What is the impact of the diagnosis and treatment of active initial caries lesions in primary teeth on further dental needs alongside 1 year? (2018)
- Authors:
- USP affiliated authors: RAGGIO, DANIELA PRÓCIDA - FO ; MENDES, FAUSTO MEDEIROS - FO ; FRAGA, MARIANA MINATEL BRAGA - FO ; LADEWIG, NATHALIA DE MIRANDA - FO
- Unidade: FO
- Subjects: CÁRIE DENTÁRIA; DENTIÇÃO DECÍDUA
- Language: Inglês
- Abstract: This study evaluated how detecting caries lesions at all severities and assessing their activity status can impact on further need for new operative interventions alongside 1 year. For this randomized controlled trial with parallel groups (NCT02473107, CARDEC-02), children aged 3-6 years who sought dental care were examined. They were randomized to a diagnostic strategy: G1-6 (detection and activity assessment of all lesions, ICDAS 1 to 6) and G3-6 (detection of ICDAS scores 3 to 6 only without activity assessment). Preventive and operative care was carried out for each child according to the strategy. No topical fluoride was used in G3-6 in case of only initial caries were present. The endpoint was the number of surfaces demanding operative treatment (cavitated/dentine lesions, replacement of restorations, endodontic treatment and/or extraction) during the 1-year follow-up. Endpoint was compared between the diagnostic strategies using Student's t test. Kaplan-Meier analysis was performed to compare time to operative treatment needs between groups. 260 patients were included and 221 children were reevaluated after 1 year. Few initial lesions (2%) progressed in both groups. On average, 2-3 surfaces per child required new operative care during follow-up, despite the group (p=0.86). There was no difference between groups regarding the time up to the need for operative intervention (p=0.37)
- Imprenta:
- Source:
- Título: Brazilian Oral Research
- ISSN: 1807-3107
- Volume/Número/Paginação/Ano: v. 32, supl. 2, p. 42, res. HA007, 2018
-
ABNT
FLORIANO, I et al. What is the impact of the diagnosis and treatment of active initial caries lesions in primary teeth on further dental needs alongside 1 year?. Brazilian Oral Research. São Paulo: SBPqO. . Acesso em: 28 fev. 2026. , 2018 -
APA
Floriano, I., Machado, G. M., Tedesco, T. K., Rocha, E. S., Ladewig, N. de M., Raggio, D. P., et al. (2018). What is the impact of the diagnosis and treatment of active initial caries lesions in primary teeth on further dental needs alongside 1 year? Brazilian Oral Research. São Paulo: SBPqO. -
NLM
Floriano I, Machado GM, Tedesco TK, Rocha ES, Ladewig N de M, Raggio DP, Mendes FM, Fraga MMB. What is the impact of the diagnosis and treatment of active initial caries lesions in primary teeth on further dental needs alongside 1 year? Brazilian Oral Research. 2018 ; 32 42.[citado 2026 fev. 28 ] -
Vancouver
Floriano I, Machado GM, Tedesco TK, Rocha ES, Ladewig N de M, Raggio DP, Mendes FM, Fraga MMB. What is the impact of the diagnosis and treatment of active initial caries lesions in primary teeth on further dental needs alongside 1 year? Brazilian Oral Research. 2018 ; 32 42.[citado 2026 fev. 28 ] - Existe impacto da inclusão de lesões de cárie iniciais e status de atividade no tratamento planejado para crianças?
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