Managing carious lesions:why do we need consensus on terminology and clinical recommendations on carious tissue removal?

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Managing carious lesions:consensus recommendations on terminology

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An assessment of three contemporary dental caries epidemiological instruments: a critical review

Contains fulltext : 218292.pdf (Publisher’s version ) (Closed access)Aim Dental caries epidemiological surveys produce information that may be used to assist health policy makers in the planning of preventive and curative strategies. The detection instruments used in these surveys should be able to identify the correct, true stage of the disease or medical condition. This makes it essential that valid instruments are used. This study aimed to critically review commonly used visual/tactile caries assessment instruments in epidemiological surveys with respect to their manageability, reproducibility and validity, and how results are reported.Method A Pubmed search identified the following international visual/tactile instruments for caries detection more than once between 2013 and 2018: World Health Organisation (WHO), International Caries Detection and Assessment System (ICDAS) and Caries Assessment Spectrum and Treatment (CAST).Results The review revealed that the WHO instrument can be considered a screening instrument, that the ICDAS instrument lacks sufficient validity and takes time to apply and that the CAST instrument is promising, but requires further field testing before it can be considered a fully proven caries-assessment instrument in epidemiology. It is recommended that calculating caries prevalence should be based on the presence of cavitated dentine carious lesions, that the prevalence of enamel carious lesions be reported separately and that the dmf/DMF index not be used in its current form.Conclusion Researchers/dentists should be knowledgeable of the limitations and advantages of common caries assessment instruments. Caries prevalence should not be based on the dmf/DMF index but on cavitated dentine carious lesions (d/D-component) as the M- and F-component do not refer to a disease stage

Is preventing micro-cavities in dentine from progressing with a sealant successful?

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Dental caries and oral health-related quality of life of 3-year-olds living in Lima, Peru

Contains fulltext : 218268.pdf (publisher's version ) (Closed access)BACKGROUND: Untreated dental caries negatively impacts children and their families; the implication of which is best measured through assessing quality of life. Information related to Oral Health-Related Quality of Life (OHRQoL) in Peruvian pre-school children is scarce. AIM: To investigate the relationship between dental caries and the OHRQoL of 3-year-old children. DESIGN: Randomly selected government pre-schools (n = 17), situated in three low socio-economic status districts in Lima, participated. The OHRQoL data were obtained using the Peruvian (P) ECOHIS questionnaire. Clinical examinations using the Caries Assessment Spectrum and Treatment (CAST) instrument were performed on 308 children. From which, 213 parents returned the P-ECOHIS form. ANOVA, Tamhane, and Tukey methods were used to analyse the data. RESULTS: The mean age of the children was 3.04 years. The two highest mean P-ECOHIS scores in the child section were 'child symptoms' and 'child psychology' while 'parent distress' scored highest in the parent section. The prevalence of dental caries was 64.3% (CAST scores 4-7). Including CASTcode 3 (enamel carious lesion), the dental caries prevalence was 93.4%. The mean P-ECOHIS scores for 'child symptoms', 'child functions', 'child impact', 'parent distress', and 'the sample' were statistically significantly higher for children with MaxCASTcodes 5 and 6 (dentine and pulpally involved cavities, respectively) than for those with MaxCASTcode 3. CONCLUSION: The presence of cavitated teeth with and without pulpal involvement impacts negatively on the OHRQoL of 3-year-old children

Kindvriendelijke restauraties van tijdelijke molaren met de Hall-techniek

Minimaal invasieve tandheelkunde wordt steeds meer toegepast, vooral in de kindertandheelkunde. Het traditionele ‘boren en vullen’ wordt hierbij vervangen door behandelmethodes die weefselbesparend zijn en minimaal belastend voor de patiënt. Eén van deze technieken om carieuze dentinecaviteiten te behandelen is de Hall-techniek. Een roestvrij-stalen kroon wordt zonder gebruik van verdoving of enige vorm van preparatie op de tijdelijke molaar gecementeerd. De molaar wordt als het ware ‘gesealed’ onder de kroon en daardoor stopt het cariësproces in de caviteit. Meestal zijn 2 afspraken nodig. De Hall-techniek wordt goed geaccepteerd door kinderen en voorziet de tijdelijke molaar van een duurzame restauratie. Uiteraard wordt bij deze techniek ook de patiënt begeleid in een individueel preventietraject. De overlevingspercentages van Hall-kronen zijn erg hoog