries-free children (p > 0.05. The relative abundance of several species (Rothia dentocariosa, Actinomyces graevenitzii, Veillonella sp. oral taxon 780, Prevotella salivae, and Streptococcus mutans was higher in the caries-affected group than in the caries-free group (p < 0.05. Fusobacterium periodonticum and Leptotrichia sp. oral clone FP036 were more abundant in caries-free children than in caries-affected children (p < 0.05. The salivary microbiome profiles of caries-free and caries-affected children were similar. Salivary counts of certain bacteria such as R. dentocariosa and F. periodonticum may be useful for screening/assessing children’s risk of developing caries.

  12. Salivary Microbiome Diversity in Caries-Free and Caries-Affected Children

    Science.gov (United States)

    Jiang, Shan; Gao, Xiaoli; Jin, Lijian; Lo, Edward C. M.

    2016-01-01

    Dental caries (tooth decay) is an infectious disease. Its etiology is not fully understood from the microbiological perspective. This study characterizes the diversity of microbial flora in the saliva of children with and without dental caries. Children (3–4 years old) with caries (n = 20) and without caries (n = 20) were recruited. Unstimulated saliva (2 mL) was collected from each child and the total microbial genomic DNA was extracted. DNA amplicons of the V3-V4 hypervariable region of the bacterial 16S rRNA gene were generated and subjected to Illumina Miseq sequencing. A total of 17 phyla, 26 classes, 40 orders, 80 families, 151 genera, and 310 bacterial species were represented in the saliva samples. There was no significant difference in the microbiome diversity between caries-affected and caries-free children (p > 0.05). The relative abundance of several species (Rothia dentocariosa, Actinomyces graevenitzii, Veillonella sp. oral taxon 780, Prevotella salivae, and Streptococcus mutans) was higher in the caries-affected group than in the caries-free group (p < 0.05). Fusobacterium periodonticum and Leptotrichia sp. oral clone FP036 were more abundant in caries-free children than in caries-affected children (p < 0.05). The salivary microbiome profiles of caries-free and caries-affected children were similar. Salivary counts of certain bacteria such as R. dentocariosa and F. periodonticum may be useful for screening/assessing children’s risk of developing caries. PMID:27898021

  13. A Comparison of Different Methods for Fissure Caries Detection

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    Peycheva K.

    2016-03-01

    Full Text Available The aim of the study is to compare the diagnostic capabilities of three different diagnostic methods: Quantitative Laser Fluorescence (QLF − DIAGNOdent Classic (DD, Light-Induced Fluorescence (LIF − SoproLife daylight and blue fluorescence, and their relevance to ICDAS II system in detection of fissure caries lesions in permanent molars. Permanent molars (n = 45 are divided in two groups: 1 third molars, n = 35; 2 first and second molars, n = 10. They are examined by 2 examiners with and without magnification x5 using ICDAS II, SoproLife “day light” and “blue light” (405nm, LIF, DIAGNOdent Classic − emitting laser light on 655nm, QLF. The results are proven with histological bucco-lingual or mesio-distal sections through the body of the lesion with diamond blade rinsed with water. Photos of all occlusal surfaces of the molars are taken before and after the sections. The lowest overdiagnosis rate is found with SoproLife camera. When visual examination is applied overdiagnoses are fewer than with DD. DD is not capable to differentiate white and brown spots from a caries lesion. Soprolife is not capable to differentiate brown spots from a caries lesion. The most accurate method in this in vitro study for diagnosis of fissure caries is LIF (SoproLife − 75.6% of the teeth are correctly diagnosed, followed by ICDAS (57.8% and QLF (DIAGNOdent (40%.

  14. Comparison of allele frequency for HLA-DR and HLA-DQ between patients with ECC and caries-free children

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    Bagherian A

    2008-03-01

    Full Text Available Background: Early childhood caries (ECC is one of the most common diseases of childhood. The etiology of ECC is multifactorial and both genetic and environmental factors play important roles in the pathogenesis of the disease. Genetic variations in the hosts may contribute to changes in the risk for dental caries. Genetic factors such as human leukocyte antigen (HLA have recently been suggested as a predisposing factor. Aim: The aim of this study was to look for an association between HLA-DRB1 and HLA-DQB1 with ECC for developing new strategies for the diagnosis as well as the prevention of the disease. Design: In this study, we extracted the genomic DNAs from whole blood samples of 44 patients with ECC and 35 caries-free children by the salting-out method. We amplified the genomic DNA by PCR-SSP and then HLA-typing was performed for all alleles. Results: The results revealed a significant increase in the frequency of HLA-DRB1FNx0104 in the patient group (P = 0.019. The odds ratio for this allele was detected to be 10. The frequency of HLA-DQB1 alleles was not significantly different between the two groups. Conclusion: The above results suggest that HLA-DRB1FNx0104 is associated with the susceptibility to ECC. Thus HLA-DRB1FNx0104 detection as a molecular marker for early diagnosis of ECC may be recommended.

  15. Diagnosis of Dentin Caries – Ultraviolet Fluorescence

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    Uzunov Ts.

    2014-12-01

    Full Text Available The technology advance in recent years determines the need of construction of modern appliances for early diagnosis of dental caries, which are categorized by great precision, non-invasiveness, easy usage and wide availability. Such non-invasive and accurate tool for diagnostics of caries is Caries Detector (LED, Bulgarian product by “Optica Laser”. The detector emits a specific wavelength of near ultraviolet light, which causes fluorescence to porphyrins - metabolic products of the life cycle of caries-inducing bacteria. The purpose of the study is piloting a new diagnostic tool for detection and monitoring of caries excavation based on fluorescence - LED UV caries detector of company “Optica laser”. Subjected to examination by caries indicator dye and UV caries detector were sixty permanent teeth with deep dentine caries. Two methods were used to assess the dentin caries - UV fluorescence detector of “Optica Laser” and staining with caries indicator - dye (Sable ™ Seek®. It was found that among all sixty teeth, the fields, closed by margins of carious process overlap. Fifty-four of tested teeth has shown bigger field of images with staining method and six - smaller in comparison to the fluorescent method. Ultraviolet fLuorescence caries detector of “Optica Laser” company is affordable and easy applicable method for controlled excavation of dentine caries. The detector can be used in daily dental practice equally with other methods. The unit has a number of advantages - non-invasiveness, lack of interaction with tooth structures, speed, reliability, efficiency, predictability and repeatability of results.

  16. Reemergencia de la caries dental en adolescentes Re-emerging of dental caries in adolescents

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    A.M. Franco Cortés

    2010-10-01

    Full Text Available Introducción: las inequidades en la cobertura de los programas preventivos y en el acceso a la atención podrían afectar los indicadores de salud bucal de los adolescentes. Objetivo: El propósito de este estudio descriptivo fue determinar la prevalencia y la historia de caries de los adolescentes de Medellín; evaluar la tendencia de los indicadores y en consecuencia evaluar una posible reemergencia de este problema. Materiales y métodos: Los datos se obtuvieron mediante un examen clínico dental en una muestra estratificada aleatoria de 1292 adolescentes en el año 2005; los examinadores fueron previamente entrenados y calibrados (Kappa > 0,65. Se realizaron pruebas chi cuadrado, Kruskal - Wallis y de Mann - Whitney (α = 5%. Resultados y Conclusiones: Los valores promedio y desviación estándar del índice CPOD y el Índice Significante de Caries fueron 4,5±2,8 y 2,8±3,3 y 11,3 y 6,2 en los jóvenes de 17 años de colegios públicos y privados respectivamente. Estos resultados indican un incremento en la prevalencia de caries para este grupo poblacional y además de ello la polarización del problema en un grupo reducido de jóvenes cuyas características deben estudiarse cuidadosamente. Las autoridades de salud deberán enfocar la atención y la intervención sobre ambos problemas.Introduction: inequities in coverage of preventive programs and access to care may affect the indicators of oral health of adolescents. Objective: The aim of this descriptive study was to determine the prevalence and history of dental caries among adolescents of Medellin; to evaluate the tendency of the indicators, and to evaluate possible re-emerging of these problem. Materials and methods: Data were obtained from dental examinations of a stratified randomized sample of 1292 students in 2005, performed by trained and calibrated examiners (Kappa > 0.65. Chi - square, Kruskal - Wallis, and Mann - Whitney tests were used (α = 5%. Results and conclusions: The

  17. Glycemic control with insulin prevents progression of dental caries and caries-related periodontitis in diabetic WBN/KobSlc rats.

    Science.gov (United States)

    Nakahara, Yutaka; Sano, Tomoya; Kodama, Yasushi; Ozaki, Kiyokazu; Matsuura, Tetsuro

    2013-07-01

    We have previously reported that dental caries progress in spontaneously and chemically induced diabetic rodent models. The aim of this study was to clarify the relationship between hyperglycemia and dental caries by evaluating the preventive effect of glycemic control with insulin on the progression of the lesions in diabetic rats. Male WBN/KobSlc rats aged 15 weeks were divided into groups of spontaneously diabetic rats (intact group), spontaneously diabetic rats with insulin treatment (INS group), alloxan-induced prolonged diabetic rats (AL group), and alloxan-induced prolonged diabetic rats with insulin treatment (AL + INS group). The animals were killed at 90 weeks of age, and their oral tissue was examined. Dental caries and periodontitis were frequently detected in the intact group, and the lesions were enhanced in the AL group (in which there was an increased duration of diabetes). Meanwhile, glycemic control with insulin reduced the incidence and severity of dental caries and periodontitis in the INS group, and the effects became more pronounced in the AL + INS group. In conclusion, glycemic control by insulin prevented the progression of dental caries and caries-related periodontitis in the diabetic rats.

  18. Sugar Consumption and Changes in Dental Caries from Childhood to Adolescence.

    Science.gov (United States)

    Peres, M A; Sheiham, A; Liu, P; Demarco, F F; Silva, A E R; Assunção, M C; Menezes, A M; Barros, F C; Peres, K G

    2016-04-01

    There are no prospective studies investigating the effects of sugar-related feeding practices on changes in dental caries from early childhood to young adulthood. The aim of this study was to assess whether sugar-related feeding practices affect dental caries between the ages of 6 and 18 y. This birth cohort study was initiated in 1993 in Pelotas, Brazil. There were 3 dental clinical assessments; at ages 6 y (n = 359), 12 y (n = 339), and 18 y (n = 307). Sugar-related feeding practices were assessed at ages 4, 15, and 18 y. Covariates included sex and life course variables, such as family income, breast-feeding, mother's education, regularity of dental visit, and child's toothbrushing habits. Group-based trajectory analysis was performed to characterize trajectories of time-varying independent variables that had at least 3 time points. We fitted a generalized linear mixed model assuming negative binomial distribution with log link function on 3-time repeated dental caries assessments. One in 5 participants was classified as "high" sugar consumers, and nearly 40% were "upward consumers." "Low consumers" accounted for >40% of the sample. High and upward sugar consumers had higher dental caries prevalence and mean DMFT in all cohort waves when compared with low sugar consumers. Caries occurred at a relatively constant rate over the period of study, but in all sugar consumption groups, the increment of dental caries was slightly higher between ages 6 and 12 y than between 12 and 18 y. Adjusted analysis showed that dental caries increment ratio between ages 6 and 18 y was 20% and 66% higher in upward and high sugar consumer groups as compared with low consumers. The higher the sugar consumption along the life course, the higher the dental caries increment. Even the low level of sugar consumption was related to dental caries, despite the use of fluoride.

  19. Understanding Caries From the Oral Microbiome Perspective.

    Science.gov (United States)

    Tanner, Anne C R; Kressirer, Christine A; Faller, Lina L

    2016-07-01

    Dental caries is a major disease of the oral cavity with profound clinical significance. Caries results from a transition of a healthy oral microbiome into an acidogenic community of decreased microbial diversity in response to excessive dietary sugar intake. Microbiological cultivation, molecular identification, gene expression and metabolomic analyses show the importance of the entire microbial community in understanding the role of the microbiome in the pathology of caries.

  20. Dental caries prevalence and risk factors among 12-year old schoolchildren from Baghdad, Iraq

    DEFF Research Database (Denmark)

    Ahmed, Nibras A M; Astrøm, Anne N; Skaug, Nils

    2007-01-01

    AIM: To examine the prevalence of dental caries in 12-year-old schoolchildren from Baghdad after the end of the United Nations' economic sanctions and to investigate related dental caries risk factors including gender, socio-demographic factors, oral hygiene and sugar intake. DESIGN: A cross...... mothers with low education, living in a low socio-economic area and brushing at least once-a-day. Positive oral hygiene practices were higher for girls. Western sweet snacks were preferred and sweet tea was frequently consumed. The fluoride content in drinking water was too low for caries prevention....... CONCLUSION: It is important to maintain the low prevalence of caries among children by increasing awareness and promoting oral health care strategies....

  1. Use of laser fluorescence in dental caries diagnosis: a fluorescence x biomolecular vibrational spectroscopic comparative study.

    Science.gov (United States)

    Carvalho, Fabíola Bastos de; Barbosa, Artur Felipe Santos; Zanin, Fátima Antonia Aparecida; Brugnera Júnior, Aldo; Silveira Júnior, Landulfo; Pinheiro, Antonio Luiz Barbosa

    2013-01-01

    The aim of this work was to verify the existence of correlation between Raman spectroscopy readings of phosphate apatite (~960 cm-1), fluoridated apatite (~575 cm-1) and organic matrix (~1450 cm-1) levels and Diagnodent® readings at different stages of dental caries in extracted human teeth. The mean peak value of fluorescence in the carious area was recorded and teeth were divided in enamel caries, dentin caries and sound dental structure. After fluorescence readings, Raman spectroscopy was carried out on the same sites. The results showed significant difference (ANOVA, pcaries. There was significant negative correlation (pcaries. It may be concluded that the higher the fluorescence detected by Diagnodent the lower the peaks of phosphate apatite and fluoridated apatite. As the early diagnosis of caries is directly related to the identification of changes in the inorganic tooth components, Raman spectroscopy was more sensitive to variations of these components than Diagnodent.

  2. Parents and nursing-bottle caries.

    Science.gov (United States)

    van Everdingen, T; Eijkman, M A; Hoogstraten, J

    1996-01-01

    In this study, the role of the parent in the phenomenon of nursing bottle caries is investigated. The main goal is to try to assess whether differences exist between parents and their children who suffer from nursing bottle caries and parents and children who are not affected by this form of dental decay. To this purpose, a questionnaire was constructed. Results showed that, in contrast to parents of non-caries children, more parents of caries children give a bottle straight from birth. These bottles more often contain sugared drinks and are given during daytime as well as at night. Children with caries and non-caries children differ in two respects: caries children on the whole are older and they have been sick more often than non-caries children. Finally, habit seems to be the major factor contributing to the use of a bottle to a relatively high age. Discussion focuses on the characterization of "typical" caries parents and their children and the implication for educational programs such a characterization could have.

  3. Occlusal caries detection and quantification by DIAGNOdent and Electronic Caries Monitor: in vitro comparison.

    Science.gov (United States)

    Bamzahim, Mohammad; Shi, Xie-Qi; Angmar-Månsson, Birgit

    2002-12-01

    The Electronic Caries Monitor (ECM) and the recently introduced laser-based KaVo DIAGNOdent have been developed as clinical diagnostic aids in the detection and quantification of occlusal carious lesions. The aim of this in vitro study was to compare their reproducibility and validity. The ability of DIAGNOdent to retrieve sites of occlusal carious lesions without reference to photographs or drawings from previous assessments was also tested. The material comprised 87 premolar teeth: the occlusal surfaces were sound or exhibited non-cavity carious lesions of varying severity. All were photographed and measured by DIAGNOdent and ECM on 2 occasions, 2 weeks apart. The teeth were then sectioned into 300 microm thick slices. Two observers independently classified the sections according to the histopathology, into 5 categories, ranging from sound to dentinal caries in the inner part of the dentin. Statistical analysis comprised intra-class correlation coefficients (ICC) to test reproducibility and regression analysis of validity. Sensitivity and specificity were also calculated for detection of D3 lesions for both devices. DIAGNOdent recorded maximum readings at identical sites on both occasions in 89% of the teeth. The ICC for readings on 2 separate occasions was 0.97 for DIAGNOdent and 0.71 for ECM. The correlations with histology were r = 0.93 and 0.83, for DIAGNOdent and ECM, respectively. For detection of D3 lesions, the sensitivity and specificity were 0.8 and 1 for DIAGNOdent and 0.75 and 0.88 for ECM. In this in vitro study, DIAGNOdent was superior to ECM for occlusal caries detection.

  4. Exposure to high-fluoride drinking water and risk of dental caries and dental fluorosis in Haryana, India.

    Science.gov (United States)

    Marya, Charu Mohan; Ashokkumar, B R; Dhingra, Sonal; Dahiya, Vandana; Gupta, Anil

    2014-05-01

    The present study aimed to determine the prevalence of and relationship between dental caries and dental fluorosis at varying levels of fluoride in drinking water. The study was conducted among 3007 school children in the age group of 12 to 16 years in 2 districts of Haryana having varying fluoride levels in drinking water. Type III examination for dental caries according to the WHO index and dental fluorosis estimation according to Dean's index was done. The prevalence of dental caries decreased from 48.02% to 28.07% as fluoride levels increased from 0.5 to 1.13 ppm, but as the fluoride level increased further to 1.51 ppm, there was no further reduction in caries prevalence, but there was a substantial increase in fluorosis prevalence. The optimum level of fluoride in drinking water was found to be 1.13 ppm, at which there was maximum caries reduction with minimum amount of esthetically objectionable fluorosis.

  5. Efficacy of Miswak (Salvadorapersica in Prevention of Dental Caries

    Directory of Open Access Journals (Sweden)

    F Ezoddini

    2007-01-01

    Full Text Available Abstract Introduction: The rate of tooth decay and periodontal diseases today is still high, regardless of progress in oral and dental hygiene. The traditional toothbrush or chewing stick called "Miswak" has been used since ancient times. Many significant effects of Miswak such as antibacterial, anti-caries and antiperiopathic effects have been recognized today. Tooth care is a very important issue and both prevention and treatment of dental caries could be very helpful in maintaining good personal health. In this research, the efficacy of natural toothbrush or Miswak in prevention of dental caries was investigated and compared with the efficacy of ordinary toothbrush and toothpaste. Aim: Miswak was introduced for preventing dental caries by the Holy Prophet Mohammad (S.A.W 1400 years ago and has been used since then in many Islamic countries. In this research, the efficacy of Miswak in prevention of dental caries was investigated and compared with the efficacy of ordinary toothbrush. Methods: This analytical and clinical trial was performed in a high school student population (girls and boys in the city of Yazd, Iran in 2001-2002. Twelve high schools were randomly chosen. From these high schools, 380 second year students (190 cases and 190 controls were enrolled and their teeth condition such as the number of decayed, missing and filled teeth (DMF were recorded in a specific questionnaire. The degrees of decay in the decayed teeth were recorded as well. Then, Miswak sticks were distributed to the case group and required dental training was given to both groups. After one year, the examinations were repeated and findings recorded in the same questionnaires. For analyzing the data, one-way variance analysis, Chi square, Paired t-test and two variable analyses were used. Results: At the start of the study, there were no significant differences between the two groups (case and control with regards to their dental condition and the frequency of

  6. The Correlation Between Dietary Habits and Dental Hygiene Practice with Dental Caries Among School Children at Urban Area in Semarang

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    Omaran Ibrahim Mohammed Ali

    2016-09-01

    Full Text Available Dental caries is a major cause of tooth loss in children and young adults. Dental caries have been linked to the situation of underprivileged families, nutritional imbalance, and poor oral hygiene techniques, including lack of tooth brushing or flossing the teeth, and also have a genetic etiology. Dietary habits and dental hygiene practice can result in high caries in school children. This research aimed to reveal the correlation between dietary habits and dental hygiene practice with dental caries among school children in urban area of Semarang. The subjects of this research are the elementary student 7 – 9 years old enrolled in schools located in at urban area in Semarang in 2016 and the mother of a student who became the study sample. Data were statisically analyzed usingbivariate analysis and multivariate analysis. Based on the research result, it can be concluded that: there was no correlation between total carbohydrate intake, refined carbohydrate intake, fiber intake, dental hygiene practice with dental caries, bottle feeding and duration of bottle feeding were assosiated with dental cariest-score. Overall, def-t score in the study was very bad with high median of dental caries score and many children have dental caries t-score more than 6.How to CiteAli, O. I. M., Muis, F. & O, Oedijani. (2016. The Correlation Between Dietary Habits and Dental Hygiene Practice with Dental Caries Among School Children at Urban Area in Semarang. Biosaintifika: Journal of Biology & Biology Education, 8(2, 178-184.

  7. DENTINE CARIES: ACID-TOLERANT MICROORGANISMS AND ASPECTS ON COLLAGEN DEGRADATION.

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    Lager, Anders Hedenbjörk

    2014-01-01

    Dental caries is a common disease all over the world, despite the fact that it can be both effectively prevented and treated. It is driven by acids produced by oral microorganisms as a consequence of their metabolism of dietary carbohydrates. Given enough acid challenge, eventually the tooth enamel barrier will be broken down, and the carious lesion will extend into underlying hard tissue, forming a macroscopic cavity in the dentine. In comparison to biofilm on enamel, a dentine carious lesion provides a vastly different environment for the residing microorganisms. The environment influences the types and numbers of microorganisms that can colonize the dentine caries lesion. The overall aims for this thesis are to enumerate and further study microorganisms found in established dentine caries lesions and also to illuminate how host-derived proteolytic enzymes might contribute to this degradation, not only to better understand the caries process in dentine but also to find incitements for new methods to influence the natural progression of caries lesions. In Paper I, the numbers of remaining viable microorganisms after completed excavation using two excavation methods were investigated. Samples of carious dentine tissue were collected before and after excavation and cultivated on different agar media in different atmospheres. Analysis was performed by counting the number of colony-forming units (CFUs). Key findings: The number of remaining microorganisms after excavation was low for both methods, but some microorganisms always remained in the cavity floors even when the cavities were judged as caries free using normal clinical criteria. In Paper II, the acid tolerant microbiota in established dentine caries lesions was investigated. Samples were taken as in Paper I, but on three levels (superficial, center of lesion, floor of lesion after completed excavation). The samples were cultivated in anaerobic conditions on solid pH-selective agar media of different acidity

  8. Antibodies against Streptococcus mutans and glucosyltransferases in caries-free and caries-active military recruits.

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    Hus in 't Veld, J; Bannet, D; Van Palenstein Helderman, W; Camargo, P S; Backer-Dirks, O

    1978-01-01

    1) Plaque samples from caries-active recruits showed a higher incidence of S. mutans than plaque samples from caries-free recruits. The persistance of the S. mutans serotypes in the individual plaque samples attested to the consistency of S. mutans in human dental plaque. 2) S. mutans serotype d is predominantly present in approximal plaque of caries-active subjects. 3) Serum antibody titers against S. mutans are higher in caries-active individuals. 4) Sera from caries-free or caries-active individuals inhibit the insoluble glucan synthesis by the cellbound GTF to the same extent. 5) It is unlikely that antibodies against S. mutans in parotid saliva or serum play a major role in the protection against dental caries in Dutch military recruits.

  9. Innate immunity glycoprotein gp-340 variants may modulate human susceptibility to dental caries

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    Johansson Ingegerd

    2007-06-01

    Full Text Available Abstract Background Bacterial adhesion is an important determinant of colonization and infection, including dental caries. The salivary scavenger receptor cysteine-rich glycoprotein gp-340, which mediates adhesion of Streptococcus mutans (implicated in caries, harbours three major size variants, designated gp-340 I to III, each specific to an individual saliva. Here we have examined the association of the gp-340 I to III polymorphisms with caries experience and adhesion of S. mutans. Methods A case-referent study was performed in 12-year-old Swedish children with high (n = 19 or low (n = 19 caries experiences. We measured the gp-340 I to III saliva phenotypes and correlated those with multiple outcome measures for caries experience and saliva adhesion of S. mutans using the partial least squares (PLS multivariate projection technique. In addition, we used traditional statistics and 2-year caries increment to verify the established PLS associations, and bacterial adhesion to purified gp-340 I to III proteins to support possible mechanisms. Results All except one subject were typed as gp-340 I to III (10, 23 and 4, respectively. The gp-340 I phenotype correlated positively with caries experience (VIP = 1.37 and saliva adhesion of S. mutans Ingbritt (VIP = 1.47. The gp-340 II and III phenotypes tended to behave in the opposite way. Moreover, the gp-340 I phenotype tended to show an increased 2-year caries increment compared to phenotypes II/III. Purified gp-340 I protein mediated markedly higher adhesion of S. mutans strains Ingbritt and NG8 and Lactococcus lactis expressing AgI/II adhesins (SpaP or PAc compared to gp-340 II and III proteins. In addition, the gp-340 I protein appeared over represented in subjects positive for Db, an allelic acidic PRP variant associated with caries, and subjects positive for both gp-340 I and Db tended to experience more caries than those negative for both proteins. Conclusion Gp-340 I behaves as a caries

  10. Relationship between untreated dental caries and dental neglect among mentally handicapped children: A cross-sectional study

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    Amit Kumar

    2015-01-01

    Full Text Available Introduction: Dental caries is the most prevalent disease among mentally handicapped (MH children worldwide. Dental neglect may throw light on complex relationships between individual behavior, environmental factors, and dental caries in children. Objectives: The objective was to assess the prevalence and severity of untreated dental caries and to explore the relationship between untreated dental caries and dental neglect among MH children and healthy children in Bangalore city. Materials and Methods: A cross-sectional comparative study was conducted on 130, 6-17 years MH and 152 healthy school children in Bangalore city. A questionnaire on the children′s sociodemographic background, oral health-related behaviors, and dental neglect scale was completed by the parents. Caries was assessed according to World Health Organization criteria (1997. Odontogenic infections were recorded using the pufa/PUFA index. Statistical tests such as Mann-Whitney U-test, Chi-square test, Spearmans correlation, and step-wise linear regression were performed at significance level P < 0.05. Results: Dental caries was present in 89.2% of MH children as compared with 88.15% of the healthy children. Caries experience significantly correlated with consequences of untreated dental caries in both the groups (P = 0.001. No statistical significant correlation was observed between dental neglect and dental caries experience and its consequences in both the groups. Conclusions: High prevalence of dental caries and dental neglect in both the groups calls for an integrated approach. Oral health promotion and intervention programs should be targeted and concentrated toward these risk groups.

  11. Palmistry: A tool for dental caries prediction!

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    Nidhi Madan

    2011-01-01

    Results and Conclusion: Handprints of caries-free children, especially females, showed maximum ulnar loops. The caries group showed maximum occurrence of whorls (r=2:1, which were more prevalent in females on the left hand 3rd digit than in males where the whorls were found on the right hand 3 rd digit, and also low total ridge count, especially in males.

  12. Prevalence of sealants in relation to dental caries on the permanent molars of 12 and 15-year-old Greek adolescents. A national pathfinder survey

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    Mamai-Homata Eleni

    2011-02-01

    Full Text Available Abstract Background The use of sealants as an effective measure for the prevention of pit and fissure caries in children has been well documented by several studies; either they are used on an individual or on a public health basis. In order to plan and establish a national preventive program with sealants in a community, it is mandatory to know the epidemiological pattern of caries along with other variables influencing their use and effectiveness. Aims: To assess the utilization and distribution pattern of pit and fissure sealants on the first and second permanent molars of Greek adolescents and to evaluate whether the existing usage of sealants and some socio-demographic factors are correlated to caries prevalence on the population examined Methods A stratified cluster sample of 2481 Greek adolescents was selected according to WHO guidelines (1224 twelve and 1,257 fifteen-year-old, living in urban and rural areas in 11 districts within the country. Five calibrated examiners carried out clinical examinations, recording caries experience at the dentine threshold (BASCD criteria and presence or absence of sealants along with Socio-demographic indicators associated with oral health. Mann Whitney and Pearson's chi-square non parametric tests were utilized for assessing the data. The level of significance was p Results Sealants utilization varied considerably within the different districts, with 8,3% of the 12 and 8,0% of the 15-year-old adolescents having at least one sealed molar. Sealants reduced DMFS scores by 11% in the 12-year-olds and by 24% in the 15-year-olds, while 15-year-old adolescents from rural areas had a statistically significant (p = 0.002 less chance of having sealants (71% compared to children from urban areas. Girls had higher chance to receive sealants in both age groups (26% for the 12 and 19% for the 15-year-old as well as patients that visited the dentist for prevention compared to those visiting the dentist because they

  13. Evaluation of Diagnostic Tests Using Information Theory for Multi-Class Diagnostic Problems and its Application for the Detection of Occlusal Caries Lesions

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    Arslan, Umut; Karaağaoğlu, Ergun; Özkan, Gökhan; Kanlı, Aydan

    2014-01-01

    Background: Several methods are available to evaluate the performance of the tests when the purpose of the diagnostic test is to discriminate between two possible disease states. However multi-class diagnostic problems frequently appear in many areas of medical science. Hence, there is a need for methods which will enable us to characterize the accuracy of diagnostic tests when there are more than two possible disease states. Aims: To show that two information theory measures, information content (IC) and proportional reduction in diagnostic uncertainty (PRDU), can be used for the evaluation of the performance of diagnostic tests for multi-class diagnostic problems that may appear in different areas of medical science. Study Design: Diagnostic accuracy study. Methods: Sixty freshly extracted permanent human molar and pre-molar teeth suspected to have occlusal caries lesions were selected for the study and were assessed by two experienced examiners. Each examiner performed two evaluations. Histological examination was used as the gold standard. The scores of the histological examination were defined as sound (n=11), enamel caries (n=22) and dentin caries (n=27). Diagnostic performance of i) visual inspection, ii) radiography, iii) laser fluorescence (LF) and iv) micro-computed tomography (M-CT) caries detection methods was evaluated by calculating IC and PRDU. Results: Micro-computed tomography examination was the best method among the diagnostic techniques for the diagnosis of occlusal caries in terms of both IC and PRDU. M-CT examination supplied the maximum diagnostic information about the diagnosis of occlusal caries in the first (IC: 1.056; p<0.05), (PRDU: 70.5%) and second evaluation (IC: 1.105; p<0.05), (PRDU: 73.8%) for the first examiner. M-CT examination was the best method among the diagnostic techniques for the second examiner in both the first (IC:1.105; p<0.05), (PRDU:73.8%) and second evaluation (IC:1.061; p<0.05), (PRDU:70.8%). IC and PRDU were

  14. Micro CT settings for caries detection: how to optimize.

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    Chaiben CL

    2015-11-01

    Full Text Available Some important items that can influence micro CT image were reviewed in this study. Different settings were optimized for the assessment of early caries lesions. There are several researches on bone using micro CT but not too much on dental hard tissues when assessing mineral loss. Different kinds of micro CT devices and technologies are taking place today, each requiring unique settings, and this consists one of the greatest obstacles for the use of micro CT on dental hard tissues. Achieving the settings for an ideal dental image is therefore a challenge. The purpose of this study was to evaluate different micro CT settings to optimize the assessment of early caries lesions aiming the integrity of the dental specimen thus, making possible to reuse it for further studies. Three teeth with early caries lesions were submitted to different micro CT settings and different reconstruction settings, aiming a better image. The final image was compared visually through different densities and attenuation coefficients. The best setting for teeth tissues was achieved regarding contrast, definition, noise reduction and the larger difference between sound enamel and early lesions attenuation coefficient.

  15. Caries prevention through the fluoridation of milk. A review.

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    Bánóczy, Jolán; Rugg-Gunn, Andrew J

    2007-10-01

    The aim of this review is to give an overview of 50 years experience of milk fluoridation and draw conclusions about the applicability of the method. Fluoridated milk was first investigated in the early 1950s, almost simultaneously in Switzerland, the USA and Japan. Stimulated by the favourable results obtained from these early studies, the establishment of The Borrow Dental Milk Foundation (subsequently The Borrow Foundation) in England gave an excellent opportunity for further research, both clinical and non-clinical, and a productive collaboration with the World Health Organization from the early 1980s onwards. Numerous peer-reviewed publications in international journals showed clearly the bioavailability of fluoride in milk, and increased concentrations of fluoride in saliva, dental plaque, dental enamel and dentine, and urine, after consumption of fluoridated milk. Clinical trials were initiated in the 1980s--some of these can be classed as randomised controlled trials, while most of the clinical studies were community preventive programs. These evaluations showed clearly that the optimal daily intake of fluoride in milk is effective in preventing dental caries. At present, milk fluoridation programs are running continuously in about ten countries of the world. Fluoridation of milk can be recommended as a caries preventive measure where the fluoride concentration in drinking water is suboptimal, caries experience in children is significant, and there is an existing school milk program. The program should aim to provide fluoridated milk for at least 200 days per year and should commence before the children are 4 years of age.

  16. Diagnosis and Prevention Strategies for Dental Caries

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    Lee, Yoon

    2013-01-01

    Dental caries is one of the oldest and most common diseases found in humans. With the recent shift from the surgical model, which emphasized restorative treatment, to a medical model of disease management, newer strategies emphasize disease prevention and conservation of tooth structure. For early detection and monitoring of caries, rather than waiting until a cavity is formed and restorative treatment is needed, devices such as DIAGNOdent, Digital Imaging Fiber-Optic Transillumination, quantitative light-induced fluorescence, and the Electronic Caries Monitor have been introduced. For caries prevention, oral hygiene measures, fluoride application, pit-and-fissure sealants, the use of xylitol, the development of a dental caries vaccine, and the role of the primary caregiver for infants are briefly discussed. PMID:26064846

  17. Detection of occlusal caries in primary teeth using swept source optical coherence tomography

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    Nakajima, Yukie; Shimada, Yasushi; Sadr, Alireza; Wada, Ikumi; Miyashin, Michiyo; Takagi, Yuzo; Tagami, Junji; Sumi, Yasunori

    2014-01-01

    This study aimed to investigate swept source optical coherence tomography (SS-OCT) as a detecting tool for occlusal caries in primary teeth. At the in vitro part of the study, 38 investigation sites of occlusal fissures (noncavitated and cavitated) were selected from 26 extracted primary teeth and inspected visually using conventional dental equipment by six examiners without any magnification. SS-OCT cross-sectional images at 1330-nm center wavelength were acquired on the same locations. The teeth were then sectioned at the investigation site and directly viewed under a confocal laser scanning microscope (CLSM) by two experienced examiners. The presence and extent of caries were scored in each observation. The results obtained from SS-OCT and conventional visual inspections were compared with those of CLSM. Consequently, SS-OCT could successfully detect both cavitated and noncavitated lesions. The magnitude of sensitivity for SS-OCT was higher than those for visual inspection (sensitivity of visual inspection and SS-OCT, 0.70 versus 0.93 for enamel demineralization, 0.49 versus 0.89 for enamel cavitated caries, and 0.36 versus 0.75 for dentin caries). Additionally, occlusal caries of a few clinical cases were observed using SS-OCT in vivo. The results indicate that SS-OCT has a great detecting potential for occlusal caries in primary teeth.

  18. The influence of interdental spacing on the detection of proximal caries lesions in primary teeth

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    Tatiane Fernandes Novaes

    2012-08-01

    Full Text Available The aim of this study was to investigate the influence of interdental spacing on the performance of proximal caries detection methods in primary molars. In addition, aspects related to temporary tooth separation with orthodontic separators were evaluated. The proximal spaces between the posterior primary teeth (n = 344 of 76 children (4-12 years old were evaluated before and after temporary separation. Stainless steel strips with different standardized thicknesses were used to measure the presence of biological spacing and the spacing obtained after temporary separation with orthodontic rubber rings. First, the presence of proximal caries lesions was assessed by visual inspection, bitewing radiographs and a pen-type laser fluorescence device (DIAGNOdent pen. Visual inspection after temporary separation with separators was the reference standard method in checking the actual presence of caries. Multilevel analyses were performed considering different outcomes: the performance of the methods in detecting caries lesions and the spacing after temporary separation. The spacing did not influence the performance of the caries detection methods. The maximum spacing obtained with temporary tooth separation was 0.80 mm (mean ± standard deviation = 0.46 ± 0.13 mm. The temporary separation was more effective in the upper arch and less effective when an initial biological interdental spacing was present. The biological interdental spacing does not influence the performance of proximal caries detection methods in primary molars, and temporary tooth separation provides spacing narrower than 1.0 mm.

  19. High Birth Weight Is a Risk Factor of Dental Caries Increment during Adolescence in Sweden

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    Annika Julihn

    2014-11-01

    Full Text Available This study aimed to assess whether birth weight is associated with dental caries during the teenage period. In this register-based cohort study, all children of 13 years of age (n = 18,142 who resided in the county of Stockholm, Sweden, in 2000, were included. The cohort was followed until individuals were 19 years of age. Information regarding dental caries was collected from the Public Health Care Administration in Stockholm. Data concerning prenatal and perinatal factors and parental socio-demographic determinants were collected from the Swedish Medical Birth Register and National Registers at Statistics Sweden. The final logistic regression model showed that birth weight ≥4000 g, adjusted for potential confounders, was significantly associated with caries increment (DMFT ≥ 1 (D = decayed, M = missing, F = filled, T = teeth between 13 and 19 age (OR, 1.22; 95% CI = 1.09–1.36. The relatively enhanced risk OR was further increased from 1.22 to 1.43 in subjects with birth weight ≥4600 g. On the contrary, subjects with birth weight <2500 g exhibited a significantly lower risk (OR, 0.67; 95% CI = 0.50–0.89 for exhibiting caries experience (DMFT ≥ 4 at 19 years of age. In conclusion, high birth weight can be regarded as a predictor for dental caries, and especially, birth weight ≥4500 g is a risk factor for caries increment during adolescence.

  20. Detection of occlusal caries in primary teeth using swept source optical coherence tomography.

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    Nakajima, Yukie; Shimada, Yasushi; Sadr, Alireza; Wada, Ikumi; Miyashin, Michiyo; Takagi, Yuzo; Tagami, Junji; Sumi, Yasunori

    2014-01-01

    This study aimed to investigate swept source optical coherence tomography (SS-OCT) as a detecting tool for occlusal caries in primary teeth. At the in vitro part of the study, 38 investigation sites of occlusal fissures (noncavitated and cavitated) were selected from 26 extracted primary teeth and inspected visually using conventional dental equipment by six examiners without any magnification. SS-OCT cross-sectional images at 1330-nm center wavelength were acquired on the same locations. The teeth were then sectioned at the investigation site and directly viewed under a confocal laser scanning microscope (CLSM) by two experienced examiners. The presence and extent of caries were scored in each observation. The results obtained from SS-OCT and conventional visual inspections were compared with those of CLSM. Consequently, SS-OCT could successfully detect both cavitated and noncavitated lesions. The magnitude of sensitivity for SS-OCT was higher than those for visual inspection (sensitivity of visual inspection and SS-OCT, 0.70 versus 0.93 for enamel demineralization, 0.49 versus 0.89 for enamel cavitated caries, and 0.36 versus 0.75 for dentin caries). Additionally, occlusal caries of a few clinical cases were observed using SS-OCT in vivo. The results indicate that SS-OCT has a great detecting potential for occlusal caries in primary teeth.

  1. Assessment of root caries removal by Er,Cr:YSGG laser

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    Geraldo-Martins, Vinícius R.; Marques, Márcia M.

    2007-02-01

    The present study aimed to compare root caries removal by air turbine and Er,Cr:YSGG laser, and examine morphological changes after these caries removal techniques under scanning electron microscopy (SEM). Seventy two extracted human carious-free third molars were used in this study. After the in vitro root caries induction using S. mutans, the carious lesions were removed by the conventional technique, using burs (control), and by the Er,Cr:YSGG laser, using 13 different parameters, between 1 and 4,0 W. During caries removal, preparation time was recorded for all groups. The results appointed out that the conventional method was the fastest one. When only laser treatment was evaluated, the higher parameters seemed to remove caries faster then the lower ones. SEM revealed that the surfaces treated by air turbine were smooth, but with debris. The laser groups demonstrated smooth undulations, with little or absence of smear layer, and no signs of carbonization. These results suggest that caries removal by Er,Cr:YSGG laser was effective. Therefore, this equipment requires training on cavity preparation, in order to avoid damages in dental hard tissues.

  2. Trends in dental caries among Brazilian schoolchildren: 40 years of monitoring (1971-2011).

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    Constante, Helena Mendes; Souza, Marina Leite; Bastos, João Luiz; Peres, Marco Aurélio

    2014-08-01

    The study aimed to estimate the prevalence, severity, and inequality in the distribution of dental caries in schoolchildren from Florianópolis, Santa Catarina, Brazil, in 2011, and to compare the results with data from previous studies carried out since 1971. All 12- and 13-year-old schoolchildren enrolled in a public school were eligible. Dental caries were assessed according to the World Health Organisation diagnostic criteria. Decayed, missing and filled surfaces and teeth (DMFS/DMFT) indexes, the Significant Caries Index (SiC) and the Gini coefficient (to assess inequalities in the distribution of dental caries) were estimated. The response rate was 82.3% (n = 130). The prevalence of dental caries decreased from 98.0% (95% CI 96.0-100.0) in 1971 to 36.9% (95% CI 28.5-45.3) in 2011. The mean DMFT ranged from 9.2 in 1971 to 0.7 in 2011. The mean DMFS index was 1.2 (95% CI 0.8-1.6) in 2011. The Gini coefficient was 0.624 in 2002 but increased to 0.725 in 2011; the Lorenz curve showed that 70-75% of dental caries attacks was restricted to 20% of the population in 2011. A reduction of 41.2% in the mean SiC index was observed between 2002 (3.4, 95% CI 3.0-3.8) and 2011 (1.9, 95% CI 1.6-2.1). An effective decline in the prevalence and severity of dental caries in schoolchildren was observed throughout 40 years of monitoring. However, a small proportion of the population has experienced most of the caries burden in the recent years studied.

  3. Maturation of Oral Microbiota in Children with or without Dental Caries.

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    Pernilla Lif Holgerson

    Full Text Available The aim of this longitudinal study was to evaluate the oral microbiota in children from age 3 months to 3 years, and to determine the association of the presence of caries at 3 years of age.Oral biofilms and saliva were sampled from children at 3 months (n = 207 and 3 years (n = 155 of age, and dental caries was scored at 3 years of age. Oral microbiota was assessed by culturing of total lactobacilli and mutans streptococci, PCR detection of Streptococcus mutans and Streptococcus sobrinus, 454 pyrosequencing and HOMIM (Human Oral Microbe Identification Microarray microarray detection of more then 300 species/ phylotypes. Species richness and taxa diversity significantly increased from 3 months to 3 years. Three bacterial genera, present in all the 3-month-old infants, persisted at 3 years of age, whereas three other genera had disappeared by this age. A large number of new taxa were also observed in the 3-year-olds. The microbiota at 3 months of age, except for lactobacilli, was unrelated to caries development at a later age. In contrast, several taxa in the oral biofilms of the 3-year-olds were linked with the presence or absence of caries. The main species/phylotypes associated with caries in 3-year-olds belonged to the Actinobaculum, Atopobium, Aggregatibacter, and Streptococcus genera, whereas those influencing the absence of caries belonged to the Actinomyces, Bergeyella, Campylobacter, Granulicatella, Kingella, Leptotrichia, and Streptococcus genera.Thus, during the first years of life, species richness and taxa diversity in the mouth increase significantly. Besides the more prevalent colonization of lactobacilli, the composition of the overall microbiota at 3 months of age was unrelated to caries development at a later age. Several taxa within the oral biofilms of the 3-year-olds could be linked to the presence or absence of caries.

  4. Association of sweet taste receptor gene polymorphisms with dental caries experience in school children.

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    Haznedaroğlu, Eda; Koldemir-Gündüz, Meliha; Bakır-Coşkun, Nur; Bozkuş, Hasan M; Çağatay, Penbe; Süsleyici-Duman, Belgin; Menteş, Ali

    2015-01-01

    Sweet taste is a powerful factor influencing food acceptance. The peripheral taste response to sugar is mediated by the TAS1R2/TAS1R3 taste receptors. The aim of the study was to determine the relationship between TAS1R2 (rs35874116 or rs9701796) and/or TAS1R3 (rs307355) single nucleotide polymorphisms with dental caries experience in schoolchildren. A total of 184 schoolchildren aged between 7 and 12 years (101 girls, 83 boys) were included in the study. Genomic DNA was extracted from saliva samples and the genotypes were identified by qPCR. The genotype frequencies were as follows: 6.6% for homozygous wild type, 41.8% for heterozygous and 51.6% for homozygous polymorphic genotype carriers of TAS1R2 gene rs35874116; 27.8% for heterozygous and 72.2% for homozygous polymorphic genotype carriers of TAS1R2 gene rs9701796, and 83.1% for homozygous wild type and 16.9% for heterozygous genotype carriers of TAS1R3 gene rs307355 polymorphism. A significant association was observed between total caries experience (dft + DMFT - decayed filled primary teeth + decayed, missing and filled permanent teeth) and TAS1R2 rs35874116 (p = 0.008) and TAS1R3 rs307355 (p = 0.04) gene polymorphisms but not for TAS1R2 gene rs9701796 polymorphism. TAS1R3 gene rs307355 polymorphism has been found to be an independent risk factor for dental caries experience by logistic regression analysis and to have increased the risk of caries. Moderate caries experience (4-7 caries) was found to be associated with TAS1R3 rs307355 heterozygous genotype, whereas high-risk caries experience (>8 caries) was found to be associated with TAS1R2 rs35874116 homozygous polymorphic genotype.

  5. The Shape of the Dose-Response Relationship between Sugars and Caries in Adults.

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    Bernabé, E; Vehkalahti, M M; Sheiham, A; Lundqvist, A; Suominen, A L

    2016-02-01

    Dental caries is considered a diet-mediated disease, as sugars are essential in the caries process. However, some gaps in knowledge about the sugars-caries relationship still need addressing. This longitudinal study aimed to explore 1) the shape of the dose-response association between sugars intake and caries in adults, 2) the relative contribution of frequency and amount of sugars intake to caries levels, and 3) whether the association between sugars intake and caries varies by exposure to fluoride toothpaste. We used data from 1,702 dentate adults who participated in at least 2 of 3 surveys in Finland (Health 2000, 2004/05 Follow-up Study of Adults' Oral Health, and Health 2011). Frequency and amount of sugars intake were measured with a validated food frequency questionnaire. The DMFT index was the repeated outcome measure. Data were analyzed with fractional polynomials and linear mixed effects models. None of the 43 fractional polynomials tested provided a better fit to the data than the simpler linear model. In a mutually adjusted linear mixed effects model, the amount of, but not the frequency of, sugars intake was significantly associated with DMFT throughout the follow-up period. Furthermore, the longitudinal association between amount of sugars intake and DMFT was weaker in adults who used fluoride toothpaste daily than in those using it less often than daily. The findings of this longitudinal study among Finnish adults suggest a linear dose-response relationship between sugars and caries, with amount of intake being more important than frequency of ingestion. Also, daily use of fluoride toothpaste reduced but did not eliminate the association between amount of sugars intake and dental caries.

  6. Efficacy of Specific Plant Products on Microorganisms Causing Dental Caries

    Science.gov (United States)

    Kanth, M Rajini; Prakash, A Ravi; Sreenath, G; Reddy, Vikram Simha

    2016-01-01

    Introduction Dental caries and periodontal diseases are the most common oral diseases seen globally, both in developed and developing countries. Oral microorganisms that is gram positive and gram negative bacteria are known to be involved in causation of these diseases. Nowadays commercially available dentrifices and mouth rinses are known to contain ingredients that can alter the oral microbial flora and have undesirable side effects such as vomiting, diarrhoea, disarrangement of oral, intestinal flora and tooth staining. Naturally available plant products are known to be less harmful with fewer side effects and also economical for the patient. Aim The aim of this study was to determine the antimicrobial properties of 10 naturally available plant products against oral microorganisms causing caries and to check the efficacy of these products in-vitro and to use these in mouth washes and dentrifices. Materials and Methods Sample of caries material was scrapped out from the extracted teeth and transferred to liquid broth, streaked over the agar media to allow for the growth of microorganisms. Plant products like clove oil, neem, ginger-garlic paste, tea tree oil, ginger, garlic, cinnamon oil, green tea, eucalyptus oil and turmeric were used. Antimicrobial efficacy of these products, was estimated by measuring zones of inhibition in the nutrient agar media. Results Clove oil was the most effective of all products against microorganisms causing caries with zone of inhibition - 30mm followed by ginger-garlic paste - 25mm, Neem - 15mm, tea tree oil - 15mm. Conclusion Based on the above results, it can be inferred that these natural products have the maximum efficacy against microorganisms and can be recommended in dentifrices, mouth rinses, topical gels, etc. PMID:28209019

  7. An in vitro comparison of a combined FOTI/Visual examination of occlusal caries with other caries diagnostic methods and the effect of stain on their diagnostic performance

    DEFF Research Database (Denmark)

    Ekstrand, K.R.; Côrtes, D.F.; Ellwood, R.P.

    2003-01-01

    Occlusal caries, detection, fibre optic transillumination, visual inspection, DIAGNOdent, laser fluorescence, electrical caries monitor, electrical resistance, stain......Occlusal caries, detection, fibre optic transillumination, visual inspection, DIAGNOdent, laser fluorescence, electrical caries monitor, electrical resistance, stain...

  8. Effectiveness of the bucco-lingual technique within a school-based supervised toothbrushing program on preventing caries: a randomized controlled trial

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    Frazão Paulo

    2011-03-01

    Full Text Available Abstract Background Supervised toothbrushing programs using fluoride dentifrice have reduced caries increment. However there is no information about the effectiveness of the professional cross-brushing technique within a community intervention. The aim was to assess if the bucco-lingual technique can increase the effectiveness of a school-based supervised toothbrushing program on preventing caries. Methods A randomized double-blinded controlled community intervention trial to be analyzed at an individual level was conducted in a Brazilian low-income fluoridated area. Six preschools were randomly assigned to the test and control groups and 284 five-year-old children presenting at least one permanent molar with emerged/sound occlusal surface participated. In control group, oral health education and dental plaque dying followed by toothbrushing with fluoride dentifrice supervised directly by a dental assistant, was developed four times per year. At the remaining school days the children brushed their teeth under indirect supervising of the teachers. In test group, children also underwent a professional cross-brushing on surfaces of first permanent molar rendered by a specially trained dental assistant five times per year. Enamel and dentin caries were recorded on buccal, occlusal and lingual surfaces of permanent molars during 18-month follow-up. Exposure time of surfaces was calculated and incidence density ratio was estimated using Poisson regression model. Results Difference of 21.6 lesions per 1,000 children between control and test groups was observed. Among boys whose caries risk was higher compared to girls, incidence density was 50% lower in test group (p = 0.016. Conclusion Modified program was effective among the boys. It is licit to project a relevant effect in a larger period suggesting in a broader population substantial reduction of dental care needs. Trial registration ISRCTN18548869.

  9. Allergic rhinitis, feeding and oral habits, toothbrushing and socioeconomic status. Effects on development of dental caries in primary dentition.

    Science.gov (United States)

    Vázquez-Nava, F; Vázquez, R E M; Saldivar, G A H; Beltrán, G F J; Almeida, A V M; Vázquez, R C F

    2008-01-01

    The aim was to determine the effect of feeding and oral habits, toothbrushing, socioeconomic status and allergic rhinitis on the development of dental caries in primary dentition. In a cross-sectional study, data were obtained by means of a structured questionnaire on 1,160 children, 4-5 years old (mean = 4.5 +/- 0.5) and born in 1999, 2000 or 2001. The children also had a physical examination by an allergist and dentists. Dental caries was diagnosed according to WHO criteria. Caries experience was measured as number of deft and defs. Logistic regression analysis assessed the association between dental caries and independent variables. The dental caries prevalence was 17.9%, 28.8% of the children had allergic rhinitis symptoms, digit sucking was reported by 9.8% and pacifier use by 13.6% of the children. The mean number of deft of the sample was 1.02 (SD = 2.37) and that of defs was 1.33 (SD = 3.54). Analysis showed that breast-feeding for >12 months (p < 0.01), toothbrushing frequency (p < 0.01), sugar consumption (p < 0.01) and pacifier use (p < 0.01) each had a significant association with dental caries occurrence in primary dentition. Children with pacifier use and allergic rhinitis had more than double the risk of dental caries development. Allergic rhinitis alone has no effect on dental caries. Healthcare professionals attempting to limit dental caries should consider the effect of prolonged breast-feeding, sugary product consumption between meals and nonnutritive habits on dental caries.

  10. Validation of self-reported information on dental caries in a birth cohort at 18 years of age.

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    Alexandre Emidio Ribeiro Silva

    Full Text Available OBJECTIVE: Estimate the prevalence of dental caries based on clinical examinations and self-reports and compare differences in the prevalence and effect measures between the two methods among 18-year-olds belonging to a 1993 birth cohort in the city of Pelotas, Brazil. METHOD: Data on self-reported caries, socio-demographic aspects and oral health behaviour were collected using a questionnaire administered to adolescents aged 18 years (n = 4041. Clinical caries was evaluated (n = 1014 by a dentist who had undergone training and calibration exercises. Prevalence rates of clinical and self-reported caries, sensitivity, specificity, positive and negative predictive values, absolute and relative bias, and inflation factors were calculated. Prevalence ratios of dental caries were estimated for each risk factor. RESULTS: The prevalence of clinical and self-reported caries (DMFT>1 was 66.5% (95%CI: 63.6%-69.3% and 60.3% (95%CI: 58.8%-61.8%, respectively. Self-reports underestimated the prevalence of dental caries by 9.3% in comparison to clinical evaluations. The analysis of the validity of self-reports regarding the DMFT index indicated high sensitivity (81.8%; 95%CI: 78.7%-84.7% and specificity (78.1%; 95%CI: 73.3%-82.4% in relation to the gold standard (clinical evaluation. Both the clinical and self-reported evaluations were associated with gender, schooling and self-rated oral health. Clinical dental caries was associated with visits to the dentist in the previous year. Self-reported dental caries was associated with daily tooth brushing frequency. CONCLUSIONS: Based on the present findings, self-reported information on dental caries using the DMFT index requires further studies prior to its use in the analysis of risk factors, but is valid for population-based health surveys with the aim of planning and monitoring oral health actions directed at adolescents.

  11. Computer-automated caries detection in digital bitewings: consistency of a program and its influence on observer agreement.

    Science.gov (United States)

    Wenzel, A

    2001-01-01

    The aim of this study was to evaluate a decision-support, caries detection program and its influence on observer agreement in caries diagnosis. 130 patients were examined by digital bitewing radiography (RVG XL sensor, Trophy Radiologie Inc.). Fifty-four approximal surfaces (27 in premolars and 27 in molars) were selected by the author: 24 surfaces (9 in molars and 15 in premolars) scored as sound, 16 surfaces (9 in molars and 7 in premolars) scored as carious in enamel, and 14 surfaces (9 in molars and 5 in premolars) scored as carious in dentine. The Logicon Caries Detector (LCD) program (Logicon Inc., USA) was assessed by repeating the automated analysis ten times for each surface. The two most varying outcomes for lesion probability (Lp(min) and Lp(max)) were saved. Five observers scored the 54 surfaces independently as sound, caries in enamel or caries in dentine before and after the use of LCD. In more than one third of all surfaces the program indicated different lesion probability, from sound at Lp(min) to the presence of a carious lesion at Lp(max). The 5 observers changed their caries score after the use of LCD in a total of 31 surfaces (only 2 of these were in the same surface). Mean kappa value for inter-observer agreement for caries scores before the use of LCD was 0.47 (range 0. 39-0.61) and after LCD 0.48 (range 0.37-0.69). It was concluded that the automated caries detection program was not very consistent and provided different opinions on the caries status in a surface. Inter-observer agreement in caries diagnosis did not improve using the program.

  12. Comparison of behavioral response to caries removal methods: A randomised controlled cross over trial

    Directory of Open Access Journals (Sweden)

    P R Geetha Priya

    2014-01-01

    Full Text Available Background: The issue of dental fear and anxiety still poses a significant problem in treating children. Various caries management protocols have been tried to make the dental visit more compatible to the child patients. Aim: The aim of the study was to evaluate and compare the behavioral and physiological responses to chemo-mechanical caries removal (CMCR and conventional drilling method (CDM. Materials and Methods: A total of 20 children with an age range of 7 to 11 years with bilateral frank carious lesions were included in this study. They were randomized into two groups: Group A - treated with CDM first followed by CMCR and Group B - treated with CMCR first followed by CDM. The physiological signs (pulse, blood pressure and oxygen saturation were noted prior to treatment, during treatment, post treatment and 5 min after treatment. The behavioral responses were assessed by face, legs, activity, cry, and consolability scale and facial image scale. The participants were interviewed about pain, discomfort, taste, smell, preference and overall experience after every procedure. The pediatric dentist filled in details about patient behavior, time utilized and need for local anesthesia. The results were statistically analyzed using t-test and Chi-square test appropriately (SPSS version 11. Results: There was no significant difference in any of the physiological parameters assessed between the two groups. Discomfort was significantly more (P < 0.025 in the CDM group than CMCR group. The time taken by the dentist was significantly lesser (P < 0.01 in the CDM group. Conclusion: Techniques which enhance the behavioral response in children should be considered for a better pediatric dental practice.

  13. Proximal caries detection using digital subtraction radiography in the artificial caries activity model

    Energy Technology Data Exchange (ETDEWEB)

    Park, Jong Hoon; Lee, Gi Ja; Choi, Sam Jin; Park, Young Ho; Kim, Kyung Soo; Jin, Hyun Seok; Hong, Kyung Won; Oh, Berm Seok; Park, Hun Kuk [Department of Biomedical Engineering, School of Medicine, Kyung Hee University, Seoul (Korea, Republic of); Choi, Yong Suk; Hwang, Eui Hwan [Department of Oral and Maxillofacial Radiology, Institute of Oral Biology, School of Dentistry, Kyung Hee University, Seoul (Korea, Republic of)

    2009-03-15

    The purpose of the experiment was to evaluating the diagnostic ability of dental caries detection using digital subtraction in the artificial caries activity model. Digital radiographs of five teeth with 8 proximal surfaces were obtained by CCD sensor (Kodak RVG 6100 using a size no.2). The digital radiographic images and subtraction images from artificial proximal caries were examined and interpreted. In this study, we proposed novel caries detection method which could diagnose the dental proximal caries from single digital radiographic image. In artificial caries activity model, the range of lesional depth was 572-1,374 {mu}m and the range of lesional area was 36.95-138.52 mm{sup 2}. The lesional depth and the area were significantly increased with demineralization time (p<0.001). Furthermore, the proximal caries detection using digital subtraction radiography showed high detection rate compared to the proximal caries examination using simple digital radiograph. The results demonstrated that the digital subtraction radiography from single radiographic image of artificial caries was highly efficient in the detection of dental caries compared to the data from simple digital radiograph.

  14. Validity of scoring caries and primary molar hypomineralization (DMH) on intraoral photographs

    NARCIS (Netherlands)

    Elfrink, M.E.C.; Veerkamp, J.S.J.; Aartman, I.H.A.; Moll, H.A.; ten Cate, J.M.

    2009-01-01

    AIM: The aims of this study were to assess whether intraoral photographs could be used to score caries and hypomineralization on primary molars (Using adapted Molar Incisor Hypomineralization (MIH)-criteria), and also to assess the reliability and validity in 3-7 year-old Dutch children of these sco

  15. Effect of fluoride varnish on Streptococcus mutans counts in plaque of caries-free children using dentocult SM strip mutans test: A randomized controlled triple blind study

    OpenAIRE

    Jeevarathan J; Deepti A; Muthu M; Rathna Prabhu V; Chamundeeswari G

    2007-01-01

    Dental caries is one of the most prevalent infectious diseases and although of multifactorial origin, Streptococcus mutans is considered the chief pathogen in its development. Fluoride is one of the most effective agents used for the reduction of dental caries apart from oral hygiene maintenance. Aims: The aim of this study was to estimate the counts of Streptococcus mutans and to evaluate the effect of Fluor Protector fluoride varnish on these counts in the plaque of caries-free childr...

  16. Geo-mapping of time trends in childhood caries risk--a method for assessment of preventive care

    DEFF Research Database (Denmark)

    Strömberg, Ulf; Holmn, Anders; Magnusson, Kerstin;

    2012-01-01

    Dental caries is unevenly distributed within populations with a higher burden in low socio-economy groups. Several attempts have been made to allocate resources to those that need them the most; there is a need for convenient approaches to population-based monitoring of caries risk over time. The....... The aim of this study was to develop the geo-map concept, addressing time trends in caries risk, and demonstrate the novel approach by analyzing epidemiological data from preschool residents in the region of Halland, Sweden....

  17. Genetic factors affecting dental caries risk.

    Science.gov (United States)

    Opal, S; Garg, S; Jain, J; Walia, I

    2015-03-01

    This article reviews the literature on genetic aspects of dental caries and provides a framework for the rapidly changing disease model of caries. The scope is genetic aspects of various dental factors affecting dental caries. The PubMed database was searched for articles with keywords 'caries', 'genetics', 'taste', 'diet' and 'twins'. This was followed by extensive handsearching using reference lists from relevant articles. The post-genomic era will present many opportunities for improvement in oral health care but will also present a multitude of challenges. We can conclude from the literature that genes have a role to play in dental caries; however, both environmental and genetic factors have been implicated in the aetiology of caries. Additional studies will have to be conducted to replicate the findings in a different population. Identification of genetic risk factors will help screen and identify susceptible patients to better understand the contribution of genes in caries aetiopathogenesis. Information derived from these diverse studies will provide new tools to target individuals and/or populations for a more efficient and effective implementation of newer preventive measures and diagnostic and novel therapeutic approaches in the management of this disease.

  18. Biological approach of dental caries management.

    Science.gov (United States)

    Grigalauskienė, Rūta; Slabšinskienė, Eglė; Vasiliauskienė, Ingrida

    2015-01-01

    Dental caries is a disease induced by dental plaque, which can be described as a community of microorganisms (biofilm). Because of genetic and environmental factors a number of changes in the oral microbiome takes place; in case of commensalism and mutualism between biofilm microorganisms and the host, homeostasis in oral microbiome is maintained. However, when a risk factor occurs parasitic relationship starts prevailing and activity of the pathogenic cariogenic microorganisms increases leading to a dental caries. According to the newest technologies of molecular microbiology new cariogenic microorganisms species have been determined. Each individual's oral microbiome is as unique as his/her immune system; therefore, commonly taken caries prevention measures cannot be of the same effectiveness for all individuals. Each person has his own caries risk which is determined by the oral microbiome and immune system influenced by the environmental and genetic factors. Early caries diagnostic, risk assessment and individualized caries prevention plan will allow us to control the disease and achieve a desirable effect. For the dentist the most important thing is not to treat the consequences of the disease - cavities - but be aware of the dental caries as a biological phenomenon.

  19. Prevalence of Dental Caries in Kosovar Adult Population

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    Blerim Kamberi

    2016-01-01

    Full Text Available Objectives. The aim of this study was to assess the prevalence of dental caries in the Kosovar adult population. Materials and Methods. A cross-sectional study in Kosovo was conducted examining 9387 patients, aged 18 upwards, between January 2010 and December 2011. Clinical evaluation was done using WHO criteria for evaluation of dental health status and data collection. Results. The prevalence of caries for the whole study was 72.80%. The mean DMFT index was 9.61 (±5.12 in the 18–34-year age group, 11.6 (±6.42 in the 35–44-year age group, 13.68 (±8.12 among the 45–64-year age group, 17.98 (±9.81 in the 65–74-year age group, and 23.19 (±9.41 in the age group of 75+ years, respectively. A significant difference of mean DMFT and its each component was observed between the ages (P<0.001. Conclusion. This study comes out with the significant levels of dental caries among young Kosovar population (18–34 years old.

  20. Snacking habits and caries in young children.

    Science.gov (United States)

    Johansson, I; Holgerson, P Lif; Kressin, N R; Nunn, M E; Tanner, A C

    2010-01-01

    Dental caries is caused by a combination of infection and diet. This disease, if left untreated, may lead to pain, and impair the quality of life, nutritional status and development of young children. The objective was to investigate the association between snacking and caries in a population at high risk of dental caries. American preschool children (n = 1,206) were recruited in the offices of paediatricians. Data on sociodemographic characteristics, oral hygiene, breast-feeding, use of bottle and snacking were collected by questionnaire. Plaque presence, the number of teeth and their caries status (deft) were scored. The children sampled were 61% Black, 27% White and 10% Asian. Of the 1- to 2-, 2- to 3- and 3- to 4-year-old children, 93.8, 82.4 and 77.3% were caries free, and their mean caries scores were 0.16, 0.58 and 0.93, respectively. Multivariate partial least squares (PLS) modelling revealed plaque presence, lowest income, descriptors for tooth exposure time (number of teeth and age) and cariogenic challenge (total intake of sugar-containing snacks and chips/crisps, and chips intake with a sugar-containing drink) to be associated with more caries. These differences were also found in univariate analyses; in addition, children who continued breast-feeding after falling asleep had significantly higher deft values than those who did not. PLS modelling revealed that eating chips clustered with eating many sweet snacks, candies, popcorn and ice cream. We conclude that, in addition to the traditional risk indicators for caries - presence of plaque, sugar intake and socioeconomic status -, consumption of chips was associated with caries in young children.

  1. Caries prevalence of children and adolescents in Bosnia and Herzegovina

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    Nina Markovic

    2013-11-01

    Full Text Available Objective. The aim of this study was to present epidemiological parameters of caries prevalence in children and adolescents in index age groups on a national and regional level in Bosnia and Herzegovina (BH. Materials and methods. The study was conducted during 2004 year for children aged 6 and 12, and during 2007 for adolescents aged 15. An oral health survey was performed on a total number of 1,240 children and adolescents in line with World Health Organization methodology and criteria. Results for caries prevalence and treatment needs were presented and discussed in this paper. Results. Mean dmft (decay, missing, filled teeth for primary dentition for children aged six was 6.7 (SD±3.9 in that the decayed teeth constituted the major part of the index (88.8%, followed by extracted teeth (8.9% and a small percentage of filled teeth (2.3%. In 12-year-olds DMFT (Decay, Missing, Filled Teeth for permanent dentition was 4.2 (SD±2.9, Significant Caries index (SiC was 7.7 (SD±2.9, the decayed teeth constituted the major part of the index (45.4%, followed by 42.1% of FT and 12.5% of extracted teeth. Among 15-year-olds the DMFT was 7.6 (SD±4.1, SiC was 9.2 (SD±1.2, and filled teeth constituted the major part of the index. Conclusion. The present study provides some evidence of relatively high caries prevalence and severity in comparison with Western European countries. It is necessary to devote more attention to the oral health of children and adolescents. Community based oral health promotion, preventive programs and preventive oriented public dental health care services should be made available and accessible to all children in Bosnia and Herzegovina.

  2. [Dental caries in an ecological perspective].

    Science.gov (United States)

    Twetman, Svante; Ekstrand, Kim; Qvist, Vibeke

    2010-11-01

    Dental caries affects the majority of the Danish population. Its aetiology is multi-factorial, but a pH-induced change in the homeostasis of the oral biofilm leading to overgrowth of acid-tolerating bacteria is a key event. A non-invasive concept for prevention and management is emerging based on the common risk factor approach. There is strong evidence that tooth brushing twice a day with fluoridated toothpaste is the most cost-effective way to prevent and control caries development. Physicians need to consider that a number of drugs may affect the saliva flow rate, which increases the caries risk.

  3. Real-time porphyrin detection in plaque and caries: a case study

    Science.gov (United States)

    Timoshchuk, Mari-Alina I.; Ridge, Jeremy S.; Rugg, Amanda L.; Nelson, Leonard Y.; Kim, Amy S.; Seibel, Eric J.

    2015-02-01

    An ultrathin scanning fiber endoscope, originally developed for cancer diagnosis, was used in a case study to locate plaque and caries. The imaging system incorporated software mitigation of background auto-fluorescence (AF). In conventional fluorescence imaging, varying AF across a tooth surface can mask low-level porphyrin signals. Laser-induced auto-fluorescence signals of dental tissue excited using a 405-nm laser typically produce fluorescence over a wavelength range extending from 440-nm to 750-nm. Anaerobic bacterial metabolism produces various porphyrin species (eg. protoporphyrin IX) that are located in carious enamel, dentin, gingivitis sites, and plaque. In our case study, these porphyrin deposits remained as long as one day after prophylaxis. Imaging the tooth surface using 405-nm excitation and subtracting the natural AF enhances the image contrast of low-level porphyrin deposits, which would otherwise be masked by the high background AF. In a case study, healthy tissues as well as sites of early and advanced caries formations were scanned for visual and quantitative signs of red fluorescence associated with porphyrin species using a background mitigation algorithm. Initial findings show increasing amplitudes of red fluorescence as caries severity increases from early to late stages. Sites of plaque accumulation also displayed red fluorescence similar to that found in carious dental tissue. The use of real-time background mitigation of natural dental AF can enhance the detection of low porphyrin concentrations that are indicators of early stage caries formation.

  4. Dairy products and calcium intake during pregnancy and dental caries in children

    Directory of Open Access Journals (Sweden)

    Tanaka Keiko

    2012-05-01

    Full Text Available Abstract Background Maternal nutrition status during pregnancy may affect fetal tooth development, formation, and mineralization, and may affect dental caries susceptibility in children. We investigated the association between maternal intake of dairy products and calcium during pregnancy and the risk of childhood dental caries. Methods Subjects were 315 Japanese mother-child pairs. Data on maternal intake during pregnancy were assessed through a diet history questionnaire. Outcome data was collected at 41–50 months of age. Children were classified as having dental caries if one or more primary teeth had decayed or been filled. Results Higher maternal cheese intake during pregnancy was significantly inversely associated with the risk of dental caries in children, showing a clear inverse dose–response relationship; the adjusted odds ratio (OR in comparison of the highest tertile with the lowest was 0.37 (95 % confidence interval [CI]: 0.17-0.76, P for trend = 0.01. The inverse associations between maternal intake of total dairy products, yogurt, and calcium during pregnancy and the risk of childhood dental caries were of borderline significance: the adjusted ORs for the highest tertile of total dairy products, yogurt, and calcium were 0.51 (95 % CI: 0.23-1.09, P for trend = 0.07, 0.51 (95 % CI: 0.23-1.10, P for trend = 0.07, and 0.50 (95 % CI: 0.23-1.07, P for trend = 0.08, respectively. There was no evident relationship between maternal milk intake and the risk of childhood dental caries. Conclusion These data suggested that high intake of maternal cheese during pregnancy may reduce the risk of childhood dental caries.

  5. Bootstrap study to estimate linear regression parameter (Application in the study on the effect of oral hygiene on dental caries

    Directory of Open Access Journals (Sweden)

    Ristya Widi Endah Yani

    2008-12-01

    Full Text Available Background: Bootstrap is a computer simulation-based method that provides estimation accuracy in estimating inferential statistical parameters. Purpose: This article describes a research using secondary data (n = 30 aimed to elucidate bootstrap method as the estimator of linear regression test based on the computer programs MINITAB 13, SPSS 13, and MacroMINITAB. Methods: Bootstrap regression methods determine ˆ β and Yˆ value from OLS (ordinary least square, ε i = Yi −Yˆi value, determine how many repetition for bootstrap (B, take n sample by replacement from ε i to ε (i , Yi = Yˆi + ε (i value, ˆ β value from sample bootstrap at i vector. If the amount of repetition less than, B a recalculation should be back to take n sample by using replacement from ε i . Otherwise, determine ˆ β from “bootstrap” methods as the average ˆ β value from the result of B times sample taken. Result: The result has similar result compared to linear regression equation with OLS method (α = 5%. The resulting regression equation for caries was = 1.90 + 2.02 (OHI-S, indicating that every one increase of OHI-S unit will result in caries increase of 2.02 units. Conclusion: This was conducted with B as many as 10,500 with 10 times iterations.

  6. Performance of laser fluorescence devices and visual examination for the detection of occlusal caries in permanent molars

    Science.gov (United States)

    Rechmann, Peter; Charland, Daniel; Rechmann, Beate M. T.; Featherstone, John D. B.

    2012-03-01

    The aim of this study was to evaluate the diagnostic capabilities of a laser fluorescence tool DIAGNOdent (KaVo, Biberach, Germany) and two light-emitting diode fluorescence tools--Spectra Caries Detection Aid (AIR TECHNIQUES, Melville, NY), and SOPROLIFE light-induced fluorescence evaluator in daylight and blue florescence mode (SOPRO, ACTEON Group, La Ciotat, France)--in comparison to the caries detection and assessment system (ICDAS-II) in detection of caries lesions. In 100 subjects (age 23.4+/-10.6 years), 433 posterior permanent unrestored teeth were examined. On the occlusal surfaces, up to 1066 data points for each assessment method were available for statistical evaluation, including 1034 ICDAS scores (intra-examiner kappa=0.884). For the SOPROLIFE tool, a new caries-scoring system was developed. Per assessment tool each average score for one given ICDAS code was significantly different from the one for another ICDAS code. Normalized data linear regression revealed that both SOPROLIFE assessment tools allowed for best caries score discrimination followed by DIAGNOdent and Spectra Caries Detection Aid. The area under the receiver operating characteristics curve calculations showed the same grading sequence when cutoff point ICDAS codes 0-1-2 were grouped together. Sensitivity and specificity values at the same cutoff were calculated (DIAGNOdent 87/66, Spectra Caries Detection Aid 93/37, SOPROLIFE 93/63, SOPROLIFE blue fluorescence 95/55.)

  7. COMPARATIVE EVALUATION OF THE EFFECTIVENESS OF FIVE METHODS FOR EARLY DIAGNOSIS OF OCCLUSAL CARIES LESIONS – in vitro study.

    OpenAIRE

    Mirela Marinova-Takorova; Radostina Anastasova; Vladimir E. Panov

    2014-01-01

    Purpose: The aim of the presented in vitro study was to evaluate the effectiveness of the device DIAGNOcam and the laser fluorescence device DIAGNOdent for early diagnosis of occlusal caries and to compare it with three traditional methods – visual and tactile, dye and radiographic examination. Material and methods: The sample consisted of 60 extracted human teeth. Three clinicians diagnosed independently the presence or absence of early occlusal surface caries with the visible tactile met...

  8. Geo-mapping of caries risk in children and adolescents - a novel approach for allocation of preventive care

    DEFF Research Database (Denmark)

    Strömberg, Ulf; Magnusson, Kerstin; Holmén, Anders;

    2011-01-01

    Dental caries in children is unevenly distributed within populations with a higher burden in low socio-economy groups. Thus, tools are needed to allocate resources and establish evidence-based programs that meet the needs of those at risk. The aim of the study was to apply a novel concept...... for presenting epidemiological data based on caries risk in the region of Halland in southwest Sweden, using geo-maps....

  9. Dental Caries and the Associated Factors Influencing It in Tribal, Suburban and Urban School Children of Tamil Nadu, India: A Cross Sectional Study

    OpenAIRE

    J Baby John; Sharath Asokan; Aswanth KP; Geetha Priya, P. R.; Shanmugaavel, A.K.

    2015-01-01

    Background The study was planned to assess the prevalence of dental caries among tribal, suburban and urban children of Tiruchengode and Erode of Tamil Nadu state, India. The objective of the study was to assess the association of dental caries with family background, dental service availability, transportation and knowledge on preventive dental measures among these three groups Design and methods Cross-sectional study. A total of 1028 school children in the age range of 9-12 years from vario...

  10. Probiotic Compared with Standard Milk for High-caries Children: A Cluster Randomized Trial.

    Science.gov (United States)

    Rodríguez, G; Ruiz, B; Faleiros, S; Vistoso, A; Marró, M L; Sánchez, J; Urzúa, I; Cabello, R

    2016-04-01

    The aim of this study was to compare milk supplemented with probiotic lactobacilli with standard milk for the increment of caries in preschool children after 10 mo of intervention. The study was a triple-blind, placebo-controlled randomized trial. Participants were children aged 2 and 3 y (n = 261) attending 16 nursery schools in a metropolitan region in Chile. Nursery schools were randomly assigned to 2 parallel groups: children in the intervention group were given 150 mL of milk supplemented with Lactobacillus rhamnosus SP1 (10(7) CFU/mL), while children in the control group were given standard milk. Interventions took place on weekdays for 10 mo. Data were collected through a clinical examination of participants. The primary outcome measure was the increment of caries in preschool children. This was assessed using the International Caries Detection and Assessment System (ICDAS). The dropout rate was 21%. No differences in caries prevalence were detected between the groups at baseline (P = 0.68). After 10 mo of probiotic intake, the caries prevalence was 54.4% in the probiotic group and 65.8% in the control group. The percentage of new individuals who developed cavitated lesions (ICDAS 5-6) in the control group (24.3%) was significantly higher than that in the probiotic group (9.7%). The increment of dental caries showed an odds ratio of 0.35 (P < 0.05) in favor of the probiotic group. At the cavitated lesion level, the increment of new caries lesions within the groups showed 1.13 new lesions per child in the probiotic group compared with 1.75 lesions in the control group (P < 0.05). The probiotic group showed an increment of 0.58 ± 1.17 new lesions compared with 1.08 ± 1.70 new lesions observed in the control group. The difference in caries increment was significant at the cavitated lesion level (P < 0.01). In conclusion, the regular long-term intake of probiotic-supplemented milk may reduce caries development in high-caries preschool children (Clinical

  11. Enhanced efficacy of CTLA-4 fusion anti-caries DNA vaccines in gnotobiotic hamsters

    Institute of Scientific and Technical Information of China (English)

    Feng ZHANG; Yu-hong LI; Ming-wen FAN; Rong JIA; Qing-an XU; Ji-hua GUO; Fei YU; Qi-wei TIAN

    2007-01-01

    Aim:To evaluate the comparative immunogenicity and protective efficacy of the cytotoxic T-lymphocyte.associated antigen 4(CTLA-4)fusion anti-caries DNA vaccines pGJA-P/VAX1,pGJA-P,and non-fusion anti-caries DNA construct pGLUA-P in hamsters.In addition,the ability of CTLA-4 to target pGJA-P/VAX1-encoding antigen to dendritic cells was tested in vitro.Methods:All DNA constructs contain genes encoding the A-P regions of a cell surface protein(PAc) and the glucan binding(GLU) domain of glucosyltransferases(GTFs)of cari-ogenic organism Streptococcus mutans.Human dendritic cells were mixed with the CTLA-4-Ig-GLU-A-P protein expressed by pGJA-P/VAX1-transfected cells and analyzed by flow cytometry.Gnotobiotic hamsters were immunized with anti-caries DNA vaccines by intramuscular injection or intranasal administration.Antibody responses to a representative antigen PAc were assayed by ELlSA,and caries protection was evaluated by Keyes caries scores.Results:A flow cytometric analysis demonstrated that CTLA-4-Ig-GLU-A-P protein was capable of bind-ing to human dendritic cells.pGJA-P/VAX1 and pGJA-P induced significantly higher specific salivary and serum anti-PAc antibody responses than pGLUA-R.Significantly fewet caries lesions were alSO observed in hamsters immunized with pGJA-P/VAX1 and pGJA-p There was no significant difference in the anti-PAC antibody level or caries scores between pGJA-P/VAX1 and pGJA-P-immunized groups.Conclusion:Antigen encoded by CTLA-4 fusion anti-caries DNA vac-cine pGJA-P/VAX1 could specifically bind to human dendritic cells through the interaction of CTLA-4 and B7 molecules.Fusing antigen to CTLA-4 has been proven to greatly enhance the immunogenicity and protective efficacy of anti-caries DNA vaccines.

  12. Metaproteomics of saliva identifies human protein markers specific for individuals with periodontitis and dental caries compared to orally healthy controls

    DEFF Research Database (Denmark)

    Belstrøm, Daniel; Jersie-Christensen, Rosa R; Lyon, David;

    2016-01-01

    BACKGROUND: The composition of the salivary microbiota has been reported to differentiate between patients with periodontitis, dental caries and orally healthy individuals. To identify characteristics of diseased and healthy saliva we thus wanted to compare saliva metaproteomes from patients...... with periodontitis and dental caries to healthy individuals. METHODS: Stimulated saliva samples were collected from 10 patients with periodontitis, 10 patients with dental caries and 10 orally healthy individuals. The proteins in the saliva samples were subjected to denaturing buffer and digested enzymatically...... and inflammatory markers in periodontitis and dental caries compared to healthy controls. Bacterial proteome profiles and functional annotation were very similar in health and disease. CONCLUSIONS: Overexpression of proteins related to the complement system and inflammation seems to correlate with oral disease...

  13. Factors associated with inter-municipality differences in dental caries experience among Danish adolescents. An ecological study

    DEFF Research Database (Denmark)

    Ekstrand, K R; Christiansen, M E C; Qvist, V;

    2009-01-01

    Ekstrand KR, Christiansen MEC, Qvist V, Ismail A. Factors associated with inter-municipality differences in dental caries experience among Danish adolescents. An ecological study. Community Dent Oral Epidemiol 2009; 00: 000-000. (c) 2009 John Wiley & Sons A/SAbstract - Background: Caries...... in the water supply and DMF-S values diminished in both years at a level above 0.35 ppm. The structured interview disclosed that municipalities with significant improvement in mean DMFS from 1999 to 2004 had established goals and were committed to the prevention of dental caries at the individual level...... on children and adolescents in Denmark has declined significantly over the last 30 years. Our first analysis in 1999, however, disclosed huge inter-municipality disparities in mean DMFS values as well as in prevalence of caries on Danish children; that fluoride in the water supply and the length...

  14. Early childhood caries: a New Zealand perspective

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    Bach K

    2014-06-01

    Full Text Available Dental caries, primarily a preventable disease, remains the most common chronic disease of childhood and one of the most common reasons for hospital admissions for children in New Zealand. The most vulnerable children are shouldering the burden of the disease, with Maori and Pacific children having greater experience and severity of dental caries. Early childhood caries has deleterious effects on a child’s oral and general health and significant numbers of preschool-aged children experience pain and infection. Early identification by primary health care providers of children at high risk of developing early childhood caries can ensure these children are referred to the appropriate oral health services to receive appropriate and timely management.

  15. Association of cardiometabolic risk factors and dental caries in a population-based sample of youths

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    Kelishadi Roya

    2010-04-01

    Full Text Available Abstract Background Cardiovascular disease (CVD risk factors begin from early life and track onto adulthood. Oral and dental diseases share some risk factors with CVD, therefore by finding a clear relation between dental diseases and cardiometabolic risk factors; we can then predict the potential risk of one based on the presence of the other. This study aimed to compare the prevalence of dental caries between two groups of age-matched adolescents with and without CVD risk factors. Methods In this case-control study, the decayed, missing and filled surfaces (DMFS, based on the criteria of the World Health Organization, were compared in two groups of equal number (n = 61 in each group of population-based sample of adolescents with and without CVD risk factors who were matched for sex and age group. Results The study participants had a median age 13 y 5 mo, age range 11 y 7 mo to 16 y 1 mo, with male-to-female proportion of 49/51. We found significant difference between the mean values of DMFS, body mass index, waist and hip circumferences, as well as serum lipid profile in the case and control groups. Significant correlations were documented for DMFS with TC (r = 0.54, p = 0.02, LDL-C (r = 0.55, p = 0.01 and TG (r = 0.52, p = 0.04 in the case group; with LDL-C (r = 0.47, p = 0.03 in the whole study participants and with TC in control s(r = 0.45, p = 0.04. Conclusions Given the significant associations between dental caries and CVD risk factors among adolescents, more attention should be paid to oral health, as one of the topics to be taken into account in primordial/primary prevention of cardiometabolic disorders.

  16. Early detection of dental caries using photoacoustics

    Science.gov (United States)

    Kim, K.; Witte, R.; Koh, I.; Ashkenazi, S.; O'Donnell, M.

    2006-02-01

    For decades, visual, tactile and radiographic examinations have been the standard for diagnosing caries. Nonetheless, the extent of variation in the diagnosis of dental caries is substantial among dental practitioners using these traditional techniques. Therefore, a more reliable standard for detecting incipient caries would be desirable. Using photoacoustics, near-infrared (NIR) optical contrast between sound and carious dental tissues can be relatively easily and accurately detected at ultrasound resolution. In this paper, a pulsed laser (Nd:YAG, Quanta-Ray) was used to probe extracted human molars at different disease stages determined from periapical radiographs. Both fundamental (1064nm) and first harmonic (532nm) pulses (15ns pulse length, 100mJ at fundamental and 9mJ at first harmonic , 10Hz pulse repetition rate) were used to illuminate the occlusal surface of tooth samples placed in a water tank. The photoacoustic signal was recorded with an unfocused wideband single-element piezoelectric transducer (centered at 12 MHz, bandwidth 15 MHz) positioned at small angle (less than 30 degrees) to the laser beam close to the occlusal surface. At the fundamental wavelength, total photoacoustic energy increases from normal to incipient stage disease by as much as a factor of 10. Differences between photoacoustic energy at the fundamental and first harmonic wavelength further indicate spectral absorption changes of the underlying structure with disease progression. Using a focused laser beam, an extracted molar with suspected incipient caries was scanned along the occulusal surface to help localize the caries inside enamel and dentin. The significantly increasing photoacoustic signal at a specific scan line both at fundamental and first harmonic indicates the local development of the incipient caries. The photoacoustic results compare well with visual inspection after layer by layer dissection. Preliminary results demonstrate the feasibility of detecting incipient

  17. Dental caries - A complete changeover (Part I

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    Usha Carounanidy

    2009-01-01

    Full Text Available In spite of a knowledge explosion in cariology science, dental caries still remains a misunderstood phenomenon by the clinicians. In order to effectively use the wide range of preventive and management strategies, it is imperative to look beyond those black and white spots that manifest on the tooth surfaces.This paper focuses on the revised versions of the etiopathogenesis and definition of dental caries disease in the present century.

  18. Distribution of Dental Caries among Primary School Children in Al-Mukalla Area, Yemen

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    AM. Al-Haddad

    2006-12-01

    Full Text Available Statement of problem: Dental caries are considered as one of the most common health problems and have been shown to be more prevalent in children.Purpose: The aim of this cross-sectional study was to determine the distribution of dental caries among 400 twelve-year-old schoolchildren, in the Al-Mukalla area in Yemen.Materials and Methods: Multistage stratified sampling was used to obtain a sample size of 400 children, consisting of 200 males and 200 females with mixed dentitions.All subjects were selected from two private schools and five public schools. Clinical examinations were performed under standardized conditions by a trained examiner.Results: Dental caries was found in 198 (49.5% of the 400 schoolchildren including 51.5% males and 48.5% females. The prevalence of caries was higher (p<0.05 in permanent teeth (76.6%, in urban areas and in the mandible (54%; compared to deciduous teeth, rural regions and the maxilla, respectively. Private schools (57%revealed a larger number of affected cases as compared to public schools. Dental caries were more prevalent in children living in areas that received their water supply from Al-Ghail, in comparison to those residing in regions supplied from Al-Taweela water source (p<0.05. Caries were the primary cause of missing teeth in 8% of the subjects.Conclusion: Considering that dental caries can be associated with children’s school grade, dental services should be directed toward preschool children with a preventive policy through dental health education.

  19. Incidence of Caries in Babies After 15 Months of an Educative/Preventive Program

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    Eunice KUHN

    2007-03-01

    Full Text Available Objective: To evaluate an educative/preventive program to control caries disease in 160 babies, ages ranging from 1 to 21 months. Method: The selected children, healthy and without caries, were examined once every three months during 15 months. In each appointment, the biofilm was removed with gauze and a baby’s toothbrush, according to the child’s age. After visual examination, the number of teeth and eventual alterations were recorded. Mothers were guided to perform suitable preventive activities through personal orientation, posters and slides. There were educational lectures at the beginning of the research, as well as every six months. The oral examination and the hygiene training of the mothers were conducted at the health units, community centers and a university. Aiming to verify the changes in the feeding and hygiene habits, questionnaires were applied at the beginning of the study and 12 months later. Results: The majority of the mothers hadn’t completed elementary school and the family income ranged from 1 to 3 minimum salaries. After 15 months, the drop-out rate was 23.8%. The incidence of caries, which was 7.3% in the 122 babies, evaluated with an average of 0.25 teeth with caries. Including the black spots, the incidence of caries was 9.8%, with an average of 0.4 teeth with caries. Conclusion: The educative/preventive program contributed to a lower caries incidence, and it stimulated the adoption of healthier habits. There was a decrease of 33% in night time bottle-feeding, and an increase of 20.9% in oral hygiene.

  20. Socio-behavioral factors influence prevalence and severity of dental caries in children with primary dentition

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    Heloisa Carvalho Borges

    2012-12-01

    Full Text Available The aim of this study was to analyze the influence of socio-behavioral variables on the prevalence and severity of dental caries in 4- to 6-year-old children. A cross-sectional study was performed on a sample of 1993 children enrolled in 58 public preschools from Araçatuba City, São Paulo State, Brazil, during 2010. The exams were made using the decayed, missing, and filled teeth index (World Health Organization methodology and detection criteria for non-cavitated lesions. A tested, self-administered questionnaire was sent to parents to obtain information about their socio-behavioral characteristics. Standardization was performed to verify concordance among examiners (kappa = 0.84. The prevalence of cavitated caries lesions was 41.2% (821, and the prevalence of both, cavitated and non-cavitated caries lesions, was 43.9% (875. The means ± standard deviations of the decayed, missing, and filled teeth index for children aged 4, 5, and 6 years were 1.18 ± 2.45, 1.65 ± 2.67, and 1.73 ± 2.77, respectively. Caries were significantly more prevalent in children from families with low incomes and low educational levels. The presence of dental caries was associated with access to dental services (p < 0.05. The associations between both, cavitated and non-cavitated dental caries lesions, and the frequency of oral hygiene were statistically significant. The prevalence of dental caries in preschoolers was strongly associated with factors related to the children's parents. Therefore, information about parents' socio-economic status, behaviors, and attitudes in relation to oral health should be considered when planning prevention and educational programs for the oral health of preschool children.

  1. Socio-behavioral factors influence prevalence and severity of dental caries in children with primary dentition.

    Science.gov (United States)

    Borges, Heloisa Carvalho; Garbín, Cléa Adas Saliba; Saliba, Orlando; Saliba, Nemre Adas; Moimaz, Suzely Adas Saliba

    2012-01-01

    The aim of this study was to analyze the influence of socio-behavioral variables on the prevalence and severity of dental caries in 4- to 6-year-old children. A cross-sectional study was performed on a sample of 1993 children enrolled in 58 public preschools from Araçatuba City, São Paulo State, Brazil, during 2010. The exams were made using the decayed, missing, and filled teeth index (World Health Organization methodology) and detection criteria for non-cavitated lesions. A tested, self-administered questionnaire was sent to parents to obtain information about their socio-behavioral characteristics. Standardization was performed to verify concordance among examiners (kappa = 0.84). The prevalence of cavitated caries lesions was 41.2% (821), and the prevalence of both, cavitated and non-cavitated caries lesions, was 43.9% (875). The means ± standard deviations of the decayed, missing, and filled teeth index for children aged 4, 5, and 6 years were 1.18 ± 2.45, 1.65 ± 2.67, and 1.73 ± 2.77, respectively. Caries were significantly more prevalent in children from families with low incomes and low educational levels. The presence of dental caries was associated with access to dental services (p dental caries lesions, and the frequency of oral hygiene were statistically significant. The prevalence of dental caries in preschoolers was strongly associated with factors related to the children's parents. Therefore, information about parents' socio-economic status, behaviors, and attitudes in relation to oral health should be considered when planning prevention and educational programs for the oral health of preschool children.

  2. Prevalence and correlates of dental caries in an elderly population in northeast China.

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    Lu Liu

    Full Text Available OBJECTIVES: The present study aimed to investigate the prevalence and correlates of dental caries in elderly population in northeast China. METHODS: A community-based, cross-sectional study among 2376 elderly subjects (age: 65-74 years from nine urban areas and nine rural areas in three provinces of northeast China was conducted using multistage stratified random sampling per the World Health Organization oral health survey methodology. Decayed-missing-filled teeth (DMFT and decayed-filled teeth (DFT indices were used to evaluate the prevalence of dental caries. Face-to-face questionnaire survey on oral health was performed in a randomly selected subset (n = 1197. T test and chi square test were employed to compare groups for continuous and categorical variables, respectively. Multivariate logistic regression was used to estimate odds ratios (ORs and corresponding confidence intervals (CIs. RESULTS: 67.5% of elderly subjects reported dental caries (average DFT = 2.68±3.40, and the prevalence was higher in urban areas (P<0.01. Missing teeth accounted for 80.72% of DMFT, and filled teeth due to caries accounted for 2.08% with a rate higher in urban areas (P<0.01. Logistic regression analysis indicated significant association among elderly population in urban areas (OR 1.713; 95% CI 1.337-2.195, smoking (OR 1.779; 95% CI 1.384-2.288, and individuals without dental insurance (OR 2.050; 95% CI 1.120-3.754 with dental caries. CONCLUSIONS: The prevalence of dental caries in the elderly population in northeast China is high. The elderly from urban areas who smoke and who do not have a dental insurance are at a higher risk to develop dental caries.

  3. Evidence for dental caries decline among children in an East European country (Hungary)

    DEFF Research Database (Denmark)

    Szöke, J.; Petersen, P.E.

    2000-01-01

    Central and Eastern Europe, dental caries prevalence, need for dental care, long-term trends of caries, schoolchildren......Central and Eastern Europe, dental caries prevalence, need for dental care, long-term trends of caries, schoolchildren...

  4. Remineralization of caries lesions extending into dentin.

    Science.gov (United States)

    ten Cate, J M

    2001-05-01

    Remineralization is one aspect of the overall process of tooth decay. However, it is primarily studied in shallow lesions. The aim of this study was to explore whether caries lesions in enamel and extending into the dentin can be remineralized. A single-section model was developed for the longitudinal and non-destructive monitoring of changes in enamel and dentin. Lesions at least 200 microm into dentin were formed in undersaturated acetate buffers. Next, the lesions were divided into groups (three treatment and one control) and remineralized. The treatments were: weekly immersion in 1,000 ppm fluoride, single treatment with methanehydroxybisphosphonate, and a constant level of 1 ppm fluoride. De- and remineralization was assessed by transverse microradiography. Remineralization was observed in enamel, but also in dentin, indicating that, deep into dentin, the pores become supersaturated to apatite formation. Treatments affected remineralization only in the outer part of enamel. Both findings are explained by a relatively fast diffusion of mineral ions, with precipitation being rate-limiting. The results suggest that dentin remineralization, underneath enamel, can be achieved and could possibly be used in clinical treatment strategies.

  5. Diabetes enhances dental caries and apical periodontitis in caries-susceptible WBN/KobSlc rats.

    Science.gov (United States)

    Kodama, Yasushi; Matsuura, Masahiro; Sano, Tomoya; Nakahara, Yutaka; Ozaki, Kiyokazu; Narama, Isao; Matsuura, Tetsuro

    2011-02-01

    Many epidemiologic studies have suggested that diabetes may be an important risk factor for periodontal disease. To determine whether diabetes induces or enhances periodontal disease or dental caries, dental tissue from diabetic male and nondiabetic female WBN/KobSlc rats and male and female age-matched nondiabetic F344 rats was analyzed morphologically and morphometrically for these 2 types of lesions. Soft X-ray examination revealed that the incidence and severity of both molar caries and alveolar bone resorption were much higher in male WBN/KobSlc rats with chronic diabetes than in nondiabetic female rats of the same strain. Histopathologic examination showed that dental caries progressed from acute to subacute inflammation due to bacterial infections and necrosis in the pulp when the caries penetrated the dentin. In the most advanced stage of dental caries, inflammatory changes caused root abscess and subsequent apical periodontitis, with the formation of granulation tissue around the dental root. Inflammatory changes resulted in resorption of alveolar bone and correlated well with the severity of molar caries. Our results suggest that diabetic conditions enhance dental caries in WBN/KobSlc rats and that periodontal lesions may result from the apical periodontitis that is secondary to dental caries.

  6. Development, Methodology and Potential of the New Universal Visual Scoring System (UniViSS for Caries Detection and Diagnosis

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    Thomas Oehme

    2009-09-01

    Full Text Available Given the limitations of adjunct caries detection and diagnostic tools, e.g., imperfect validity and reproducibility, as well as the difficulties in controlling all possible confounding factors, the need for an objective visual caries detection and diagnosis system has become evident. Our work has therefore aimed at systematizing caries lesions with the Universal Visual Scoring System (UniViSS for occlusal and smooth surface lesions, which can be used for primary and permanent teeth, as well as under clinical, epidemiological, public health and laboratory conditions. Besides the description of the development and methodology of UniViSS, it is shown that UniViSS allows an accurate and reproducible classification of caries lesions on occlusal surfaces.

  7. The influence of the caries definition on disease prevalence and distribution in 20-23 year old persons in Stockholm.

    Science.gov (United States)

    Wikner, S

    1993-01-01

    The aim was to investigate to what extent an extension of the caries criterion into the dentin, may influence the need for therapeutical intervention. Using a computerized technic, the depth of all approximal lesions in posterior teeth in 151 persons, aged 20 and 23 years, were measured on magnified (x5) radiographs and expressed as per cent of the enamel width. The proportion diseased 20 year old persons was 88% if the criterion was any sign of caries but only 50% if the criterion was at least one lesion, reaching the dentin. When caries was defined as a lesion having a depth, corresponding the double enamel width the figure was 11% and the proportion surfaces in need of therapeutical treatment constituted 2% of the total caries volume. It is concluded that an extension of the filling criterion into the superficial layers of the dentin may reduce the need for filling therapy in 20 year old persons to a very low level.

  8. Evaluation of the Relationship between Salivary Albumin Level and Dental Caries

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    H. Abdolsamadi

    2013-07-01

    Full Text Available Introduction & Objective: Recently, it has been suggested that there might be an association between oral diseases such as dental caries, as well as periodontitis and general health . Re-garding the fact that albumin is an indicator of general health, the aim of the present study was to evaluate the relationship of salivary albumin concentration with dental caries. Materials & Methods: In this descriptive-analytical study 108 patients aged 13-19 years old who had teeth caries were placed in 3 groups with mild, moderate and severe dental caries according to their DMFT value (n=36. Five ml of unstimulated saliva were taken from each participant via Navazesh method and their albumin concentrations were assessed by nephelometery method. Data were analyzed by t-test and ANOVA. Results: The mean concentration of salivary albumin in three experimental groups was 84.442±42.915, 97.964±66.717 and 89.850±33.003, respectively. ANOVA showed that the difference among the mean values was not significant (P=0.09 but the relationship between salivary albumins and sex was significant (P=0.009. Conclusion: According to the results of the present study there was no significant relationship between albumin and dental caries in 13-19 year old individuals. (Sci J Hamadan Univ Med Sci 2013; 20 (2:101-106

  9. Mineral density, morphology and bond strength of natural versus artificial caries-affected dentin.

    Science.gov (United States)

    Joves, Gerardo José; Inoue, Go; Nakashima, Syozi; Sadr, Alireza; Nikaido, Toru; Tagami, Junji

    2013-01-01

    This study aimed to investigate an artificial caries-affected dentin (ACAD) model for in vitro bonding studies in comparison to natural caries-affected dentin (NCAD) of human teeth. ACAD was created over 7 days in a demineralizing solution. Mineral density (MD) at different depth levels (0-150 µm) was compared between NCAD and ACAD by transverse microradiography. Micro-tensile bond strengths (µTBS) of two two-step self-etch adhesives to sound dentin, NCAD and ACAD were evaluated. Caries-affected dentin type was not a significant factor when comparing MD at different lesion levels (p>0.05). Under SEM, the dentinal tubules appeared occluded with crystal logs 1-2 µm in thickness in the NCAD; whereas they remained open in the ACAD. The µTBS to caries-affected dentin was lower than sound dentin, but was not affected by the type of caries (p>0.05). In spite of their different morphologies, the ACAD model showed similar MD and µTBS compared to NCAD.

  10. Efficacy of chemomechanical caries removal in reducing cariogenic microbiota: a randomized clinical trial

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    Michelle Mikhael AMMARI

    2014-08-01

    Full Text Available The aim of this study was to compare the efficacy of chemochemical methods (Carisolv™ and Papacárie® versus the manual method (excavators in reducing the cariogenic microbiota in dentine caries of primary teeth. Forty-six healthy children (5 to 9 years old having at least one primary tooth with a cavitated dentine carious lesion were included in the study. The teeth presented no clinical or radiographic signs of pulpal involvement. The sample of 74 teeth was randomly divided into three different groups: Papacárie® (n = 25, Carisolv™ (n = 27 and Manual (n = 22. Samples of carious and sound dentine were collected with sterile excavators before and after caries removal in the three groups. The dentine samples were transferred to glass tubes containing a 1mL thioglycollate medium used as a carrier and enriched for microbiological detection of mutans streptococci and Lactobacillus spp, after incubation for 6h at room temperature. The minimum detection value for colony forming units (CFU was 3.3 x 102 CFU/ml, and the results were converted into scores from 0 to 4. A significant difference was observed in relation to the microbiological scores before and after caries removal for all methods (Wilcoxon test; p < 0.001. The use of chemomechanical methods for caries removal did not improve the reduction of cariogenic microorganisms in dentine caries lesions, in comparison with manual excavation.

  11. Secondary caries detection by DIAGNOdent and radiography: a comparative in vitro study.

    Science.gov (United States)

    Bamzahim, Mohammad; Shi, Xie-Qi; Angmar-Månsson, Birgit

    2004-02-01

    DIAGNOdent is now well documented for detection of primary occlusal caries, but not as yet for secondary caries. The aim of this study was to investigate the application of DIAGNOdent for in vitro detection of secondary caries. The material comprised 66 extracted teeth: 48 with amalgam restorations and 18 with tooth-colored restorations. Digital images of occlusal surfaces were captured for each specimen. The teeth were mounted in groups of 3 or 4 in plaster blocks simulating their anatomical positions. Bitewing radiographs of each block were assessed for secondary caries by 5 observers. The margins of each restoration were carefully scanned with DIAGNOdent; the site of the highest reading was localized in digital images; and the corresponding values were registered. Marginal integrity and staining were also documented. The restorations were then removed and the teeth were hemi-sectioned. For verification, two observers working together examined all the cavities under a stereomicroscope at 16 x magnification followed by probing. Sensitivity and specificity for DIAGNOdent and conventional radiography were 0.77/0.81 and 0.65/0.81, respectively. Regarding ROC analyses, the Az values were 0.89 and 0.72 for DIAGNOdent and radiography. For DIAGNOdent, the false-positive fraction included only stained teeth. Cohen's kappa statistics disclosed moderate agreement between the 2 methods, with an agreement of 56%. DIAGNOdent tended to give more positive diagnoses than bitewing radiography. The results indicate that DIAGNOdent may be a helpful tool for detecting secondary caries.

  12. Caries prevalence and socioeconomic factors in children with sickle cell anemia

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    Ana Cláudia Alves e Luna

    2012-02-01

    Full Text Available The aim of the present study was to investigate caries prevalence and socioeconomic factors in children with sickle cell anemia. This study was conducted in 160 children with sickle cell anemia aged 3 to 12 years attending the Center for Hematology in Recife, Brazil . Data collection included interviews with guardians concerning social factors and oral examinations to determine the caries prevalence. Statistical analyses were performed using the Kruskal-Wallis and Pearson's chi-square tests at a 5% significance level. The caries prevalence was 55.0%. The dmft index was 2.12, and the DMFT index was 1.50. Income significantly influenced dmft; the mean dmft was 4.57 in children whose family income was less than the Brazilian minimum wage (BMW, whereas in children with a family income three times the BMW or higher, the mean dmft was 2.27. No statistically positive association was found between the educational level of parents and guardians and the caries indices. A statistically significant association was found between dental caries prevalence and family income.

  13. [Serial clinical examinations as the main approach to dental caries prevention in children].

    Science.gov (United States)

    Skripkina, G I; Garifullina, A Zh

    2015-01-01

    Leading scientific and organizational prerequisites for the feasibility of clinical examination of the entire child population of the Russian Federation to the dentist is, above all, the high prevalence and intensity of dental diseases in children of all ages. As a result of many years of research and follow-up of children of preschool and school age we have proved the need to distinguish a group of children with zero activity of dental caries. The referring criteria are determined according to the results of comprehensive clinical and laboratory examination in order to determine the degree of risk of dental caries and individual caries resistance. The age-specific risk group is settled by "Stop caries" software. In order to optimize the preventive activities children are divided in 5 groups for routine preventive dental care. Unfortunately the efforts of modern dental services aimed at eliminating the consequences of caries process by filling cavities. Individualized preventive approach will increase the effectiveness of preventive measures and save public funds allocated in the amount of compulsory health insurance for pediatric dentistry.

  14. Maternal risk behavior and caries incidence in children with sickle cell disease

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    Felipe Fagundes SOARES

    2016-01-01

    Full Text Available The aim of this study was to analyze the incidence of caries, in relation to maternal risk behaviors and clinical conditions representing different levels of sickle cell disease severity. A total of 295 children aged 6 to 60 months participated in this cohort conducted from August 2007 to December 2008. They were diagnosed and monitored by the referral service of the state. Interviews were made with families to identify sociodemographic variables, and an oral exam was performed to determine dental caries. The SRQ (Self Report Questionnaire scale was used to diagnose the presence of common mental disorders, and the CAGE (Cut down, Annoyed, Guilty and Eye opener was applied to determine abusive use of alcohol. The absolute and relative frequencies of the variables of interest were analyzed by Chi-square and Mann-Whitney, with a 5% significance level. The incidence variables were analyzed according to the logistic regression model, with a confidence interval of 95%. Caries incidence (1.98; SD = 4.68 was higher in the HbSS genotype. There was a statistically significant association between caries incidence and both abusive use of alcohol (32.43%, RR = 1.99; 1.05-3.78; 95%CI and common mental disorders (8.77% RR = 0.37; 0.15-0.93; 95%CI. There was also an association between caries incidence and maternal risk behavior, indicating that the care network should be expanded to include patients with sickle cell disease.

  15. Ex vivo imaging of early dental caries within the interproximal space

    Science.gov (United States)

    Choo-Smith, Lin-P'ing; Hewko, Mark D.; Dufour, Marc L.; Fulton, Crystal; Qiu, Pingli; Gauthier, Bruno; Padioleau, Christian; Bisaillon, Charles-Etienne; Dong, Cecilia; Cleghorn, Blaine M.; Lamouche, Guy; Sowa, Michael G.

    2009-02-01

    Optical coherence tomography (OCT) is emerging as a technology that can potentially be used for the detection and monitoring of early dental enamel caries since it can provide high-resolution depth imaging of early lesions. To date, most caries detection optical technologies are well suited for examining caries at facial, lingual, incisal and occlusal surfaces. The approximal surfaces between adjacent teeth are difficult to examine due to lack of visual access and limited space for these new caries detection tools. Using a catheter-style probe developed at the NRC-Industrial Materials Institute, the probe was inserted into the interproximal space to examine the approximal surfaces with OCT imaging at 1310 nm. The probe was rotated continuously and translated axially to generate depth images in a spiral fashion. The probe was used in a mock tooth arch model consisting of extracted human teeth mounted with dental rope wax in their anatomically correct positions. With this ex vivo model, the probe provided images of the approximal surfaces revealing morphological structural details, regions of calculus, and especially regions of early dental caries (white spot lesions). Results were compared with those obtained from OCT imaging of individual samples where the approximal surfaces of extracted teeth are accessible on a lab-bench. Issues regarding access, regions of interest, and factors to be considered in an in vivo setting will be discussed. Future studies are aimed at using the probe in vivo with patient volunteers.

  16. Sugar Alcohols, Caries Incidence, and Remineralization of Caries Lesions: A Literature Review

    Directory of Open Access Journals (Sweden)

    Kauko K. Mäkinen

    2010-01-01

    Full Text Available Remineralization of minor enamel defects is a normal physiological process that is well known to clinicians and researchers in dentistry and oral biology. This process can be facilitated by various dietary and oral hygiene procedures and may also concern dentin caries lesions. Dental caries is reversible if detected and treated sufficiently early. Habitual use of xylitol, a sugar alcohol of the pentitol type, can be associated with significant reduction in caries incidence and with tooth remineralization. Other dietary polyols that can remarkably lower the incidence of caries include erythritol which is a tetritol-type alditol. Based on known molecular parameters of simple dietary alditols, it is conceivable to predict that their efficacy in caries prevention will follow the homologous series, that is, that the number of OH-groups present in the alditol molecule will determine the efficacy as follows: erythritol≥xylitol>sorbitol. The possible difference between erythritol and xylitol must be confirmed in future clinical trials.

  17. Evaluation of visual, explorer, and a laser device for detection of early occlusal caries.

    Science.gov (United States)

    El-Housseiny, A A; Jamjoum, H

    2001-01-01

    Reliable early diagnosis represents the keystone in modern dental care. This study aimed at disclosing a correlation between length of experience by the dentist and accuracy of caries diagnosis, by traditional clinical technique, that included visual and explorer examination, and evaluating the accuracy of the DIAGNOdent laser device. Histological sections confirmed clinical data obtained. Results showed that a reverse relationship between length of experience and accuracy of caries diagnosis i.e. younger dentist could achieve more accurate diagnosis. Laser diagnosis was superior to clinical diagnosis, whether by vision or explorer. It is concluded that DIAGNOdent laser is a promising instrument that can represent a valuable contribution to the dental practice.

  18. The impact of a national caries strategy in Greenland after 4 years

    DEFF Research Database (Denmark)

    Ekstrand, Kim R; Qvist, Vibeke

    2015-01-01

    AIMS: (1) To describe dental health - and financial goals to be achieved with a national caries strategy in Greenland (CSG) implemented in 2008; (2) to describe the principles of CSG; (3) to report caries outcome data for the 3-and 9-year-olds in 1996, in 2008 (baseline), and in 2012; and (4...... on predetermined visits/examinations, risk-related visits, oral health promotion, and predetermined fluoride and sealing policies. Ad (3) 75% and 88% of the total cohorts of 3- and 9-year-olds in 2012 were recorded, respectively. Seventy-six percent of the 3-year-olds showed defs = 0 in 2012 compared to 64...

  19. Association between body mass index and caries among children and adolescents

    DEFF Research Database (Denmark)

    Lempert, Susanne M; Froberg, Karsten; Christensen, Lisa;

    2013-01-01

    OBJECTIVE: The aim of this article was to examine the relationship between childhood caries, body mass index (BMI) and subsequent changes in BMI over 6 years, and to investigate whether these associations were modified by social class. METHODS: Data were from the European Youth Heart Study (EYHS...... and subsequent changes in BMI was found, but only among children with well-educated mothers, suggesting that high caries experience may be a marker for low future risk of overweight among the more advantaged. Associations did not appear to be significant among the less advantaged; however, numbers in this group...

  20. Diagnosing dental caries in populations with different levels of dental fluorosis

    DEFF Research Database (Denmark)

    Nyvad, Bente; Machiulskiene, Vita; Fejerskov, Ole

    2009-01-01

    The aim of this study was to assess the reliability of the Nyvad visual-tactile caries-diagnostic criteria when used among children who have been lifelong residents in areas with 'optimal' or low concentrations of fluoride in the drinking water. In each of two areas with drinking water fluoride c...

  1. The relationship between parenting, family interaction and childhood dental caries: A case-control study

    NARCIS (Netherlands)

    Jong-Lenters, M. de; Duijster, D.; Bruist, M.A.; Thijssen, J.; Ruiter, C. de

    2014-01-01

    The aim of this case-control study was to explore the relationship between parenting practices, parent-child interaction and childhood dental caries, using a sample of 5-8-year old children from the Netherlands. Cases were defined as children with four or more decayed, missing or filled teeth and co

  2. Fluoride and urea chewing gums in an intra-oral experimental caries model

    NARCIS (Netherlands)

    Sjogren, K; Ruben, J; Lingstrom, P; Lundberg, AB; Birkhed, D

    2002-01-01

    The aim of the present investigation was to evaluate the effect of sugar-free chewing gums containing fluoride (F) and urea in an intra-oral experimental caries model. Placebo chewing gums (without any active ingredient) and no gum served as controls. Fifteen subjects participated in a cross-over, s

  3. Consumption of sweet snacks and caries experience of primary school children.

    NARCIS (Netherlands)

    Kalsbeek, H.; Verrips, G.H.

    1994-01-01

    With the aim of evaluating the relationship between consumption of sweet snacks (sugars) and caries prevalence, a secondary analysis was performed on data obtained in an epidemiological study of 5-, 8- and 11-year-old children, all participants of Regional Institutions for Youth Dentistry. The child

  4. Caries prevalence in Danish pre-school children delivered vaginally and by caesarean section

    DEFF Research Database (Denmark)

    Barfod, Mette Nelun; Christensen, Lisa Bøge; Twetman, Svante Henrik Agardh;

    2012-01-01

    OBJECTIVE: The mode of delivery may significantly influence the diversity and composition of the oral microflora and facilitate early acquisition of mutans streptococci. The aim was to compare caries prevalence and experience in 3-year-old children delivered vaginally and by caesarean section (C...

  5. Quantitative diagnosis of small approximal caries lesions utilizing wavelength-dependent fiber-optic transillumination

    NARCIS (Netherlands)

    Vaarkamp, J; TenBosch, JJ; Verdonschot, EH; Tranaeus, S

    1997-01-01

    The instruments clinically available for the diagnosis of approximal caries lesions are inadequate to detect lesions early and quantitatively. The aim of this study was to investigate whether wavelength-dependent light scattering and absorption of carious tissues may be utilized for the quantitative

  6. The relationship between parenting, family interaction and childhood dental caries: a case-control study

    NARCIS (Netherlands)

    M. de Jong-Lenters; D. Duijster; M.A. Bruist; J. Thijssen; C. de Ruiter

    2014-01-01

    The aim of this case-control study was to explore the relationship between parenting practices, parent-child interaction and childhood dental caries, using a sample of 5-8-year old children from the Netherlands. Cases were defined as children with four or more decayed, missing or filled teeth and co

  7. The effect of chlorhexidine varnish on root caries: a systematic review

    NARCIS (Netherlands)

    Slot, D.E.; Vaandrager, N.C.; Loveren, C. van; Palenstein Helderman, W.H. van; Weijden, G.A. van der

    2011-01-01

    OBJECTIVE: The aim of this study was to systematically review the present literature on the effect of chlorhexidine varnish (CHX-V) on root caries. MATERIALS AND METHODS: The MEDLINE-PubMed, the Cochrane-CENTRAL and EMBASE databases were searched through December 2010 to identify any appropriate stu

  8. 主要农作物转基因飘流频率和距离的数据调研与分析Ⅰ.背景、调研目的及所考虑的问题%Data Survey and Analysis of the Tansgene Flow Frequencies and Distances in Major Crops Ⅰ .The Background, Aim and General Consideration

    Institute of Scientific and Technical Information of China (English)

    王志兴; 王旭静; 贾士荣

    2011-01-01

    Transgene flow's potential risk on environment and food is one of the hot spots that major public concerned.The data and information on tansgene flow in major corps published internationally until 2010 have been surveyed and analyzed.The distances of transgene flow at certain threshold level for different major crops are particularly defined.In this article, the background, aim and general consideration for this survey were discussed.On the scientific basis,the principle of classification management and threshold management are proposed to control the risk of transgene flow.%转基因飘流及其可能引起的环境和食品潜在风险是公众关注的热点之一.对2010年前主要农作物转基因飘流的数据和信息进行了调研与分析,特别是对一定允许阈值下的基因飘流距离进行了归纳.在分别报道各种作物的基因飘流数据前,对调研的背景、目的及所考虑的问题进行了讨论,基于科学分析,建议采用分类管理和阈值管理的原则来控制转基因飘流的风险.

  9. [Caries status in diabetic patients].

    Science.gov (United States)

    Albrecht, M; Bánóczy, J; Dinya, E; Tamás, G

    1991-09-01

    Clinical dental examination of 1600 diabetics (815 type 1 insulin dependent and 761 type 2 non-insulin dependent patients) has been performed according to the WHD criteria. According to examination results higher DMF mean value, less uncared of teeth with caries (D) and, in the age group of 19 years and above 30 years, more edentulousness has been found than with healthy individuals. The number of filled and crowded teeth (F) below the age of 35 years in diabetics (p 0.0001), above 45 years in the control group (p 0.0001) was higher. Concerning cared of teeth there was no deviation in the number of filled teeth between diabetic and healthy individuals whereas the number of crown covered teeth was higher with diabetics. (p 0.01). As to the distribution of individuals with healthy teeth and toothless ones it was found characteristic that while among diabetic individuals but 1%, in the control 1.4% possessed retained healthy teeth. The number of completely toothless individuals was higher (11.83%) with diabetics than with healthy individuals (2.25%).

  10. Protocol for Northern Ireland Caries Prevention in Practice Trial (NIC-PIP trial: a randomised controlled trial to measure the effects and costs of a dental caries prevention regime for young children attending primary care dental services

    Directory of Open Access Journals (Sweden)

    Noble Solveig

    2011-10-01

    Full Text Available Abstract Background Dental caries is a persistent public health problem with little change in the prevalence in young children over the last 20 years. Once a child contracts the disease it has a significant impact on their quality of life. There is good evidence from Cochrane reviews including trials that fluoride varnish and regular use of fluoride toothpaste can prevent caries. The Northern Ireland Caries Prevention in Practice Trial (NIC-PIP trial will compare the costs and effects of a caries preventive package (fluoride varnish, toothpaste, toothbrush and standardised dental health education with dental health education alone in young children. Methods/Design A randomised controlled trial on children initially aged 2 and 3 years old who are regular attenders at the primary dental care services in Northern Ireland. Children will be recruited and randomised in dental practices. Children will be randomised to the prevention package of both fluoride varnish (twice per year for three years, fluoride toothpaste (1,450 ppm F (supplied twice per year, a toothbrush (supplied twice a year or not; both test and control groups receive standardised dental health education delivered by the dentist twice per year. Randomisation will be conducted by the Belfast Trust Clinical Research Support Centre ([CRSC] a Clinical Trials Unit. 1200 participants will be recruited from approximately 40 dental practices. Children will be examined for caries by independent dental examiners at baseline and will be excluded if they have caries. The independent dental examiners will examine the children again at 3 years blinded to study group. The primary end-point is whether the child develops caries (cavitation into dentine or not over the three years. One secondary outcome is the number of carious surfaces in the primary dentition in children who experience caries. Other secondary outcomes are episodes of pain, extraction of primary teeth, other adverse events and costs

  11. Protocol for Northern Ireland Caries Prevention in Practice Trial (NIC-PIP) trial: a randomised controlled trial to measure the effects and costs of a dental caries prevention regime for young children attending primary care dental services

    LENUS (Irish Health Repository)

    Tickle, Martin

    2011-10-10

    Abstract Background Dental caries is a persistent public health problem with little change in the prevalence in young children over the last 20 years. Once a child contracts the disease it has a significant impact on their quality of life. There is good evidence from Cochrane reviews including trials that fluoride varnish and regular use of fluoride toothpaste can prevent caries. The Northern Ireland Caries Prevention in Practice Trial (NIC-PIP) trial will compare the costs and effects of a caries preventive package (fluoride varnish, toothpaste, toothbrush and standardised dental health education) with dental health education alone in young children. Methods\\/Design A randomised controlled trial on children initially aged 2 and 3 years old who are regular attenders at the primary dental care services in Northern Ireland. Children will be recruited and randomised in dental practices. Children will be randomised to the prevention package of both fluoride varnish (twice per year for three years), fluoride toothpaste (1,450 ppm F) (supplied twice per year), a toothbrush (supplied twice a year) or not; both test and control groups receive standardised dental health education delivered by the dentist twice per year. Randomisation will be conducted by the Belfast Trust Clinical Research Support Centre ([CRSC] a Clinical Trials Unit). 1200 participants will be recruited from approximately 40 dental practices. Children will be examined for caries by independent dental examiners at baseline and will be excluded if they have caries. The independent dental examiners will examine the children again at 3 years blinded to study group. The primary end-point is whether the child develops caries (cavitation into dentine) or not over the three years. One secondary outcome is the number of carious surfaces in the primary dentition in children who experience caries. Other secondary outcomes are episodes of pain, extraction of primary teeth, other adverse events and costs which will

  12. Factors associated with early childhood caries in Chile

    Directory of Open Access Journals (Sweden)

    Lorena Hoffmeister

    2016-01-01

    Conclusions: The high prevalence of caries in this young group is concerning. The factors associated with caries identified in this study could help in the design of preventive interventions at early ages.

  13. Background sources at PEP

    Energy Technology Data Exchange (ETDEWEB)

    Lynch, H.; Schwitters, R.F.; Toner, W.T.

    1988-01-01

    Important sources of background for PEP experiments are studied. Background particles originate from high-energy electrons and positrons which have been lost from stable orbits, ..gamma..-rays emitted by the primary beams through bremsstrahlung in the residual gas, and synchrotron radiation x-rays. The effect of these processes on the beam lifetime are calculated and estimates of background rates at the interaction region are given. Recommendations for the PEP design, aimed at minimizing background are presented. 7 figs., 4 tabs.

  14. Caries in the infundibulum of the second upper premolar tooth in the horse

    Directory of Open Access Journals (Sweden)

    Wattle Ove S

    2007-03-01

    Full Text Available Abstract Background Swedish equine dental practices have empirically found that the prevalence of infundibular caries as a primary disorder in the first permanent premolar teeth (P2 of the horse upper jaw has increased during the last 10 years. A previously unknown bacterial species, Streptococcus devriesei (CCUG 47155T, which is related to Streptococcus mutans, has recently been isolated from these carious lesions. To understand the aetiology of caries in horses, it is essential to elucidate the relationship between S. devriesei and P2 infundibular caries. Methods The anterior infundibulum of maxillary P2, or the occlusal surface at the site of the infundibulum, in 117 horses and ponies, 77 with and 40 without caries in this tooth, was sampled for bacteriological analyses between 1990 and 2004. Samples were transported in VMGA III medium and then inoculated onto MSB agar. The approximate number of bacteria was counted in each sample and the isolates were characterised biochemically, using a commercial kit. Results All 50 samples taken from carious lesions after 2002 were positive for an S. mutans-like strain, i.e. S. devriesei. The bacteria were also found in four of the control animals, but were much less numerous than in samples from caries-affected horses. None of the swabs taken prior to 2002 were positive for this bacteria. Conclusion Our results demonstrate that S. devriesei can colonise the infundibulum of P2 of the horse upper jaw, which can be fatal for the dental tissue. We conclude that S. devriesei is strongly associated with P2 caries in horses.

  15. Effect of milk and yogurt on streptococcus sobrinus counts and caries score in rats

    Directory of Open Access Journals (Sweden)

    Maryam Ghasempour

    2015-01-01

    Full Text Available Background: An anti-cariogenic diet containing probiotics can be effective in caries prevention. This animal study compared the effects of milk and yogurt on Streptococcus sobrinus counts and caries score. Materials and Methods: A total of 36 male rats were infected with S. sobrinus (27,607 and divided into three groups. Group A and B received 200 mL of milk and 100 g of yogurt per day, respectively, and a control group received 2.5 mL of NCP number 2 diet twice daily for 21 days. After killing the animals, their lower left jaws were removed and sonicated to quantify the colonies of S. sobrinus. Dental caries was scored using Keyes technique. Data were analyzed using ANOVA and Kruskal-Wallis, Mann-Whitney and Wilcoxon-Signed Rank tests. Statistical significance was set at P < 0.05. Results: The mean (±standard error of the mean of S. sobrinus colonies in the milk, yogurt and control groups were determined at 119666.67 (±20733, 46416.666 (±12846 and 163,250 (±33493, respectively. Microbial counts decreased in the yogurt group compared with the milk and control groups (P = 0.004 and P = 0.000; respectively. There were significant differences between caries scores of smooth surfaces in the milk and yogurt groups compared with the control group (P = 0.000 and P = 0.000, respectively. Both milk and yogurt significantly reduced caries score of fissured surfaces compared with controls (P = 0.004 and P = 0.000, respectively. Conclusion: Considering the limitations of this study, yogurt administration reduces S. sobrinus counts. In addition, yogurt and milk regimens reduce the caries scores of smooth and fissured surfaces.

  16. Effect of milk and yogurt on streptococcus sobrinus counts and caries score in rats

    Science.gov (United States)

    Ghasempour, Maryam; Rajabnia, Ramazam; Ashrafpour, Manouchehr; Ehsani, Atiyyeh; Moghadamnia, Ali Akbar; Gharekhani, Samane; Shahandashti, Elaheh Ferdosi; Bagheri, Meghdad

    2015-01-01

    Background: An anti-cariogenic diet containing probiotics can be effective in caries prevention. This animal study compared the effects of milk and yogurt on Streptococcus sobrinus counts and caries score. Materials and Methods: A total of 36 male rats were infected with S. sobrinus (27,607) and divided into three groups. Group A and B received 200 mL of milk and 100 g of yogurt per day, respectively, and a control group received 2.5 mL of NCP number 2 diet twice daily for 21 days. After killing the animals, their lower left jaws were removed and sonicated to quantify the colonies of S. sobrinus. Dental caries was scored using Keyes technique. Data were analyzed using ANOVA and Kruskal-Wallis, Mann-Whitney and Wilcoxon-Signed Rank tests. Statistical significance was set at P yogurt and control groups were determined at 119666.67 (±20733), 46416.666 (±12846) and 163,250 (±33493), respectively. Microbial counts decreased in the yogurt group compared with the milk and control groups (P = 0.004 and P = 0.000; respectively). There were significant differences between caries scores of smooth surfaces in the milk and yogurt groups compared with the control group (P = 0.000 and P = 0.000, respectively). Both milk and yogurt significantly reduced caries score of fissured surfaces compared with controls (P = 0.004 and P = 0.000, respectively). Conclusion: Considering the limitations of this study, yogurt administration reduces S. sobrinus counts. In addition, yogurt and milk regimens reduce the caries scores of smooth and fissured surfaces. PMID:26759594

  17. Risk factors for caries - control and prevention

    Directory of Open Access Journals (Sweden)

    Melida Hasanagić

    2008-08-01

    Full Text Available Objectives. To investigate a prevalence of caries, filled permanentand extracted permanent teeth, as well as caries risk factors inschool children aged 7, 9 and 11.Methods. The survey included 800 children (296 children aged7; 254 children aged 9 and 250 children aged 11 from the MostarMunicipality, 400 of them living in both rural and urban areas.A dental mirror and standard light of dental chair were used forexamination. The DMF index (Dental Caries, Missing Teeth andFilled Teeth was determined, as well as failure in keeping teethhygiene, sugar intake with food, and incidence of oral cavity infection.Results. The dental state of permanent teeth in children aged 7and 9 has shown significant difference between the children fromrural and urban areas (p < 0,001. Out of 2,698 and 2,790 permanentteeth in children aged 11 from rural and urban areas, 1,086(40,25 % and 884 (31.68 % had caries, respectively (p < 0.01.The difference between these groups of children has been foundin relation to the index of oral hygiene too (p < 0.05.Conclusion. An identification of risk groups for getting caries wasvery important and could help health and social structures to maintaintheir programs in order to improve oral health.

  18. Equity in children’s dental caries before and after cessation of community water fluoridation: differential impact by dental insurance status and geographic material deprivation

    OpenAIRE

    McLaren, Lindsay; McNeil, Deborah A; Potestio, Melissa; Patterson, Steve; Thawer, Salima; Faris, Peter; Shi, Congshi; Shwart, Luke

    2016-01-01

    Background One of the main arguments made in favor of community water fluoridation is that it is equitable in its impact on dental caries (i.e., helps to offset inequities in dental caries). Although an equitable effect of fluoridation has been demonstrated in cross-sectional studies, it has not been studied in the context of cessation of community water fluoridation (CWF). The objective of this study was to compare the socio-economic patterns of children’s dental caries (tooth decay) in Calg...

  19. International comparisons of health inequalities in childhood dental caries

    DEFF Research Database (Denmark)

    Pine, Cynthia M; Adair, Pauline M; Nicoll, Alison D

    2004-01-01

    important predictor of whether children had caries and this factor persisted in children from disadvantaged communities. 90% of children with lactobacillus had caries. CONCLUSIONS: Parental beliefs and attitudes play a key role in moderating oral health related behaviour in young children and in determining...... whether they develop caries. Further research is indicated to determine whether supporting the development of parenting skills would reduce dental caries in children from disadvantaged communities independent of ethnic origin....

  20. AIM: Attracting Women into Sciences.

    Science.gov (United States)

    Hartman, Icial S.

    1995-01-01

    Addresses how to attract more college women into the sciences. Attracting Women into Sciences (AIM) is a comprehensive approach that begins with advising, advertising, and ambiguity. The advising process includes dispelling stereotypes and reviewing the options open to a female basic science major. Interaction, involvement and instruction, finding…

  1. Use of new minimum intervention dentistry technologies in caries management.

    Science.gov (United States)

    Tassery, H; Levallois, B; Terrer, E; Manton, D J; Otsuki, M; Koubi, S; Gugnani, N; Panayotov, I; Jacquot, B; Cuisinier, F; Rechmann, P

    2013-06-01

    Preservation of natural tooth structure requires early detection of the carious lesion and is associated with comprehensive patient dental care. Processes aiming to detect carious lesions in the initial stage with optimum efficiency employ a variety of technologies such as magnifying loupes, transillumination, light and laser fluorescence (QLF® and DIAGNOdent® ) and autofluorescence (Soprolife® and VistaCam®), electric current/impedance (CarieScan(®) ), tomographic imaging and image processing. Most fluorescent caries detection tools can discriminate between healthy and carious dental tissue, demonstrating different levels of sensitivity and specificity. Based on the fluorescence principle, an LED camera (Soprolife® ) was developed (Sopro-Acteon, La Ciotat, France) which combined magnification, fluorescence, picture acquisition and an innovative therapeutic concept called light-induced fluorescence evaluator for diagnosis and treatment (LIFEDT). This article is rounded off by a Soprolife® illustration about minimally or even non-invasive dental techniques, distinguishing those that preserve or reinforce the enamel and enamel-dentine structures without any preparation (MIT1- minimally invasive therapy 1) from those that require minimum preparation of the dental tissues (MIT2 - minimally invasive therapy 2) using several clinical cases as examples. MIT1 encompasses all the dental techniques aimed at disinfection, remineralizing, reversing and sealing the caries process and MIT2 involves a series of specific tools, including microburs, air abrasion devices, sonic and ultrasonic inserts and photo-activated disinfection to achieve minimal preparation of the tooth. With respect to minimally invasive treatment and prevention, the use of lasers is discussed. Furthermore, while most practices operate under a surgical model, Caries Management by Risk Assessment (CaMBRA) encourages a medical model of disease prevention and management to control the manifestation of the

  2. 21 CFR 872.1740 - Caries detection device.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Caries detection device. 872.1740 Section 872.1740...) MEDICAL DEVICES DENTAL DEVICES Diagnostic Devices § 872.1740 Caries detection device. (a) Identification. The caries detection device is a device intended to show the existence of decay in a patient's...

  3. 21 CFR 872.1745 - Laser fluorescence caries detection device.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Laser fluorescence caries detection device. 872... SERVICES (CONTINUED) MEDICAL DEVICES DENTAL DEVICES Diagnostic Devices § 872.1745 Laser fluorescence caries detection device. (a) Identification. A laser fluorescence caries detection device is a laser,...

  4. PUFA - an index of clinical consequences of untreated dental caries

    NARCIS (Netherlands)

    Monse, B.; Heinrich-Weltzien, R.; Benzian, H.; Holmgren, C.J.; Palenstein Helderman, W.H. van

    2010-01-01

    RATIONALE: Dental caries is a global public health problem, especially in children. Most caries in developing countries remains untreated. Only limited data are available on the clinical consequences of untreated dental caries because there is no measure to quantify the prevalence and severity of or

  5. Host and microbiological factors related to dental caries development

    NARCIS (Netherlands)

    De Soet, J.J.; van Gemert-Schriks, M.C.M.; Laine, M.L.; van Amerongen, W.E.; Morré, S.A.; van Winkelhoff, A.J.

    2008-01-01

    Studies on dental caries suggest that in severe cases it may induce a systemic immune response. This occurs particularly when caries progresses into pulpal inflammation and results in abscess or fistula formation (AFF). We hypothesized that severe dental caries will affect the general health of chil

  6. The caries process and its effect on the pulp

    DEFF Research Database (Denmark)

    Bjørndal, Lars

    2008-01-01

    The understanding of the caries process and its effect on the pulp is presented in the context that caries does develop in various rates of progression. Early in the caries process, the pulp reflects changes within lesion activity. Thus, the early pulp response is reversible. Later, the rate of c...

  7. Caries-preventive Effect of Supervised Toothbrushing and Sealants

    NARCIS (Netherlands)

    Hilgert, L.A.; Leal, S.C.; Mulder, J.; Creugers, N.H.J.; Frencken, J.E.F.M.

    2015-01-01

    To investigate the effectiveness of 3 caries-preventive measures on high- and low-caries risk occlusal surfaces of first permanent molars over 3 y. This cluster-randomized controlled clinical trial covered 242 schoolchildren, 6 to 7 y old, from low socioeconomic areas. At baseline, caries risk was a

  8. CARI-7A: DEVELOPMENT AND VALIDATION.

    Science.gov (United States)

    Copeland, Kyle

    2017-01-10

    Aircrew members can be exposed to higher annual doses of natural ionizing radiation than members of the general population in most parts of the world. The principal ionizing radiation to which they are exposed is galactic cosmic radiation (GCR). Among the particles present in the primary spectrum are heavy ions: relativistic nuclei of lithium and heavier elements. These ions have very high radiation weighting factors and can contribute significantly to the effective dose at altitudes above the Pfotzer maximum. This report describes the latest version of the US Federal Aviation Administration's GCR flight dose calculation software, CARI-7A. Unlike its predecessor, CARI-6, CARI-7A directly includes heavy ion transport, using a database of atmospheric particle spectra generated by incident GCR ions pre-calculated with MCNPX 2.7.0. to enable calculations to the edge of space. Results are compared with measurements aboard commercial passenger aircraft, high altitude research aircraft and similar calculations by others.

  9. The prevalence and severity of early childhood caries in preschool children in the Federation of Bosnia and Herzegovina

    Directory of Open Access Journals (Sweden)

    Lejla Šačić

    2016-05-01

    Full Text Available Objective. The aim of this study was to assess caries prevalence and severity in preschool children in the Federation of Bosnia and Herzegovina. In addition, the relationship between the frequency and clinical types of early childhood caries and behavioral factors, oral hygiene and eating habits were assessed. Subjects and methods. An oral health survey was performed in line with the World Health Organization methodology and criteria. The research consisted of clinical examinations of children to determine dentition status, oral hygiene and severity of caries distribution according to Wyne’s classification. Information about behavioral factors was collected by means of a questionnaire administered to parents/guardians. Results. The sample consisted of a total of 165 preschool children aged 3-5 years. Mean dmft (decay, missing, filled teeth index for primary dentition was 6.79. The percentage of caries-free children was 17.0%. The results showed a statistically significant correlation between oral hygiene and eating habits, and also the frequency and types of early childhood caries. Conclusion. The present study demonstrates high caries prevalence in preschool children in the Federation of Bosnia and Herzegovina. Community based preventive programs should be developed and urgently implemented, in order to achieve the WHO goals, improve oral and general health, thus improving the quality of life of these populations.

  10. Accuracy of Digital Bitewing Radiography versus Different Views of Digital Panoramic Radiography for Detection of Proximal Caries

    Science.gov (United States)

    Abdinian, Mehrdad; Razavi, Sayed Mohammad; Samety, Amir Abbas; Faghihian, Elham

    2015-01-01

    Objectives: Dental caries are common and have a high incidence among populations. Radiographs are essential for detecting proximal caries. The best technique should be recognized for accurate detection of caries. The aim of this study was to compare the accuracy of detection of proximal caries using intraoral bitewing, extraoral bitewing, improved interproximal panoramic, improved orthogonality panoramic and conventional panoramic radiographs. Materials and Methods: In this descriptive cross sectional study, 100 extracted human teeth with and without proximal caries were used. Intra and extraoral radiographs were taken. Images were evaluated and scored by two observers. Scores were compared with the histological gold standard. The diagnostic accuracy of radiographs was assessed by means of receiver operating characteristic (ROC) curve analysis (P<0.05). Results: Microscopic evaluation of proximal surfaces revealed that 54.8% of the surfaces were sound and 45.2% were carious (with different depths). The differences in the area under the ROC curve (Az value) among the five techniques were not statistically significant. Conclusion: Improved interproximal panoramic and extraoral bitewing radiographs were superior to conventional panoramic radiography for detection of proximal caries ex vivo and should be considered for patients with contraindications for intraoral radiographs. PMID:26622284

  11. Association between Knowledge about Comprehensive Food Education and Increase in Dental Caries in Japanese University Students: A Prospective Cohort Study.

    Science.gov (United States)

    Kunitomo, Muneyoshi; Ekuni, Daisuke; Mizutani, Shinsuke; Tomofuji, Takaaki; Irie, Koichiro; Azuma, Tetsuji; Yamane, Mayu; Kataoka, Kota; Taniguchi-Tabata, Ayano; Mizuno, Hirofumi; Miyai, Hisataka; Iwasaki, Yoshiaki; Morita, Manabu

    2016-02-25

    In Japan, comprehensive food education (shokuiku) programs are carried out with the aim of improving dietary practices and thereby reducing the incidence of lifestyle-related diseases, including dental caries. The purpose of this prospective cohort study was to investigate the association between knowledge about shokuiku and the increase in dental caries among Japanese university students who had attended a shokuiku program while in junior/senior high school. A total of 562 students volunteered to undergo oral examinations over a three-year follow-up period, during which the number of cases of dental caries were recorded. Additional information was collected using a questionnaire survey regarding knowledge about shokuiku, dietary habits, and oral health behaviors. In logistic regression analysis, males who lacked knowledge about shokuiku had significantly higher odds for dental caries than those who did not (odds ratio (OR), 2.00; 95% confidence interval (CI), 1.12-3.58; p = 0.019). On the other hand, among females, those who frequently consumed sugar-sweetened soft drinks had significantly higher odds for dental caries than those who did not (OR, 1.89; 95% CI, 1.05-3.42; p = 0.035). These results suggest that having no knowledge about shokuiku is associated with a risk of increase in dental caries in Japanese male university students.

  12. Distal caries of the second molar in the presence of a mandibular third molar - a prevention protocol.

    Science.gov (United States)

    Toedtling, V; Coulthard, P; Thackray, G

    2016-09-23

    Objectives The objectives of the prospective study were to establish the prevalence of distal caries (DC) in the mandibular second molar and to assess the outcomes of these diseased teeth in our population. Further aims were to identify associated risk factors and to design a protocol for prevention.Methods Clinical and radiographic data from 210 consecutive patients were ascertained over a three-month period. The sample population included all patients who had been referred to a hospital oral surgery department for a lower wisdom tooth assessment.Results A total of 224 mandibular third molars were included and assessed. The prevalence of caries affecting the distal aspect of the second molar was 38% (n = 85) in this population. In 18% of patients there was evidence of early enamel caries. Fifty-eight percent of caries was managed with restorative treatment but 11% of patients required second molar extraction and 13% of patients required the removal of the second and third molars. The prevalence of distal caries was significantly higher in patients with partially erupted wisdom teeth positioned below the amelocemental junction (P molar and in patients who presented with mesioangular impactions (P molars are useful disease predictors which can be used to indicate the likelihood of a caries process occurring on the distal aspect of the second mandibular molar. If patients' third molar teeth are not removed then consideration needs to be given to prevention and regular monitoring.

  13. Association between Knowledge about Comprehensive Food Education and Increase in Dental Caries in Japanese University Students: A Prospective Cohort Study

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    Muneyoshi Kunitomo

    2016-02-01

    Full Text Available In Japan, comprehensive food education (shokuiku programs are carried out with the aim of improving dietary practices and thereby reducing the incidence of lifestyle-related diseases, including dental caries. The purpose of this prospective cohort study was to investigate the association between knowledge about shokuiku and the increase in dental caries among Japanese university students who had attended a shokuiku program while in junior/senior high school. A total of 562 students volunteered to undergo oral examinations over a three-year follow-up period, during which the number of cases of dental caries were recorded. Additional information was collected using a questionnaire survey regarding knowledge about shokuiku, dietary habits, and oral health behaviors. In logistic regression analysis, males who lacked knowledge about shokuiku had significantly higher odds for dental caries than those who did not (odds ratio (OR, 2.00; 95% confidence interval (CI, 1.12–3.58; p = 0.019. On the other hand, among females, those who frequently consumed sugar-sweetened soft drinks had significantly higher odds for dental caries than those who did not (OR, 1.89; 95% CI, 1.05–3.42; p = 0.035. These results suggest that having no knowledge about shokuiku is associated with a risk of increase in dental caries in Japanese male university students.

  14. Prevalensi early childhood caries dan severe early childhood caries pada anak prasekolah di Gunung Anyar Surabaya (The prevalences of early childhood caries and severe early childhood caries in preschool children at Gunung Anyar Surabaya

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    Rahel Wahjuni Sutjipto

    2014-12-01

    Full Text Available Background: Early childhood caries (ECC is a serious health problem especially in young children. Frequent night time bottle feeding with milk and prolong breast-feeding are reported to be the possible cause. Purpose: The purpose of study was to determine the prevalence of ECC and severe early childhood caries (SECC in children at Preschool Gunung Anyar district Surabaya. Methods: The subjects were 65 children consist of children aged 6 months (5 children, 1 year (8 children, 2 years (24 children, and 3 years (28 children. All tooth surface is evaluated. If there was one or more DMFs, it was indicated as ECC, whereas if there was one or more DMFs on smooth surfaces, then indicated as SECC. Results: No caries has found in 6 months and 1 year old children. The higher prevalence of ECC and SECC is in 3 years old children. The most caries was found on mesial maxillary central incisors. Conclusion: This study shows that the prevalence of ECC in group of children aged 6 months - 3 years at Gunung Anyar Surabaya was 30.8 % , while the prevalence was 29.2 % SECC .Latar belakang: Karies anak usia dini merupakan masalah kesehatan yang serius terutama di kalangan anak-anak. Sering mengkonsumsi susu melalui botol pada malam hari dan pemberian ASI yang berkepanjangan dilaporkan sebagai faktor penyebab. Tujuan: Penelitian ini bertujuan untuk meneliti prevalensi ECC dan SECC pada kelompok anak di PAUD Gunung Anyar Surabaya. Metode: Subyek penelitian ini adalah 65 anak yang terdiri dari anak usia 6 bulan (5 anak, 1 tahun (8 anak, 2 tahun (24 anak, dan 3 tahun (28 anak. Semua permukaan gigi dievaluasi. Apabila terdapat 1 atau lebih dmfs, maka diindikasikan sebagai ECC, sedangkan apabila terdapat 1 atau lebih dmfs pada permukaan gigi yang halus, maka diindikasikan sebagai SECC. Hasil: Tidak ditemukan karies pada kelompok anak usia 6 bulan hingga 1 tahun. Prevalensi tinggi ECC dan SECC ditemukan pada kelompok anak usia 3 tahun. Area gigi yang paling sering terkena

  15. Prevotella intermedia and Porphyromonas gingivalis in dental caries with periapical granuloma

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    Risya Cilmiaty

    2013-12-01

    Full Text Available Background: Dental caries with necrotic pulp is a multifactorial disease that attacks enamel involving tooth pulp. The anaerobic bacteria infection in the pulp chamber could induce the formation of periapical granuloma. However, the presence of the most frequently anaerobic bacteria identified in apical periodontitis, Porphyromonas gingivalis and Prevotella intermedia, in periapical granuloma have not been confirmed. Purpose: The aims of study were to determine the presence of Porphyromonas gingivalis and Prevotella intermedia in dental caries with necrotic pulp and to determine its relation to periapical granuloma. Methods: Thirty-six patients of dental caries with necrotic pulp in Dr. Moewardi General Hospital in Surakarta, Indonesia were involved and classified into two groups, the group of patients with periapical granuloma and the group of patients without periapical granuloma. The caries tooth was extracted, and the chronic periapical tissue was swabbed and cultured on blood agar medium in anaerobic condition. The bacterial DNA was extracted from the positive cultures and subjected for Polymerase Chain Reaction (PCR. Results: Periapical granuloma was more likely found in women (OR 5.5, 95% CI=1.277-23.693; RR 2.5, 95% CI= 1.025-6.100. Black colonies bacteria were associated with periapical granuloma (OR 2.2, 95% CI=0.517-9.594; RR 1.5, 95% CI=0.655-3.623. Porphyromonas gingivalis and Prevotella intermedia were detected in group with or without periapical granuloma, however, only Prevotella intermedia was associated with periapical granuloma (OR 1.6, 95% CI=0.418-5.903; RR 1.3, 95% CI=0.653-2.393. Conclusion: The presence of Porphyromonas gingivalis and Prevotella intermedia in periapical granuloma were confirmed, however, only Prevotella intermedia were associated with periapical granuloma.Latar belakang: Karies gigi dengan pulpa nekrosis adalah penyakit multifaktorial yang menyerang enamel hingga ruang pulpa gigi. Infeksi bakteri anaerob

  16. A vaccine against dental caries: an overview.

    Science.gov (United States)

    Michalek, S M; Katz, J; Childers, N K

    2001-01-01

    Dental caries continues to be a costly and prevalent oral disease. Research efforts towards developing a well tolerated and effective vaccine against dental caries were initiated following the demonstration of a specific bacterial aetiology for this disease. The cariogenic mutans streptococci are the principal bacteria causing this disease. Specific immune defence against these bacteria is provided mainly by secretory immunoglobulin (Ig) A antibodies present in saliva, which are generated by the common mucosal immune system. Progress in the development of a vaccine against dental caries has increased due to both advancements in molecular biology and our understanding of the mucosal immune system and mucosal vaccines. Advancements in molecular biology have facilitated the cloning and functional characterisation of virulence factors of the mutans streptococci, including the cell-surface fibrillar proteins, which mediate adherence to the tooth surface, and the glucosyltransferase enzymes, which synthesise adhesive glucans and allow microbial accumulation on the teeth. Current strategies for immunisation against dental caries are using these virulence factors as key antigens and incorporating them into novel mucosal vaccine systems and delivering them with or without adjuvants to mucosal IgA inductive sites. The most popular routes of mucosal immunisation are via the oral or nasal route. The mucosal immune system is functional in newborn infants, who develop salivary IgA antibodies as they become colonised by oral micro-organisms. Mucosal immunisation strategies result in the induction of salivary IgA antibody responses and pose fewer problems than parenteral injection of antigen. Therefore, mucosal immunisation of infants prior to the appearance of their first teeth may be a well tolerated and effective way to induce immunity against the colonisation of teeth by mutans streptococci and protection against subsequent dental caries. The purpose of this article is to

  17. Asociación entre el consumo de macronutrientes de la dieta y caries en adultos y adultos mayores diabéticos tipo 2 Association between dietary macronutrients and caries in type 2 diabetic adults and elderly

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    RA Giacaman

    2012-08-01

    Full Text Available Objetivos: Se ha reportado una mayor tasa de caries en pacientes con diabetes mellitus tipo 2 (DM, probablemente debido a cambios en los patrones de dieta. El objetivo de este estudio fue determinar si existe una asociación entre la composición de macronutrientes de la dieta y la caries en sujetos con DM. Métodos: Una muestra compuesta por 33 sujetos con DM y 37 controles sin la patología fue examinada para determinar la experiencia de caries mediante el índice COPD y la prevalencia de caries radiculares con ICDAS II. Se aplicó una encuesta de dieta de reporte de 24 horas. Para determinar la composición de la dieta, los alimentos fueron clasificados acorde al contenido de macronutrientes; carbohidratos, proteínas y lípidos (gramos/día, kilocalorías y porcentaje del nutriente/día. Resultados: Los resultados fueron analizados mediante Kruskal-Wallis y Mann-Whitney. Un análisis de correlación y un modelo de regresión lineal se utilizaron para analizar la asociación entre composición de macronutrientes y la tasa de caries coronales y radiculares, con un nivel de significancia del 95%. Resultados: Los pacientes diabéticos tipo 2 mostraron mayor número de dientes perdidos por caries, más dientes obturados y más caries radiculares (pObjectives: Higher caries rates have been reported for type 2 diabetes mellitus patients (DM. Changes in dietary patterns may be partly responsible. The aim of this study was to examine a potential association between dietary macronutrient composition and caries experience in DM patients. Methods: Thirty three adults with DM and thirty seven controls, not affected by DM, were examined to assess coronal caries through DMFT index and root caries by ICDAS II. A 24-hr diet recall survey was used to determine dietary macronutrient composition supplemented with standardized tables and expressed as grams /day, kilocalories/nutrient and percentage of nutrient/day. Results were compared using Kruskal-Wallis and

  18. Caries prevention by professional fluoride gel application on enamel and dentinal lesions in low-caries children.

    NARCIS (Netherlands)

    Truin, G.J.; Hof, M.A. van 't

    2005-01-01

    In a double-blind randomized controlled clinical trial, the caries-reducing effect of semi-annually applied fluoride gel in a low-caries child population initially aged 4.5-6.5 years (n = 773) has been investigated. Secondary analyses of the data were performed to study the caries reduction includin

  19. In vivo assessment of secondary caries and dentin characteristics after traditional amalgam restorations

    Science.gov (United States)

    de Assunção Pinheiro, Isauremi Vieira; Borges, Boniek Castillo Dutra; de Lima, Kenio Costa

    2012-01-01

    Objective This study aimed to evaluate in vivo the occurrence of secondary caries and dentin characteristics in permanent molars after traditional amalgam restorations, by means of clinical visual examination, radiographs and laser-induced fluorescence (LF) (DIAGNOdent). Methods: Thirty first permanent molars of 30 schoolchildren in the 7 to14 year-old age group were included. Caries was removed by hand. Thus, indirect pulp capping was performed with glass-ionomer cement (GIC), the cavity was varnished and amalgam filled. LF was measured before and after cavity preparation and after a 12-month observation period. Dentin color after cavity preparation and after the 12-month observation period was recorded. Recurrent caries was also investigated by visual clinical and radiographic examinations, in addition to dentin thickness between pulp and indirect GIC pulp capping. Data was analyzed by ANOVA for repeated measurements, paired “t” test and descriptive statistic. Results: There were statistically significant differences (P<.05) among LF scores for dentin in all periods evaluated, with the lowest scores shown after 12 month of observation. There was no statistical difference between dentin color after cavity preparation and following 12 months of observation. Moreover, there was no recurrent caries attack at 12-month follow-up; dentin thickness between pulp and indirect GIC pulp capping was similar between baseline and final observation periods. It was concluded that the clinical restorative procedure using hand caries removal, indirect pulp capping with GIC, varnishing and amalgam filling the cavity did not provide secondary caries and increased dentin mineral content after 12 months. PMID:22904654

  20. Caries risk and prevention: Evaluation of a preventive program in a clinic for children

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    Fábio Correia Sampaio

    2008-01-01

    Full Text Available Objective: The aim of this study was to verify the use of the Nexø caries risk assessment system together with the Cariogram® (School of Dentistry, Malmö, Sweden, in a preventive program for children at the cariology clinic at Federal University of Paraíba. Methods: A sample of 107 children (2- to 14-year-old was attended on two occasions. The patients’ clinical data (DMF-T, dmf-t, Bleeding index, OHI-S and those from the preventive procedures performed (professional cleaning, fluoride application, Cariogram® (School of Dentistry, Malmö, Sweden, Nexø caries risk were collected twice: first from the clinical record cards and on the second occasion by exams. Parents and guardians evaluated the clinical attendance in an interview and the children, by means of a VAS scale. According to the Nexø caries risk assessment system, 53 children (49.5% were classified at low risk (6. Data analysis was carried out using SPSS (11.0. Results: A positive correlation was observed between the two risk systems: Nexø and Cariogram® (School of Dentistry, Malmö, Sweden of chances of avoiding new caries lesions. The possibility of avoiding new caries lesions increased 5% in both groups and a discrete increase was observed in the other parameters. Conclusion: It can be concluded that the Nexø system associated with the Cariogram® (School of Dentistry, Malmö, Sweden, contributed to the assessment of the patients’ caries risk profile and to the success of the preventive program for children at the cariology clinic at Universidade Federal da Paraíba.

  1. BREASTFEEDING AND EARLY CHILDHOOD CARIES (ECC SEVERITY OF CHILDREN UNDER THREE YEARS OLD IN DKI JAKARTA

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    Risqa Rina Darwita

    2008-12-01

    Full Text Available The prevalence and severity of caries in children under three years old are constantly increasing. One of the cause is the increase consumption of cariogenic carbohydrate. Breast milk have buffer capacity that eventually able to prevent caries. The aims of this research are to discover the correlation between breastfeeding with the severity of Early Childhood Caries (ECC in children under three years old, to provide information on prevalence and severity of caries in children under three years, and to explain factors influencing the incidence of ECC. This research designed cross sectionally and conducted upon 565 children aged 12-38 months, selected using multistage cluster random sampling. The ECC prevalence of children under three years in DKI Jakarta is 52.7%, with average score of def-t 2.85. Bivariate analysis showed that, variables which correlate with the level of ECC are; the way to deliver (p=0,012, frequency (p=0,002, duration (p=0,002, salivary buffer capacity (p=0.013, habitual consumption of sugary diet (p=0.005, child’s dental hygiene behavior (p=0.002, and mother’s education (p=0.001. Multivariate analysis showed that ECC can be explained by these variables: age, mother’s education, the way to deliver and frequency of breast milk complements/replacement of consumtions, child’s brushing habit, plaque pH, and salivary buffer capacity. Resulting determination coefficient 32.1%. There is no significant correlation between breastfeeding and the level of Early Childhood Caries (ECC. The role of protective qualities of breastfeeding are not shown because of bias in obtaining data influence the incidence of caries.

  2. Bacterial profile of dentine caries and the impact of pH on bacterial population diversity.

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    Nima Kianoush

    Full Text Available Dental caries is caused by the release of organic acids from fermentative bacteria, which results in the dissolution of hydroxyapatite matrices of enamel and dentine. While low environmental pH is proposed to cause a shift in the consortium of oral bacteria, favouring the development of caries, the impact of this variable has been overlooked in microbial population studies. This study aimed to detail the zonal composition of the microbiota associated with carious dentine lesions with reference to pH. We used 454 sequencing of the 16S rRNA gene (V3-V4 region to compare microbial communities in layers ranging in pH from 4.5-7.8 from 25 teeth with advanced dentine caries. Pyrosequencing of the amplicons yielded 449,762 sequences. Nine phyla, 97 genera and 409 species were identified from the quality-filtered, de-noised and chimera-free sequences. Among the microbiota associated with dentinal caries, the most abundant taxa included Lactobacillus sp., Prevotella sp., Atopobium sp., Olsenella sp. and Actinomyces sp. We found a disparity between microbial communities localised at acidic versus neutral pH strata. Acidic conditions were associated with low diversity microbial populations, with Lactobacillus species including L. fermentum, L. rhamnosus and L. crispatus, being prominent. In comparison, the distinctive species of a more diverse flora associated with neutral pH regions of carious lesions included Alloprevotella tanerrae, Leptothrix sp., Sphingomonas sp. and Streptococcus anginosus. While certain bacteria were affected by the pH gradient, we also found that ∼ 60% of the taxa associated with caries were present across the investigated pH range, representing a substantial core. We demonstrated that some bacterial species implicated in caries progression show selective clustering with respect to pH gradient, providing a basis for specific therapeutic strategies.

  3. Detection and Proportion of Very Early Dental Caries in Independent Living Older Adults

    Science.gov (United States)

    Holtzman, Jennifer S.; Kohanchi, Daniel; Biren-Fetz, John; Fontana, Margherita; Ramchandani, Manisha; Osann, Kathryn; Hallajian, Lucy; Mansour, Stephanie; Nabelsi, Tasneem; Chung, Na Eun; Wilder-Smith, Petra

    2015-01-01

    Background and Objectives Dental caries is an important healthcare challenge in adults over 65 years of age. Integration of oral health screening into non-dental primary care practice may improve access to preventive dental care for vulnerable populations such as the elderly. Such integration would require easy, fast, and accurate early caries detection tools. Primary goal of this study was to evaluate the diagnostic performance of optical coherence tomography (OCT) imaging for detecting very early caries in the elderly living in community-based settings. The International Caries Detection and Assessment System (ICDAS) served as gold standard. Secondary goal of this study was to provide baseline prevalence data of very early caries lesions in independent living adults aged 65+ years. Materials and Methods Seventy-two subjects were recruited from three sites in Southern California: a retirement community, a senior health fair, and a convalescent hospital. Clinical examination was performed using the ICDAS visual criteria and this was followed by OCT imaging. The two-dimensional OCT images (B-scan) were analyzed with simple software. Locations with a log of back-scattered light intensity (BSLI) below 2.9 were scored as sound, and areas equaling or exceeding 2.9 BSLI were considered carious. Diagnostic performance of OCT imaging was compared with ICDAS score. Results OCT-based diagnosis demonstrated very good sensitivity (95.1%) and good specificity (85.8%). 54.7% of dentate subjects had at least one tooth with very early coronal caries. Conclusions Early coronal decay is prevalent in the unrestored pits and fissures of coronal surfaces of teeth in independent living adults aged 65+ years. Though OCT imaging coupled with a simple diagnostic algorithm can accurately detect areas of very early caries in community-based settings, existing devices are expensive and not well-suited for use by non-dental health care providers. Simple, inexpensive, fast, and accurate tools

  4. Dietary pattern of Finnish children with low high caries experience.

    Science.gov (United States)

    Kleemola-Kujala, E; Räsänen, L

    1979-08-01

    The correlations between dietary patterns and caries were studied in a series consisting of 534, 5-, 9- and 13-year-old Finnish rural children from low-fluoride areas (0.10-0.46 parts/10(6)). The food consumption of the children was assessed by the 24-hour recall method. The consumption of sweets was estimated by the dietary history method. Caries was diagnosed by clinical inspection. Children with a low and children with a high caries experience were compared with regard to food and nutrient intakes per 1000 kcal. The intakes of most foods and nutrients were similar in the low-caries and in the high-caries groups. However, the diet of the high-caries groups of 5- and 13-year-olds contained less iron, thiamine and ascorbic acid than the diet of the low-caries groups. The intake of sugar and sugar-containing products per unit of energy was higher in the high-caries groups. This was true for soft drinks in particular. Among the 9-year-olds the proportion of sugar consumed as such was greater in the high-caries than in the low-caries children. With regard to the total monthly consumption of sweets no significant differences were observed between the high- and low-caries groups. Analysis of the energy-standardized consumption of food and nutrients thus showed that the relative proportion of sugar and sugar-containing products was somewhat greater in the diet of the high-caries children than in the diet of the low-caries children, but not as high as could be expected. These products replaced foods with a higher nutritive value with the result that the diet of the high-caries groups was on the whole more refined than the diet of the low-caries groups.

  5. Comparison of caries and oral hygiene status of child laborers and school children: A cross-sectional study

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    Chanchal Gangwar

    2015-01-01

    Full Text Available Background: Child labor is recognized as a global health problem and child laborers are exposed to unique living, working conditions and face such events in life, which are not usually faced by other children. Research on its health impact and oral health impact has been very limited and inconsistent. Aim: The aim was to assess and compare dental caries and oral hygiene status of child laborers and school children of Bareilly city. Materials and Methods: A total of 400 child laborers by snowball sampling technique and 400 school children by random sampling technique were included in the study. A specially designed pretested proforma was used to collect data related to the sociodemographic profile, adverse habits and frequency of dental visits. Decayed, missing, and filled teeth index (DMFT and oral hygiene index-simplified (OHI-S were used. Results: The mean age of child laborers and school children was 13.07 ± 1.3 and 13.03 ± 1.5. The majority of child laborers (82.8% had no mouth rinsing habit. Tobacco-related habits were found among 37.8% of child laborers. Most of the child laborers (91% never visited dentists. The mean DMFT was 3.8 ± 1.7 and 2.9 ± 1.6 for child laborers and school children, respectively, (P < 0.05. The mean OHI-S score was 2.3 ± 0.70 and 2.1 ± 0.9 in child laborers and school children, respectively, (P < 0.05. Conclusion: The study demonstrated that the child laborers have poorer oral health status with respect to dental caries and oral hygiene compared to school children.

  6. China Aims to Promote Import

    Institute of Scientific and Technical Information of China (English)

    Wang Ting

    2010-01-01

    @@ With the theme of"An Opening Market and Global Trade",aim at promoting communications and exchanges among governments,industries and business to achieve mutual benefit and a win-win situation,nearly 300 representatives from the relevant departments of the Chinese government,foreign embassies in China,industrial associations and major enterprises,as well as well-known Chinese and foreign experts and scholars were invited to take part in the forum and share their iews on Chinese market and foreign trade policies.

  7. [Determinants of dental caries in Haitian schoolchildren and implications for public health].

    Science.gov (United States)

    Bedos, C; Brodeur, J M

    2000-01-01

    This work was carried out as part of a community development project in North-West Haiti. The aim was to determine the prevalence of dental caries among young Haitians and to identify the principal determinants and risk factors. A total of 322 schoolchildren, all aged 12 years, participated in the study in March and April 1996. Demographic characteristics, hygiene and dietary habits were recorded. In parallel, a dentist assessed the amount of debris present on the teeth and investigated the children's history of caries. Almost two thirds of the children examined were free of caries. The mean number of decayed missing and filled teeth (DMFT index) was 0.93, which is low. However, a high-risk group was identified with a mean DMFT index of 3.8. This group is a source of some concern, particularly as the region's health services are often inaccessible resulting in dental caries frequently remaining untreated until tooth extraction is required. Logistic regression analysis showed that dental hygiene and, to a lesser extent, sugar intake, were the principal risk factors for dental caries. Adolescents who consume more than three meals per day and who, presumably, have a higher intake of cariogenic food, present more caries than those who consume less. These schoolchildren meet the objectives of the WHO for dental caries for 2000, but two courses of action are nonetheless necessary: caries prevention and improved access to dental health care. To prevent caries, techniques for increasing the resistance of teeth could be recommended, as in industrialized countries. However, such strategies would be difficult to implement in the rural context of a developing country. The addition of fluoride to drinking water, for example, is not practical as most of the inhabitants of rural areas do not have access to running water. The use of sealing agents, which protect against decay affecting the occlusal surfaces of molars, is also impractical, for financial reasons. Thus, basic

  8. The effect of water fluoride concentration on dental caries and fluorosis in five Iran provinces: A multi-center two-phase study

    Science.gov (United States)

    Ramezani, Gholamhossein; Valaie, Nasser; Rakhshan, Vahid

    2015-01-01

    Background: Water fluoride level is unknown in many regions of Iran. Besides, only few non-controlled studies world-wide have assessed the effect of water fluoride on dental fluorosis and caries. We aimed to measure the fluoride level of 76 water supplies in 54 cities and evaluate the effect of fluoride on dental caries and fluorosis in a large multi-project study. Materials and Methods: In the first phase (cross-sectional), fluoride levels of 76 water tanks in 54 cities/villages in five provinces of Iran were randomly evaluated in five subprojects. In the second phase (retrospective cohort), 1127 middle school children (563 cohort and 564 control subjects) in the high and low ends of fluoride concentration in each subproject were visited. Their decayed, missing and filled teeth (DMFT) and fluorosis states were assessed. The data were analyzed using Chi-square, Mann-Whitney U and independent-samples t-test (α = 0.05). Results: Mean fluoride level was 0.298 ± 0.340 mg/L in 54 cities/villages. Only eight water tanks had fluoride levels within the normal range and only one was higher than normal and the rest (67 tanks) were all at low levels. Overall, a significant association was observed between fluoride level and fluorosis. However, this was not the case in all areas, as in 2 of 5 provinces, the effect of fluoride on fluorosis was not confirmed. In 4 of the 5 areas studied, there was a significant link between fluoride level and DMFT. Conclusion: Extremely low fluoride levels in Iran cities are an alarming finding and need attention. Higher fluoride is likely to reduce dental caries while increasing fluorosis. This finding was not confirmed in all the areas studied. PMID:25709672

  9. Effect Of 2% Chlorhexidine Application on the Bonding Effectiveness of Different Dentin Adhesives in Normal and Caries Affected Dentin in Primary Teeth: an in Vitro Study

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    Elham Farrokh gisour

    2016-03-01

    Full Text Available Background and Objective:The bond strength of adhesives to dentin is one of the most important parameters for evaluating the efficacy of dental adhesives.The aim of this study was to evaluate the effect of 2% chlorhexidine on 24 hour shear bond strength of different adhesives in normal and caries affected dentin in primary teeth. Materials and Methods:Sixty extracted human primary molars were selected and sectioned in two halves and after preparing a flat surface of superficial dentin, were randomly divided into 12 groups; according to dentin condition (normal and caries affected, type of adhesive (Clearfil SE Bond [SE], Clearfil S3Bond [S3 ], Single Bond2 [S2 ] and treatment (with chlorhexidine [2%CHX] and without 2%CHX . In S2 group, after etching, CHX were applied and in SE and S3 groups were applied before use of bonding agents. Then composite was attached to the prepared surfaces and cured. The samples were maintained in distilled water at 37 ˚C for 24 hours and then thermocycled. Shear bond strength was calculated. Mode of failures was examined by stereomicroscope. Data were analyzed using t-test and ANOVA with p<0.05 as the level of significance. Results:There were no significant differences in shear bond strength between the different types of adhesives (P=0.9, use of CHX (P=0.22 and type of dentin (P=0.9. The dominant fracture pattern was mixed. Conclusion:2% CHX had no effect on 24 hour shear bond strength of adhesive systems to normal and caries affected dentin in primary teeth.

  10. COMPARATIVE EVALUATION OF THE EFFECTIVENESS OF THREE METHODS FOR PROXIMAL CARIES DIAGNOSIS – A CLINICAL STUDY.

    OpenAIRE

    Mirela Marinova-Takorova; Radostina Anastasova; Vladimir E. Panov; Spartak Yanakiev

    2014-01-01

    Aim: The aim of the presented study is to compare the effectiveness of the diagnosis with a dental microscope, laser fluorescence (DIAGNOcam) and X-ray examination in proximal caries diagnosis. Material and methods: Thirty-eight adult patients were examined. They were first examined with a dental mirror and a probe, under magnification 6.4 times. After that a diagnosis with DIAGNOcam was performed. Bitewing X-ray images were administered. The data from the three diagnostic methods was comp...

  11. The Hormonal Fingerprints and BMI: Implications for Risk Factors in Dental Caries and Malocclusion

    Science.gov (United States)

    Priyanka, Goguladinne Naga Deepthi; Radhakrishna, Ambati Naga; Ramakrishna, Juvva; Jyothi, Velagapudi

    2016-01-01

    Introduction The hormonal fingerprint is the ratio between 2nd and 4th digit lengths. It was evidenced in the medical scenario that it can be used as an indirect marker in many diseases like Coronary Heart Disease (CHD) and metabolic syndromes. As far as dentistry is concerned very few studies in the literature have been done to evaluate the influence of hormonal fingerprint on oral health, thus provoking us to formulate new method for predicting dental caries and malocclusion and its association with Body Mass Index (BMI). Aim The purpose of this retrospective study was to highlight the role of new biological marker–Hormonal fingerprints in the early detection of malocclusion, caries, the influence of BMI on malocclusion and caries. We also attempted to study the correlation of BMI with hormonal fingerprints. Materials and Methods A total of 300 children were randomly selected from both sexes of age group 10-15 years. The hormonal fingerprint was made by measuring the length ratio of the index and ring finger with the help of digital Vernier caliper. Anthropometric measures (weight in kilograms and height in metres) for the calculation of BMI were recorded. Caries assessment was done using standard mouth mirrors and Community Periodontal Index probes. DMFT index was followed for assessment of caries according to the WHO assessment form, 1997. Occlusal characteristics of the children evaluated were molar relation, anterior and posterior cross bite, open bite, deep bite, lower anterior crowding. All the factors were recorded by two investigators. Results The results of the study showed that majority of the children among study population were having 2D:4D <1. The rate of occurrence of malocclusion was increasing with increase in the value of 2D:4D ratio with a statistically significant p-value of <0.001. Higher BMI values were associated with normal occlusal conditions (p= 0.041) and lower 2D:4D ratio (p= 0.037). High caries experience was noticed in children with

  12. The Clinical, Environmental, and Behavioral Factors That Foster Early Childhood Caries: Evidence for Caries Risk Assessment.

    Science.gov (United States)

    Fontana, Margherita

    2015-01-01

    Caries risk assessment, an essential component of targeted health care delivery for young children, is of paramount importance in the current environment of increasing health care costs and resource constraints. The purpose of this manuscript was to review recent best available evidence behind the factors that influence caries risk assessment and the validity of strategies to assess the caries risk of young children. Moderate to weak evidence supports the following recommendations: (1) Children should have a caries risk assessment done in their first year (or as soon as their first tooth erupts) as part of their overall health assessment, and this should be reassessed periodically over time. (2) Multiple clinical, environmental, and behavioral factors should be considered when assessing caries risk in young children, including factors associated with the primary caregiver. (3) The use of structured forms, although most may not yet be validated, may aid in systematic assessment of multiple caries risk factors and in objective record-keeping. (4) Children from low socioeconomic status groups should be considered at increased risk when developing community preventive programs.

  13. Dental caries from a molecular microbiological perspective

    NARCIS (Netherlands)

    B. Nyvad; W. Crielaard; A. Mira; N. Takahashi; D. Beighton

    2013-01-01

    Dental caries results from an imbalance of the metabolic activity in the dental biofilm. The microbial communities of teeth have traditionally been studied by standard cultural approaches. More recently, cloning and sequencing of the 16S rRNA gene have been used to characterize the microbial composi

  14. Dental caries vaccine: some problems solved?

    Science.gov (United States)

    Everhart, D L; Mallett, C P; Doyle, G

    1985-10-01

    The interest in a dental caries vaccine has been great over the past few years. Studies have shown two possible problems using Streptococcus mutans as an immunogen: (i) the production of heart reactive antibody, and (ii) the need to protect against several serotypes. Possible solutions to these problems are discussed.

  15. Need for new caries detection methods

    Science.gov (United States)

    Young, Douglas A.; Featherstone, John D. B.

    1999-05-01

    Dental caries (tooth decay) continues to be a major problems for adults as well as children, even though great advances have been made in preventive methods in the last 20 years. New methods for the management of caries will work best if lesions can be detected at an early stage and chemical rather than physical intervention can take place, thereby preserving the natural tooth structure and helping the saliva to heal, or remineralize, the areas of early decay. Clinical detection of caries in the US relies on visual examination, tactile with hand held explorer, and conventional radiographs, all of which are inadequate for the occlusal (biting) surfaces of the teeth where most of the decay now occurs. The dentist often has to explore by drilling with a dental bur to confirm early decay in these areas. New method that can determine the extent and degree of subsurface lesions in these surfaces non-destructively are essential for further advances in the clinical management of dental caries. Optical methods, which exploit the differences between sound and carious enamel and dentin, show great promise for the accurate detection of these lesions. Two or three- dimensional images, which include a measure of severity will be needed.

  16. Declining caries trends: are we satisfied?

    NARCIS (Netherlands)

    M.D. Lagerweij; C. van Loveren

    2015-01-01

    WHO data suggest that all over the world the prevalence of caries has declined at the end of the previous and in the first decade of the present century. This decline started wherever the use of effective fluoride toothpaste became commonplace. Even though the decline is considerable with a 90 % red

  17. Probiotics for caries prevention and control

    DEFF Research Database (Denmark)

    Twetman, S; Keller, M K

    2012-01-01

    Modulation of the microbiota for restoring and maintaining health is a growing issue in medical science. A search for relevant clinical trials on the use of probiotic bacteria as a potential and clinically applicable anti-caries measure was performed. According to predetermined criteria, papers w...

  18. Degradation of a dental filling material after high caries challenge

    Directory of Open Access Journals (Sweden)

    Márcio Antonio Paraizo

    2004-12-01

    Full Text Available New types of copolymers using monomers which form inorganic polymers network (glass-like and organic networks have been developed, known as ormocers. The aim of this work was to study how a particular dental filling material is degraded when subjected to a caries challenge by using low pH solutions. The supernadants were studied by HPLC to detect the presence of molecules from the resin, while the changes of the material surface were evaluated by contact angle. An organic modified ceromer (ormocer called Definite® (Degussa was tested. Samples were built following manufacturer's instructions. After pH cycles, solutions were injected in a HPLC. The contact angle was obtained using a goniometer after and before the cycles. HPLC results showed material degradation, only detected in acid solutions. Bis-GMA and TEGDMA were detected in Definite® residues. Means and S.D. of contact angle were (p < 0,05: baseline: 85.16° ± 3.90° and after pH cycles: 69.77° ± 7.12°. The authors concluded that an ormocer filling material degraded on a caries simulated environment.

  19. Clinical diagnosis of dental caries: a European perspective.

    Science.gov (United States)

    Pitts, N B

    2001-10-01

    The aim of this paper is to provide a broad international perspective on aspects of the RTI/UNC systematic review, to introduce relevant literature not cited, and to make recommendations for clinical practice education and research suggested by the evidence. Clinical caries diagnosis represents the foundation on which the answers to most of the consensus questions will be based. This paper highlights needs for being clear about definitions and nomenclature; understanding the importance of the concepts underlying the D1 and D3 diagnostic thresholds used widely within the RTI/UNC Review; and appreciating that the diagnostic challenge now faced by clinicians is significant and is becoming more complex as the presentation and distribution of the disease changes over time and the range of preventive and operative treatment options expands. A series of recommendations informed by the evidence are made, including a rather contentious issue for many clinicians concerning the lack of evidence supporting the continued use of a sharp explorer as a diagnostic tool for primary caries diagnosis. This practice should be discontinued as it may cause some harm to the patient and yet fails to provide a significant balancing diagnostic benefit. Finally, it is suggested that dentistry should learn from the developing evidence base in medicine on how best to disseminate the findings of reviews and promote appropriate changes in clinical practice.

  20. CARIES PREVENTIVE MEASURES AMONG RAJASTHANI ORTHODONTISTS: A QUESTIONNAIRE STUDY

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    Ruchi

    2014-08-01

    Full Text Available : INTRODUCTION: Patients undergoing fixed orthodontic therapy are at high risk of developing decalcification, caries and white spot lesions. AIM: As little information is available about preventive measures taken by orthodontists, this study surveyed the measures used by orthodontists those practicing in Rajasthan in prevention of such problems. MATERIALS AND METHODS: A questionnaire regarding preventive measures undertaken before, during and after the orthodontic treatment was sent to 128 orthodontists, out of them 100 orthodontists replied to the questionnaire. All the data obtained from this questionnaire was tabulated and analyzed statistically using ANOVA test. RESULTS: Before starting the treatment, majority of orthodontists always prescribed oral hygiene instructions and recommended the use of fluoride rinses while chlorhexidine rinses and other cleansing aids were usually recommended. During the treatment when demineralization was seen developing, majority of orthodontists explained the consequences, gave extra oral hygiene instructions and recommended the use of fluoride rinses as well as other oral hygiene aids which was found to be statistically significant (p < 0.05. At the completion of treatment, majority of orthodontists always gave extra oral hygiene instructions and recommended the use of fluoride rinses as well as fluoride gel. Fluoride varnish, chlorhexidine rinses, oral hygiene aids like brushes and other measures such as polishing of white spot lesions were occasionally recommended which was also found to be statistically significant (p < 0.05. CONCLUSION: Rajasthani orthodontists undertake satisfactory measures to prevent demineralization and caries within practical limits.

  1. Acidogenicity and acidurance of dental plaque and saliva sediment from adults in relation to caries activity and chlorhexidine exposure

    Directory of Open Access Journals (Sweden)

    Andreadis Georgios

    2015-03-01

    Full Text Available Background: The ecological plaque hypothesis for the etiopathogenesis of caries implies a microbial shift towards a more aciduric dental plaque microbiota, due to a frequent carbohydrate intake. Acid tolerance has been suggested as an important property of the caries-associated bacteria and several in vitro studies with mixed cultures indicated that a low pH rather than the carbohydrate availability is responsible for microbiota shifts associated with the development of dental caries. Objective: To examine 1 the acidogenic potential (amount lactate produced per mg plaque and minute, at pH 7.0 or pH 5.5 and the aciduric potential (acidogenic potential at pH 5.5/acidogenic potential at pH 7.0 of dental plaque and salivary sediment taken from caries-active or caries-free adults, and 2 the effect of a short-term chlorhexidine treatment on these potentials. Design: Dental plaque and saliva sediment samples were taken from caries-free and caries-active subjects and suspended in Ringer's solution containing 1% sucrose and buffered with 0.5 M 3-[N-morpholino]propanesulfonic acid (MOPS, pH 7.0, or 3-[N-morpholino]ethanesulfonic acid (MES, pH 5.5. After incubation at 37°C for 10–20 min, the concentration of lactic acid in the suspension was determined by an enzymatic assay. The acid production of dental plaque was also determined after a period of mouth rinsing with 0.2% chlorhexidine. Results: Both dental plaque and salivary sediment from caries-free subjects exhibited significantly lower acidogenic potentials at both pHs compared to caries-active volunteers. The opposite was observed with the aciduric potential. Chlorhexidine treatment significantly reduced all three potentials but had no effect on the relative proportion of bacteria grown on acidic agar. Conclusions: Caries-active adults have an oral microbiota characterised by an increased catabolic velocity for sugar. The increase is more pronounced at neutral than acidic pH. Exposure to

  2. Caries status in young Colombian children expressed by the ICCMS™ visual/radiographic combined caries staging system

    DEFF Research Database (Denmark)

    Cortes, Andrea; Ekstrand, Kim Rud; Gamboa, Luis Fernando;

    2017-01-01

    OBJECTIVE: To report (1) the caries experience prevalence and mean, and the caries severity and distribution patterns, expressed clinically and combined with radiographs with the conventional and ICCMS™ systems in young children from Bogotá, Colombia; (2) the contribution of including radiographs...... to the clinical caries scoring and (3) in which surfaces the radiograph adds to the clinical caries registration. MATERIAL AND METHODS: Six hundred children from kindergartens/schools were enrolled: Cohort A: 2-year (n = 200), Cohort B: 4-year (n = 200) and Cohort C: 6-year (n = 200) olds. Radiographs were taken...... of the 4- and 6- year olds. Children were examined clinically using the Clinical (C) and Radiographic (R) ICCMS™-epi Caries Scoring Systems, staging caries lesions (d) as: Initial (Cepi/RA), Moderate (CM/RB) or Extensive (CE/RC). Caries experience including missing (m) and filled (f) surfaces was expressed...

  3. An in vitro comparison of diagnostic abilities of conventional radiography, storage phosphor, and cone beam computed tomography to determine occlusal and approximal caries

    Energy Technology Data Exchange (ETDEWEB)

    Kayipmaz, Saadettin, E-mail: kayipmaz@ktu.edu.tr [Karadeniz Technical University, Faculty of Dentistry, Department of Oral Diagnosis and Radiology, Farabi, 61080 Trabzon (Turkey); Sezgin, Omer Said, E-mail: omersaidsezgin@gmail.com [Karadeniz Technical University, Faculty of Dentistry, Department of Oral Diagnosis and Radiology, Farabi, 61080 Trabzon (Turkey); Saricaoglu, Senem Tugra, E-mail: senem_tugra@hotmail.com [Karadeniz Technical University, Faculty of Dentistry, Department of Oral Diagnosis and Radiology, Farabi, 61080 Trabzon (Turkey); Can, Gamze, E-mail: gcanktu@yahoo.com [Karadeniz Technical University Faculty of Medicine Department of Public Health (Turkey)

    2011-11-15

    Aim: The aim of this study was to compare conventional radiography, storage phosphor plate, and cone beam computed tomography for in vitro determination of occlusal and approximal caries. Methods: A total of 72 extracted human premolar and molar teeth were selected. Teeth were radiographed with conventional intraoral radiography, a storage phosphor plate system, and cone beam computed tomography and evaluated by two observers. The teeth were then separated and examined with a stereomicroscope and a scanner at approximately 8x magnification. Results: CBCT was statistically superior to conventional radiography and phosphor plate for determining occlusal caries. No significant difference from CBCT, conventional radiography and the phosphor plate system for determining approximal caries was found. Conclusion: The CBCT system may be used as an auxiliary method for the detection of caries.

  4. Caries dental en escolares del Distrito Federal

    Directory of Open Access Journals (Sweden)

    IRIGOYEN-CAMACHO MARÍA ESTHER

    1997-01-01

    Full Text Available Objetivo. Presentar las estimaciones de la prevalencia y la severidad de caries dental, así como las necesidades de tratamiento de la población escolar del Distrito Federal examinada en la encuesta de caries dental que se llevó a cabo en 1988 con la finalidad de obtener datos basales sobre caries en los escolares al inicio del Programa Nacional de Fluoruración de la Sal en México. Material y métodos. La población de estudio fue seleccionada empleando un marco muestral basado en el listado de las escuelas primarias y los jardines de niños registrados por la Secretaría de Educación Pública en 1988. En el examen de la cavidad bucal de los escolares se utilizaron los criterios diagnósticos señalados por la Organización Mundial de la Salud. Resultados. Un total de 4 475 escolares de 5 a 12 años de edad participaron en el estudio. La prevalencia de caries dental en la población alcanzó 90.5%. El índice de necesidades de tratamiento fue elevado (79.6%. El promedio de los índices de caries en los escolares de 12 años de edad fue CPOD= 4.42 (desviación estándar -DE- 3.2 y CPOS= 6.53 (DE 4.8. Conclusiones. Los resultados de la encuesta subrayan la pertinencia de un programa preventivo de amplia cobertura, como el de fluoruración de la sal. Además, muestran que se requiere elaborar estrategias para mejorar el acceso de la población escolar a los servicios odontológicos del sistema de salud en México.

  5. Assessing caries increments in elderly patients with and without dementia: a one-year follow-up study

    DEFF Research Database (Denmark)

    Ellefsen, Birita; Holm-Pedersen, Poul; Morse, Douglas E

    2009-01-01

    BACKGROUND: The authors conducted a study to determine one-year coronal and root caries increments in patients newly diagnosed as having Alzheimer disease (AD), other dementia (OD) or no dementia. METHODS: The authors recruited patients from two hospital memory clinics in Copenhagen. The oral...

  6. Assessing caries increments in elderly patients with and without dementia A one-year follow-up study

    DEFF Research Database (Denmark)

    Ellefsen, B.; Holm-Pedersen, P.; Morse, D.E.

    2009-01-01

    Background The authors conducted. a study to determine one-year, coronal and root caries increments in patients newly diagnosed as having Alzheimer disease (AD), other dementia (OD) or no dementia. Methods. The authors recruited patients from two hospital memory clinics in Copenhagen. The oral...

  7. Treatment of pulps in teeth affected by deep caries - A systematic review of the literature.

    OpenAIRE

    Bergenholtz, Gunnar; Axelsson, Susanna; Davidson, Thomas; Frisk, Fredrik; Hakeberg, Magnus; Kvist, Thomas; Norlund, Anders; Petersson, Arne; Portenier, Isabelle; Sandberg, Hans; Tranæus, Sofia; Mejare, Ingegerd

    2013-01-01

    BACKGROUND: This systematic review assesses the effect of methods commonly used to manage the pulp in cases of deep caries lesions, and the extent the pulp chamber remains uninfected and does not cause pulpal or periapical inflammatory lesions and associated tooth-ache over time. STUDY DESIGN: An electronic literature search included the databases PubMed, EMBASE, The Cochrane Central Register of Controlled Trials and Cochrane Reviews from January 1950 to March 2013. In addition, hand searches...

  8. Cognitive Impairment, Oral Self-care Function and Dental Caries Severity in Community-dwelling Older Adults

    Science.gov (United States)

    Chen, Xi; Clark, Jennifer JJ; Chen, Hong; Naorungroj, Supawadee

    2013-01-01

    Objective To investigate whether oral self-care function mediates the associations between cognitive impairment and caries severity in community-dwelling older adults. Background Cognitive impairment significantly affects activities of daily living and compromises oral health, systemic health and quality of life in older adults. However, the associations among cognitive impairment, oral self-care capacity and caries severity remain unclear. This increases difficulty in developing effective interventions for cognitively impaired patients. Materials and methods Medical, dental, cognitive and functional assessments were abstracted from the dental records of 600 community-dwelling elderly. 230 participants were selected using propensity score matching and categorised into normal, cognitive impairment but no dementia (CIND) and dementia groups based on their cognitive status and a diagnosis of dementia. Multivariable regressions were developed to examine the mediating effect of oral self-care function on the association between cognitive status and number of caries or retained roots. Results Cognitive impairment, oral self-care function and dental caries severity were intercorrelated. Multivariable analysis showed that without adjusting for oral self-care capacity, cognition was significantly associated with the number of caries or retained roots (p = 0.003). However, the association was not significant when oral self-care capacity was adjusted (p = 0.125). In contrast, individuals with impaired oral self-care capacity had a greater risk of having a caries or retained root (RR = 1.67, 95% CI 1.15, 2.44). Conclusion Oral care capacity mediates the association between cognition and dental caries severity in community-dwelling older adults. PMID:23758583

  9. 21 CFR 101.80 - Health claims: dietary noncariogenic carbohydrate sweeteners and dental caries.

    Science.gov (United States)

    2010-04-01

    ... sweeteners and dental caries. 101.80 Section 101.80 Food and Drugs FOOD AND DRUG ADMINISTRATION, DEPARTMENT... caries. (a) Relationship between dietary carbohydrates and dental caries. (1) Dental caries, or tooth... development of dental caries. Risk factors include tooth enamel crystal structure and mineral content,...

  10. The prevalence of nursing caries in Davangere preschool children and its relationship with feeding practices and socioeconomic status of the family

    Directory of Open Access Journals (Sweden)

    Tyagi R

    2008-01-01

    Full Text Available The aim of the present study was to find the prevalence of nursing caries in Davangere preschool children and its relationship with feeding practices and socioeconomic status of the family. Materials and Methods: A total of 813 children aged 2-6 years were screened for the present study from randomly selected three kindergarten schools each from Government, Government aided, and private managements. Clinical examination was done inside the respective schools. At the time of examination, a proforma was filled for each child comprising of DFS index. The questionnaire by Winter et al. was modified and used in this study. The completed proformas were statistically analyzed to find if any correlation existed between the nursing caries to the feeding practices and socioeconomic status of the family. Results: Duration of breastfeeding increases the number of children with nursing caries and the mean DFS. There is a strong and significant relationship between the severity of nursing caries and the degree of feeding abuse. Children from low socioeconomic status have increased early childhood caries. Conclusion: The prevalence of nursing caries was 19.2% in Davangere preschool population. Nursing caries were more in children who were taking a feeding bottle to bed at night and were increasingly seen in large families and lower socioeconomic groups.

  11. Detection accuracy of in vitro approximal caries by cone beam computed tomography images

    Energy Technology Data Exchange (ETDEWEB)

    Qu Xingmin, E-mail: quxingmin@bjmu.edu.cn [Department of Oral and Maxillofacial Radiology, Peking University School and Hospital of Stomatology, 22 Zhongguancun Nandajie, Hai Dian District, Beijing 100081 (China); Li Gang, E-mail: kqgang@bjmu.edu.cn [Department of Oral and Maxillofacial Radiology, Peking University School and Hospital of Stomatology, 22 Zhongguancun Nandajie, Hai Dian District, Beijing 100081 (China); Zhang Zuyan, E-mail: zhangzy-bj@vip.sina.com [Department of Oral and Maxillofacial Radiology, Peking University School and Hospital of Stomatology, 22 Zhongguancun Nandajie, Hai Dian District, Beijing 100081 (China); Ma Xuchen, E-mail: kqxcma@bjmu.edu.cn [Department of Oral and Maxillofacial Radiology, Peking University School and Hospital of Stomatology, 22 Zhongguancun Nandajie, Hai Dian District, Beijing 100081 (China)

    2011-08-15

    Aims: To evaluate the diagnostic accuracy of approximal carious lesions among five CBCT systems and to assess the effect of detector types employed by different CBCT systems on the accuracy of approximal caries diagnosis. Materials and methods: Thirty-nine extracted non-cavitated human permanent teeth were employed in the study. Seven observers evaluated 78 approximal surfaces of the teeth with respect to caries by the images from the following five CBCT systems: (1) NewTom 9000; (2) Accuitomo 3DX; (3) Kodak 9000 3D; (4) ProMax 3D; and (5) DCT PRO, respectively. The lesions were validated by histological examination. The area under receiver operating characteristic (ROC) curve (A{sub z}) was used to evaluate the diagnostic accuracy. Results: Microscopy of approximal surfaces found 47.4% sound, 39.8% enamel and 12.8% dentin lesions. The differences of A{sub z} values among the five CBCT systems were not statistically significant (p = 0.348). No significant difference was found between the two detector types of CBCT systems (p = 0.47). Conclusions: The five CBCT systems employed in the study showed no significant difference in the in vitro approximal caries detection. Neither the detector nor the FOV employed by the CBCT systems has an impact on the detection accuracy of approximal caries.

  12. Association of dietary calcium, phosphorus, and magnesium intake with caries status among schoolchildren.

    Science.gov (United States)

    Lin, Han-Shan; Lin, Jia-Rong; Hu, Suh-Woan; Kuo, Hsiao-Ching; Yang, Yi-Hsin

    2014-04-01

    The aim of this study was to investigate the associations between caries experience and daily intake of calcium (Ca), phosphorus (P), magnesium (Mg), and Ca/P ratio. A total of 2248 schoolchildren were recruited based on a population-based survey. Each participant received a dental examination and questionnaire interviews about the 24-hour dietary recalls and food frequency. The daily intake of Ca, P, Mg, and Ca/P ratio were inversely associated with primary caries index, but only the Ca/P ratio remained significant after adjusting for potential confounders. According to the Taiwanese Dietary Reference Intakes, the Ca/P ratio was related to both caries in primary teeth (odds ratio = 0.52, p = 0.02) and in permanent teeth (odds ratio = 0.59, p = 0.02). The daily intakes of Ca/P ratio remained an important factor for caries after considering potential confounding factors.

  13. Risk factors and prevalence of dental fluorosis and dental caries in school children of North India.

    Science.gov (United States)

    Plaka, Kavita; Ravindra, Khaiwal; Mor, Suman; Gauba, Krishan

    2017-01-01

    The aim of the study was to assess the prevalence of dental fluorosis, dental caries, and associated risk factors in the school children of district Fatehgarh Sahib, Punjab, India, using a cross-sectional study design. Oral health status of children aged between 8 and 15 years was assessed using World Health Organization (WHO) 2013 criteria. Dental fluorosis was assessed using Dean's index, and dental caries were recorded using decayed, missing, filled/decayed, extracted, filled (DMF/def) indices. Four hundred school children were examined, of which 207 were in the 8-11-year-old group and 193 were in the 12-15-year-old group. The overall prevalence of dental fluorosis was 4.1%, which might be linked to a high concentration of fluoride in drinking water at certain locations of rural Punjab. The prevalence of dental caries was 36.5% with a mean DMF score of 0.3 and def score of 0.6. Risk factors for dental caries include oral hygiene behavior and sugar consumption patterns. The study highlights the need to increase awareness about the oral health and hygiene among the school children in India.

  14. Effect of Date Extract on Growth of Mutans Streptococci, the Most Important Factor of Dental Caries

    Directory of Open Access Journals (Sweden)

    A Sayyedi

    2007-01-01

    Full Text Available ABSTRACT: Introduction & Objective:Dental caries is perhaps the most common bacterial infections in humans and Streptococcus Mutans is one of the most important factors in dental caries. Research has shown that some kind foods have an inhibitory effect on cariogenic factors of Mutans streptococci. The aim of this study was to investigate the effect of date extract on growth of Streptococcus Mutans. Methods & Materials: This experimental study was down at faculty of medicine, Yasuj university of medical sciences with collaborative of microbiology department of Shiraz university of medical sciences in 2005. In an In-vitro study, effect of date extract on growth of Mutans Streptococci was surveyed .After collecting of Streptococcus Mutans from dental caries those were cultured in different medium of date fruit, extract of date fruit and syrup of date with different concentrations. Results: Following 24 hours, Streptococcus mutans was grown in less concentration of date mediums and its grown was inhibited in more concentrations. Conclusion: With respect of inhibitory effect of date extract on growth of Streptococcus mutans,it might be introduced that date as a source of food has a preventive effect on dental caries.

  15. Comparison of QLF and DIAGNOdent for quantification of smooth surface caries.

    Science.gov (United States)

    Shi, X Q; Tranaeus, S; Angmar-Månsson, B

    2001-01-01

    The aim was to compare the detection and quantification of smooth surface caries by KaVo DIAGNOdent and quantitative laser/light-induced fluorescence (QLF) using a laser and a lamp as two different light sources. On 40 premolar teeth extracted from adolescents, 71 non-cavitated approximal surfaces were assessed. For QLF, both mean and maximum fluorescence losses were registered. To provide a gold standard for verification, the teeth were then sectioned and lesion depth, stratified on a five-point scale, was determined by histopathology and microradiography. The correlation between the gold standard and the two methods was assessed by Spearman's rank correlation coefficient. The sensitivity and specificity of the methods for detection of smooth surface caries at D(3) level were also assessed. For lesion depth, correlation with the gold standard was similar for QLF and DIAGNOdent: about 0.85. With respect to dentinal caries detection, sensitivity for DIAGNOdent was 0.75 and specificity 0.96, with a cut-off point of 9. The corresponding values for QLF were 0.94 and 1, with a cut-off value of 20% of fluorescence loss. Spearman's rank correlation coefficients for enamel mineral loss and QLF and DIAGNOdent, respectively, were 0.76 and 0.67. It was concluded that for quantification of smooth surface caries, the methods are of equal merit, but for scientific purposes, QLF offers the advantage of closer correlation with changes in mineral content.

  16. Clinical evaluation of diagnodent in detection of occlusal caries in children.

    Science.gov (United States)

    Olmez, Aysegül; Tuna, Dilek; Oznurhan, Fatih

    2006-01-01

    The aim of this in vivo study was to evaluate the effectiveness of DIAGNOdent, visual and radiographic examination in detecting non-invasive diagnosis of occlusal caries in children. In this study, 92 untreated molars with sound occlusal surface or enamel and/or dentin caries were selected from 28 healthy patients, aged 7-17 years. All teeth were examined by two researchers using each of three diagnostic system (DIAGNOdent, visual, radiographic). Interpretation of the DIAGNOdent value and the radiolucency on the bitewing film were combined with the visual examination to decide where the teeth had to be opened. Depth of caries was recorded. Sensitivities and specificities were calculated for each diagnostic method using the biopsy scores as gold standard. Intra- and inter-examiner reproducibility for each method was assessed by calculating Cohen's kappa. The kappa value of inter-examiner reproducibilty was highest for visual examination (0.935), and lowest for DIAGNOdent measurements (0.698). Intra-examiner reproducibilty of DIAGNOdent mesurements was also good (0.745 and 0.665). Sensitivity and specificity for DIAGNOdent, visual examination and bitewing radiography were 0.86/0.80, 0.69/1.00 and 0.36/1.00, respectively. It was concluded that Diagnodent with a high sensitivity may be useful adjunct to visual examination with a high specificity in detecting occlusal caries.

  17. Longitudinal study of prolonged breast- or bottle-feeding on dental caries in Japanese children.

    Science.gov (United States)

    Yonezu, Takuro; Ushida, Nagako; Yakushiji, Masashi

    2006-11-01

    The aim of this investigation was to study the effects of prolonged breast- or bottle-feeding on dental caries in Japanese infants. This longitudinal study was conducted by means of a questionnaire and clinical examination of 592 children at 18 months, 2 years and 3 years of age. The children were divided into three groups: 1) children still being breast-fed at 18 months of age (n=42); 2) children still being bottle-fed at 18 months of age (n=45); and 3) children weaned off of breast- or bottle-feeding and with no nonnutritive-sucking habits at 18 months of age (n=205). Results showed that breast-feeding at 18 months of age produced many significant differences to the control children, including a higher prevalence of caries and higher number of dft. However, no significant differences were observed between bottle-fed and control children. In conclusion, our results suggest that prolonged breast-feeding at an early age before primary dentition has fully erupted is a risk factor for dental caries. Therefore, breast-fed children need to be monitored more closely, and aggressive methods of preventive care need to be instituted. It is also important to identify factors related to dental caries among breastfed children as soon as possible, and develop effective preventive programs.

  18. Secondary caries formation in vitro around glass ionomer-lined amalgam and composite restorations.

    Science.gov (United States)

    Dionysopoulos, P; Kotsanos, N; Papadogianis, Y

    1996-08-01

    The aim of this in vitro secondary caries study was to examine the glass-ionomer liner's effect on wall-lesion inhibition when a conventional and a light-cured glass ionomer liner was placed under amalgam and composite resin restorations. Class V preparations in extracted upper premolars were used and ten restorations were used for each of the following groups: (i) two layers of copal varnish and amalgam; (ii) conventional glass-ionomer and amalgam; (iii) light-cured glass-ionomer and amalgam; (iv) bonding agent and light-cured composite resin; (v) conventional glass-ionomer, bonding agent and light-cured composite resin; (vi) light-cured glass-ionomer, extended 0.3 mm short of the enamel margin bonding agent and light-cured composite resin; and (vii) light-cured glass-ionomer, extended 1 mm short of the enamel margin, bonding agent and light-cured composite resin. The teeth were thermocycled and artificial caries were created using an acid-gel. The results of this study showed that artificial recurrent caries can be reduced significantly (P amalgam restorations. The results also showed that when the light-cured glass-ionomer liner was placed 0.3 mm from the cavosurface margin under composite resin restoration, the artificial recurrent caries reduced significantly (P < 0.05).

  19. Secondary caries detection with a novel fluorescence-based camera system in vitro

    Science.gov (United States)

    Brede, Olivier; Wilde, Claudia; Krause, Felix; Frentzen, Matthias; Braun, Andreas

    2010-02-01

    The aim of the study was to assess the ability of a fluorescence based optical system to detect secondary caries. The optical detecting system (VistaProof) illuminates the tooth surfaces with blue light emitted by high power GaN-LEDs at 405 nm. Employing this almost monochromatic excitation, fluorescence is analyzed using a RGB camera chip and encoded in color graduations (blue - red - orange - yellow) by a software (DBSWIN), indicating the degree of caries destruction. 31 freshly extracted teeth with existing fillings and secondary caries were cleaned, excavated and refilled with the same kind of restorative material. 19 of them were refilled with amalgam, 12 were refilled with a composite resin. Each step was analyzed with the respective software and analyzed statistically. Differences were considered as statistically significant at p0.05). There was a significant difference between baseline measurements of the teeth primarily filled with composite resins and the refilled situation (p=0.014). There was also a significant difference between the non-excavated and the excavated group (Composite p=0.006, Amalgam p=0.018). The in vitro study showed, that the fluorescence based system allows detecting secondary caries next to composite resin fillings but not next to amalgam restorations. Cleaning of the teeth is not necessary, if there is no visible plaque. Further studies have to show, whether the system shows the same promising results in vivo.

  20. Factors related to the dental caries incidence in youth: a cohort study in Brazilian Northeastern

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    Ana Karine Macedo Teixeira

    Full Text Available Abstract The conceptual model of the life course considers that health-disease is a dynamic process that is also affected by previous and current lifelong experiences. The aim of the study was to investigate the incidence of caries and its determinants in young people in Sobral-Ceará, Brazil. This was a cohort study of oral health started in 2000, with waves in 2006 and 2012. 482 young people aged 17-21 years were examined and interviewed. The incidence of caries between 2006 and 2012 was the outcome analyzed and the independent variables were socioeconomic conditions and use of oral health actions and services. The average incidence of caries was 2.95 teeth from the adolescence to the youth. It was found that social deprivation throughout life and deny access to the dentist during infancy implies a greater incidence of caries in youth, therefore, the use of services and oral health actions during the adolescence and youth have not been sufficient to reduce inequities in oral health.

  1. Dental pain, socioeconomic status, and dental caries in young male adults from southern Brazil

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    Bastos João Luiz Dornelles

    2005-01-01

    Full Text Available The aim of this study was to assess dental pain prevalence and its association with dental caries and socioeconomic status in 18-year-old males from Florianópolis, Santa Catarina, Brazil. A cross-sectional study was conducted in a random sample (n = 414 selected from the Brazilian Army conscription list in 2003. Dental pain during the 12 months prior to the interview was recorded as the outcome. Socioeconomic data were obtained through a questionnaire. Dental caries experience was registered according to the DMFT Index. Analyses included simple and multiple non-conditional logistic regression following a hierarchical approach. Response rate was 95.6%. High rates of inter-examiner agreement were achieved (kappa > 0.83. Dental pain prevalence was 21.2% (95%CI: 17.3-25.1. After adjustment, individuals with one or more untreated caries were 3.2 times more likely (95%CI: 1.7-5.8 to have dental pain compared to caries-free subjects. Conscripts with low family income were 1.8 times more likely (95%CI: 1.0-3.3 to have dental pain than those with higher income.

  2. Dental pain, socioeconomic status, and dental caries in young male adults from southern Brazil

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    João Luiz Dornelles Bastos

    Full Text Available The aim of this study was to assess dental pain prevalence and its association with dental caries and socioeconomic status in 18-year-old males from Florianópolis, Santa Catarina, Brazil. A cross-sectional study was conducted in a random sample (n = 414 selected from the Brazilian Army conscription list in 2003. Dental pain during the 12 months prior to the interview was recorded as the outcome. Socioeconomic data were obtained through a questionnaire. Dental caries experience was registered according to the DMFT Index. Analyses included simple and multiple non-conditional logistic regression following a hierarchical approach. Response rate was 95.6%. High rates of inter-examiner agreement were achieved (kappa > 0.83. Dental pain prevalence was 21.2% (95%CI: 17.3-25.1. After adjustment, individuals with one or more untreated caries were 3.2 times more likely (95%CI: 1.7-5.8 to have dental pain compared to caries-free subjects. Conscripts with low family income were 1.8 times more likely (95%CI: 1.0-3.3 to have dental pain than those with higher income.

  3. Factors associated with dental caries in the primary dentition of children with cerebral palsy

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    Luana Leal Roberto

    2012-10-01

    Full Text Available The aim of this study was to investigate factors associated with caries experience in the primary dentition of one- to five-year-old children with cerebral palsy. A total of 266 dental records were examined, and caries experience was measured by dmft. The following variables were also analyzed: gender, oral hygiene, history of gastroesophageal reflux, use of medications for gastroesophageal reflux, gingival status, sugar intake and reports of polyuria, excessive thirst and xerostomia. For analysis purposes, the individuals were categorized as those with and without caries experience and subcategorized into the following age groups: one year; two to three years; and four to five years. After bivariate analysis, variables with a p-value < 0.25 were selected for incorporation into the Poisson regression models. Considering the limitations of the protocol, the level of oral hygiene perceived on the first appointment was the only factor associated with caries experience among two-to-fiveyear-old children with cerebral palsy.

  4. Dental caries and endemic dental fluorosis in rural communities, Minas Gerais, Brazil

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    Simone de Melo Costa

    2013-12-01

    Full Text Available It is observational, analytical and cross-sectional aimed to evaluate the association between severity and prevalence of fluorosis and dental caries in rural communities with endemic dental fluorosis in the north state of Minas Gerais, Brazil, with fluoride concentrations in water up to 4.8 mg/L. Data were collected by one examiner (intra-examiner kappa, 0.96 to 0,95 for caries and fluorosis after toothbrushing. The study included 511 individuals aged 7 - 22 years, categorized according to age: 7 - 9 years (n = 227, 10 to 12 years (n = 153, 13 to 15 years (n = 92, 16 to 22 years (n = 39. For the diagnosis of dental caries used the criteria of the World Health Organization to measure indices DMFT. For fluorosis used the index Thylstrup and Fejerskov (TF, dichotomized according to prevalence (TF = 0 and TF > 0 and severity (TF 5. In the two younger groups, the DMFT and its decay component were higher in the group with more severe fluorosis (p 0.05. The association was found between the conditions more severe fluorosis and caries in individuals under 12 years.

  5. Evaluation of total antioxidant level of saliva in modulation of caries occurrence and progression in children

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    Naveen Reddy Banda

    2016-01-01

    Full Text Available Context: Recent studies have implicated a direct relation between dental caries and salivary total antioxidant level (TAL, which can be suggested as an indicator (either harmful or protective for susceptibility of individuals for dental caries. Aim: To evaluate the total antioxidant level (TAL in unstimulated saliva of children, and to correlate the TAL with caries experience and BMI (body mass index. Settings and Design: 60 children, aged 6-12 yrs, were randomly selected for the study. Two groups were made (study group n=30 and control group n=30, and subdivisions based on gender were made out of both groups [male (n=15 and female (n=15]. In control group, subjects with no dental caries and study group, subjects having decayed teeth score ≥4 were included. Statistical Analysis: Data analysis was done using Statistical Package for Social Sciences (SPSS V. 21. Shapiro – Wilks test showed that TAL (absorbance did not follow normal distribution. Hence, for comparison between cases and control for TAL non-parametric test namely Mann- Whitney U test was applied. Results: Statistically significant strong positive correlation was seen between age and TAL (P< 0.05.

  6. Breaking the Chain of Early Childhood Caries Transmission

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    Maxine Strickland

    2011-05-01

    Full Text Available Dental disease can have devas-tating effects on children who lack access to dental care. The US was shocked to learn of the recent death of a child from a caries related infection. The bio-logical basis of dental caries risk is usually considered interims of individual behavior. The role of the family and other more complex units of social organization in determining caries risk are not often appreciated. The transmission of caries causing bacteria from mothers (or other care givers having extensive contact with the child has been well docu-mented. In addition the age at which children are vulnerable to colonization with caries causing organisms is known. Despite the fact that the dental and scientific communities possess knowledge concerning the routs of caries transmission, efforts to implement preventive programs specifically targeting the reduction of caries transmission have been inconsistent. Working with and motivating families to prevent caries transmission should be the shared objective of researchers and clinicians. Armed with the available know-ledge, caries should not the thought of as an inevitable part of life. The goal of this essay is to challenge readers to empower people at risk to make decisions that enable them to break the chain of caries infection.

  7. The effect of right or left handedness on caries experience and oral hygiene

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    Binali Çakur

    2011-01-01

    Full Text Available Background: There is an indisputable relationship between tooth decay and oral hygiene. Caries can only be prevented by keeping tooth decay at bay. In several prophylactic methods, brushing is the most important. Brushing efficiency is directly related to an individuals′ manual dexterity. Objective: To investigate whether there were differences in oral hygiene and caries prevalence between right- and left-handers. Materials and Methods: Forty-six elementary school students were included in the study. The subjects were 30 males and 16 females, ranging in age from 11 to 13 years. Handedness was ascertained by using the Edinburgh Handedness Scale. All students were examined intraorally. During this examination, the necessary values to determine oral hygiene status and to determine caries prevalence were recorded. Results: It was observed that subjects who used their right hands were in a better position in terms of oral hygiene than those using the left (P < 0.01. In terms of caries prevalence, however, averages for right-handed individuals were lower than those for left-handed subjects, although the difference was not statistically significant. Conclusions: It can be stated that the right-handed individuals have better oral hygiene and the lower incidence of caries because of their better manual dexterity and brush efficiency. So, dentists should consider better manual dexterity and brush efficiency in right-handed individuals before treatment planning. However, future well-designed neurologic studies involving larger numbers of subjects will be necessary to confirm the findings of this study and to understand more about the effects of handedness on oral hygiene performance.

  8. Validation of a multifactorial risk factor model used for predicting future caries risk with nevada adolescents

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    Mobley Connie

    2011-05-01

    Full Text Available Abstract Background The objective of this study was to measure the validity and reliability of a multifactorial Risk Factor Model developed for use in predicting future caries risk in Nevada adolescents in a public health setting. Methods This study examined retrospective data from an oral health surveillance initiative that screened over 51,000 students 13-18 years of age, attending public/private schools in Nevada across six academic years (2002/2003-2007/2008. The Risk Factor Model included ten demographic variables: exposure to fluoridation in the municipal water supply, environmental smoke exposure, race, age, locale (metropolitan vs. rural, tobacco use, Body Mass Index, insurance status, sex, and sealant application. Multiple regression was used in a previous study to establish which significantly contributed to caries risk. Follow-up logistic regression ascertained the weight of contribution and odds ratios of the ten variables. Researchers in this study computed sensitivity, specificity, positive predictive value (PVP, negative predictive value (PVN, and prevalence across all six years of screening to assess the validity of the Risk Factor Model. Results Subjects' overall mean caries prevalence across all six years was 66%. Average sensitivity across all six years was 79%; average specificity was 81%; average PVP was 89% and average PVN was 67%. Conclusions Overall, the Risk Factor Model provided a relatively constant, valid measure of caries that could be used in conjunction with a comprehensive risk assessment in population-based screenings by school nurses/nurse practitioners, health educators, and physicians to guide them in assessing potential future caries risk for use in prevention and referral practices.

  9. Evaluation of salivary nitric oxide level in children with early childhood caries

    Science.gov (United States)

    Senthil Eagappan, AR; Rao, V. Arun Prasad; Sujatha, S.; Senthil, D.; Sathiyajeeva, J.; Rajaraman, G.

    2016-01-01

    Background: Nitric oxide (NO), a highly reactive radical, participates in the nonspecific natural defense mechanism of the oral cavity. The present study was attempted to evaluate the salivary NO levels in 4–5 year-old children with early childhood caries (ECC). The objective of the present study was to assess the salivary NO concentration in children with different caries activity. Materials and Methods: The study included 120 healthy 4.5 year-old children and they were equally divided into three groups based on decayed, missing, filled surfaces (dmfs) score; forty caries-free children (control group), forty children with dmfs 1.5 (ECC group), and forty with dmfs ⩾6 (severe ECC group). Saliva collected was measured for NO concentration by Griess reaction method. The obtained data were analyzed by ANOVA and Pearson's correlation coefficient. Results: The mean level of NO in the saliva of the control group was 51.2 ± 8.3457 and that of ECC and severe ECC were 47.1 ± 5.2614 and 33.625 ± 4.6942, respectively. The mean salivary NO concentration was significantly higher in healthy controls when compared to children with ECC and severe ECC. Moreover, a negative correlation (r = −0.6658) was observed between the salivary NO level and the mean dmfs, suggesting that as the salivary NO level decreases, the caries incidence increases. Conclusion: The obtained results support the antimicrobial activity of salivary NO and also suggest that an increase in NO production might contribute to lower the caries occurrence in children. PMID:27605992

  10. The electronic diagnosis of caries in pits and fissures: site-specific stable conductance readings or cumulative resistance readings?

    Science.gov (United States)

    Ricketts, D N; Kidd, E A; Wilson, R F

    1997-01-01

    A prototype electronic caries meter (ECM II; LODE, Groningen. The Netherlands) was designed to deliver a conductance reading when the reading had remained stable for 3 consecutive seconds. The aim of this study was to determine whether this type of stable conductance reading was optimal for caries diagnosis. The ECM II was connected to a graphic recorder which enabled the continuous resistance to be recorded. The graphic recording was calibrated using a standard, variable resistance box. Stable conductance readings were taken for 76 sites on 32 extracted teeth with no visible sign of cavitation at an airflow of 7.5 l/min. Simultaneous graphic recording of resistance was continued for 10 s and cumulative resistance measurements were calculated by adding the resistance values at 1-second intervals. Histological validation of caries status was carried out on macroradiographs of sections cut to include sample sites. The histological picture was compared with the stable conductance reading and the cumulative resistance value for each site. Sensitivity and specificity values were calculated by randomly choosing stable conductance and cumulative resistance values to differentiate sound and carious sites. The results were presented as a series of receiver operating characteristics (ROC) curves and the optimum sensitivity and specificity values determined. 33% of sites had enamel caries and 32% had enamel and dentine caries. Results showed that both stable conductance readings and cumulative resistance measurements gave high and comparable sensitivity and specificity values for the diagnosis of dentine caries (sens. 92%, spec. 87% and sens. 88%, spec. 81%, respectively). However, when intra-examiner reproducibility was checked, stable conductance readings were more repeatable and achieved in shorter clinical time. In conclusion, stable conductance readings appear to be the most suitable for occlusal caries diagnosis.

  11. Analysis of the association between polymorphisms in the vitamin D receptor (VDR) gene and dental caries in a Chinese population.

    Science.gov (United States)

    Hu, X P; Li, Z Q; Zhou, J Y; Yu, Z H; Zhang, J M; Guo, M L

    2015-09-28

    Environmental influences on the development and progression of dental caries are well known; however, there is little evidence of a genetic component imparting susceptibility to dental caries. The aim of this study was to investigate the relationship between a single nucleotide polymorphism in the vitamin D receptor TaqI locus and dental caries susceptibility in a Chinese population. This case-control study was conducted with a case group (264 patients with dental caries from northwestern China) and a control group (219 individuals without dental caries or systemic disease from the same area). DNA was extracted from the peripheral venous blood of the study participants; the distribution of TaqI locus genotypes and allele frequencies was determined via polymerase chain reaction-restriction fragment length polymorphism. The data obtained were statistically analyzed using the Hardy-Weinberg equilibrium and Chi-square test. The frequency of the Tt genotype in the case group (14.0%) was significantly higher than that in the control group (4.3%), as determined using the genotype TT as the reference. The risk of dental caries was increased 3.8-fold in individuals with the heterozygous Tt genotype compared to that in the individuals with the TT genotype. The proportion of the 't' allele in the case group (7.0%) and the control group (2.1%) was observed to be significantly different [P = 0.0003; OR = 3.592, confidence interval 95% (1.790-7.208)]. Our results therefore suggested that the allele 't' might be a genetic factor determining dental caries susceptibility in individuals from the northwest of China.

  12. Comparison of linear and zero-inflated negative binomial regression models for appraisal of risk factors associated with dental caries

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    Manu Batra

    2016-01-01

    Full Text Available Context: Dental caries among children has been described as a pandemic disease with a multifactorial nature. Various sociodemographic factors and oral hygiene practices are commonly tested for their influence on dental caries. In recent years, a recent statistical model that allows for covariate adjustment has been developed and is commonly referred zero-inflated negative binomial (ZINB models. Aim: To compare the fit of the two models, the conventional linear regression (LR model and ZINB model to assess the risk factors associated with dental caries. Materials and Methods: A cross-sectional survey was conducted on 1138 12-year-old school children in Moradabad Town, Uttar Pradesh during months of February-August 2014. Selected participants were interviewed using a questionnaire. Dental caries was assessed by recording decayed, missing, or filled teeth (DMFT index. Statistical Analysis Used: To assess the risk factor associated with dental caries in children, two approaches have been applied - LR model and ZINB model. Results: The prevalence of caries-free subjects was 24.1%, and mean DMFT was 3.4 ± 1.8. In LR model, all the variables were statistically significant. Whereas in ZINB model, negative binomial part showed place of residence, father′s education level, tooth brushing frequency, and dental visit statistically significant implying that the degree of being caries-free (DMFT = 0 increases for group of children who are living in urban, whose father is university pass out, who brushes twice a day and if have ever visited a dentist. Conclusion: The current study report that the LR model is a poorly fitted model and may lead to spurious conclusions whereas ZINB model has shown better goodness of fit (Akaike information criterion values - LR: 3.94; ZINB: 2.39 and can be preferred if high variance and number of an excess of zeroes are present.

  13. Prevalence of dental caries and caries-related risk factors in premature and term children.

    Science.gov (United States)

    Cruvinel, Vanessa Resende Nogueira; Gravina, Danuze Batista Lamas; Azevedo, Tatiana Degani Paes Leme; Bezerra, Ana Cristina Barreto; Toledo, Orlando Ayrton de

    2010-01-01

    This study evaluated the prevalence of enamel defects and dental caries and their risk factors on primary and permanent dentitions of prematurely-born children and term children. Eighty children were examined, 40 born prematurely (G1) and 40 born term (G2), in the age group between 5 and 10 years. The demographic variables, medical history and oral health behaviors were recorded on a questionnaire. The teeth were examined for presence of deficiencies of the enamel and caries that were registered. The caries were registered, focusing on the indices dmft (decayed, missing, and filled primary teeth) and DMFT (decayed, missing, and filled permanent teeth). The results showed that 75% of the total sample had enamel defects. The logistic regression model showed that other risk factors such as per capita family income, educational level, dietary and hygiene habits, fluoride exposure, trauma, and diseases had no correlation with enamel defects and caries. A smaller value of total DMFT (0.95) was found in the group of premature children in comparison to the term children (2.07) p = 0.0164. There was no difference concerning the permanent dentition between the two groups (p = 0.9926). One concludes that prematurity can't be a predisposing factor for the presence of dental caries.

  14. Prevalence of dental caries and caries-related risk factors in premature and term children

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    Vanessa Resende Nogueira Cruvinel

    2010-09-01

    Full Text Available This study evaluated the prevalence of enamel defects and dental caries and their risk factors on primary and permanent dentitions of prematurely-born children and term children. Eighty children were examined, 40 born prematurely (G1 and 40 born term (G2, in the age group between 5 and 10 years. The demographic variables, medical history and oral health behaviors were recorded on a questionnaire. The teeth were examined for presence of deficiencies of the enamel and caries that were registered. The caries were registered, focusing on the indices dmft (decayed, missing, and filled primary teeth and DMFT (decayed, missing, and filled permanent teeth. The results showed that 75% of the total sample had enamel defects. The logistic regression model showed that other risk factors such as per capita family income, educational level, dietary and hygiene habits, fluoride exposure, trauma, and diseases had no correlation with enamel defects and caries. A smaller value of total DMFT (0.95 was found in the group of premature children in comparison to the term children (2.07 p = 0.0164. There was no difference concerning the permanent dentition between the two groups (p = 0.9926. One concludes that prematurity can't be a predisposing factor for the presence of dental caries.

  15. Relation Between Past and Present Dietary Sugar Intake and Dental Caries in A High Caries Population

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    T. Malek Mohammadi

    2008-06-01

    Full Text Available Objective: The main objective of this study was to investigate relationship between re-ported dietary habits and dental caries in five and six-year-old children referred for dental extractions.Materials and Methods: Two hundred children were examined using standard caries di-agnostic criteria. The numbers of decayed, missing and filled deciduous teeth were re-corded. A food frequency table was completed by the parents of each child and analyzedthrough weighting the cariogenic potentialby the frequency of consumption, and summing the two scores.Results: The mean number of decayed, missing and filled teeth (dmft was 7.1 (SD=3.29. There was no statistically significant correlation between the reported dietary intake and the caries rate in the study population P=0.07.Use of bottles with sugared drinks during infancy was associated with increased caries levels (P<0.01.Conclusion: Poor infant feeding practices promote caries in childhood. A method of diet assessment which would evaluate diet-related health education is required.

  16. Dental caries: an updated medical model of risk assessment.

    Science.gov (United States)

    Kutsch, V Kim

    2014-04-01

    Dental caries is a transmissible, complex biofilm disease that creates prolonged periods of low pH in the mouth, resulting in a net mineral loss from the teeth. Historically, the disease model for dental caries consisted of mutans streptococci and Lactobacillus species, and the dental profession focused on restoring the lesions/damage from the disease by using a surgical model. The current recommendation is to implement a risk-assessment-based medical model called CAMBRA (caries management by risk assessment) to diagnose and treat dental caries. Unfortunately, many of the suggestions of CAMBRA have been overly complicated and confusing for clinicians. The risk of caries, however, is usually related to just a few common factors, and these factors result in common patterns of disease. This article examines the biofilm model of dental caries, identifies the common disease patterns, and discusses their targeted therapeutic strategies to make CAMBRA more easily adaptable for the privately practicing professional.

  17. Occlusal Caries: Biological Approach for Its Diagnosis and Management

    DEFF Research Database (Denmark)

    Christina Carvalho, Joana; Dige, Irene; Machiulskiene, Vita

    2016-01-01

    process on occlusal surfaces. In addition, it considers the whole spectrum of the caries process on occlusal surfaces, ranging from the molecular ecology of occlusal biofilms to the management of deep occlusal caries lesions. Studies using molecular methods with focus on biofilms in relation to occlusal...... caries should explore the relationship between the function and the structural composition of these biofilms to understand the role of occlusal biofilms in caries development. State-of-the-art measures to evaluate risk for occlusal caries lesion activity, caries incidence, and progression should include...... the assessment of the occlusal biofilm and the stage of tooth eruption. Careful clinical examination of non-cavitated lesions, including assessment of the lesion activity status, remains the major tool to determine the immediate treatment need and to follow on the non-operative treatment outcome. Even medium...

  18. Preventing Dental Caries in Children from Birth Through Age Five Years

    Science.gov (United States)

    ... it might mean for you. What are dental caries? Dental caries, also known as tooth decay, occurs when bacteria ... May 2014 Task Force FINAL Recommendation | 1 Preventing Dental Caries in Children from Birth Through Age Five Years ...

  19. Retracted: Modern Concepts for Caries Tissue Removal.

    Science.gov (United States)

    Schwendicke, Falk

    2016-02-15

    "Modern Concepts for Caries Tissue Removal", by Falk Schwendicke The above article, published online on 15 February 2016 in Wiley Online Library (http://onlinelibrary.wiley.com/doi/10.llll/jerd.12201), has been retracted by agreement between the author, Dr. Falk Schwendicke, the journal Editor-in-Chief, Dr. Harald O. Heymann, Associate Editor, Dr. Edward Swift and Wiley Periodicals, Inc. The retraction has been agreed as the article was published in advance of other companion work which should have had precedence. The article pages have been replaced by the Retraction Statement and the article condensed accordingly. Schwendicke, F. Swift, EJ. Modern concepts for caries tissue removal. Dent J Esthet Rest 2016; 28:1; DOI: 10.1111/jerd.12201.

  20. Effect of Dental Caries on Children Growth

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    T Malek Mohammadi

    2005-10-01

    Full Text Available Objectives: The study examined the hypothesis that severe dental caries may affect growth and development in preschool children. Methods: The study examined 218 children with severe caries using standard diagnostic criteria. All children were weighed and measured and a food frequency questionnaire was completed for each. Six months subsequent to tooth extraction, 131 of the children were followed up and underwent repeat measurement of height, weight, dental health and food intake. For each child, body mass index (BMI was calculated, and all measurements were converted into standard deviation scores and compared to the UK 1990 growth reference. Results: In the six months period after having their decayed teeth extracted the children’s BMIs had increased by 0.654. Two-sided t-tests for paired data showed this difference to be significant (P< 0.01. Conclusion: Treatment of gross dental disease appears to promote "catch-up" growth and normalisation of body mass index.

  1. Early diagnosis of incipient caries based on non-invasive lasers

    Science.gov (United States)

    Velescu, A.; Todea, C.; Vitez, B.

    2016-03-01

    AIM: The aim of this study is to detect incipient caries and enamel demineralization using laser fluorescence.This serves only as an auxilary aid to identify and to monitor the development of these lesions. MATERIALS AND METHODS: 6 patients were involved in this study, three females and three male. Each patient underwent a professional cleaning, visual examination of the oral cavity, and then direct inspection using DiagnoCam and DIAGNOdent. After data recording each patient was submitted to retro-alveolar X-ray on teeth that were detected with enamel lesions. All data was collected and analyzed statistically. RESULTS: Of 36 areas considered in clinically healthy, 24 carious surfaces were found using laser fluorescence, a totally non-invasive method for detecting incipient carious lesions compared with the radiographic examination. CONCLUSIONS: This method has good applicability for patients because it improves treatment plan by early detection of caries and involves less fear for anxious patients and children.

  2. A randomized clinical trial of the anti-caries efficacy of 5,000 compared to 1,450 ppm fluoridated toothpaste on root caries lesions in elderly disabled nursing home residents

    DEFF Research Database (Denmark)

    Ekstrand, K.R.; Poulsen, J.E.; Hede, B.;

    2013-01-01

    Root caries is prevalent in elderly disabled nursing home residents in Denmark. This study aimed to compare the effectiveness of tooth brushing with 5,000 versus 1,450 ppm of fluoridated toothpaste (F-toothpaste) for controlling root caries in nursing home residents. The duration of the study was 8...... months. Elderly disabled residents (n = 176) in 6 nursing homes in the Copenhagen area consented to take part in the study. They were randomly assigned to use one of the two toothpastes. Both groups had their teeth brushed twice a day by the nursing staff. A total of 125 residents completed the study...

  3. Malnutrition and Dental Caries: A Review of the Literature

    OpenAIRE

    2005-01-01

    Protein-energy malnutrition occurs when there are deficiencies in protein, energy foods or both, relative to a body's needs. This paper reviews the association of early childhood malnutrition with: (1) dental caries, (2) enamel hypoplasia, (3) salivary gland hypofunction, and (4) delayed eruption. Studies suggest that caries of the primary dentition is associated with early childhood malnutrition, though the effect on caries of the permanent dentition has essentially not been studied. Enamel ...

  4. Fluoride varnish: a primary prevention tool for dental caries.

    Science.gov (United States)

    Ramaswami, Neerrajah

    2008-01-01

    Fluoride varnish is an effective tool that has been proven to prevent dental caries both in primary and permanent dentition. Its ease of use, acceptability and efficacy make it an important tool in the primary prevention of dental caries in high-caries-risk children. There has been an increase in third-party reimbursement for fluoride varnish applications in high-risk children and adults.

  5. DENTAL CARIES- A WIDELY GROWING DISEASE OF TEETH

    OpenAIRE

    2012-01-01

    Dental caries called as tooth decay is basically a disease in which bacterial processes changes carbohydrate to acid. This acid then dematerializes the hard tooth structure. They are produced when demineralization amount exceeds the remineralization amount. Streptococcus mutans and Lactobacillus are the bacteria responsible for the dental caries. This article throws light on the dental caries disease, its sign and symptoms, treatment, prevention and risk factors associated with it. A review o...

  6. Clinical evaluation of sodium flouride chewable tablets in dental caries.

    Science.gov (United States)

    Maddi, S S; Tandon, S; Aithal, K S

    1999-01-01

    Chewable tablets containing low dosage flouride content were prepared using two varities of celluloses and their in vitro parameters were evaluated. An eighteen month clinical trial revealed that both these formulations were effective in controlling the caries. However, ethyl cellulose is proved to be superior to methylcellulose as a controlled release matrix material in controlling caries. Thus this study recommends ethylcellulose matrix tablets containing low flouride content is an efficacious and cost effective drug device in controlling dental caries.

  7. Salivary cortisol response to psychological stress in children with early childhood caries

    Directory of Open Access Journals (Sweden)

    Kambalimath Halaswamy

    2010-01-01

    Full Text Available Aims and Objectives: Early Childhood Caries (ECC is a multi-factorial disease and has numerous biological, psychological, and behavioral risk factors. In this study, we have attempted to study psychological stress as a risk factor for early childhood caries by investigating and comparing the response of event-related stress on salivary cortisol level in children with ECC and those without ECC and also compared the adaptability to various dental procedures in children with early childhood caries and without early childhood caries. Materials and Methods: One hundred children aged between four and five years were examined in the school and 16 pairs of children with caries and without caries were selected after cross-matching them on various risk factors for Early Childhood Caries. Oral prophylaxis and topical fluoride treatment procedures were used as stressors and salivary samples were collected at the time of arrival for the treatment, after Oral Prophylaxis and Fluoride treatment. The salivary samples were analyzed by radioimmunoassay for an unbound plasma cortisol level. Results: Statistical analysis was performed using a paired t-test, on the collected data, to compare the mean values of the salivary cortisol across the group and within the groups to evaluate the cortisol response to stress. No significant differences were found between the salivary cortisol levels prior to treatment, post oral prophylaxis, or post fluoride treatment at the first and second appointments of both groups. At the first appointment, the fluoride treatment caused a significant increase in the salivary cortisol level over the pretreatment level, in both the groups, but it was not evident in either of the two groups studied at the second appointment. Conclusion: We have concluded that the stress produced by different dental procedures was similar in children from the two groups studied, and the coping ability of the children was also similar in both the groups. Small

  8. An In Vitro Comparison of Different Diagnostic Methods in Detection of Residual Dentinal Caries

    Directory of Open Access Journals (Sweden)

    Nimet Unlu

    2010-01-01

    Full Text Available The aim of this study was to investigate the efficiency of different diagnostic methods in detection of residual dentinal caries in excavated cavities. Fifty extracted molar with deep dentinal carious lesions were excavated using a slow-speed handpiece. All cavities were assessed by laser fluorescence(LF device, electronic caries monitor(ECM, and caries detector dye(CDD by three independent observers blindly. The measurements were repeated after two weeks. Specimens containing dentin slices 150 μm in thickness were prepared for histological analyses. The existence and absence of carious dentin was determined using a lightmicroscope. The average intraobserver accuracy was 1.00 (perfect agreement for CDD, 0.86 (excellent agreement for ECM, and 0.50 (good agreement for LF. The average interobserver accuracy values were 0.92 (excellent agreement, (0.36 marginal agreement and 0.48 (good agreement, for CDD, ECM, and LF, respectively. The average specificity was 0.60 for CDD, 73% for ECM, and 0.50 for LF. The average sensitivity was 0.55 for CDD, 0.85 for LF, and 0.47 for ECM. The average accuracy values were 0.53, 0.51, and 0.81 for CDD, ECM, and LF, respectively. LF had the greatest sensitivity and accuracy values of any of the methods tested. As a conclusion, LF device is appeared to most reliable method in detection of remain caries in cavity. However, because of its technical sensitivity it may susceptible to variations in measurements. To pay attention to the rule of usage and repeated measurements can minimize such variations in clinical practice. It was concluded that LF is an improvement on the currently available aids for residual caries detection.

  9. Good Manufacturing Practices production and analysis of a DNA vaccine against dental caries

    Institute of Scientific and Technical Information of China (English)

    Ya-ping YANG; Yu-hong LI; Ai-hua ZHANG; Lan BI; Ming-wen FAN

    2009-01-01

    Aim: To prepare a clinical-grade anti-caries DNA vaccine pGJA-P/VAX and explore its immune effect and protective efficacy against a cariogenic bacterial challenge.Methods: A large-scale industrial production process was developed under Good Manufacturing Practices (GMP) by combining and optimizing common unit operations such as alkaline lysis, precipitation, endotoxin removal and column chromatography. Quality controls of the purified bulk and final lyophilized vaccine were conducted according to authoritative guidelines. Mice and gnotobiotic rats were intranasally immunized with clinical-grade pGJA-P/VAX with chitosan. Antibody levels of serum IgG and salivary SlgA were assessed by an enzyme-linked immunosorbent assay (ELISA), and caries activity was evaluated by the Keyes method. pGJA-P/VAX and pVAX1 prepared by a laboratory-scale commercial kit were used as controls.Results: The production process proved to be scalable and reproducible. Impurities including host protein, residual RNA, genomic DNA and endotoxin in the purified plasmid were all under the limits of set specifications. Intranasal vaccination with clinical-grade pGJA-P/ VAX induced higher serum IgG and salivary SlgA in both mice and gnotobiotic rats. While in the experimental caries model, the enamel (E), dentinal slight (Ds), and dentinal moderate (Dm) caries lesions were reduced by 21.1%, 33.0%, and 40.9%, respectively. Conclusion: The production process under GMP was efficient in preparing clinical-grade pGJA-P/VAX with high purity and intended effectiveness, thus facilitating future clinical trials for the anti-caries DNA vaccine.

  10. Factors for determining dental anxiety in preschool children with severe dental caries.

    Science.gov (United States)

    Abanto, Jenny; Vidigal, Evelyn Alvarez; Carvalho, Thiago Saads; Sá, Stella Núbia Coelho de; Bönecker, Marcelo

    2017-01-16

    The aim of this study was to assess the clinical and socioeconomic indicators associated with dental anxiety in preschool children with severe dental caries. A total of 100 children between 3 and 5 years of age were selected during a dental screening procedure. The selection criteria were having at least one tooth with dental caries and a visible pulpal involvement, ulceration, fistula, and abscess (PUFA) index of ≥1 in primary teeth. Before the clinical examination or any treatment procedure was performed, we evaluated the children's dental anxiety using the Facial Image Scale (FIS). Parents completed a questionnaire on socioeconomic conditions, which included the family structure, number of siblings, parental level of education, and family income. A dentist blinded to FIS and socioeconomic data performed the clinical examination. Poisson regressions associate clinical and socioeconomic conditions with the outcome. Most of the children (53%) experienced extensive dental caries (dmf-t ≥ 6), and all children had severe caries lesions, with a PUFA index of ≥1 in 41% and that of ≥2 in 59%. The multivariate adjusted model showed that older children (4-5-year old) experienced lower dental anxiety levels compared with younger children (3-year old) (RR = 0.35; 95%CI: 0.17-0.72 and RR = 0.18; 95%CI: 0.04-0.76, respectively), and children with three or more siblings were associated with higher levels of dental anxiety (RR = 2.27; 95%CI: 1.06-4.87). Older age is associated with low dental anxiety, and more number of siblings is associated with high dental anxiety in preschool children, whereas the severity or extent of dental caries is not associated with dental anxiety.

  11. General evaluation of hard dental tissue and risk factors of dental caries in young people

    Directory of Open Access Journals (Sweden)

    Антоніна Михайлівна Політун

    2016-04-01

    Full Text Available The prognostication of caries in youth is important for determination and prescription of individual prophylactic arrangements and its further influence on mineralization of the hard dental tissues.Aim of the work: the study of the prevalence and intensity of caries among the young people and determination of possible connection with the risk factor of caries development for further choice of the reasonable prophylactic arrangement.Materials and methods of research: epidemiological, clinical, statistic ones.Results of research: The article describes results of the comprehensive dental examination of 135 persons18-25 years old. There was determined the high prevalence of caries (96,3±0,74 % with considerable intensity (8,87±0,39. The main etiological factors among youth are: poor nutrition with prevalence of carbohydrate (74,81±0,56 %, lack of oral hygiene (59,27±0,73 %, quantitative and qualitative composition of oral fluid, presence of somatic diseases (40±0,30 %, bad habits (31,85±0,24 %, neglect of the sport (48,88±0,36 %, chronic emotional stress (38,51±0,29 %, due to the increased workload and related stress factors.Conclusions: the high prevalence (96,3±0,74 % and intensity of carious process (8,87±0,39 is caused by the unsatisfactory state of oral cavity, (1,91±0,06, under the influence of general factors (somatic diseases, stress, poor nutrition the reactivity of protective mechanisms is lowered and the risk of dental morbidity of youth increases. So, it proves the necessity of elaboration and introduction of the active arrangements of primary prophylaxis directed on the raise of caries resistance of the hard dental tissues in young people

  12. A cross sectional study of dermatoglyphics and dental caries in Bengalee children

    Directory of Open Access Journals (Sweden)

    Asok bijoy sengupta

    2013-01-01

    Full Text Available Context: Dermatoglyphic is the permanent imprint found in hands. Variations of dermatoglyphic patterns among the individuals have been noted. Aims: To find out the dermatoglyphic pattern variations in dental caries between study group and the control group. Settings and Design: A cross-sectional study was done on 300 Bengalee children of Kolkata between the age group of 4-14 years. Materials and Methods: The samples were divided into two groups; study group and control group. Dental caries were detected clinically using mouth mirror and probe in daylight. Ink was applied on palm and finger by pressure pad. Bilateral palm and finger prints were taken by placing the palm and fingers over glazed paper and applying pressure over palm. Finger and palm prints obtained were inspected by magnifying glass for the study of different dermatoglyphic parameters. Statistical analysis used: Analytical statistical method with the help of student′s t-test was used to determine mean values and gender differences in the findings using SPSS version 11.0. Results: The characteristic feature which shows significant increase in caries sample group were increased total finger ridge count (TRFC and absolute finger ridge count (AFRC on fingers, representing pattern size and types. ab count and tr count were significantly lower in male and female caries sample group compared with the control group. Conclusions: There was a significant difference between caries and control group in different patterns and number of "tri radii on fingers" in fingers, the percentage of patterns on all palmar areas, total number of triradii on palm and main line index. Perhaps more systematic larger samples consisting of different genetic population are necessary to verify the conclusion.

  13. The Responsiveness of Patients’ Quality of Life to Dental Caries Treatment—A Prospective Study

    Science.gov (United States)

    Yeh, Ding-Yu; Kuo, Hsiao-Ching; Yang, Yi-Hsin

    2016-01-01

    The objective of this study was to determine the responsiveness of oral health–related quality of life (OHRQoL) (oral health impact profile [OHIP] and oral impact on daily performance [OIDP]) and health-related quality of life (HRQoL) (World Health Organization quality of life scale, brief [WHOQOL-BREF]) in dental caries restoration treatment. The study also aimed to assess the influence of treatment on the responsiveness of patients’ quality of life (QoL). A total of 126 patients (aged 16–40 years) received dental caries restoration treatment with a 2-week follow-up and pre- and posttreatment interviews by questionnaire. Patients were assessed for their perceptions of OHRQoL and HRQoL by using the OHIP, OIDP, and WHOQOL-BREF measures. The responsiveness of all outcome measurements was assessed by effect size (ES). Stepwise multiple regression analysis was used to examine the association with the responsiveness of all outcome measurements. Significant differences were found between OIDP (ES = 0.39), OHIP (ES = 0.54), and WHOQOL-BREF (ES = 0.13) with regard to pretreatment and posttreatment (p-values: <0.0001, <0.0001, and 0.0120, respectively). Sex and dental caries status at baseline were significantly associated with responsiveness by all measurements. This study suggests that dental caries treatment moderately improves OHRQoL, but is less related to HRQoL. Furthermore, the number of dental caries and restoration are important factors affecting the improvement of patients’ perceived OHRQoL. PMID:27776148

  14. Obesity and dental caries: systematic review

    Directory of Open Access Journals (Sweden)

    Alexandre Emidio Ribeiro Silva

    2013-08-01

    Full Text Available OBJECTIVE Identifying, through a systematic literature review, evidence of a possible association between obesity and dental caries. METHODS A search of articles published between 2005 and January 2012 was performed in the Medline/PubMed, LILACS and Web of Science databases. The quality of scientific evidence of the selected articles was assessed by the items proposed for observational studies in the Downs & Black instrument. RESULTS Initially, 537 references were found; after checking the titles and abstracts by two independent researchers, twenty-eight articles were selected for complete reading. Ten of them that assessed the primary and/or permanent dentition observed a positive association between obesity and dental caries and one study found an inverse association. According to the Downs & Black classification, thirteen articles with good scientific evidence were found. CONCLUSIONS The present review did not find sufficient evidence regarding the association between obesity and dental caries, and it did not clarify the possible role of diet and other possible effect modifiers on this association.

  15. DD Genotype of ACE I/D Polymorphism Might Confer Protection against Dental Caries in Polish Children.

    Science.gov (United States)

    Olszowski, Tomasz; Adler, Grażyna; Janiszewska-Olszowska, Joanna; Safranow, Krzysztof; Chlubek, Dariusz

    2015-01-01

    The aim of the study was to examine the frequencies of the genotypes and alleles of ACE insertion/deletion (I/D) polymorphism and their association with dental caries in a sample of Polish children. The study subjects were 120 children with dental caries experience (cases) and 41 caries-free individuals (controls). The genotyping was performed using polymerase chain reaction. The genotype distributions of ACE I/D polymorphism were not statistically different between carious and control children. However, we found a borderline overrepresentation of the II + ID genotypes versus the DD genotype in the carious compared to the control group (69.2% and 51.2%, respectively, p = 0.057). Logistic regression analysis adjusted for age and sex revealed that I allele carriage was a significant predictor of dental caries susceptibility (OR = 2.14, 95% CI = 1.02-4.49, p = 0.041). In conclusion, the DD genotype of ACE I/D polymorphism might be protective against dental caries in Polish children.

  16. Immunoglobulin A reaction to oral streptococci in saliva of subjects with different combinations of caries and levels of mutans streptococci.

    Science.gov (United States)

    Bratthall, D; Serinirach, R; Hamberg, K; Widerström, L

    1997-08-01

    The aim of this study, performed in Bangkok, was to study whether a particular salivary immunoglobulin A (IgA) antibody profile against mutans streptococci could be related to the absence or presence of caries. A group of 12-year-old individuals representing various combinations of mutans streptococci levels and caries experience was selected. Whole saliva stimulated by paraffin-chewing was collected, and the children were investigated for decayed, missing and filled surfaces (DMFS) and teeth (DMFT), following WHO criteria and methods, at baseline and after 2 years. The total amount of salivary IgA was determined by an immunobead enzyme-linked immunosorbent assay, and SDS-PAGE and Western blot analysis was performed using sonicated antigens of Streptococcus mutans and Streptococcus sobrinus strains and, as a control, a Streptococcus parasanguis strain. The results showed that Thai children with low caries prevalence had more distinct immunoblot bands to antigens from mutans streptococci than did the high-caries children. A similar picture was not seen for S. parasanguis. On the whole, the Thai children also showed fewer bands than usual Swedish saliva samples from comparable age groups. The complexity of the relationship between dental caries and IgA in saliva is highlighted.

  17. The relation between oral hygiene skills and the prevalence of dental caries among 4 - 6-year-old children.

    Science.gov (United States)

    Razmienė, Jaunė; Vanagas, Giedrius; Bendoraitienė, Eglė; Vyšniauskaitė, Aurelija

    2011-01-01

    AIM OF THE STUDY. To evaluate the tooth brushing skills and the prevalence of dental caries as well as its intensity in relation to oral hygiene skills among 4 - 6-year-old children. MATERIAL AND METHODS. The cross-sectional study was performed from November 16, 2009 to January 12, 2010. 235 children (4 - 6-year old) were randomly selected from kindergartens in Plungė and Jonava in Lithuania. The results of study were registered in the special forms prepared in accordance with the recommendations of WHO. Parents of the children were asked to fill in the questionnaires. RESULTS. The results of the study show that 91% (Plungė) and 90% (Jonava) of 4 - 6-year-old children have caries in their primary teeth. The prevalence of caries is different in relation to age: 78.7% of 4-year-old children, 97.3% of 5-year-old children, and 95.3% of 6-year-old children. The intensity of caries is as follows: 4.9 (SN=±4.9), 7.5 (SN=±4.5), and 8.2 (SN=±4.7). CONCLUSIONS. There is the high prevalence of caries, particularly of not treated forms, among 4 - 6-year-old children. The oral hygiene index is just satisfactory.

  18. Breast and Bottle Feeding as Risk Factors for Dental Caries: A Systematic Review and Meta-Analysis.

    Science.gov (United States)

    Avila, Walesca M; Pordeus, Isabela A; Paiva, Saul M; Martins, Carolina C

    2015-01-01

    Understanding the role that breastfeeding and bottle feeding play in the development of dental caries during childhood is essential in helping dentists and parents and care providers prevent the disease, and also for the development of effective public health policies. However, the issue is not yet fully understood. The aim of this systematic review and meta-analysis was to search for scientific evidence in response to the question: Do bottle fed children have more dental caries in primary dentition than breastfed children? Seven electronic databases and grey literature were used in the search. The protocol number of the study is PROSPERO CRD 42014006534. Two independent reviewers selected the studies, extracted data and evaluated risk of bias by quality assessment. A random effect model was used for meta-analysis, and the summary effect measure were calculated by odds ratio (OR) and 95% CI. Seven studies were included: five cross-sectional, one case-control and one cohort study. A meta-analysis of cross-sectional studies showed that breastfed children were less affected by dental caries than bottle fed children (OR: 0.43; 95%CI: 0.23-0.80). Four studies showed that bottle fed children had more dental caries (p0.05). The scientific evidence therefore indicated that breastfeeding can protect against dental caries in early childhood. The benefits of breastfeeding until age two is recommended by WHO/UNICEF guidelines. Further prospective observational cohort studies are needed to strengthen the evidence.

  19. Longitudinal evaluation of the impact of dental caries treatment on oral health-related quality of life among schoolchildren.

    Science.gov (United States)

    de Paula, Janice S; Sarracini, Karin L M; Meneghim, Marcelo C; Pereira, Antônio C; Ortega, Edwin M M; Martins, Natália S; Mialhe, Fábio L

    2015-06-01

    This study aimed to evaluate the impact of dental caries treatment on oral health-related quality of life (OHRQoL) among schoolchildren and the responsiveness of the Child Perceptions Questionnaire (CPQ8-10 ) instrument. Brazilian schoolchildren, 8-10 yr of age, were randomly selected and assigned to two groups--dental caries treatment (DCT) and caries-free (CF)--according to their caries experience [decayed, missing, or filled primary teeth (dmft) and decayed, missing or filled secondary teeth (DMFT) values of ≥ 0]. The CPQ8-10 instrument was administered at baseline and at 4 wk of follow-up (i.e. 4 wk after completion of dental treatment). In the DCT group, increases in CPQ8-10 scores were observed between the baseline and follow-up results. However, longitudinal evaluation of the CF group demonstrated no statistically significant difference in CPQ8-10 scores. Responsiveness of the CPQ8-10 instrument (magnitude of change in CPQ8-10 scores) in the DCT group was greater (effect size >0.7) than in the CF group. The findings of this study show that dental caries treatment has an important impact on OHRQoL of children. The CPQ8-10 was considered an acceptable instrument for longitudinal measurement of changes in OHRQoL.

  20. Modern approaches to caries management of the primary dentition.

    Science.gov (United States)

    Innes, N P T; Evans, D J P

    2013-06-01

    When prevention of dental caries fails, and a child is exposed to the risk of pain and infection, the disease must be managed to reduce this risk. There is growing evidence supporting more 'biological' and fewer 'surgical' approaches to managing dental caries in primary teeth. These biological methods include partial and stepwise caries removal procedures, as well as techniques where no caries is removed. An overview of clinical trials comparing these biological methods to complete caries removal shows that they perform as well as traditional methods and have the advantage of reducing the incidence of iatrogenic pulpal exposures. The Hall Technique is one biological approach to managing caries in primary molars which involves sealing caries beneath preformed metal (stainless steel) crowns. The crown is cemented over the tooth without caries removal, tooth preparation or use of local anaesthesia. The clinical steps for the Hall Technique are straightforward but, as with all dental care provision, appropriate treatment planning for the procedure requires skill. The Hall Technique offers another method of managing early to moderately advanced, active carious lesions in primary molars, with good evidence of effectiveness and acceptability. This evidence aligns with the positive findings of other studies on biological strategies for managing caries in primary teeth.

  1. Detection activity assessment and diagnosis of dental caries lesions

    DEFF Research Database (Denmark)

    Braga, Mariana M; Mendes, Fausto M; Ekstrand, Kim R

    2010-01-01

    This article reviews the current methods for detection and assessment of caries lesions focusing on applicability for daily clinical practice. The end point is to arrive at a diagnosis for each caries lesion. Visual inspection aided by a ball-ended probe is essential for caries lesions assessment...... and the method must be used for all patients. Use of indices, for example, the International Caries Detection and Assessment System (ICDAS), can improve the performance of this method. Using visual inspection, the clinician must decide about the presence, severity and activity of lesions. After this process...

  2. Identification of Microbial and Proteomic Biomarkers in Early Childhood Caries

    Directory of Open Access Journals (Sweden)

    Thomas C. Hart

    2011-01-01

    Full Text Available The purpose of this study was to provide a univariate and multivariate analysis of genomic microbial data and salivary mass-spectrometry proteomic profiles for dental caries outcomes. In order to determine potential useful biomarkers for dental caries, a multivariate classification analysis was employed to build predictive models capable of classifying microbial and salivary sample profiles with generalization performance. We used high-throughput methodologies including multiplexed microbial arrays and SELDI-TOF-MS profiling to characterize the oral flora and salivary proteome in 204 children aged 1–8 years (n=118 caries-free, n=86 caries-active. The population received little dental care and was deemed at high risk for childhood caries. Findings of the study indicate that models incorporating both microbial and proteomic data are superior to models of only microbial or salivary data alone. Comparison of results for the combined and independent data suggests that the combination of proteomic and microbial sources is beneficial for the classification accuracy and that combined data lead to improved predictive models for caries-active and caries-free patients. The best predictive model had a 6% test error, >92% sensitivity, and >95% specificity. These findings suggest that further characterization of the oral microflora and the salivary proteome associated with health and caries may provide clinically useful biomarkers to better predict future caries experience.

  3. Using laser fluorescence (DIAGNOdent) in surveys for the detection of noncavitated occlusal dentine caries

    OpenAIRE

    Rando-Meirelles, MPM; de Sousa, MDR

    2011-01-01

    Objective The aim of this study was to evaluate the use of the DIAGNOdent system in epidemiological studies to detect noncavitated occlusal caries lesions, and compare the results with those found in radiographic examinations. Methods The sample consisted of 1,290 occlusal surfaces of permanent molars, examined in 179 schoolchildren aged 12-15 years. The methods used were: visual inspection, radiographic examination and DIAGNOdent exam, with radiographic examination being considered the gold ...

  4. The Relationship of Orthodontic Treatment Need with Periodontal Status, Dental Caries, and Sociodemographic Factors

    OpenAIRE

    Ruhi Nalcaci; Serhat Demirer; Firat Ozturk; Altan, Burcu A.; Oral Sokucu; Vildan Bostanci

    2012-01-01

    The aim of this study was to determine the relationship of orthodontic malocclusion with periodontal status, dental caries, and sociodemographic status. Our study population consisted of a sample of 836 school children (384 male and 452 female, aged 11–14 years). Four experienced orthodontists and two experienced periodontists performed the clinical examinations. The Treatment Priority Index (TPI), Community Periodontal Index of Treatment Needs (CPITN), decayed, missing, filled teeth (DMFT) s...

  5. The caries experience and dentistry following evaluation of children submitted to antineoplastic therapy

    OpenAIRE

    Hanna, Leila Maués Oliveira; de Araújo, Rodolfo José Gomes; Vilarino, Ewerson Fernando Almeida; Mayhew, Andressa Soraia Barros

    2016-01-01

    Aim: To evaluate the caries experience and the dentistry following of children submitted to antineoplastic therapy of a reference Hospital to this type of treatment in Para state, Brazil.Material and Methods: The sample consisted of 46 children. It was included children in the ages of 2 to 12 years diagnosed with cancer that would be submitted to chemotherapy treatment. The evaluation was performed before the chemotherapy treatment and consisted of anamnesis and oral clinical examination. In ...

  6. Risk of caries and oral health: preliminary study

    Directory of Open Access Journals (Sweden)

    Marcello Gatti

    2009-12-01

    Full Text Available Introduction. The incidence of injury cariosa remains high, despite the improvements achieved in the last years. Recent national epidemiological surveys, 4 years old children have healthy teeth in 80% of cases at 12 years the percentage is reduced to 50%. In Italy, the almost total absence on the territory of “dental services to the Community”, makes even more difficult to achieve a solution to the problem “caries.” To address this problem, the Ministry of Labor, Health and Social Policy in October 2008 adopted the national guidelines in order to make suggestions to the various professionals (pediatricians, dentists, microbiologists, dental hygienists, etc., making them interact to maintain and restore oral health. It was the first time that the Ministry of Health has addressed the problem by inserting the figure of the microbiologist in dentistry. Aims. The present study aim was to identify subjects at risk of caries by clinical microbiological testing of saliva and the index DMFT/dmft (Decayed, Missing and Filling Permanent Teeth in both adults and particularly children in order to take preventive measures early as reported in “National guidelines for the promotion of oral health and prevention of oral diseases in age of development”. The study began in June 2009 and will last one year with as goal to have, in 2010, 90% of children between 5 and 6 years caries free and 18 years with any lost tooth decay. Materials and methods. Recruited 164 patients were divided into three age groups: 124 adults aged between 20 and 40 years, 40 children which 21 till 5 years old and 19 till 12 years old. Microbiological testing was aimed by finding CFU / ml of saliva of Streptococcus mutans and Lactobacillus spp., Slide CRT bacteria (Ivoclar. Clinically, intraoral examination was performed to evaluate the DMFT (Decayed teeth, Missing or Filling calculated over 28 permanent teeth and the dmft (decayed teeth, missing or filling calculated on 20

  7. Effect of probiotic chewing tablets on early childhood caries--a randomized controlled trial

    DEFF Research Database (Denmark)

    Hedayati-Hajikand, Trifa; Lundberg, Ulrika; Eldh, Catarina;

    2015-01-01

    BACKGROUND: To evaluate the effect of probiotic chewing tablets on early childhood caries development in preschool children living in a low socioeconomic multicultural area. METHODS: The investigation employed a randomized double-blind placebo-controlled design. The study group consisted of 138...... healthy 2-3-year-old children that were consecutively recruited after informed parental consent. After enrollment, they were randomized to a test or a placebo group. The parents of the test group were instructed to give their child one chewing tablet per day containing three strains of live probiotic...... childhood caries development could be reduced through administration of these probiotic chewing tablets as adjunct to daily use of fluoride toothpaste in preschool children. Further studies on a possible dose-response relationship seem justified TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01720771...

  8. Risk indicators and potential risk factors for caries in 5-year-olds of different ethnic groups in Amsterdam.

    NARCIS (Netherlands)

    Verrips, G.H.; Frencken, J.E.; Kalsbeek, H.; Horst, G. ter; Filedt Kok-Weimar, T.L.

    1992-01-01

    The aim of this study was threefold: first, to assess the oral health of Turkish, Moroccan, Surinamese, Dutch and "other" 5-yr-old children living in Amsterdam; second, to identify risk indicators for caries, in addition to ethnicity; and third, to identify potential risk factors related to differen

  9. Prevalence, risk surfaces and inter-municipality variations in caries experience in Danish children and adolescents in 2012

    DEFF Research Database (Denmark)

    Nørrisgaard, Pia Elisabeth; Qvist, Vibeke; Ekstrand, Kim

    2016-01-01

    Objective The aim of this study was to describe the caries experience, prevalence and distribution related to tooth type and surfaces in the primary and permanent dentition in children and adolescents in Denmark in 2012. In addition, to examine if explanatory factors influence the inter-municipal...

  10. Effect of a chlorhexidine/thymol and a fluoride varnish on caries development in erupting permanent molars

    DEFF Research Database (Denmark)

    Flamee, S; Gizani, S; Caroni, C

    2015-01-01

    AIM: To compare the caries preventive effect of a chlorhexidine/thymol-containing antibacterial varnish with a fluoride varnish when topically applied during the eruption of permanent molars. METHODS: The study group consisted of 189 patients, 5-14 years of age, with one 1st or 2nd permanent mola...

  11. Parental and family-related influences on dental caries in children of Dutch, Moroccan and Turkish origin

    NARCIS (Netherlands)

    Duijster, D.; Jong-Lenters, M. de; Ruiter, C. de; Thijssen, J.; Loveren, C. van; Verrips, E.

    2015-01-01

    Objectives The aim of this cross-sectional study was to investigate the relationship between parental and family-related factors and childhood dental caries in a sample of 5- to 6-year-old children of Dutch, Moroccan and Turkish origin. Furthermore, the relationship of parental and family-related fa

  12. Effects of high-fluoride dentifrice (5,000-ppm) on caries-related plaque and salivary variables

    NARCIS (Netherlands)

    Mannaa, A.; Carlén, A.; Zaura, E.; Buijs, M.J.; Bukhary, S.; Lingström, P.

    2014-01-01

    Objectives The aim of the present study was to measure the effects of a 5,000-ppm F toothpaste on caries-related factors in dental plaque and saliva. Materials and methods A 6-week clinical trial was designed with a total of 34 participants, of which 26 completed the study. The participants were ass

  13. Genotypic diversity and virulence factors of Streptococcus mutans in caries-free and caries-active individuals

    OpenAIRE

    Miula Portelinha Braga; Augusta Piovesan; Natália Valarini; Sandra Mara Maciel; Flaviana Bombarda de Andrade; Regina Célia Poli-Frederico

    2013-01-01

    The objective of this study was to analyze the genotypic diversity, frequency of serotypes and the detection of mutacins from Streptococcus mutans isolates in caries-free and caries-active individuals.A total of 260 S. mutans isolated from 28 individuals with and without dental caries were subjected to AP-PCR and PCR screening of glucosyltransferase B, mutacin and serotype genes, which showed the presence of. 70 different genotypes. There was no statistically significant association between t...

  14. A Review on Traditional Caries Diagnostic Systems and Introduction of New International Caries Detection and Assessment System (ICDAS)

    OpenAIRE

    Malek Mohammadi T.; Hajizamani A.

    2011-01-01

    Dental caries is a chronic infection disease that manifests itself through demineralization of dental tissues and cavitations in the tooth structure. The diagnosis of dental caries poses challenges due to the complex interaction of multiple endogenous causal factors. Naturally, visual and visual-tactile examinations have been the most commonly used diagnostic aids in caries examination for many years. A major drawback in common dental examination was the use of varied diagnostic criteria by v...

  15. Comparison of primary dentition caries experience in pre-term low birth-weight and full-term normal birth-weight children aged one to six years

    Directory of Open Access Journals (Sweden)

    Sowmya Anaberu Rajshekar

    2011-01-01

    Full Text Available Aim: The aims of the study were to determine and compare the primary dentition caries experience and the variables that may influence the occurrence of caries, in preterm low birth weight and full term normal birth weight children aged one to six years. Settings and Design: A cross-sectional comparative study was conducted among 250 full term normal birth weight (FTNBW and 250 preterm low birth weight (PTLBW children one to six years, born in the two hospitals in Davangere: Bapuji Hospital and Chigatere Hospital. A purposive sampling was used to select the study group. Materials and Methods: Required and relevant information regarding demographic characteristics, feeding practices and oral hygiene practices were obtained. Dentition status and treatment need index (World Health Organization 1997 was used to record dental caries. Statistical analysis used: Chi-square test, Student′s t-test and ANalysis Of VAriance (ANOVA test were used for statistical analysis. Results: Statistically significant difference was observed in caries prevalence between PTLBW and FTNBW groups (P<0.05, however, the difference in mean Decayed, missing and filled teeth index (dmft was not statistically significant (P=0.30. Statistically significant differences were observed in caries experience between the two groups in relation to exclusive breast feeding for longer duration, i.e 7-12 months (P<0.05, bottle feeding habits (P<0.05 and sticky food consumption (P<0.01. Conclusions: A significant relationship was found between caries and PTLBW status though the difference in caries experience between the groups was not statistically significant, thus illustrating the higher caries risk in PTLBW children compared to FTNBW children.

  16. Association between enamel hypoplasia and dental caries in primary second molars and permanent first molars: A 3-year follow-up study

    Directory of Open Access Journals (Sweden)

    Sakeenabi Basha

    2016-01-01

    Full Text Available Context: Enamel hypoplasia is a defect caused by disturbances during enamel formation. These defects in the enamel present important clinical significance as they predispose a tooth to dental caries. Aim: The aim of this study was to assess the longitudinal relationships between enamel hypoplasia and caries experience of primary second molars and permanent first molars. Materials and Methods: The study sample consisted of 765 subjects who underwent dental examinations at both ages 6 and 9 by the calibrated examiner. Primary second molars and permanent first molars were scored for the presence of enamel hypoplasia for each participant. Caries presence and number of decayed and filled surfaces (dfs and DFS were determined at ages 6 and 9. The relationships between enamel hypoplasia and caries experience were assessed using multivariable regression models. Results: At the tooth level, 2.8% and 3.5% of children had hypoplasia on primary second molars and permanent first molars respectively. Multivariable logistic regression analyses showed that children with enamel hypoplasia were at a significantly higher risk of caries at both ages 6 (odds ratio, OR = 5.27 for primary second molars and OR = 3.21 for permanent first molars and age 9 (OR = 3.45 for primary second molars and OR = 4.57 for permanent first molars, and that a statistically significant association was seen with caries incidence (OR = 2.08 for primary second molars and OR = 2.87 for permanent first molars. Conclusion: Enamel hypoplasia appears to be a significant risk factor for caries in both primary second molars and permanent first molars and should be considered in caries risk assessment.

  17. Validation of DIAGNOdent laser fluorescence and the International Caries Detection and Assessment System (ICDAS) in diagnosis of occlusal caries in permanent teeth: an in vivo study.

    Science.gov (United States)

    Castilho, Lia S; Cotta, Fernanda V M D; Bueno, Audrey C; Moreira, Allyson N; Ferreira, Efigênia F; Magalhães, Cláudia S

    2016-04-01

    The aim of this in vivo study was to validate the DIAGNOdent laser fluorescence method and the International Caries Detection and Assessment System (ICDAS) for caries classification against the gold standard, histological examination, for detecting occlusal caries on permanent molars; the thresholds used were the outer enamel (D1), the inner enamel and outer third of the dentine (D2), and the inner two-thirds of the dentine (D3). Patients with non-impacted third molars (n = 43) were recruited from a university clinic. A trained examiner performed the examinations. After the teeth were extracted, the histological criterion was used to determine the severity of the lesions. Intra-examiner agreement (weighted kappa) for ICDAS was 0.60 and reliability (intraclass correlation coefficient) for DIAGNOdent was 0.968. The correlations with the histological reference were weak for DIAGNOdent (rs = 0.369) and moderate for ICDAS (rs = 0.515). The areas under the receiver-operating characteristics (ROC) curve at D1, D2, and D3 were 0.60, 0.69, and 0.91, respectively, for ICDAS and 0.55, 0.65, and 0.92, respectively, for DIAGNOdent. ICDAS and DIAGNOdent proved to be reproducible methods with similar performance in the detection of occlusal carious lesions in dentine. The ability of DIAGNOdent to detect initial enamel lesions was higher than that of ICDAS, but with low specificity. The usefulness of DIAGNOdent as an adjunct method for assessment of initial occlusal caries in permanent molars is questionable.

  18. Prevalence of dental caries among preschool children in Shanghe County of Shandong Province and relevant prevention and treatment strategies

    Institute of Scientific and Technical Information of China (English)

    SHANG Xiao-hong; LI Da-lu; HUANG Yi; CHEN Hui; SUN Ruo-peng

    2008-01-01

    Background Decayed teeth are harmful to children's growth and development and can severely jeopardize their health.This study was set out to investigate and analyze the prevalence of dental caries in preschool children in Shanghe County in Shandong Province,China,and provide new insights into potential prevention and treatment strategies.Methods Based on the random sampling method,we performed dental examinations of children aged 2 to 6 years in kindergartens of Shanghe County.The prevalence of caries,the average number of decayed teeth per capita as well as the constituent rates of decayed,missing and filled teeth were determined retrospectively.SPSS software was used for data analysis.Results Dental caries were found in 1088 out of 2052 children from 56 kindergartens.The total number of decayed teeth was 4487 with a prevalence of 53.02%.The average number of decayed teeth per capita was 2.187,and the filling rate was 0.29%.There was no statistical difference in the prevalence of caries between boys and girls though there were significant differences between different age groups.The prevalence of decayed teeth as well as the mean number of decayed teeth infected per capita increased with age.In addition,urban children had a higher prevalence than those from rural areas (P <0.01).Conclusions The prevalence of decayed caries among kindergarten children in Shanghe County was high,suggesting that more emphasis should be put on improving oral health education with priority given to prevention.Further efforts should be made to increase the decayed caries filling rate.

  19. Consistency of DIAGNOdent instruments for clinical assessment of fissure caries.

    Science.gov (United States)

    Astvaldsdóttir, Alfheidur; Holbrook, W Peter; Tranaeus, Sofia

    2004-08-01

    DIAGNOdent (KaVo, Biberach, Germany) has shown high diagnostic accuracy and intra-operator agreement for caries detection, both in vitro and in vivo. The aims of this study were to compare DIAGNOdent with visual examination (VI) and bitewing radiographs (BW) for clinical assessment of occlusal fissures, and to evaluate inter-device consistency of clinical recording using four different DIAGNOdent instruments; secondly, to correlate DIAGNOdent readings with microbial culture of the measured site. The subjects were young adults, the material comprising 34 occlusal fissures, scheduled for restorative treatment at the Dental School Clinic of the University of Iceland. Two examiners conducted visual and radiographic assessments. One examiner measured each site with four DIAGNOdent instruments in random order. The fissure was then opened and lesion depth was classified on a 4-point scale. Bacterial samples were taken from the fissure before and after opening. Intra-operator agreement was high (r = 0.85-0.98). Inter-device correlation for the four DIAGNOdent instruments was significant in all cases (r = 0.81-0.92). However, a common cut-off point could not be determined. There was weak but significant correlation between DIAGNOdent readings and all three classes of lesion depth. Level of infection showed very weak correlation with the DIAGNOdent readings. It was concluded that DIAGNOdent is more reliable in detecting dentinal caries if a proper cut-off point is used than in indicating actual lesion depth. Readings from the different instruments were not directly comparable, however, owing to the lack of a common cut-off point.

  20. Influence of social environment on caries prevalence in early childhood

    Directory of Open Access Journals (Sweden)

    Tušek Ivan

    2011-01-01

    Full Text Available Introduction. Early childhood caries (ECC is a special form of caries that affects decideous teeth with rapid progression and numerous complications. Objective. The aim of the study was to define the prevalence of ECC in children of the South Bačka area, the importance of social environment for the prevalence and severity of ECC, and define the model for its prevention. Methods. The survey was the cross-sectional analytical study in the 10% sample of children, aged 13-64 months, different sex, social status and human environment. Severity and prevalence of ECC were assessed by dental check-ups. The epidemiological data were obtained by the interview of parents. The tests of significant statistical differences were performed by the analysis variance and χ2 (p<0.05 test, as well as interdependence of ECC and single characteristics that could be a predictor of the disease by the logistic regression. Results. The prevalence of ECC was 30.5%. The highest disease frequency was found in children of male sex (35.1%, out of kindergardens (54.2%, in the third and the next born child in the family (46.9% and in part-time employed mothers (47.2% who had only elementary education (59.3% and were poorly informed about oral health. The highest prevalence (47.1% of ECC was found in children whose parents had the lowest income per month. Type 1 of ECC was the most presented one (75.0%. Conclusion. The higher prevalence and more severe ECC were found in the third and the next born male child from rural environment.

  1. Steering according to the Market Demand Aiming to Improve Students' application competence---On the Reform of College English teaching with the Background of College Transformation%市场需求为导向应用能力为目标--浅议高校转型背景下大学英语的教学改革

    Institute of Scientific and Technical Information of China (English)

    周玫

    2014-01-01

    2014年3月份教育部副部长鲁昕表示,600多所地方本科高校将实行转型,向应用技术型转,向职业教育类型转。在此大背景下,大学英语路在何方呢?笔者认为,大学英语应该乘“转型东风”,大刀阔斧的进行改革,转移传统通识教育的重心,增开专门用途英语(ESP)即English for Specific Purpose,切实培养学生对英语的综合应用能力,以满足市场的需要。%In March, 2014, Lu Xin, the minister of Ministry of Education expressed that more than 600 provincial colleges would transformed into application-oriented colleges or vocational school. With this background, college English teaching should also be reformed, traditional English for general purpose transforming into English for specific purpose, to develop students' integrated application competence and meet the market demand.

  2. EFFECT OF FLUORIDE MOUTHRINSING ON CARIES LESION DEVELOPMENT IN SHARK ENAMEL - AN INSITU CARIES MODEL STUDY

    NARCIS (Netherlands)

    OGAARD, B; ROLLA, G; DIJKMAN, T; RUBEN, J; ARENDS, J

    1991-01-01

    Shark enamel consists of nearly pure fluorapatite and has been shown to demineralize in an in situ caries model. The present study was conducted to investigate whether additional fluoride supplementation in the form of mouthrinsing would inhibit lesion development in shark enamel. The study slabs of

  3. Koreksi dimensi vertikal oklusal dengan modifikasi restorasi mahkota logam pada kasus severe early childhood caries (Correcting occlusal vertical dimension using modified stainless steel crown restoration in severe early childhood caries case

    Directory of Open Access Journals (Sweden)

    Amrita Widyagarini

    2014-06-01

    Full Text Available Background: Severe early childhood caries (SECC describes progressively dental caries in primary dentition among children aged less than 3 to 5-year-old. Loss of Occlusal Vertical Dimension (OVD with deep bite in clinical feature found 2.5 times more often in s-ecc children than others. It leads discrepancies of vertical development of permanent dentition, hence creates malocclusion. Purpose: The aim of this paper was to report consideration and correction of OVD in SECC child. Case: A 5-year-old girl was accompanied by her mother came to pediatric dental clinic Faculty of Dentistry Universitas Indonesia. Patient’s chief complaint was decay on all her teeth. Clinical examination revealed caries on all primary dentition, tooth #16, #46 have not yet been occluded, 26 erupted partially and it occluded with 36, anterior deep bite. Diagnose was anterior deep bite caused by SECC. Case management: Operative-rehabilitative treatment restores OVD to prevent malocclusion by modifying height of ssc in primary molars. Correcting deep bite using stainless steel crown (SSC modified in posterior was done. First, restoration with glass-ionomer cement for raising the bite followed by a week evaluation to observe masticatory function and functional analysis of temporomandibular joint. Second, ssc were placed in primary molars. Conclusion: Modifying height of ssc in primary molars could corrected OVD in SECC child. Permanent first molars eruption could be guided to completely occlusion and prevent early malocclusion.Latar belakang: Severe early childhood caries (SECC menunjukan pola karies gigi sulung yang progresif dan menyeluruh pada anak usia di bawah 3 hingga 5 tahun. Kehilangan dimensi vertikal oklusal (DVO, dengan gambaran gigitan dalam pada periode gigi sulung dilaporkan terjadi 2,5 kali lebih banyak pada anak SECC. Hal ini dapat menyebabkan gangguan perkembangan vertikal gigi permanen yang nantinya menyebabkan maloklusi. Tujuan: Laporan kasus ini

  4. Fluorine profiling after application of various anti-caries gels

    Energy Technology Data Exchange (ETDEWEB)

    Zschau, H.E.; Plier, F.; Otto, G. (Karl-Marx-Universitaet, Leipzig (German Democratic Republic). Wissenschaftsbereich Angewandte Kernphysik); Wyrwich, C.; Treide, A. (Karl-Marx-Universitaet, Leipzig (German Democratic Republic). Poliklinik fuer Orthopaedische und Kinderstomatologie)

    1990-04-01

    Two newly developed caries-preventing gels were tested together with Elmex on pre-school children over a time of 3 years. Proton-induced gamma-ray emission spectrometry (PIGE) was used to measure the fluorine profiles in milk teeth (incisors). In accordance with the clinical statement the results allow to produce a new anti-caries drug. (orig.).

  5. Early Childhood Caries (ECC): an infectious transmissible oral disease

    NARCIS (Netherlands)

    H.R. Poureslami; W.E. van Amerongen

    2009-01-01

    Dental caries in babies and toddlers is called Early Childhood Caries (ECC). It is an infectious and transmissible die-to-bacterial disease. Detailed knowledge regarding the acquisition and transmission of infectious agents facilitates a more comprehensive approach toward prevention. Mutans streptoc

  6. Fluorides in caries prevention and control: empiricism or science.

    Science.gov (United States)

    Ten Cate, J M

    2004-01-01

    The caries-preventive effects of fluoride are beyond any reasonable doubt! Inclusion of fluoride use in caries prevention protocols has resulted in significant reduction in caries prevalence in the majority of the population. Nevertheless, even in low-caries prevalence populations up to 20% of individuals may suffer to an unacceptable degree from caries. In the history of caries research various phases can be discerned. Starting with the initial - laboratory - studies to reveal the mode of action of fluoride, attention later shifted to intra-oral studies and in situ product testing. Currently much emphasis is given to evidence-based dentistry and guidelines for clinical practice, which trend has also focussed the research on fluoride and caries. While on some topics, such as the efficacy of fluoride toothpastes, evidence is convincing, additional research is indicated to resolve remaining questions. One such question is that of high-prevalence individuals for which a comprehensive research programme focussing both on caries aetiological and behavioural aspects should be further developed. Efforts should continue to be directed at improving our understanding of fluoride, in particular on topics where success so far has failed.

  7. The role of family functioning in childhood dental caries

    NARCIS (Netherlands)

    Duijster, D.; Verrips, G.H.W.; van Loveren, C.

    2014-01-01

    Objectives This study investigated the relationship between family functioning and childhood dental caries. Further objectives were (i) to explore whether oral hygiene behaviours could account for a possible association between family functioning dimensions and childhood dental caries and (ii) to ex

  8. Estimation of caries experience by multiple imputation and direct standardization

    NARCIS (Netherlands)

    Schuller, A.A.; Buuren, S. van

    2014-01-01

    Valid estimates of caries experience are needed to monitor oral population health. Obtaining such estimates in practice is often complicated by nonresponse and missing data. The goal of this study was to estimate caries experiences in a population of children aged 5 and 11 years, in the presence of

  9. Estimation of Caries Experience by Multiple Imputation and Direct Standardization

    NARCIS (Netherlands)

    Schuller, A. A.; van Buuren, S.

    2014-01-01

    Valid estimates of caries experience are needed to monitor oral population health. Obtaining such estimates in practice is often complicated by nonresponse and missing data. The goal of this study was to estimate caries experiences in a population of children aged 5 and 11 years, in the presence of

  10. Dental caries in Rome, 50-100 AD

    DEFF Research Database (Denmark)

    Fejerskov, O; Guldager Bilde, P; Bizzarro, Martin

    2012-01-01

    Scarce information exists on the clinical features of dental caries in the Imperial Roman population and no structural data on caries lesions from this period have so far been published. We report on the findings of 86 teeth (50-100 AD) found during archaeological excavations of the temple...

  11. The role of family functioning in childhood dental caries

    NARCIS (Netherlands)

    Duijster, D.; Verrips, G.H.W.; Loveren, C. van

    2014-01-01

    OBJECTIVES: This study investigated the relationship between family functioning and childhood dental caries. Further objectives were (i) to explore whether oral hygiene behaviours could account for a possible association between family functioning dimensions and childhood dental caries and (ii) to e

  12. Dental Caries and General Health in Children and Adults

    DEFF Research Database (Denmark)

    Twetman, Svante

    2016-01-01

    Caries is a biofilm-mediated noncommunicable disease fueled by dietary sugar, neglected oral hygiene, and reduced saliva flow. General diseases may influence the oral environment through its pathogenesis, medication, and/or the caring of the condition. Associations between caries and chronic...

  13. Children's discomfort in assessments using different methods for approximal caries detection

    Directory of Open Access Journals (Sweden)

    Tatiane Fernandes Novaes

    2012-04-01

    Full Text Available Because discomfort caused by different approximal caries detection methods can influence their performance, the assessment of this discomfort is important. Thus, this study aimed to evaluate the discomfort reported by children after the use of different diagnostic methods to detect approximal caries lesions in primary teeth: visual inspection, bitewing radiography, laser fluorescence (DIAGNOdent pen - LFpen and temporary separation with orthodontic rubbers. Seventy-six children aged 4 to 12 years were examined using these methods. Their discomfort was assessed using the Wong-Baker scale and compared among the methods. Visual inspection caused less discomfort than did other methods. Radiography and the LFpen presented similar levels of discomfort. Older children reported higher discomfort using temporary separation, whereas younger children reported less discomfort with the LFpen. In conclusion, radiographic, temporary separation and LFpen methods provoke higher discomfort than visual inspection.

  14. EVALUATION OF DIAGNODENT FOR THE DIAGNOSIS OF FISSURAL CARIES. A CLINICAL STUDY

    Directory of Open Access Journals (Sweden)

    Luiza Ungureanu

    2011-12-01

    Full Text Available Diagnosis of fissural caries, especially in young permanent teeth, is quite difficult to establish, its sometimes aleatory character possibly leading to incorrect therapeutical decisions. The aim of the study is to evaluate laser fluorescence (LF represented by Diagnodent as a diagnosis means, comparatively with the exams involving inspection and probing (VI, the validation test of which is the exploratory drilling. Method: 72 occlusal surfaces of the permanent molars of 10-15 year-old children have been examined, the diagnosis being established by two methods; after validation of the diagnosis through exploratory drilling, specific treatments were performed, exemplified by self-evident clinical cases. Results: The obtained values are: VI sensitivity 68.1%, LF 83.3%, specificity VI 77.7%, LF 50%, comparable with the results of other studies. Conclusions: Due to its increased sensitivity, Diagnodent completes the examination through inspection and probing, for the establishment of a correct diagnosis and treatment of fissural caries.

  15. Nd:YAG laser in caries prevention: a clinical study; Avaliacao clinica da eficiencia do laser de Nd:YAG associado ao fluor fosfato acidulado na prevencao de caries de sulcos e fissuras de criancas e adolescentes

    Energy Technology Data Exchange (ETDEWEB)

    Boari, Heloisa Gomes Dimiranda

    2000-07-01

    The caries prevention by using laser irradiation has been investigated during the last 30 years. The Nd: YAG laser associated with acidulated phosphate fluoride has been shown as a very promising technique for enamel caries prevention. The aim of this work was to clinically evaluate the efficiency of Nd: YAG laser associated with acidulated phosphate fluoride in pit and fissure caries prevention of children and adolescents. In this work it was determined the dye that enhance the effect of Nd: YAG laser in enamel. It was selected 242 pre-molar and molar teeth from 33 children and adolescents, aged from 7 to 15 years old. The selected teeth were free from caries or decalcification marks (active white marks) to the clinical and radiographic exams. The teeth were divided into two groups: the first group was laser irradiated and their homologous remained as a control. The right side teeth were dye-assisted Nd:YAG laser irradiated. The dye solution was a moisture of dust coal and equal parts of water and alcohol. The irradiation conditions were 60 mJ/10 Hz, optical fiber in contact mode, with diameter of 300 {mu}m, resulting in an energy density of 84,9 J/cm{sup 2}. The oclusal surface of the teeth was completely irradiated, specially on the slopes and in the deepest part of the pits and fissures. This procedure was repeated three times. In the sequence it was applied the acidulated phosphate fluoride for 4 minutes. On the left side teeth - control group- only acidulated phosphate fluoride was applied for the same time. The final examination considered the presence of caries and active white marks after a period of one year. There were statistical significant differences (p < 0.01) between the lased + fluoride group and the non irradiated group. The present study concluded that the technique used in this work can be an alternative clinical method for caries prevention. (author)

  16. Detection of early caries by laser-induced breakdown spectroscopy

    Science.gov (United States)

    Sasazawa, Shuhei; Kakino, Satoko; Matsuura, Yuji

    2015-07-01

    To improve sensitivity of dental caries detection by laser-induced breakdown spectroscopy (LIBS) analysis, it is proposed to utilize emission peaks in the ultraviolet. We newly focused on zinc whose emission peaks exist in ultraviolet because zinc exists at high concentration in the outer layer of enamel. It was shown that by using ratios between heights of an emission peak of Zn and that of Ca, the detection sensitivity and stability are largely improved. It was also shown that early caries are differentiated from healthy part by properly setting a threshold in the detected ratios. The proposed caries detection system can be applied to dental laser systems such as ones based on Er:YAG-lasers. When ablating early caries part by laser light, the system notices the dentist that the ablation of caries part is finished. We also show the intensity of emission peaks of zinc decreased with ablation with Er:YAG laser light.

  17. Calcium-phosphate-osteopontin particles for caries control

    DEFF Research Database (Denmark)

    Schlafer, Sebastian; Birkedal, Henrik; Olsen, Jakob

    2016-01-01

    Caries is caused by acid production in biofilms on dental surfaces. Preventing caries therefore involves control of microorganisms and/or the acid produced. Here, calcium-phosphate-osteopontin particles are presented as a new approach to caries control. The particles are made by co......-precipitation and designed to bind to bacteria in biofilms, impede biofilm build-up without killing the microflora, and release phosphate ions to buffer bacterial acid production if the pH decreases below 6. Analysis of biofilm formation and pH in a five-species biofilm model for dental caries showed that treatment......H always remained above 5.5. Hence, calcium-phosphate-osteopontin particles show potential for applications in caries control....

  18. Caries in Portuguese children with Down syndrome

    Directory of Open Access Journals (Sweden)

    Cristina Maria Areias

    2011-01-01

    Full Text Available OBJECTIVES: Oral health in Down syndrome children has some peculiar aspects that must be considered in the follow-up of these patients. This study focuses on characterizing the environmental and host factors associated with dental caries in Portuguese children with and without Down syndrome. METHODS: A sibling-matched, population-based, cross-sectional survey was performed. RESULTS: Down syndrome children presented a significantly greater percentage of children without caries, 78% vs. 58% of non-Down syndrome siblings. This difference in the DMFT index (number of decayed, missing and filled teeth essentially reflects data obtained from treated teeth, for which 91% of children with Down syndrome had never had a tooth treated vs. 67% of siblings. This result was statistically significant, whereas results for decayed and lost teeth did not differ between Down syndrome children and their unaffected siblings. Additionally, in Down syndrome children, a delayed eruption of the second molar occurs. Down syndrome children and their siblings have similar oral hygiene habits, but a higher percentage of Down syndrome children visit a dentist before the age of three years, in comparison to their siblings. Bruxism was also more common in Down syndrome children compared to their siblings. CONCLUSIONS: Our results show that Portuguese children with Down syndrome have lower caries rates than children without Down syndrome. This reduced prevalence may be associated with the parents' greater concern about oral health care in Down syndrome children, resulting in their taking them sooner to visit a dentist, as well as to a higher bruxism prevalence and delayed tooth eruption.

  19. Genetic influences in caries and periodontal diseases.

    Science.gov (United States)

    Hassell, T M; Harris, E L

    1995-01-01

    Deciphering the relative roles of heredity and environmental factors ("nature vs. nurture") in the pathogenesis of dental caries and diseases of the periodontium has occupied clinical and basic researchers for decades. Success in the endeavor has come more easily in the case of caries; the complex interactions that occur between host-response mechanisms and putative microbiologic pathogens in periodontal disease have made elucidation of genetic factors in disease susceptibility more difficult. In addition, during the 30-year period between 1958 and 1987, only meager resources were targeted toward the "nature" side of the nature/nurture dipole in periodontology. In this article, we present a brief history of the development of genetic epistemology, then describe the three main research mechanisms by which questions about the hereditary component of diseases in humans can be addressed. A critical discussion of the evidence for a hereditary component in caries susceptibility is next presented, also from a historical perspective. The evolution of knowledge concerning possible genetic ("endogenous", "idiotypic") factors in the pathogenesis of inflammatory periodontal disease is initiated with an analysis of some foreign-language (primarily German) literature that is likely to be unfamiliar to the reader. We identify a turning point at about 1960, when the periodontal research community turned away from genetics in favor of microbiology research. During the past five years, investigators have re-initiated the search for the hereditary component in susceptibility to common adult periodontal disease; this small but growing body of literature is reviewed. Recent applications of in vitro methods for genetic analyses in periodontal research are presented, with an eye toward a future in which persons who are at risk--genetically predisposed--to periodontal disease may be identified and targeted for interventive strategies. Critical is the realization that genes and environment

  20. [Stevia in the fight against dental caries].

    Science.gov (United States)

    Ma, M S; Blanksma, N G

    2015-01-01

    Stevia is a natural, non-caloric sweetener of plant origin. The sweetening power of stevia is several hundred times larger than that of table sugar (sucrose). On the basis of available research, the European Food Safety Authority concluded that stevia is safe for human consumption. Since then, stevia has been approved as a sweetener for the European market. As a substitute for sucrose, stevia can contribute to a reduced caloric intake and can play a role in the prevention and/or treatment of metabolic disorders. In addition, stevia is non-cariogenic and is, moreover, affordable. Promoting the consumption of stevia can therefore be a preventive means of fighting dental caries.

  1. Caries-preventive Effect of Supervised Toothbrushing and Sealants.

    Science.gov (United States)

    Hilgert, L A; Leal, S C; Mulder, J; Creugers, N H J; Frencken, J E

    2015-09-01

    To investigate the effectiveness of 3 caries-preventive measures on high- and low-caries risk occlusal surfaces of first permanent molars over 3 y. This cluster-randomized controlled clinical trial covered 242 schoolchildren, 6 to 7 y old, from low socioeconomic areas. At baseline, caries risk was assessed at the tooth surface level, through a combination of ICDAS II (International Caries Detection and Assessment System) and fissure depth codes. High-caries risk occlusal surfaces were treated according to daily supervised toothbrushing (STB) at school and 2 sealants: composite resin (CR) and atraumatic restorative treatment-high-viscosity glass-ionomer cement (ART-GIC). Low-caries risk occlusal surfaces received STB or no intervention. Evaluations were performed after 0.5, 1, 2, and 3 y. A cavitated dentine carious lesion was considered a failure. Data were analyzed according to the proportional hazard rate regression model with frailty correction, Wald test, analysis of variance, and t test, according to the jackknife procedure for calculating standard errors. The cumulative survival rates of cavitated dentine carious lesion-free, high-caries risk occlusal surfaces were 95.6%, 91.4%, and 90.2% for STB, CR, and ART-GIC, respectively, over 3 y, which were not statistically significantly different. For low-caries risk occlusal surfaces, no statistically significant difference was observed between the cumulative survival rate of the STB group (94.8%) and the no-intervention group (92.1%) over 3 y. There was neither a difference among STB, CR, and ART-GIC on school premises in preventing cavitated dentine carious lesions in high-caries risk occlusal surfaces of first permanent molars nor a difference between STB and no intervention for low-caries risk occlusal surfaces of first permanent molars over 3 y.

  2. An artifical neural network for detection of simulated dental caries

    Energy Technology Data Exchange (ETDEWEB)

    Kositbowornchai, S. [Khon Kaen Univ. (Thailand). Dept. of Oral Diagnosis; Siriteptawee, S.; Plermkamon, S.; Bureerat, S. [Khon Kaen Univ. (Thailand). Dept. of Mechanical Engineering; Chetchotsak, D. [Khon Kaen Univ. (Thailand). Dept. of Industrial Engineering

    2006-08-15

    Objects: A neural network was developed to diagnose artificial dental caries using images from a charged-coupled device (CCD)camera and intra-oral digital radiography. The diagnostic performance of this neural network was evaluated against a gold standard. Materials and methods: The neural network design was the Learning Vector Quantization (LVQ) used to classify a tooth surface as sound or as having dental caries. The depth of the dental caries was indicated on a graphic user interface (GUI) screen developed by Matlab programming. Forty-nine images of both sound and simulated dental caries, derived from a CCD camera and by digital radiography, were used to 'train' an artificial neural network. After the 'training' process, a separate test-set comprising 322 unseen images was evaluated. Tooth sections and microscopic examinations were used to confirm the actual dental caries status.The performance of neural network was evaluated using diagnostic test. Results: The sensitivity (95%CI)/specificity (95%CI) of dental caries detection by the CCD camera and digital radiography were 0.77(0.68-0.85)/0.85(0.75-0.92) and 0.81(0.72-0.88)/0.93(0.84-0.97), respectively. The accuracy of caries depth-detection by the CCD camera and digital radiography was 58 and 40%, respectively. Conclusions: The model neural network used in this study could be a prototype for caries detection but should be improved for classifying caries depth. Our study suggests an artificial neural network can be trained to make the correct interpretations of dental caries. (orig.)

  3. [Factors associated with the incidence of dental caries among schoolchildren living in a municipality with low prevalence of dental caries].

    Science.gov (United States)

    Cypriano, Silvia; Hugo, Fernando Neves; Sciamarelli, Maria Cristina; Tôrres, Luísa Helena do Nascimento; Sousa, Maria da Luz Rosário de; Wada, Ronaldo Seichi

    2011-10-01

    The literature has shown that poorer levels of oral health are more frequently related to lower socio-economic status, consequently this cross-sectional and exploratory study conducted in 2003 investigated the association between caries and socio-economic factors, access to care, self-perception and habits among 266 12-year-old schoolchildren living in a community with low prevalence of dental caries. World Health Organization dental caries diagnosis methodology was used, in addition to the application of socio-economic and behavioral questionnaires. To identify the factors associated with dental caries, multivariate logistic regression was used and the dependent variable was synthesized into DMFT=0 and DMFT>0. Bearing in mind the limitations of a cross-sectional study, disliking the appearance of teeth, seeking dental care because of pain, studying at a state school and the head of the family being a manual worker were independently associated with dental caries. Even in a municipality with low prevalence of caries, the socio-economic status, dental care and self-perception were important factors in the incidence of dental caries among schoolchildren, and it is recommended that many factors in the bio-psychosocial context of multi-factorial dental caries should be investigated.

  4. Root caries in areas with and without fluoridated water at the Southeast region of São Paulo State, Brazil

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    Lilian Berta Rihs

    2008-02-01

    Full Text Available This study aimed to investigate root caries prevalence in areas with and without water fluoridation at the Southeast region of São Paulo State, in the adult population, employees of public and private schools, and elderly population. Epidemiological surveys were conducted according to the World Health Organization guidelines (1997, including 1,475 dentate individuals aged 35 to 44 years and 65 to 74 years, living in cities representing the southeast of São Paulo State, with (n=872 or without (n=603 fluoridated water supply. Statistical analysis was performed by Mann-Whitney and Chi-square tests at a significance level of 5%. The prevalence of root caries was 15.6% for the 35-44-year-old age group and 31.8% for the 65-74-year-old age group . There were no statistically significant differences (p>0.05 in the occurrence of root caries according to water fluoridation, although individuals living at non-fluoridated areas presented higher percentage of missing teeth; also, there was higher mean number of intact roots at fluoridated areas (p<0.05. Most individuals with gingival recession, both adults and elderly, did not have root caries experience. In this study, root caries prevalence was lower in areas with fluoridated water. Due to the reduced prevalence of edentulism and increased number of people keeping their natural teeth for a longer period, a future increase in root caries is expected, highlighting the importance of studies related to water fluoridation and its relationship with the oral health of adults and elderly, especially referring to tooth root.

  5. Serotype specific polymerase chain reaction identifies a higher prevalence of streptococcus mutans serotype k and e in a random group of children with dental caries from the Southern region of India

    OpenAIRE

    Arun Prasad Rao; Ravi David Austin

    2014-01-01

    Background: The development of dental caries has been associated with the oral prevalence of Streptococcus mutans. Four serotypes of S. mutans have been reported, namely serotype c, e, f, and k that are classified based on the composition and linkages of cell wall polysaccharides, response to physiological reactions, sero-specificity and 16s rRNA homology. Although the oral prevalence of S. mutans serotype c in Indian subjects with or without caries is known, the prevalence of the other three...

  6. Increased expression and levels of human β defensins (hBD2 and hBD4 in adults with dental caries

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    Girolamo Jose Barrera

    2013-09-01

    Full Text Available Introduction: Defensins are small anti-microbial peptides produced by epithelial cells. These peptides have a broad range of actions against microorganisms, including Gram-positive and Gram-negative bacteria.Human defensins are classifi ed into two subfamilies, the α-, and β- defensins, which differ in their distribution of disulphide bonds between the six conserved cysteine residues. Defensins are found in salivaand others compartments of the body. Human β defensins 2 (hBD2, beta defensins 4 (hBD4 and alpha defensins 4 (hNP4 in saliva may contributes to vulnerability or resistance to caries. This study aimed to determine a possible correlation between caries and levels of defensins measuring the expression in gingival tissue and concentrations in saliva samples.Methods: Oral examinations were performed on 100 adults of both genders (18-30 years old, and unstimulated whole saliva was collected for immunoassays of the three peptides and for the salivary pH, buffercapacity, protein, and peroxidase activity. mRNA levels of defensins in gingival sample were assessed by semi-quantitative RT-PCR technique.Results: The median salivary levels of hBD2 and hBD4 were 1.88 μg/ml and 0.86 μg/ml respectively for the caries-free group (n=44 and 7.26 μ/ml (hBD2 and 4.25 μg/ml (hBD4 for all subjects with evidenceof caries (n=56. There was no difference in the levels of hNP4, salivary pH, and proteins between groups, however the peroxidase activity and buffer capacity (interval 6.0-5.0 were reduced in caries group. Transcriptional levels of hBD2 and hBD4 did correlate with caries experience, the mRNA expression of hBD2 and hBD4 were signifi cantly higher in patients with caries than in patients with no-caries (p Conclusion: We conclude that high salivary levels and expression of beta defensins, low peroxidase activity and buffer capacity may represent a biological response of oral tissue to caries. Our observation couldlead to new ways to prevent caries

  7. Increased expression and levels of human β defensins (hBD2 and hBD4 in adults with dental caries

    Directory of Open Access Journals (Sweden)

    Girolamo Jose Barrera

    2013-09-01

    Full Text Available Introduction: Defensins are small anti-microbial peptides produced by epithelial cells. These peptides have a broad range of actions against microorganisms, including Gram-positive and Gram-negative bacteria.Human defensins are classifi ed into two subfamilies, the α-, and β- defensins, which differ in their distribution of disulphide bonds between the six conserved cysteine residues. Defensins are found in salivaand others compartments of the body. Human β defensins 2 (hBD2, beta defensins 4 (hBD4 and alpha defensins 4 (hNP4 in saliva may contributes to vulnerability or resistance to caries. This study aimed to determine a possible correlation between caries and levels of defensins measuring the expression in gingival tissue and concentrations in saliva samples.Methods: Oral examinations were performed on 100 adults of both genders (18-30 years old, and unstimulated whole saliva was collected for immunoassays of the three peptides and for the salivary pH, buffercapacity, protein, and peroxidase activity. mRNA levels of defensins in gingival sample were assessed by semi-quantitative RT-PCR technique.Results: The median salivary levels of hBD2 and hBD4 were 1.88 μg/ml and 0.86 μg/ml respectively for the caries-free group (n=44 and 7.26 μ/ml (hBD2 and 4.25 μg/ml (hBD4 for all subjects with evidenceof caries (n=56. There was no difference in the levels of hNP4, salivary pH, and proteins between groups, however the peroxidase activity and buffer capacity (interval 6.0-5.0 were reduced in caries group. Transcriptional levels of hBD2 and hBD4 did correlate with caries experience, the mRNA expression of hBD2 and hBD4 were signifi cantly higher in patients with caries than in patients with no-caries (p < 0.01.Conclusion: We conclude that high salivary levels and expression of beta defensins, low peroxidase activity and buffer capacity may represent a biological response of oral tissue to caries. Our observation couldlead to new ways to prevent

  8. Advances in the microbial etiology and pathogenesis of early childhood caries.

    Science.gov (United States)

    Hajishengallis, E; Parsaei, Y; Klein, M I; Koo, H

    2017-02-01

    Early childhood caries (ECC) is one of the most prevalent infectious diseases affecting children worldwide. ECC is an aggressive form of dental caries, which, left untreated, can result in rapid and extensive cavitation in teeth (rampant caries) that is painful and costly to treat. Furthermore, it affects mostly children from impoverished backgrounds, and so constitutes a major challenge in public health. The disease is a prime example of the consequences arising from complex, dynamic interactions between microorganisms, host, and diet, leading to the establishment of highly pathogenic (cariogenic) biofilms. To date, there are no effective methods to identify those at risk of developing ECC or to control the disease in affected children. Recent advances in deep-sequencing technologies, novel imaging methods, and (meta)proteomics-metabolomics approaches provide an unparalleled potential to reveal new insights to illuminate our current understanding about the etiology and pathogenesis of the disease. In this concise review, we provide a broader perspective about the etiology and pathogenesis of ECC based on previous and current knowledge on biofilm matrix, microbial diversity, and host-microbe interactions, which could have direct implications for developing new approaches for improved risk assessment and prevention of this devastating and costly childhood health condition.

  9. Pediatricians’ assessments of caries risk and need for a dental evaluation in preschool aged children

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    Long C

    2012-07-01

    Full Text Available Abstract Background Risk-based prioritization of dental referrals during well-child visits might improve dental access for infants and toddlers. This study identifies pediatrician-assessed risk factors for early childhood caries (ECC and their association with the need for a dentist’s evaluation. Methods A priority oral health risk assessment and referral tool (PORRT for children Results In total 1,288 PORRT forms were completed; 6.8% of children were identified as needing a dentist evaluation. Behavioral risk factors were prevalent but not strong predictors of the need for an evaluation. The child’s overall caries risk was the strongest predictor of the need for an evaluation. Cavitated (OR = 17.5; 95% CI = 8.08, 37.97 and non-cavitated (OR = 6.9; 95% CI = 4.47, 10.82 lesions were the strongest predictors when the caries risk scale was excluded from the analysis. Few patients (6.3% were classified as high risk, but their probability of needing an evaluation was only 0.36. Conclusions Low referral rates for children with disease and prior to disease onset but at elevated risk, indicate interventions are needed to help improve the dental referral rates of physicians.

  10. Surface Roughness of Initial Enamel Caries Lesions in Human Teeth After Resin Infiltration

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    Arnold, Wolfgang H.; Meyer, Ann-Kathrin; Naumova, Ella A.

    2016-01-01

    Background: Low viscosity resin infiltration of initial caries lesions is a modern microinvasive method to treat initial cries lesions. However, only scarce information is available about the long-term surface alterations of infiltrated lesions. Methods: Twenty-eight premolar teeth exhibiting non-cavitated initial caries lesions (International Caries Detection and Assessment System (ICDAS code 1&2)) were divided into two groups, one of which was infiltrated with resin, and the other remained untreated. The teeth underwent two thermocycling procedures. The surface roughness was determined quantitatively, and the results were evaluated statistically. In addition, the surfaces of the lesions were investigated by scanning electron microscopy (SEM), and the surface was analyzed visually with respect to surface irregularities. Results: The results showed a reduction in the surface roughness that was significant after 2500 thermocycles compared to the untreated surface. In the control specimens, no change in the surface roughness was found. The qualitative SEM data also showed a smooth surface after thermocycling, which supported the statistical findings. Conclusion: After thermocycling, resin-infiltrated enamel surfaces become smoother and had no additional risk for plaque accumulation. PMID:27733877

  11. Genotypic diversity and virulence factors of Streptococcus mutans in caries-free and caries-active individuals

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    Miula Portelinha Braga

    2013-04-01

    Full Text Available The objective of this study was to analyze the genotypic diversity, frequency of serotypes and the detection of mutacins from Streptococcus mutans isolates in caries-free and caries-active individuals.A total of 260 S. mutans isolated from 28 individuals with and without dental caries were subjected to AP-PCR and PCR screening of glucosyltransferase B, mutacin and serotype genes, which showed the presence of. 70 different genotypes. There was no statistically significant association between the presence of genes for serotypes and mutacins with dental caries. However, there was a statistically significant and a strong association between the higher genotypic diversity in the subjects with caries (r = 0.72, p = 0.001. There was an increase in the number of genotypes with increasing age (p <0.01.

  12. “Dentists’ and dietitians’ recommendations of snacks and dental caries experience among kindergarteners”

    Science.gov (United States)

    Ranginwala, Tanya; Teich, Sorin

    2016-01-01

    Background Parents receive diet recommendations for their children from dentists and dietitians, but a conflict of diet suggestions has been reported. This research was conducted to investigate dental caries experiences in children consuming snacks that were recommended by dentists and/or dietitians. Material and Methods A total of 442 kindergarteners under went dental examinations, and their caregivers filled out questionnaires. Snacks were sorted by name. Three dentists and three dietitians determined whether they would recommend these snacks. The snacks were divided into four categories: snacks recommended by both groups, snacks recommended by neither, snacks recommended only by dentists, and snacks recommend only by dieticians. Children were assigned to particular groups based on their primary snack consumption. The children’s caries experiences (dft) were compared among the four groups. Results The agreement level on the recommended snacks between dietitians and dentists was moderate (Kappa=0.43). Thirty-nine snacks were identified; 13 recommended by neither, 4 recommended by dietitians, 7 were recommended only by dentists, and 15 were recommended by both. The mean (standard deviation) of dft amongthe children was 4.66 (3.81), 2.66 (3.17), 3.21 (3.37), and 4.02 (4.02), and respectively. The ANOVA and Tukey post-hoc tests indicated that children who consumed snacks recommended only by one professional, dietitian or dentist, have significantly fewer dental caries than children who consumed snacks recommended by neither professional. (ANOVA: F=4.494, p=0.004, Tukey post-hoc test: p=0.007 and p=0.046, respectively). Conclusions Dentists can recommend snacks that are nutrient dense, even though it contains sucrose. Key words:Child, dental caries, snacks, dentist, nutritionists. PMID:27957270

  13. Household smoking and dental caries in schoolchildren: the Ryukyus Child Health Study

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    Sasaki Satoshi

    2010-06-01

    Full Text Available Abstract Background Secondhand smoke exposure (SHSe is perhaps one of the most important toxic exposures in childhood. However, epidemiological studies on the relation between SHSe and dental caries are limited and have yielded inconsistent results. The present cross-sectional study examined the potential association between SHSe at home and the prevalence of dental caries in children. Methods Subjects were 20,703 schoolchildren aged 6 to 15 years in Okinawa, Japan. Information on SHSe at home and potential confounding factors was obtained through questionnaires. Data on dental caries were obtained from school records. Children were classified as having decayed and/or filled teeth (DFT if a dentist diagnosed these conditions. Additionally, we analyzed decayed teeth (DT and filled teeth (FT separately. Adjustment was made for sex, age, region of residence, toothbrushing frequency, use of fluoride, sugar intake, and paternal and maternal educational level. Results The prevalence of DFT was 82.0%. Compared with never smoking in the household, former and current household smoking were independently associated with an increased prevalence of DFT (adjusted prevalence ratios [95% confidence intervals] for former household smoking and current light and heavy household smoking were 1.03 [1.00-1.05], 1.04 [1.02-1.05], and 1.04 [1.03-1.06], respectively; when analyzed separately there was an increased prevalence of DT (adjusted prevalence ratios [95% confidence intervals] for former household smoking and current light and heavy household smoking were 1.06 [1.02-1.11], 1.10 [1.06-1.13], and 1.10 [1.07-1.14], respectively but not FT. A statistically significant dose-response relationship between cumulative smoking in the household and the prevalence of DFT and DT (P for trend Conclusion Our findings suggested that household smoking might be associated with an increased prevalence of dental caries in children.

  14. The incidence of caries and white spot lesions in orthodontically treated adolescents with a comprehensive caries prophylactic regimen--a prospective study.

    Science.gov (United States)

    Hadler-Olsen, Sigurd; Sandvik, Kristin; El-Agroudi, Mohammad A; Øgaard, Bjørn

    2012-10-01

    The aim of the study was to assess the effect of a comprehensive prophylactic regimen in reducing the incidence of white spot lesions (WSL) and caries during orthodontic treatment. Eighty consecutive patients, scheduled for fixed appliance treatment in both jaws were compared with a non-orthodontic matched-control group. The oral hygiene regimen consisted of brushing two to three times daily, flossing, fluoride rinse, and plaque disclosing tablets. Patients were requested to avoid carbonated soft drinks/acidic juices and candies. The WSL index of Gorelick et al. (Gorelick L, Geiger A M, Gwinnett A J 1982 Incidence of white spot formation after bonding and banding. American Journal of Orthodontics 81: 93-98) was used. Caries were scored according to Amarante et al. (Amarante E, Raadal M, Espelid I 1998 Impact of diagnostic criteria on the prevalence of dental caries in Norwegian children aged 5, 12 and 18 years. Community Dental Oral Epidemiology 26: 87-94). We collected data from all finished cases. It comprised 40 subjects in the orthodontic group (mean age: 13.6 years, range: 12-16 years) and 40 matched controls. The average treatment time was 18 months (range: 9-25 months). The mean increase in WSL index in the orthodontic group was 1.9 and 0.4 in the control group (P = 0.001). The mean increase in dentine caries was 0.5 lesions and 0.7 lesions in the in the orthodontic group and control group, respectively (P = 0.62). Twenty-three per cent of treated patients showed good compliance, 68 per cent moderate compliance, and 9 per cent poor compliance. The mean increase in WSL was 1.0, 1.4, and 3.3 in the good, moderate, and poor compliance group, respectively (P = 0.155). Orthodontically treated patients have significantly higher risk for developing WSL than untreated patients, while there is no difference with respect to development of new dentinal caries lesions. This study showed that a possible relationship between compliance and WSL development existed.

  15. Caries dental en escolares del Distrito Federal Dental caries in school children in Mexico City

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    MARÍA ESTHER IRIGOYEN-CAMACHO

    1997-03-01

    Full Text Available Objetivo. Presentar las estimaciones de la prevalencia y la severidad de caries dental, así como las necesidades de tratamiento de la población escolar del Distrito Federal examinada en la encuesta de caries dental que se llevó a cabo en 1988 con la finalidad de obtener datos basales sobre caries en los escolares al inicio del Programa Nacional de Fluoruración de la Sal en México. Material y métodos. La población de estudio fue seleccionada empleando un marco muestral basado en el listado de las escuelas primarias y los jardines de niños registrados por la Secretaría de Educación Pública en 1988. En el examen de la cavidad bucal de los escolares se utilizaron los criterios diagnósticos señalados por la Organización Mundial de la Salud. Resultados. Un total de 4 475 escolares de 5 a 12 años de edad participaron en el estudio. La prevalencia de caries dental en la población alcanzó 90.5%. El índice de necesidades de tratamiento fue elevado (79.6%. El promedio de los índices de caries en los escolares de 12 años de edad fue CPOD= 4.42 (desviación estándar –DE– 3.2 y CPOS= 6.53 (DE 4.8. Conclusiones. Los resultados de la encuesta subrayan la pertinencia de un programa preventivo de amplia cobertura, como el de fluoruración de la sal. Además, muestran que se requiere elaborar estrategias para mejorar el acceso de la población escolar a los servicios odontológicos del sistema de salud en México.Objective. To estimate the prevalence and severity of dental caries and the dental treatment necessities of school children in Mexico City. The studied population was surveyed for dental caries in 1988 to obtain data necessary for the National Program of Salt Fluoridation in Mexico. Material and methods. The population was selected with a sample frame based on a list of Kindergardens and primary schools registered at the Ministry of Public Education in 1988. The oral cavity examination was based on diagnostic criteria marked by the

  16. The Cosmic Dust Experiment of AIM

    Science.gov (United States)

    Poppe, A.; James, D.; Horanyi, M.

    2008-12-01

    The Cosmic Dust Experiment (CDE) onboard the Aeronomy of Ice in the Mesosphere (AIM) mission is a dust impact experiment designed to monitor the variability of the cosmic dust in ux. The instrument consists of fourteen permanently polarized thin plastic film sensors that generate an electrical signal when an impacting dust particle penetrates them. The total surface area is about 0.1 square meters and the detection threshold is about a micron in particle radius. The variability of these small grains is assumed to follow the variability of the dominant 100 micron radius particles, hence the measured flux can be used in correlation studies with various Noctilucent Cloud (NLC) activity indexes. CDE has been observing the cosmic dust influx since June 2007. In this talk, we present the first nine months of reduced data, focusing on the observed temporal and spatial variability of the dust influx. Data collected after February 2008 show increased levels of background noise and preliminary work on reducing this data will also be presented.

  17. Caries-resistant bonding layer in dentin.

    Science.gov (United States)

    Zhou, Wei; Niu, Li-Na; Hu, Lin; Jiao, Kai; Chang, Gang; Shen, Li-Juan; Tay, Franklin R; Chen, Ji-Hua

    2016-09-07

    The present study examined the mechanism for caries resistance and the pulp responses in vital teeth following the use of the augmented-pressure adhesive displacement technique. Dentin adhesives were applied to the surface of sound dentin disks in 4 experimental groups: non-antibacterial adhesive and gentle adhesive displacement (N-G), non-antibacterial adhesive and augmented-pressure adhesive displacement (N-H), antibacterial adhesive and gentle adhesive displacement (A-G), antibacterial adhesive and augmented-pressure adhesive displacement (A-H). The depth of demineralization induced by biological or chemical demineralization models was measured using confocal laser scanning microscopy and analyzed with two-way ANOVA. Pulp responses of vital dog's teeth to the augmented-pressure adhesive displacement technique were evaluated using light microscopy. Depth of demineralization was significantly affected by "adhesive type" and "intensity of adhesive displacement" for biological demineralization. For chemical demineralization, only "intensity of adhesive displacement" showed significant influence on lesion depth. Pulp response of 0.1, 0.2 and 0.3 MPa groups showed only moderate disorganization of the odontoblast layer at 24 hours that completely re-organized after 3 weeks. Augmented-pressure adhesive displacement improves the caries resistance property of bonded dentin and does not cause irreversible pulpal damage to vital teeth when the air pressure employed is equal or smaller than 0.3 MPa.

  18. Terahertz pulsed imaging study of dental caries

    Science.gov (United States)

    Karagoz, Burcu; Altan, Hakan; Kamburoglu, Kıvanç

    2015-07-01

    Current diagnostic techniques in dentistry rely predominantly on X-rays to monitor dental caries. Terahertz Pulsed Imaging (TPI) has great potential for medical applications since it is a nondestructive imaging method. It does not cause any ionization hazard on biological samples due to low energy of THz radiation. Even though it is strongly absorbed by water which exhibits very unique chemical and physical properties that contribute to strong interaction with THz radiation, teeth can still be investigated in three dimensions. Recent investigations suggest that this method can be used in the early identification of dental diseases and imperfections in the tooth structure without the hazards of using techniques which rely on x-rays. We constructed a continuous wave (CW) and time-domain reflection mode raster scan THz imaging system that enables us to investigate various teeth samples in two or three dimensions. The samples comprised of either slices of individual tooth samples or rows of teeth embedded in wax, and the imaging was done by scanning the sample across the focus of the THz beam. 2D images were generated by acquiring the intensity of the THz radiation at each pixel, while 3D images were generated by collecting the amplitude of the reflected signal at each pixel. After analyzing the measurements in both the spatial and frequency domains, the results suggest that the THz pulse is sensitive to variations in the structure of the samples that suggest that this method can be useful in detecting the presence of caries.

  19. Bluetooth technology for prevention of dental caries.

    Science.gov (United States)

    Kolahi, Jafar; Fazilati, Mohamad

    2009-12-01

    Caries is caused when the pH at the tooth surface drops below 5.5. A miniaturized and autonomous pH monitoring nodes can be attached to the tooth surface, like a tooth jewel. This intelligent sensor includes three components: (a) digital micro pH meter, (b) power supply, (c) wireless communicating device. The micro pH meter facilitates long term tooth surface pH monitoring and providing real time feedback to the patients and dental experts. Power supply of this system will be microfabricated biocatalytic fuel cell (enzymatic micro-battery) using organic compounds (e.g. formate or glucose) as the fuel to generate electricity. When micro pH meter detects the pH lower than 5.5, wireless Bluetooth device sends a caution (e.g. "you are at risk of dental caries") to external monitoring equipment such as mobile phone or a hands-free heads. After reception of the caution, subjects should use routine brushing and flossing procedure or use a medicated chewing gum (e.g. chlorhexidine containing chewing gum) or rinse with a mouthwash.

  20. Feeding practices and early childhood caries: a cross-sectional study of preschool children in kanpur district, India.

    Science.gov (United States)

    Prakasha Shrutha, Santhebachalli; Vinit, Grandim Balarama Gupta; Giri, Kolli Yada; Alam, Sarwar

    2013-01-01

    Background. Early childhood caries (ECC) is a public health problem due to its impact on children's health, development, and wellbeing. The objective of this study was to assess the caries experience in 3-5-year-old children and to evaluate the relationship with their mothers' practices regarding feeding and oral hygiene habits in Kanpur. Method. A cross-sectional survey was undertaken on 2000 (974 boys and 1026 girls) children aged 3-5 years from a random sample of preschools in Kanpur district, India. Dental caries experience was recorded using WHO criteria. A pretested questionnaire with 9 questions was used for collecting information regarding mothers' practices regarding feeding and oral hygiene practices. Chi-square test (χ (2)) and Student's t-test were used for statistical analysis. Results. The prevalence of ECC was 48% with mean dmft of 2.03 ± 2.99. Boys (57%) were affected more than girls (43%) which was found to be statistically significant (P feeding practices on early childhood caries can help in the development of appropriate oral health promotion strategies.

  1. Low levels of caries in aggressive periodontitis: A literature review

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    Sulugodu Ramachandra Srinivas

    2014-04-01

    Full Text Available This article is a traditional literature review on caries levels in aggressive periodontitis. Aggressive periodontitis generally affects systemically healthy individuals aged <30 years (older individuals can also be affected and is characterized by a young age of onset, rapid rate of disease progression, and familial aggregation of cases. Dental caries is caused by the dissolution of enamel by acid-producing bacteria present in the plaque biofilm, especially when the biofilm reaches critical mass due to improper oral hygiene. The association between caries level and aggressive periodontitis has long been debated. Initial research indicated that caries levels were high in patients with aggressive periodontitis, but high-quality studies have consistently shown that caries and aggressive periodontitis are inversely related. A recent in vitro study showed that Streptococcus mutans was killed more readily in the saliva of patients with aggressive periodontitis and Aggregatibacter actinomycetemcomitans positivity than in patients with A. actinomycetemcomitans negativity. Other mechanisms possibly explaining the inverse relationship between caries and aggressive periodontitis in cases of Down’s syndrome are also discussed in this literature review. The usefulness of caries level in the diagnosis of aggressive periodontitis in developing countries such as India, where the disease is diagnosed primarily on the basis of clinical and radiographic features and familial history is also discussed.

  2. New diagnostic technology and hidden pits and fissures caries

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    Fabrizio Guerra

    2015-10-01

    Full Text Available The accuracy in pits and fissures caries detection is of paramount importance in dental caries primary and secondary prevention. A combination of visual examination and probing is currently the mainstay of occlusal caries diagnosis. Unfortunately, these types of inspection alone may leave a certain number of pit and fissure caries undetected. The Vista Cam iX fluorescence camera (Durr Dental, Bietigheim-Bissingen, Germany is a novel dental diagnostic tool for quantitative assessment of dental caries with high specificity for carious lesions detection. In the presented cases photographic images, representing the visual diagnostic approach, are applied as integration to VistaCam iX Proof images. A step-by-step sequence of inspection and assessment of operative treatment need is presented in a case of hidden pit and fissure caries on a permanent molar. Based on the reported case, it could be observed that VistaCam iX Proof shows promising results in hidden pits and fissures caries detection and could be considered a non-invasive examination method that facilitate the detection of early lesions and a potential diagnostic aid.

  3. Reactionary Dentinogenesis and Neuroimmune Response in Dental Caries.

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    Couve, E; Osorio, R; Schmachtenberg, O

    2014-08-01

    Reactionary dentin formation is an adaptive secretory response mediated by odontoblasts to moderate dentin injury. The implications of this process for neuroimmune interactions operating to contain pathogens have not been fully appreciated. The purpose of the present study was to describe the relationship between reactionary dentinogenesis, the neurogenic changes of dental pulp innervation, and dendritic cell recruitment to caries progression, using a comparative immunohistochemical approach in human teeth from young adult individuals. Reactionary dentin formation during dentin caries progression is associated with changes in the integrity of junctional complexes within the odontoblast layer. Diminished coexpression of Cx43 and zonula occludens 1 implies a reduced level of intercellular connectivity between odontoblasts. Dentin caries also causes overexpression of growth-associated protein 43, a modulator of neural plasticity that promotes extensive sprouting of nerve endings into the reactionary dentin matrix. At the same time, an elevated number of HLA-DR-positive dendritic cells infiltrate the odontoblast layer and subsequently invade reactionary dentin formed underneath the early caries-affected regions. Simultaneous odontoblast layer remodeling, nerve fiber sprouting, and activation of dendritic cells during caries progression suggest a coordinated neuroimmune response to fight caries pathogen invasion and to promote dentin-pulp healing. We propose that reactionary dentin formation hinders pathogen invasion and supports defensive neuroimmune interactions against infection. The eventual understanding of this complex scenario may contribute to the development of novel approaches to dental caries treatment.

  4. Exploration of different school of thoughts among undergraduate dental students regarding dental caries and periodontal diseases

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    Anmol Mathur

    2015-01-01

    Full Text Available Introduction: The concepts about dental caries and periodontal diseases are learned at dental schools may directly influence the conduct of the future dentists regarding the control and treatment of these diseases. Aim: To assess the variation in the understanding of the concepts of dental caries and periodontal diseases among first to final year undergraduate dental students. Materials and Methods: A cross-sectional, questionnaire-based study was conducted among 400 students pursuing their graduation in a private dental college situated in Sri Ganganagar city, Rajasthan, India. Descriptive analysis was done, and Chi-square test with a significance level of 5% was done to compare the frequency based data. Results: For concepts related to dental caries, the 1st year students' response showed shift toward biological concept, which was also present for the 2nd year but the 3rd year onwards the majority of students cited the comprehensive multi-factorial concept (P = 0.0002. Final year students were more knowledgeable than the 1st, 2nd, and 3rd year students regarding gingival bleeding, swelling, redness, and bad breath being the most important signs of periodontal disease (P = 0.004. Conclusion: Significant variation in the school of thoughts and limited knowledge regarding the concepts of common dental diseases among dental undergraduate students is seen. There might be a need to reform the initial concept building methods utilized in dental institutions to improve the basic knowledge of undergraduate students of the common dental diseases.

  5. Antibacterial photodynamic therapy for dental caries: evaluation of the photosensitizers used and light source properties.

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    Nagata, Juliana Yuri; Hioka, Noboru; Kimura, Elza; Batistela, Vagner Roberto; Terada, Raquel Sano Suga; Graciano, Ariane Ximenes; Baesso, Mauro Luciano; Hayacibara, Mitsue Fujimaki

    2012-06-01

    Photodynamic therapy studies have shown promising results for inactivation of microorganisms related to dental caries. A large number of studies have used a variety of protocols, but few studies have analyzed photosensitizers and light source properties to obtain the best PDT dose response for dental caries. This study aims to discuss the photosensitizers and light source properties employed in PDT studies of dental caries. Three questions were formulated to discuss these aspects. The first involves the photosensitizer properties and their performance against Gram positive and Gram negative bacteria. The second discusses the use of light sources in accordance with the dye maximum absorbance to obtain optimal results. The third looks at the relevance of photosensitizer concentration, the possible formation of self-aggregates, and light source effectiveness. This review demonstrated that some groups of photosensitizers may be more effective against either Gram positive or negative bacteria, that the light source must be appropriate for dye maximum absorbance, and that some photosensitizers may have their absorbance modified with their concentration. For the best results of PDT against the main cariogenic bacteria (Streptococcus mutans), a variety of aspects should be taken into account, and among the analyzed photosensitizer, erythrosin seems to be the most appropriate since it acts against this Gram positive bacteria, has a hydrophilic tendency and even at low concentrations may have photodynamic effects. Considering erythrosin, the most appropriate light source should have a maximum emission intensity at a wavelength close to 530 nm, which may be achieved with low cost LEDs.

  6. Do autistic children have higher levels of caries? A cross-sectional study in Turkish children

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    Namal Necmi

    2007-06-01

    Full Text Available The aim of this study is to assess whether the dental caries experience is higher in children with an autistic disorder (AD than in normal children. Three schools for autistic children and three standard elementary schools in Istanbul, Turkey, were included in a cross-sectional study. Subjects were orally examined. Socio-demographic information and data about their oral care habits were obtained from their parents from records. Sixty-two children with AD and 301 children without AD were examined. Their ages varied between 6 and 12 years. Children with AD compared to those without AD had lower experience of caries. Logistic regression analysis of DMFT showed that the dental status was positively affected in younger children (OR = 15.57; 95% CI 7.62, 31.80, children from families with high income (OR = 5.42; 95% CI 2.31, 12.75, children brushing teeth regularly (OR = 2.01, 95% CI 1.10, 3.68, children consuming less sugar (OR = 5.01; 95% CI 2.57, 9.76 and in those with AD (OR=3.99; 95% CI 1.56, 10.19. Children with AD had better caries status than children without AD at younger ages.

  7. Light-emitting diode and laser fluorescence-based devices in detecting occlusal caries

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    Rodrigues, Jonas A.; Hug, Isabel; Neuhaus, Klaus W.; Lussi, Adrian

    2011-10-01

    The aim of this study was to assess the performance of two light-emitting diode (LED)- and two laser fluorescence-based devices in detecting occlusal caries in vitro. Ninety-seven permanent molars were assessed twice by two examiners using two LED- (Midwest Caries - MID and VistaProof - VP) and two laser fluorescence-based (DIAGNOdent 2095 - LF and DIAGNOdent pen 2190 - LFpen) devices. After measuring, the teeth were histologically prepared and classified according to lesion extension. At D1 the specificities were 0.76 (LF and LFpen), 0.94 (MID), and 0.70 (VP); the sensitivities were 0.70 (LF), 0.62 (LFpen), 0.31 (MID), and 0.75 (VP). At D3 threshold the specificities were 0.88 (LF), 0.87 (LFpen), 0.90 (MID), and 0.70 (VP); the sensitivities were 0.63 (LF and LFpen), 0.70 (MID), and 0.96 (VP). Spearman's rank correlations with histology were 0.56 (LF), 0.51 (LFpen), 0.55 (MID), and 0.58 (VP). Inter- and intraexaminer ICC values were high and varied from 0.83 to 0.90. Both LF devices seemed to be useful auxiliary tools to the conventional methods, presenting good reproducibility and better accuracy at D3 threshold. MID was not able to differentiate sound surfaces from enamel caries and VP still needs improvement on the cut-off limits for its use.

  8. Effect of alteration in organic material of the occlusal caries on DIAGNOdent readings.

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    Mendes, Fausto Medeiros; Pinheiro, Sérgio Luiz; Bengtson, Antonio Lucindo

    2004-01-01

    DIAGNOdent is a laser fluorescence device used for dental caries diagnosis in occlusal and smooth surfaces. Despite the promising preliminary results, the molecules involved in the increase of fluorescence in carious lesions remain unclear. The aim of this study was to compare the laser fluorescence readings before and after changes in the organic material of occlusal carious lesions in primary teeth. Twenty-four primary molars stored in saline solution with at least one site with occlusal caries were divided into two groups. The control group had 17 sites with caries and the experimental one had 16 sites. The carious lesions were measured with laser fluorescence. The experimental samples were then removed from the storage solution and immersed in a 2% sodium hypochlorite solution for 24 hours. After washing with water, the teeth were measured again with the laser fluorescence device. The teeth of the control group were submitted to the same procedures, but saline solution was used instead of the sodium hypochlorite solution. A statistically significant reduction in the mean of the readings after immersion in the two tested solutions compared with the initial readings was observed in both groups, but the decrease was statistically higher in the experimental group (p < 0.0001). In this study, the data indicate that changes in the fluorescence of carious lesions measured by the laser fluorescence are mainly due to the organic content alterations rather than to the mineral loss.

  9. Periodontal Health and Caries Prevalence Evaluation in Patients Affected by Parkinson's Disease

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    Marco Cicciù

    2012-01-01

    Full Text Available Parkinson's disease (PD is a progressive neurodegenerative disorder related to the loss or absence of dopaminergic neurons in the brain. These deficits result in slowness of movement, tremor, rigidity, and dysfunction of behaviour. These symptoms negatively influence the patient’s capability to carry out the daily oral hygiene manoeuvres. The aim of this work is to record the oral health condition of PD patients evaluated at the IRCSS Bonino-Puleio in Messina. The oral health of 45 consecutive PD patients (study group with neurologic diagnosis based on United Kingdom Brain Bank Criteria has been compared with that of another 45 no PD patients of the same age (control group. The evaluation of the general oral condition was recorded underlining tooth loss, active periodontal disease, and presence of untreated caries. The frequency of untreated caries, periodontal diseases, and missing teeth of the study group was significantly higher than in control group. Based on the data results, clinicians should direct high attention to the oral hygiene of patients with PD, above all at the early stages of the caries or periodontal disease, in order to prevent serious evolution of those pathologic dental conditions that may finally result in the tooth extraction event.

  10. Periodontal Health and Caries Prevalence Evaluation in Patients Affected by Parkinson's Disease

    Science.gov (United States)

    Cicciù, Marco; Risitano, Giacomo; Lo Giudice, Giuseppe; Bramanti, Ennio

    2012-01-01

    Parkinson's disease (PD) is a progressive neurodegenerative disorder related to the loss or absence of dopaminergic neurons in the brain. These deficits result in slowness of movement, tremor, rigidity, and dysfunction of behaviour. These symptoms negatively influence the patient's capability to carry out the daily oral hygiene manoeuvres. The aim of this work is to record the oral health condition of PD patients evaluated at the IRCSS Bonino-Puleio in Messina. The oral health of 45 consecutive PD patients (study group) with neurologic diagnosis based on United Kingdom Brain Bank Criteria has been compared with that of another 45 no PD patients of the same age (control group). The evaluation of the general oral condition was recorded underlining tooth loss, active periodontal disease, and presence of untreated caries. The frequency of untreated caries, periodontal diseases, and missing teeth of the study group was significantly higher than in control group. Based on the data results, clinicians should direct high attention to the oral hygiene of patients with PD, above all at the early stages of the caries or periodontal disease, in order to prevent serious evolution of those pathologic dental conditions that may finally result in the tooth extraction event. PMID:23320249

  11. Effects of chlorhexidine varnish on caries during orthodontic treatment: a systematic review and meta-analysis

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    Elaine Machado Pingueiro OKADA

    Full Text Available Abstract This study aimed to perform a systematic review and meta-analysis to evaluate the effectiveness of chlorhexidine varnish on the reduction of caries incidence during fixed orthodontic treatment. The literature searches involved The Cochrane Library, Medline, Scopus, OpenSigle databases and manual searches. The search on OpenSigle did not produce any additional articles. Clinical studies conducted in patients with orthodontic fixed appliances that used professional application of chlorhexidine varnish were included. The effect-size was calculated and a meta-analysis was performed. From 182 abstracts, a total of six articles fulfilled the inclusion criteria. After reading the full articles, one was excluded because of lack of a control group. Three articles were used for continuous data analysis, and two articles were used for the dichotomous data analysis. The pooled meta-analysis with continuous data demonstrated chlorhexidine varnish effectiveness on caries reduction (p = 0.003, with a mean difference and confidence interval of −1.49 [−2.47, −0.51]. On the basis of the pooled meta-analysis of continuous data, we were able to conclude that professional application of chlorhexidine varnish is effective in caries incidence reduction during fixed orthodontic treatment.

  12. Visual Inspection for Caries Detection: A Systematic Review and Meta-analysis.

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    Gimenez, T; Piovesan, C; Braga, M M; Raggio, D P; Deery, C; Ricketts, D N; Ekstrand, K R; Mendes, F M

    2015-07-01

    We aimed to perform a systematic review including a meta-analysis to evaluate the overall accuracy of visual methods for detecting carious lesions and to identify possible sources of heterogeneity among the studies included. Two reviewers searched PubMed, Embase, Scopus, and other sources through July 2014 to identify published and nonpublished studies in English. Studies of visual inspection were included that 1) assessed accuracy of the method in detecting caries lesions; 2) were performed on occlusal, proximal, or free smooth surfaces in primary or permanent teeth; 3) had a reference standard; and 4) reported sufficient data about sample size and accuracy of methods. The data were used to calculate the pooled sensitivity, specificity, diagnostic odds ratio, and summary receiver operating characteristics curve. Heterogeneity of the studies was also assessed. A total of 102 manuscripts (from 5,808 articles initially identified) and 1 abstract (from 168) met the inclusion criteria. In general, the analysis demonstrated that the visual method had good accuracy for detecting caries lesions. Although laboratory and clinical studies have presented similar accuracy, clinically obtained specificity was higher. We also observed moderate to high heterogeneity and evidence of publication bias in most papers. Moreover, studies employing widely recognized visual scoring systems presented significantly better accuracy as compared to studies that used their own criteria. In conclusion, visual caries detection method has good overall performance. Furthermore, although the identified studies had high heterogeneity and risk of bias, the use of detailed and validated indices seems to improve the accuracy of the method.

  13. Association between executive/attentional functions and caries in children with cerebral palsy.

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    Dourado, Maurício da Rocha; Andrade, Peterson Marco Oliveira; Ramos-Jorge, Maria Letícia; Moreira, Rafaela Nogueira; Oliveira-Ferreira, Fernanda

    2013-09-01

    The aim of the present study was to evaluate the existence of an association between attention/executive functions and the development of dental caries in individuals with cerebral palsy (CP). Seventy-six children with CP were selected from a physical rehabilitation center and a school serving children with disabilities. The control group was made up of 89 children without neurological impairment. Socioeconomic status, presence of teeth with cavities due to caries, degree of motor impairment and intellectual, executive and attentional functions were assessed. Mean age of participants was 8.9 years (SD=3.56). The CP group had a significantly lower performance (pattentional function and executive function tests in comparison to the control group. Controlling for the clinical diagnosis (CP or control group), motor impairment and intellectual function, the significant explanatory variables for the presence of teeth with cavities were performance on the Complex Rey figure test (OR=0.941) and the Digit Span subtest of the Wechsler Intelligence Scale for Children in backward order (OR=0.581). After controlling for intellectual function, clinical diagnosis and motor impairment, deficits in executive and attentional functions increased the odds of developing dental caries in children with cerebral palsy.

  14. Phase transformations in a human tooth tissue at the initial stage of caries.

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    Pavel Seredin

    Full Text Available The aim of the paper is to study phase transformations in solid tissues of the human teeth during the development of fissure caries by Raman and fluorescence microspectroscopy. The study of the areas with fissure caries confirmed the assumption of the formation of a weak interaction between phosphate apatite enamel and organic acids (products of microorganisms. The experimental results obtained with by Raman microspectroscopy showed the formation of dicalcium phosphate dihydrate - CaHPO4-2H2O in the area of mural demineralization of carious fissure. A comparative analysis of structural and spectroscopic data for the intact and carious enamel shows that emergence of a more soluble phase - carbonate-substituted hydroxyapatite - is typical for the initial stage of caries. It is shown that microareas of dental hard tissues in the carious fissure due to an emerging misorientation of apatite crystals have a higher fluorescence yield than the area of the intact enamel. These areas can be easily detected even prior to a deep demineralization (white spot stage for the case of irreversibly changed organomineral complex and intensive removal of the mineral component.

  15. Diet and the microbial aetiology of dental caries: new paradigms.

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    Bradshaw, David J; Lynch, Richard J M

    2013-12-01

    The microbial and dietary factors that drive caries have been studied scientifically for 120 years. Frequent and/or excessive sugar (especially sucrose) consumption has been ascribed a central role in caries causation, while Streptococcus mutans appeared to play the key role in metabolising sucrose to produce lactic acid, which can demineralise enamel. Many authors described caries as a transmissible infectious disease. However, more recent data have shifted these paradigms. Streptococcus mutans does not fulfil Koch's postulates - presence of the organism leading to disease, and absence of the organism precluding disease. Furthermore, molecular microbiological methods have shown that, even with a sugar-rich diet, a much broader spectrum of acidogenic microbes is found in dental plaque. While simple sugars can be cariogenic, cooked starches are also now recognised to be a caries threat, especially because such starches, while not 'sticky in the hand', can be highly retentive in the mouth. Metabolism of starch particles can yield a prolonged acidic challenge, especially at retentive, caries-prone sites. These changes in the paradigms of caries aetiology have important implications for caries control strategies. Preventing the transmission of S. mutans will likely be inadequate to prevent caries if a sufficiently carbohydrate-rich diet continues. Similarly, restriction of sucrose intake, although welcome, would be unlikely to be a panacea for caries, especially if frequent starch intake persisted. Instead, approaches to optimise fluoride delivery, to target plaque acidogenicity or acidogenic microbes, to promote plaque alkali generation, to increase salivary flow or replace fermentable carbohydrates with non-fermentable alternatives may be more promising.

  16. Feeding and dietary practices of nursing caries children in Riyadh, Saudi Arabia.

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    Wyne, A H; Chohan, A N; al-Begomi, R

    2002-12-01

    The aim of the study was to determine the feeding and dietary practices of Saudi nursing caries children in Riyadh. A sample of nursing caries children attending the dental clinics of three health care facilities in Riyadh was selected for the study. The information about the feeding and dietary practices was obtained through a self-administered questionnaire. A total of 74 nursing caries children, 34 (45.9%) male and 40 (54.1%) female with a mean age of 55.0 (SD 20.0) months participated in the study and, their mothers completed the questionnaire. About two-thirds of the children (65.0%) were breast-fed before sleep and a similar percentage (60.8%) was breast-fed during sleep. More than two-thirds (68.9%) were bottle-fed with liquids such as fresh fruit juices (51.4%), packed juices (43.2%) and soft drinks (81.1%). The mean age of starting to drink in a cup was 25.1 (SD 10.4) months. The most popular (71.6%) drinks in a cup were fruit juices. More than two-thirds (71.6%) of the children were taking soft drinks directly from a container and, about two-thirds (60.0%) of the children started drinking directly from a container at or before the age of 24 months. Almost all the children (93.2%) were taking sweets; about half (45.9%) of them taking sweets twice or more daily. It was concluded that the study children have feeding and dietary characteristics (typical of nursing caries) such as breast-feeding before/during sleep, nocturnal/nap-time bottle-feeding, excessive consumption of fruit juices/soft drinks from a container and a high frequency of sweet intake.

  17. Experience of dental caries and its effects on early dental occlusion: a descriptive study

    Science.gov (United States)

    Luzzi, Valeria; Fabbrizi, Miriam; Coloni, Camilla; Mastrantoni, Cristina; Mirra, Carla; Bossù, Maurizio; Vestri, Annarita; Polimeni, Antonella

    2011-01-01

    Summary Aim Describe the occurrence of dental caries in a sample of pre-school children and school children, aged 3 and 12, and study the possible association between caries and malocclusion. Methods We selected and analyzed the medical records of a sample of 588 patients who had their first dental examination at the Pediatric Dentistry Unit, Department of Oral and Maxillofacial Sciences of Policlinico Umberto I, “Sapienza” University of Rome. Results In the sample, 55.4% of the children had no decayed deciduous elements, while 44.6% had at least one decayed deciduous element. The prevalence of decayed permanent teeth was 10.2%, while 89.8% had no decayed permanent teeth. In the sample, 9.4% of the children showed advanced carious lesions, that needed tooth extraction and 6.6% needed a space maintainer for post-extractive interceptive treatment. In the sample, 26.7%