Radiographic pattern of inactive occlusal enamel lesions and its relationship with caries progression over 4–5 years

•Occlusal surfaces with radiolucency are more likely to progress over 4–5ys.•Occlusal surfaces with radiolucency should be monitored more closely;.•Bitewing rx may be used to define proper recall intervals for patient monitoring. To assess the radiographic pattern of inactive enamel caries lesions (...

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Bibliographic Details
Published in:Journal of dentistry 2021-11, Vol.114, p.103839-103839, Article 103839
Main Authors: Dalla Nora, Ângela, Alves, Luana Severo, de Castro, Nathália Costa, Maltz, Marisa, Zenkner, Julio Eduardo do Amaral
Format: Article
Language:English
Subjects:
Cavitation
Chi-square test
Child
Criteria
Data analysis
Dental caries
Dental Caries - diagnostic imaging
Dental Caries Susceptibility
Dental enamel
Dental Enamel - diagnostic imaging
Dental radiography
Dentin
Dentistry
Disease progression
Enamel
Humans
Lesions
Molar
Molar - diagnostic imaging
Molars
Monitoring
Permanent dentition
Prospective Studies
Radiography, Bitewing
Regression analysis
Regression models
Risk
Sound
Statistical tests
Teeth
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Summary:•Occlusal surfaces with radiolucency are more likely to progress over 4–5ys.•Occlusal surfaces with radiolucency should be monitored more closely;.•Bitewing rx may be used to define proper recall intervals for patient monitoring. To assess the radiographic pattern of inactive enamel caries lesions (IECL) in the occlusal surfaces of permanent molars and to investigate whether the presence of radiolucency at baseline could predict lesion progression over 4–5 years. A prospective cohort study followed 193 schoolchildren from southern Brazil. At baseline, clinical and radiographic examinations were performed. After 4–5 years, clinical examination was repeated following the same protocol. Logistic regression models were used to investigate the relationship between the presence of radiolucency at baseline and caries progression. This study included 916 permanent molars, classified as sound occlusal surfaces (n = 434), non-cavitated IECL (n = 438), or cavitated IECL (n = 44) at baseline. The proportion of lesions with radiolucency increased as lesion severity increased (p
ISSN:0300-5712
1879-176X
DOI:10.1016/j.jdent.2021.103839