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Visual and radiographic merged‐ ICDAS caries progression pattern in 2‐6 years old Colombian children: Two‐year follow‐up
Author(s) -
Cortes Andrea,
Ekstrand Kim Rud,
Martig Stefania
Publication year - 2019
Publication title -
international journal of paediatric dentistry
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.183
H-Index - 62
eISSN - 1365-263X
pISSN - 0960-7439
DOI - 10.1111/ipd.12448
Subject(s) - medicine , dentistry , cohort , radiography , permanent teeth , cohort study , molar , orthodontics , surgery
Aim To describe the 2‐year clinical and combined with radiographic caries progression pattern in three cohorts of 2‐(a), 4‐(b), and 6‐yr‐old children (c). Design Baseline sample comprised 600 children (each‐cohort: n = 200). Children's dental surfaces were clinically assessed at schools without air‐drying (epi) in terms of: Clinical (C) caries lesions (d/D) with ICDAS epi‐merged system (C‐ ICDAS epi‐d/D:Sound/Initial‐epi/Moderate/Extensive); fillings (f/F), and missing teeth (m/M). Clinical ICDAS (C) and Radiographic ICDAS (R) indexes were combined (C + R). Caries experience (dmf + DMF ) was expressed as: C‐dmfs + DMFS (Moderate/Extensive‐d/D); C‐ ICDAS epi‐dmfs + DMFS (including Initial‐epi‐d/D); C + R‐dmfs + DMFS ; and C + R‐ ICDAS epi‐dmfs + DMFS . Follow‐up caries progression corresponded to more severe caries score. Results Two‐year follow‐up sample was n = 352 (58.7%‐baseline sample): a: n = 81; b: n = 131; c: n = 140. Around 100% of children presented C + R‐ ICDAS epi‐dmf + DMF ≥ 1, with following C + R‐ ICDAS epi‐dmfs + DMFS means: a: 7.3 ± 14.1; b: 12.2 ± 19.5; c: 13.3 ± 16.9. Progression was about 60% in all cohorts, mainly corresponding, in cohort b and c, to occlusal and distal surfaces of lower first/second‐molar‐primary teeth, and in cohort a to buccal surfaces of upper primary‐incisor teeth. The addition of radiographs increased caries mean and prevalence in 10% as compared to only visual examination. Conclusions Children showed a high C + R caries experience progression rate, mainly related to occlusal and proximal surfaces in lower‐molar teeth and buccal in upper‐incisor teeth.