Document Detail

Caries development in a young population managed by a restrictive attitude to radiography and operative intervention: I. A study at the patient level.
MedLine Citation:
PMID:  12087439     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: To assess, in a young population (age 6-19) managed by a restrictive attitude to radiography and operative intervention, prevalence of patients with posterior caries and/or fillings, probabilities of new proximal dentine lesions given different caries experience, correlation between radiographic intervals and caries experience, and prevalence of endodontic treatment. METHODS: Bitewing radiographs, taken between age 6 through 19 in 285 patients, were analysed in succession. Occlusal and proximal surfaces were coded for caries depth (0-4) and presence of fillings (5). Simple regression analysis was used to determine relations between radiographic intervals and caries experience. Significance testings of probability estimates were made with chi(2)- and t-tests, when applicable adjusted by the Bonferroni-Holm correction for mass-significance. RESULTS: The prevalence of patients with >/ or =1 fillings/dentine lesions in occlusal surfaces increased from 6-78% and in proximal ones from 1-38%. The probability of developing new proximal dentine lesions/fillings over different time periods was significantly lower among caries-free patients than among those with enamel or dentine lesions. There was a poor correlation between radiographic intervals (mean=16 months, range=6-33) and accumulated caries experience. Endodontic treatment had been made in a total of six teeth in six patients. CONCLUSIONS: A restrictive attitude both to the frequency with which radiographs are taken and to operative treatment of proximal caries seems to be possible in young populations with low caries prevalence.
A Lith; C Lindstrand; H-G Gröndahl
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Dento maxillo facial radiology     Volume:  31     ISSN:  0250-832X     ISO Abbreviation:  Dentomaxillofac Radiol     Publication Date:  2002 Jul 
Date Detail:
Created Date:  2002-06-27     Completed Date:  2002-11-18     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  7609576     Medline TA:  Dentomaxillofac Radiol     Country:  England    
Other Details:
Languages:  eng     Pagination:  224-31     Citation Subset:  D    
Department of Oral and Maxillofacial Radiology, Faculty of Odontology, The Sahlgrenska Academy, Göteborg University, Sweden.
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MeSH Terms
Attitude of Health Personnel
DMF Index
Dental Caries / complications,  epidemiology*,  radiography*
Dental Pulp Diseases / etiology
Dental Restoration, Permanent / statistics & numerical data,  utilization
Dentist's Practice Patterns
Disease Progression
Practice Guidelines as Topic
Radiography, Bitewing / psychology,  utilization*
Regression Analysis
Root Canal Therapy / statistics & numerical data
Statistics, Nonparametric
Sweden / epidemiology

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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