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Caries lesion transition patterns of schoolchildren in a fluoridated community in Brazil

Objective To describe the caries lesion transition pattern in permanent tooth surfaces over 2 years among a convenience sample of children in a fluoridated (0.8 ppm F) low-socioeconomic community of Brazil. Material and methods One hundred forty-nine schoolchildren (7–12 years) were examined for car...

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Published in:Clinical oral investigations 2022, Vol.26 (1), p.689-695
Main Authors: Cabral, Renata Nunes, Leal, Soraya Coelho, Bernardino, Ítalo de Macedo, Soviero, Vera Ligia Vieira Mendes, Nyvad, Bente
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container_title Clinical oral investigations
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creator Cabral, Renata Nunes
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description Objective To describe the caries lesion transition pattern in permanent tooth surfaces over 2 years among a convenience sample of children in a fluoridated (0.8 ppm F) low-socioeconomic community of Brazil. Material and methods One hundred forty-nine schoolchildren (7–12 years) were examined for caries using Nyvad criteria at baseline and after 2 years. Descriptive analysis was used to evaluate caries lesion transition patterns. Results Less than 1% of sound surfaces and non-cavitated caries lesions at baseline progressed to cavitation stage within 2 years. 12.7% of the active non-cavitated (ANC) lesions became inactive, 34.7% regressed to sound, 48.0% remained active, and 4.6% progressed to cavitated/filled stages at follow-up. Similarly, 55.2% of the inactive non-cavitated (INC) lesions at baseline remained inactive, 33.3% regressed to sound, 8.0% progressed to cavitated/filled lesions, while only 3.5% progressed to ANC lesions. Conclusion The caries lesion transition pattern in this child population exposed to water fluoride and fluoride toothpaste showed that a low proportion of sound surfaces and non-cavitated lesions progressed to cavitation within the 2-year follow-up. Caries arrest was mainly ascribed to a high proportion of active non-cavitated lesions regressing to sound or inactive lesions. Clinical relevance Caries activity can be controlled by regular exposure to fluoridated water and fluoridated toothpaste.
doi_str_mv 10.1007/s00784-021-04046-9
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Material and methods One hundred forty-nine schoolchildren (7–12 years) were examined for caries using Nyvad criteria at baseline and after 2 years. Descriptive analysis was used to evaluate caries lesion transition patterns. Results Less than 1% of sound surfaces and non-cavitated caries lesions at baseline progressed to cavitation stage within 2 years. 12.7% of the active non-cavitated (ANC) lesions became inactive, 34.7% regressed to sound, 48.0% remained active, and 4.6% progressed to cavitated/filled stages at follow-up. Similarly, 55.2% of the inactive non-cavitated (INC) lesions at baseline remained inactive, 33.3% regressed to sound, 8.0% progressed to cavitated/filled lesions, while only 3.5% progressed to ANC lesions. Conclusion The caries lesion transition pattern in this child population exposed to water fluoride and fluoride toothpaste showed that a low proportion of sound surfaces and non-cavitated lesions progressed to cavitation within the 2-year follow-up. Caries arrest was mainly ascribed to a high proportion of active non-cavitated lesions regressing to sound or inactive lesions. Clinical relevance Caries activity can be controlled by regular exposure to fluoridated water and fluoridated toothpaste.</description><identifier>ISSN: 1432-6981</identifier><identifier>EISSN: 1436-3771</identifier><identifier>DOI: 10.1007/s00784-021-04046-9</identifier><identifier>PMID: 34259922</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Brazil - epidemiology ; Cavitation ; Child ; Dental caries ; Dental Caries - epidemiology ; Dental Caries Susceptibility ; Dentifrices ; Dentistry ; DMF Index ; Fluorides ; Humans ; Lesions ; Medicine ; Original Article ; Toothpaste</subject><ispartof>Clinical oral investigations, 2022, Vol.26 (1), p.689-695</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021</rights><rights>2021. 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Material and methods One hundred forty-nine schoolchildren (7–12 years) were examined for caries using Nyvad criteria at baseline and after 2 years. Descriptive analysis was used to evaluate caries lesion transition patterns. Results Less than 1% of sound surfaces and non-cavitated caries lesions at baseline progressed to cavitation stage within 2 years. 12.7% of the active non-cavitated (ANC) lesions became inactive, 34.7% regressed to sound, 48.0% remained active, and 4.6% progressed to cavitated/filled stages at follow-up. Similarly, 55.2% of the inactive non-cavitated (INC) lesions at baseline remained inactive, 33.3% regressed to sound, 8.0% progressed to cavitated/filled lesions, while only 3.5% progressed to ANC lesions. Conclusion The caries lesion transition pattern in this child population exposed to water fluoride and fluoride toothpaste showed that a low proportion of sound surfaces and non-cavitated lesions progressed to cavitation within the 2-year follow-up. 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Material and methods One hundred forty-nine schoolchildren (7–12 years) were examined for caries using Nyvad criteria at baseline and after 2 years. Descriptive analysis was used to evaluate caries lesion transition patterns. Results Less than 1% of sound surfaces and non-cavitated caries lesions at baseline progressed to cavitation stage within 2 years. 12.7% of the active non-cavitated (ANC) lesions became inactive, 34.7% regressed to sound, 48.0% remained active, and 4.6% progressed to cavitated/filled stages at follow-up. Similarly, 55.2% of the inactive non-cavitated (INC) lesions at baseline remained inactive, 33.3% regressed to sound, 8.0% progressed to cavitated/filled lesions, while only 3.5% progressed to ANC lesions. Conclusion The caries lesion transition pattern in this child population exposed to water fluoride and fluoride toothpaste showed that a low proportion of sound surfaces and non-cavitated lesions progressed to cavitation within the 2-year follow-up. Caries arrest was mainly ascribed to a high proportion of active non-cavitated lesions regressing to sound or inactive lesions. Clinical relevance Caries activity can be controlled by regular exposure to fluoridated water and fluoridated toothpaste.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>34259922</pmid><doi>10.1007/s00784-021-04046-9</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0003-1769-7142</orcidid></addata></record>
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subjects Brazil - epidemiology
Cavitation
Child
Dental caries
Dental Caries - epidemiology
Dental Caries Susceptibility
Dentifrices
Dentistry
DMF Index
Fluorides
Humans
Lesions
Medicine
Original Article
Toothpaste
title Caries lesion transition patterns of schoolchildren in a fluoridated community in Brazil
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