Inclusion of initial caries lesions in a population-based sample of Brazilian preschool children: Impact on estimates and treatment needs.

Autor: de Carvalho P; Department of Orthodontics and Pediatric Dentistry, Dental School, University of São Paulo-USP, São Paulo, Brazil., Bönecker M; Department of Orthodontics and Pediatric Dentistry, Dental School, University of São Paulo-USP, São Paulo, Brazil., Tello G; Department of Orthodontics and Pediatric Dentistry, Dental School, University of São Paulo-USP, São Paulo, Brazil., Abanto J; Department of Orthodontics and Pediatric Dentistry, Dental School, University of São Paulo-USP, São Paulo, Brazil., Oliveira LB; Division of Pediatric Dentistry, Faculdade São Leopoldo Mandic, Campinas, Brazil., Braga MM; Department of Orthodontics and Pediatric Dentistry, Dental School, University of São Paulo-USP, São Paulo, Brazil.
Jazyk: angličtina
Zdroj: PloS one [PLoS One] 2020 Jun 19; Vol. 15 (6), pp. e0234122. Date of Electronic Publication: 2020 Jun 19 (Print Publication: 2020).
DOI: 10.1371/journal.pone.0234122
Abstrakt: This study aimed to assess changes in epidemiological estimates and treatment needed when initial caries lesions are included in a population-based survey of preschool children. A cross-sectional survey was conducted in a Brazilian municipality, collecting data of preschool children in 16 health centers. Caries detection used the merged codes (epi-codes) for ICDAS/ICCMS. An option for treatment, according to ICCMS, was chosen during the examination. Caries experience (dmft/dmfs) and prevalence were estimated considering three thresholds (A- initial, moderate, and severe lesions, B- only moderate and severe lesions and C- severe lesions). Incremental need for non-operative care was also verified. The sample consisted of 663 children aged 2-4 years (response rate of 99.85%). Including initial lesions, a 2-fold increase in dmft was observed (A: 3.36, B: 1.02, p<0.001). With the inclusion, the caries prevalence increased to 75% compared to threshold B only (28%). The majority (76%) of children who required any intervention (56%) should be scheduled for non-operative care. We suggest that including initial caries lesions in an epidemiological survey may significantly impact assessment of population caries experience.
Competing Interests: The authors have declared that no competing interests exist.
Databáze: MEDLINE
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