Classification of a patient's caries activity based on lesion activity assessment among adults: findings from a prospective cohort study.

Autor: Rup, Ariel Goulart, Izquierdo, Cristina de Moraes, Rios, Fernando Silva, Costa, Ricardo dos Santos Araújo, Jardim, Juliana Jobim, Haas, Alex Nogueira, Alves, Luana Severo, Maltz, Marisa
Předmět:
Zdroj: Clinical Oral Investigations; Mar2023, Vol. 27 Issue 3, p1123-1131, 9p, 1 Diagram, 4 Charts
Abstrakt: Objective: To investigate whether the classification of a patient's caries activity based on lesion activity assessment can predict the increment and progression of coronal and root caries lesions among adults. Methods: This population-based prospective cohort study followed 413 individuals (mean age 54.1) from southern Brazil for 4 years. Data collection included a questionnaire and clinical examination to record coronal/root caries and gingival recession. The main outcomes were caries increment measured as decayed, missing and filled tooth surfaces (DMFS) and caries progression (surface-level analysis). The main predictor variable was patients' caries activity at baseline ("caries-inactive" or "caries-active"). Negative binomial regression models (unadjusted and adjusted) were used. Results: Caries-active individuals were more likely to present DMFS increment than caries-inactive ones when migrations among DMFS components were considered (IRR [incidence risk ratio] = 1.26, 95%CI [confidence interval] = 1.01–1.58). On the other hand, no such association was found when these migrations were disregarded. The risk for coronal caries progression on filled surfaces was 90% higher among caries-active patients (IRR=1.9; 95%CI=1.4–2.6). In addition, patient's caries activity was able to predict higher risk for root caries progression in newly exposed root surfaces (IRR=1.9; 95%CI=1.0–3.6). Conclusion: The classification of a patient's caries activity based on lesion activity was able to foresee lesion progression on the coronal and root surfaces more susceptible to caries among adults. Clinical relevance Classifying a patient's caries activity is a useful tool for the clinical management of dental caries in adults. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
Externí odkaz: