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Longitudinal study of caries progression in 2‐ and 3‐year‐old German children
Author(s) -
Pitchika Vinay,
Kokel Claudia,
Andreeva Jana,
Crispin Alexander,
Hickel Reinhard,
GarciaGodoy Franklin,
Kühnisch Jan,
HeinrichWeltzien Roswitha
Publication year - 2016
Publication title -
community dentistry and oral epidemiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.061
H-Index - 101
eISSN - 1600-0528
pISSN - 0301-5661
DOI - 10.1111/cdoe.12219
Subject(s) - medicine , lesion , dentistry , longitudinal study , carious lesion , german , surgery , pathology , enamel paint , archaeology , history
Objective This 2‐year longitudinal study in 2‐ and 3‐year‐old kindergarten children investigated lesion progression on different surfaces of primary teeth. Methods The study was conducted between September 2008 and September 2010 on a sample of 400 children from the Kyffhäuser district (Thuringia, Germany). A calibrated investigator recorded (non)cavitated caries lesions according to World Health Organization ( WHO ), International Caries Detection and Assessment System ( ICDAS ) and Universal Visual Scoring System (UniVi SS ) criteria. Nonparametric methods and linear regression using a mixed‐effects model with an unbalanced design were used for data analysis. Results There was a significant increase in the prevalence of noncavitated caries lesions during the 2‐year period, with the highest chance for change on all surfaces compared to cavitated lesions. First visible sign lesions on occlusal surfaces had the highest chance for change (estimate 0.38), whereas established lesions revealed the highest chance for change on proximal (estimate 1.05) and smooth surfaces (estimate 0.62). Proximal lesions exhibited the greatest chance for change irrespective of severity level. Conclusion Our study demonstrated that each type of carious lesion had different changing rates. Greater lesion severity correlated with greater chances to change and receive treatment. This information is crucial for dental practitioners in decision‐making processes.