Caries Research最新文献

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Three-Dimensional Assessment of Radiographic Changes after Indirect Pulp Capping Using Silver Diamine Fluoride with or without Potassium Iodide in Young Permanent Teeth (12-Month RCT). 在年轻恒牙中使用含或不含碘化钾的氟化银间接盖髓后射线照相变化的三维评估(12个月随机对照试验)。
IF 4.2 2区 医学
Caries Research Pub Date : 2023-01-01 Epub Date: 2023-03-06 DOI: 10.1159/000529893
Marwa Mohamed Ahmed Lotfy Baraka, Lucia Cevidanes, Magda Tekeya, Niveen Bakry, Antonio Ruellas, Tatiana Botero, Erika Benavides, Margherita Fontana
{"title":"Three-Dimensional Assessment of Radiographic Changes after Indirect Pulp Capping Using Silver Diamine Fluoride with or without Potassium Iodide in Young Permanent Teeth (12-Month RCT).","authors":"Marwa Mohamed Ahmed Lotfy Baraka,&nbsp;Lucia Cevidanes,&nbsp;Magda Tekeya,&nbsp;Niveen Bakry,&nbsp;Antonio Ruellas,&nbsp;Tatiana Botero,&nbsp;Erika Benavides,&nbsp;Margherita Fontana","doi":"10.1159/000529893","DOIUrl":"10.1159/000529893","url":null,"abstract":"<p><p>The aim of this study was to conduct a three-dimensional (3D) evaluation of radiographic changes after indirect pulp capping (IPC) with silver diamine fluoride (SDF) with or without potassium iodide (KI) and resin-modified glass ionomer cement (RMGIC) in deep carious young permanent molars using cone-beam computed tomography (CBCT). 108 first permanent molars with deep occlusal cavitated caries lesions, in forty-nine 6- to 9-year-old children, were randomly allocated to one of 3 groups (n = 36) and treated with SDF+KI, SDF, and RMGIC as IPC materials. CBCT scans were taken at 0 and 12 months to assess tertiary dentin formation (volume and grey level intensity), increase in root length, and pathological changes such as secondary caries, periapical radiolucency, internal resorption, and obliteration of the pulp. The 3D image analysis procedures were performed using ITK-SNAP and 3D Slicer CMF. Comparisons were made using analysis of variance with a fixed effect for treatment and random effects for patient and patient-by-treatment to account for within-patient correlations. A two-sided 5% significance level was used. There were no significant differences among the three groups regarding tertiary dentin volume (p = 0.712) and grey level intensity (p = 0.660), increase in root length (p = 0.365), prevention of secondary caries (p = 0.63), and periapical radiolucency (p = 0.80) in the analysed 69 CBCT scans. The study did not find differences among the groups regarding quality and quantity of tertiary dentin formed, increase in root length, absence of secondary caries, and other signs of failure as shown by CBCT. Clinical Significance: The results show no significant differences in radiographic outcomes (quality and quantity of tertiary dentin formed, increase in root length, absence of secondary caries, and other signs of failure) when using SDF+KI, SDF, and RMGIC in IPC. The results of this study can help guide treatment decision-making regarding use of SDF and SDF+KI as IPC materials in deep cavitated lesions.</p>","PeriodicalId":9620,"journal":{"name":"Caries Research","volume":"57 2","pages":"177-188"},"PeriodicalIF":4.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9850960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
New Theory Illustrates the Formation of Enamel CUP-Shaped Lesions on Occlusal Surfaces. 牙合面牙釉质杯状病变形成的新理论。
IF 4.2 2区 医学
Caries Research Pub Date : 2023-01-01 DOI: 10.1159/000528844
Frederico Barbosa de Sousa, Anderson T Hara
{"title":"New Theory Illustrates the Formation of Enamel CUP-Shaped Lesions on Occlusal Surfaces.","authors":"Frederico Barbosa de Sousa,&nbsp;Anderson T Hara","doi":"10.1159/000528844","DOIUrl":"https://doi.org/10.1159/000528844","url":null,"abstract":"<p><p>We propose a new theory for enamel cupping lesions formation. At early stages, naturally formed cupping lesions showed increased porosity at two structural prismatic traits: the central cone extending into the enamel-dentine junction and the type-I Hunther-Schreger bands (HSB), suggesting them to be the main drivers for cupping lesion formation and development. In addition, these lesions were circumscribed by type-II HSBs, which present lower surface porosity and higher resistance to wear. This theory was verified in in vitro observations, where both the central cone and the type-I HSB of cuspal enamel showed higher susceptibility to wear, potentially elucidating the mechanisms involved on cupping lesion formation.</p>","PeriodicalId":9620,"journal":{"name":"Caries Research","volume":"57 1","pages":"87-94"},"PeriodicalIF":4.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9280072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Accuracy of Two Visual Criteria for the Assessment of Caries around Restorations: A Delayed-Type Cross-Sectional Study. 两种评估修复体周围龋的视觉标准的准确性:一项延迟型横断面研究。
IF 4.2 2区 医学
Caries Research Pub Date : 2023-01-01 DOI: 10.1159/000528730
Juliana Lays Stolfo Uehara, Cácia Signori, Vitor Henrique Digmayer Romero, Fausto Medeiros Mendes, Maximiliano Sérgio Cenci
{"title":"Accuracy of Two Visual Criteria for the Assessment of Caries around Restorations: A Delayed-Type Cross-Sectional Study.","authors":"Juliana Lays Stolfo Uehara,&nbsp;Cácia Signori,&nbsp;Vitor Henrique Digmayer Romero,&nbsp;Fausto Medeiros Mendes,&nbsp;Maximiliano Sérgio Cenci","doi":"10.1159/000528730","DOIUrl":"https://doi.org/10.1159/000528730","url":null,"abstract":"<p><p>The aim of this study was to compare the performance of two visual criteria used for the detection of caries around restorations in permanent teeth. In this delayed-type cross-sectional study, the study sample was randomly allocated to one of two visual criteria for the assessment of restorations as follows: (a) International Dental Federation (FDI) criteria, considers marginal staining, marginal adaptation, and caries recurrence and (b) Caries Associated with Restorations or Sealants (CARS) criteria, defined by the International Caries Classification and Management System. A calibrated examiner assessed the restorations using two reference standards as follows: (i) for restorations requiring operative interventions (repair/replacement), the restoration was partially or totally removed and the presence or absence of carious tissue was assessed; and (ii) for restorations requiring nonoperative intervention, follow-up for a period of 1 year was recommended to allow identification of the presence of new lesions not detected at baseline. The sensitivity, specificity, area under receiver operating characteristic curve (Az), and accuracy of the criteria were assessed. The study included 305 restorations. The FDI marginal staining parameter had the lowest Az value (Az = 0.501), while similar sensitivity was observed between the CARS (62.0%), FDI presence of caries (65.0%), and FDI marginal adaptation (74.0%) parameters. CARS exhibited the highest specificity (88.3%) and accuracy (85.6%). The CARS criteria exhibited better specificity and accuracy in detecting caries around restorations, followed by the FDI criteria for caries recurrence and marginal adaptation. Considering marginal staining or combining multiple marginal features to assess secondary caries resulted in an increased risk of false-positive outcomes and overtreatment.</p>","PeriodicalId":9620,"journal":{"name":"Caries Research","volume":"57 1","pages":"12-20"},"PeriodicalIF":4.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9332964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Bibliometric Analysis of the Top 100 Most-Cited Papers Concerning Dental Fluorosis. 氟斑牙100篇被引论文的文献计量分析。
IF 4.2 2区 医学
Caries Research Pub Date : 2023-01-01 Epub Date: 2023-04-26 DOI: 10.1159/000530831
Michely Cristina Goebel, Aurélio de Oliveira Rocha, Pablo Silveira Santos, Michele Bolan, Paulo Antônio Martins-Júnior, Carla Miranda Santana, Mariane Cardoso
{"title":"A Bibliometric Analysis of the Top 100 Most-Cited Papers Concerning Dental Fluorosis.","authors":"Michely Cristina Goebel, Aurélio de Oliveira Rocha, Pablo Silveira Santos, Michele Bolan, Paulo Antônio Martins-Júnior, Carla Miranda Santana, Mariane Cardoso","doi":"10.1159/000530831","DOIUrl":"10.1159/000530831","url":null,"abstract":"<p><p>A high number of citations can indicate the potential of any specific paper to influence other research and generate changes in clinical practice. Analyzing the most-cited papers in a certain scientific field may assist researchers to identify the influential papers as well their main characteristics. The present study aimed to analyze the 100 most-cited papers concerning dental fluorosis (DF) through a bibliometric review. A search was performed in the Web of Science Core Collection (WoS-CC) database in November 2021. The papers were displayed in descending order according to the number of citations in WoS-CC. Two independent researchers performed the selection. Scopus and Google Scholar were used to compare the number of citations with WoS-CC. The following data were extracted from the papers: title, authors, number and density of citations, institution, country, continent, year of publication, journal title, keywords, study design, and theme. Collaborative networks were generated using the VOSviewer software. The top 100 most-cited papers were published between 1974 and 2014 and were cited 6,717 times (ranging from 35 to 417). Community Dentistry and Oral Epidemiology (24%), Journal of Dental Research (21%), Journal of Public Health Dentistry (17%), and Caries Research (13%) published the most papers. Observational studies (60%) and literature reviews (19%) were the most common study designs. The main topics were epidemiology (44%) and fluoride intake (32%). The countries with the highest number of papers were the USA (44%), Canada (10%), and Brazil (9%). The University of Iowa (USA) had the most papers (12%). Levy SM was the author with the highest number of papers (12%). The 100 most-cited papers on DF were mainly observational studies focused on epidemiology and originated in North America. There were few interventional studies and systematic reviews among the most-cited papers concerning this topic.</p>","PeriodicalId":9620,"journal":{"name":"Caries Research","volume":" ","pages":"509-515"},"PeriodicalIF":4.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9351240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Association between Carbonic Anhydrase VI Gene Copy Number Variations and Dental Caries Experience. 碳酸酐酶VI基因拷贝数变异与龋病的关系
IF 4.2 2区 医学
Caries Research Pub Date : 2023-01-01 DOI: 10.1159/000528749
Rania Al-Mahdi, Lina Stangvaltaite-Mouhat, Jolanta Aleksejuniene, Indre Stankeviciene, Berit Tommeras, Alina Puriene, Mohammed Al-Haroni
{"title":"Association between Carbonic Anhydrase VI Gene Copy Number Variations and Dental Caries Experience.","authors":"Rania Al-Mahdi,&nbsp;Lina Stangvaltaite-Mouhat,&nbsp;Jolanta Aleksejuniene,&nbsp;Indre Stankeviciene,&nbsp;Berit Tommeras,&nbsp;Alina Puriene,&nbsp;Mohammed Al-Haroni","doi":"10.1159/000528749","DOIUrl":"https://doi.org/10.1159/000528749","url":null,"abstract":"<p><p>The current study examined the association between the carbonic anhydrase VI (CA VI) copy number variations (CNVs) and dental caries experience in adults. In total, 202 of 35-72 years old subjects participating in the Lithuanian National Oral Health Survey (LNOHS) agreed to provide saliva samples; thus, their data were included in the current study. Information about sociodemographic, environmental, and behavioural determinants was acquired via the self-administered World Health Organization (WHO) questionnaire. Fluoride levels in the drinking water were recorded based on information provided by water suppliers. Dental caries experience was recorded by one calibrated examiner using the WHO criteria for recording caries on smooth (including proximal, buccal, and oral) or occlusal surfaces. Caries experience was measured as the total number of decayed (D3), missing (M), filled (F) surfaces. DNA was extracted from saliva samples to examine CA VI CNVs using the QX200 Droplet Digital PCR system. Negative binomial regression and Poisson regression analyses were employed for data analyses. Based on multivariable regression analyses, higher copy number of CA VI were associated with higher caries experience on smooth surfaces (IRR 1.04, 95% CI: 1.005-1.08) and occlusal surfaces (IRR 1.02, 95% CI: 1.003-1.04). Positive associations between higher copy number of CA VI and higher caries experience on smooth and occlusal surfaces were found, suggesting that the CA VI coding gene may be associated with caries development. Future studies are needed to validate our results and to examine the underlying mechanisms of such associations.</p>","PeriodicalId":9620,"journal":{"name":"Caries Research","volume":"57 1","pages":"67-73"},"PeriodicalIF":4.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9914453","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early Sugar Introduction Associated with Early Childhood Caries Occurrence. 早期摄入糖与儿童早期龋齿的发生有关
IF 4.2 2区 医学
Caries Research Pub Date : 2023-01-01 DOI: 10.1159/000529210
Mariana Silveira Echeverria, Helena Silveira Schuch, Maximiliano Sérgio Cenci, Janaina Vieira Dos Santos Motta, Andrea Damaso Bertoldi, Marcos Britto Correa, Marie-Charlotte D N J M Huysmans, Flávio Fernando Demarco
{"title":"Early Sugar Introduction Associated with Early Childhood Caries Occurrence.","authors":"Mariana Silveira Echeverria,&nbsp;Helena Silveira Schuch,&nbsp;Maximiliano Sérgio Cenci,&nbsp;Janaina Vieira Dos Santos Motta,&nbsp;Andrea Damaso Bertoldi,&nbsp;Marcos Britto Correa,&nbsp;Marie-Charlotte D N J M Huysmans,&nbsp;Flávio Fernando Demarco","doi":"10.1159/000529210","DOIUrl":"https://doi.org/10.1159/000529210","url":null,"abstract":"<p><p>Consensus has yet to be reached on the impact of early sugar introduction on early childhood dental caries (ECC). This study aimed to evaluate the association between the time of introduction of sugar in the infant's diet and ECC at 48 months, using data from the 2015 Pelotas Birth Cohort Study. This cohort comprises 4,275 children. At 48 months, 3,654 (91.1%) children had their oral health clinically evaluated by a team of 12 trained and calibrated dentists and their dental caries experience and cavitated lesions were assessed. The period of life in which sugar was first introduced into the child's diet was considered the primary exposure of the study, collected through questionnaires at 3, 12, 24, and 48 months of age. Analyses were conducted using Stata, version 15.0. Descriptive analyses were initially performed. Poisson regression with robust variance adjustment for the crude and adjusted analysis was used to estimate the effect of the sugar introduction on ECC. The highest prevalence of caries experience (43.3%) was in children in which sugar was introduced into the infant's diet before 12 months of age. A higher prevalence of caries experience was found for less educated (49.8%) and younger (51.7%) mothers, and in poorer families (48.3%). In the adjusted analysis, the experience of caries was 48% greater in the group with sugar introduction before 12 months of age, compared to those where sugar was introduced after 24 months of age In conclusion, our results support the adoption of preventive measures to delay the supply of sugar in early life in order to reduce the caries experience in children.</p>","PeriodicalId":9620,"journal":{"name":"Caries Research","volume":"57 2","pages":"152-158"},"PeriodicalIF":4.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9926341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Green Tea-Derived Catechins Suppress the Acid Productions of Streptococcus mutans and Enhance the Efficiency of Fluoride. 绿茶衍生的儿茶素抑制变形链球菌产酸并提高氟化物的效率。
IF 4.2 2区 医学
Caries Research Pub Date : 2023-01-01 Epub Date: 2023-09-12 DOI: 10.1159/000534055
Sili Han, Jumpei Washio, Yuki Abiko, Linglin Zhang, Nobuhiro Takahashi
{"title":"Green Tea-Derived Catechins Suppress the Acid Productions of Streptococcus mutans and Enhance the Efficiency of Fluoride.","authors":"Sili Han, Jumpei Washio, Yuki Abiko, Linglin Zhang, Nobuhiro Takahashi","doi":"10.1159/000534055","DOIUrl":"10.1159/000534055","url":null,"abstract":"<p><p>Green tea-derived catechins, which can be divided into galloylated (epicatechin gallate: ECG, epigallocatechin gallate: EGCG) and non-galloylated (catechin: C, epicatechin: EC, epigallocatechin: EGC) catechins, are considered to be the main contributors to the caries control potential of green tea. In this study, we intended to compare the antimicrobial effects of these representative green tea-derived catechins and their combined effects with fluoride on the acid production and aggregation of Streptococcus mutans. The effects of different catechins on the growth, aggregation and acid production of S. mutans, and the combined effect of catechins and potassium fluoride (2 m<sc>m</sc> at pH 7.0, 0.3 m<sc>m</sc> at pH 5.5) on S. mutans acid production were measured by anaerobic culture, turbidity changes due to aggregation, and pH-stat methods. Molecular docking simulations were also performed to investigate the interactions between catechins and membrane-embedded enzyme II complex (EIIC), a component of the phosphoenolpyruvate-dependent phosphotransferase system (sugar uptake-related enzyme). ECG or EGCG at 1 mg/mL significantly inhibited the growth of S. mutans, induced bacterial aggregation, and decreased glucose-induced acid production (p &lt; 0.05). All catechins were able to bind to EIIC in silico, in the following order of affinity: EGCG, ECG, EGC, EC, and C. Furthermore, they enhanced the inhibitory effects of fluoride at pH 5.5 and significantly inhibited S. mutans acid production by 47.5-86.6% (p &lt; 0.05). These results suggest that both galloylated and non-galloylated catechins exhibit antimicrobial activity, although the former type demonstrates stronger activity, and that the caries control effects of green tea may be due to the combined effects of multiple components, such as catechins and fluoride. The detailed mechanisms underlying these phenomena and the in vivo effect need to be explored further.</p>","PeriodicalId":9620,"journal":{"name":"Caries Research","volume":" ","pages":"255-264"},"PeriodicalIF":4.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10641802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10277628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Early Counseling to Improve Oral Health Behavior in Children with Major Congenital Heart Defects: A Randomized Controlled Trial. 早期咨询改善先天性心脏病患儿的口腔健康行为:随机对照试验。
IF 4.2 2区 医学
Caries Research Pub Date : 2023-01-01 Epub Date: 2023-07-13 DOI: 10.1159/000531817
Essi Karikoski, Taisto Sarkola, My Blomqvist
{"title":"Early Counseling to Improve Oral Health Behavior in Children with Major Congenital Heart Defects: A Randomized Controlled Trial.","authors":"Essi Karikoski, Taisto Sarkola, My Blomqvist","doi":"10.1159/000531817","DOIUrl":"10.1159/000531817","url":null,"abstract":"<p><p>Maintaining optimal oral health behavior in children with a congenital heart defect (CHD) is important in managing the risk for caries development and infective endocarditis. The aim of this study was to evaluate the impact of an early and repeat oral health promotion intervention (OHPI) among children with major CHD. Randomized controlled trial including 72 out of 91 children born in Finland April 1, 2017-October 31, 2020 with (a) major CHD potentially included in the criteria of endocarditis prophylaxis or (b) any CHD with surgical repair combined with a chromosomal syndrome. A parallel passive control (C) group of 87 healthy children were recruited at birth. CHD children were randomized 1:1 to intervention (CHD-I) and control (CHD-C) groups. The OHPI included counseling by motivational interviewing, home delivered toothpaste and toothbrushes, and written information, and was provided at baseline, 6, 12, and 18 months of age to CHD-I group. The primary outcome measure at 24 months was child's oral health behavior (toothbrushing, sugar intake, and dental care contact). The secondary outcome measures were parents' awareness of the importance of oral health behavior, and oral health behavior as a predictor for child behavior. At 24 months, toothbrushing was performed twice a day in 20/27 (74%) among CHD-I, in 13/30 (43%) among CHD-C (CHD-I vs. CHD-C p = 0.03), and in 37/50 (74%) among healthy comparisons (CHD-C vs. C p = 0.01). Electric toothbrush use was 12/27 (44%) in CHD-I, 5/30 (17%) in CHD-C (CHD-I vs. CHD-C p = 0.04), and 7/50 (14%) in healthy comparison (CHD-C vs. C p = 0.76) children. Among CHD-I, toothbrushing and use of electric toothbrush improved between 12 months and 24 months. Sugar drink intake was more common among CHD-C (CHD-C vs. C p = 0.02), but comparable to CHD-I children. Parental toothbrushing predicted child toothbrushing twice a day. There were no statistical group differences in dental care contact. Children with CHD are at risk for poor oral health behavior. This could be improved with early and repeat oral health promotion parental counseling.</p>","PeriodicalId":9620,"journal":{"name":"Caries Research","volume":" ","pages":"563-574"},"PeriodicalIF":4.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10134432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Selective Removal to Soft Dentine versus Full Pulpotomy for Management of Proximal Deep Carious Lesions: A Randomized Controlled Non-Inferiority Trial. 选择性去除软牙本质与全髓切开术治疗近端深部龋齿病变:一项随机对照非劣效性试验。
IF 4.2 2区 医学
Caries Research Pub Date : 2023-01-01 Epub Date: 2023-08-08 DOI: 10.1159/000530895
Rechithra R, Wasim Wani, Sidhartha Sharma, Vijay Kumar, Amrita Chawla, Mani Kalaivani, Ajay Logani
{"title":"Selective Removal to Soft Dentine versus Full Pulpotomy for Management of Proximal Deep Carious Lesions: A Randomized Controlled Non-Inferiority Trial.","authors":"Rechithra R, Wasim Wani, Sidhartha Sharma, Vijay Kumar, Amrita Chawla, Mani Kalaivani, Ajay Logani","doi":"10.1159/000530895","DOIUrl":"10.1159/000530895","url":null,"abstract":"<p><p>The management of the deep carious lesion with reversible pulpitis is a dilemma for the dentist. The current study compared selective removal to soft dentine (SRSD) and full pulpotomy (FP) for treating proximal deep carious lesions in teeth with reversible pulpitis. Visual-tactile examination and bitewing radiographs were used to determine the depth of carious lesion, and American Association of Endodontists recommendations were used to formulate pulp diagnosis. Sixty mandibular molar teeth from healthy patients between the ages of 16-35 years and a diagnosis of proximal deep carious lesion with reversible pulpitis were included. Teeth were randomly allocated to two study groups. SRSD group (n = 30): soft dentine was preserved over the pulpal aspect. A hard-setting calcium hydroxide cement liner and resin-modified glass ionomer cement base were applied over the remaining soft carious dentine. FP group (n = 30): complete caries removal followed by mineral trioxide aggregate FP was performed. The teeth in both groups were restored with composite resin restoration. The established criteria for outcome assessment of SRSD and pulpotomy were used. Accordingly, only asymptomatic teeth with no radiological evidence of periapical rarefaction were considered successful at the 12-month follow-up. Two-sample t test, Pearson χ2 test/Fisher's exact test, and percentage agreement were used for statistical evaluation. According to the per-protocol analysis, the success rate of both SRSD and FP treatment was 95.45% and 95.65%, respectively, and the actual difference between the two treatments was 1% (95% CI: [-10, 9]). The data suggests that both treatments (SRSD and FP) appear to have a good success rate (&gt;95%) when used to manage permanent mandibular molar teeth with proximal deep carious lesion and reversible pulpitis. As SRSD is a noninvasive procedure, it should be favored over FP in these instances.</p>","PeriodicalId":9620,"journal":{"name":"Caries Research","volume":" ","pages":"536-545"},"PeriodicalIF":4.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10316570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Is Patient's Caries Activity Associated with Caries Increment among Adolescents, Regardless of Caries Experience? 无论是否有龋病经历,患者的龋病活动是否与青少年的龋病增加有关?
IF 4.2 2区 医学
Caries Research Pub Date : 2023-01-01 Epub Date: 2023-04-19 DOI: 10.1159/000530736
Carolina Doege Brusius, Luana Severo Alves, Marisa Maltz
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