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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Effectiveness of a preventive program based on caries risk assessment and recall intervals on the incidence and regression of initial caries lesions in children

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Author(s):
Abanto, Jenny [1] ; Celiberti, Paula [2] ; Braga, Mariana Minatel [1] ; Vidigal, Evelyn Alvarez [1] ; Cordeschi, Thais [1] ; Haddad, Ana Estela [1] ; Boenecker, Marcelo [1]
Total Authors: 7
Affiliation:
[1] Univ Sao Paulo, Sch Dent, Dept Pediat Dent & Orthodont, Sao Paulo - Brazil
[2] Methodist Univ Sao Paulo, Sch Dent, Dept Pediat Dent, Sao Paulo - Brazil
Total Affiliations: 2
Document type: Journal article
Source: International Journal of Paediatric Dentistry; v. 25, n. 4, p. 291-299, JUL 2015.
Web of Science Citations: 3
Abstract

BackgroundEvidence on caries risk assessment (CRA) and recall intervals are limited in terms of caries prevention. AimTo assess the effectiveness of a program on the incidence and regression of initial caries lesions. DesignA total of 296 children aged 1-12years old were assessed by calibrated examiners for Gingival Bleeding Index, Dental Plaque Index, dmf-t/DMF-T Index, initial caries lesions, and caries lesion activity. Children were classified as low, moderate, and high caries risk with different recall interval visits. Statistical analysis included Cox regression and Kaplan-Meier curves. ResultsThe mean (SD) time of total follow-up for the sample was 11.5(5.5). Higher dmft index at baseline showed a higher risk of new initial lesions (HR=1.93; P<0.0001). Higher number of active initial lesions, at baseline and during follow-up visits, is a higher risk predictor for new initial lesions (HR=9.49; P<0.0001), as well as for no arrestment of active lesions during follow-up (HR=1.32; P<0.0001). Each follow-up visit attended presented a 77% lower risk of initial lesions. The majority (94.8%) of patients did not show new initial lesions. ConclusionsThe Program is effective on reducing the incidence and promoting regression of initial caries lesions in children. (AU)

FAPESP's process: 13/10330-8 - CONSERVATIVE VERSUS NON-CONSERVATIVE TREATMENT FOR SEVERE DENTAL CARIES IN PRESCHOOL CHILDREN AND ITS IMPACT ON ORAL HEALTH-RELATED QUALITY OF LIFE, ANTHROPOMETRIC MEASURES, SPACE LOSS AND ANXIETY: RANDOMIZED CLINICAL TRIAL
Grantee:Jenny Haydee Abanto Alvarez
Support Opportunities: Scholarships in Brazil - Post-Doctoral