Comparison of two clinical approaches based on visual criteria for secondary caries assessments and treatment decisions in permanent posterior teeth.

Autor: Signori C; Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457, Pelotas, RS, 96015-560, Brazil. caciasignori@gmail.com.; Department of Restorative Dentistry, School of Dentistry, Uniavan University Center, Av. Marginal Leste, 3600, Balneário Camboriú, SC, 88339-125, Brazil. caciasignori@gmail.com., Uehara JLS; Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457, Pelotas, RS, 96015-560, Brazil., Romero VHD; Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457, Pelotas, RS, 96015-560, Brazil., Moro BLP; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, Avenida Prof. Lineu Prestes, 2227, São Paulo, SP, 05508-000, Brazil., Braga MM; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, Avenida Prof. Lineu Prestes, 2227, São Paulo, SP, 05508-000, Brazil., Mendes FM; Department of Pediatric Dentistry, School of Dentistry, University of São Paulo, Avenida Prof. Lineu Prestes, 2227, São Paulo, SP, 05508-000, Brazil., Cenci MS; Graduate Program in Dentistry, School of Dentistry, Federal University of Pelotas, Rua Gonçalves Chaves, 457, Pelotas, RS, 96015-560, Brazil.
Jazyk: angličtina
Zdroj: BMC oral health [BMC Oral Health] 2022 Mar 18; Vol. 22 (1), pp. 77. Date of Electronic Publication: 2022 Mar 18.
DOI: 10.1186/s12903-022-02112-6
Abstrakt: Background: This cross-sectional study aimed to compare two clinical approaches based on visual criteria for secondary caries assessments and treatment decisions in permanent posterior teeth.
Methods: The two clinical visual criteria tested for the assessments of restored teeth were: FDI criteria-based on the caries presence, marginal adaptation and staining criteria, adapted from the FDI (International Dental Federation) criteria and CARS criteria-"Caries Associated with Restorations or Sealants" (CARS) criteria described by the International Caries Classification and Management System. Adults were randomized according to the criteria. One calibrated examiner assessed the restorations and assigned the treatment according to the criteria. The primary outcome was replacement indication.
Results: A total of 185 patients were included, totalling 718 restorations. The strongest correlation founded between the methods was for the presence of caries lesions (Rho = 0.829). A moderate correlation (Rho = 0.420) was founded between the treatment decisions proposed by the CARS and by the FDI criteria. The multilevel regression analysis showed that the FDI criteria indicated five times more replacements when compared to the CARS (< 0.001). Also, using the FDI criteria restorations were 2.7 times more related to caries around restorations (p < 0.001) compared to the other criterion.
Conclusions: The visual criteria used on the restoration's assessment directly influences the treatment decision to intervene or not on the restoration. The use of a minimally invasive based approach for assessing secondary caries may prevent overtreatment.
(© 2022. The Author(s).)
Databáze: MEDLINE
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