Abstract
Purpose
To evaluate the proximal caries progression in primary molars using the radiographic International Caries Detection and Assessment System (ICDAS).
Methods
A study was conducted on 196 children aged 3–9 years old who underwent the clinical examination and bitewing radiography during baseline and 6-month (and over) follow-up visits. The primary molars bitewing radiographs with initial enamel caries (RA1 and RA2) or outer dentine caries (RA3) of proximal surfaces were included. Caries advancement was scored using ICDAS criteria and statistical analyses with the chi-square test. Median survival time was evaluated using Kaplan–Meier survival curves and log-rank tests.
Results
A total of 439 surfaces of primary molars were included in this study and an averaged follow-up period of enamel and dentine caries group were 18.3 ± 9.6 months and 16.5 ± 9.5 months respectively. The progression of proximal enamel lesions significantly differed between primary maxillary and mandibular molars (p = 0.002) and among each patient’s primary mandibular second molar and the others (p = 0.002). On the contrary, the outer dentine caries of each group of primary molars was not different. The median survival time of the initial enamel proximal caries (23.30 months) was non-significantly longer than that of the dentine (20.80 months).
Conclusions
Progressions of the initial enamel proximal caries were significantly different among primary molars at the average 18.3-month follow-up. The median survival period of the enamel proximal caries was more extended than that of dentine but without statistical difference. These results provide essential information for dentists regarding an appropriate appointment for bitewing examinations.
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Data availability
The datasets used analyzed during the current study are available from the corresponding author on reasonable request.
References
Abuzenada MB. Detection of proximal caries with digital intraoral bitewing radiography: an interobserver analysis. Saudi J Health Sci. 2019;8(1):38–41. https://doi.org/10.4103/sjhs.sjhs_141_18.
Agrawal SK, Bhagat T, Shrestha A. Dental caries in permanent first molar and its association with carious primary second molar among 6–11-year-old school children in Sunsari. Nepal Int J Dent. 2023;2023:1–5. https://doi.org/10.1155/2023/9192167.
Alraqiq H, Eddali A, Boufis R. Prevalence of dental caries and associated factors among school-aged children in Tripoli, Libya: a cross-sectional study. BMC Oral Health. 2021;21(1):224. https://doi.org/10.1186/s12903-021-01545-9.
American Academy of Pediatric Dentistry (2023a) Caries-risk assessment and management for infants children and adolescents. The reference manual of pediatric dentistry Chicago Ill. American Academy of Pediatric Dentistry 301–7
American Academy of Pediatric Dentistry (2023b) Prescribing dental radiographs for infants, children, adolescents, and individuals with special health care needs The reference manual of pediatric dentistry Chicago Ill. American Academy of Pediatric Dentistry:308–11
André Kramer AC, Skeie MS, Skaare AB, Espelid I, Ostberg AL. Caries increment in primary teeth from 3 to 6 years of age: a longitudinal study in Swedish children. Eur Arch Paediatr Dent. 2014;15(3):167–73. https://doi.org/10.1007/s40368-013-0079-7.
Arrow P. Incidence and progression of approximal carious lesions among school children in Western Australia. Aust Dent J. 2007;52(3):216–26. https://doi.org/10.1111/j.1834-7819.2007.tb00492.x.
Braga MM, Floriano I, Ferreira FR, et al. Are the approximal caries lesions in primary teeth a challenge to deal with? A critical appraisal of recent evidences in this field. In: emerging trends in oral health sciences and dentistry, London: 2015. pp 83–116
Chin JR, Kowolik JE, Stookey GK. Dental caries in the child and adolescent. In: Dean JA, Jones JE, Walker Vinson LA, editors. McDonald and Avery’s dentistry for the child and adolescent. 10th ed. China: Elsevier; 2016. p. 155–76.
Cortes A, Ekstrand KR, Martignon S. Visual and radiographic merged-ICDAS caries progression pattern in 2–6 years old Colombian children: two-year follow-up. Int J Paediatr Dent. 2019;29:203–12. https://doi.org/10.1111/ipd.12448.
Demirci M, Tuncer S, Yuceokur AA. Prevalence of caries on individual tooth surfaces and its distribution by age and gender in university clinic patients. Eur J Dent. 2010;4(3):270–9.
Ferro R, Besostri A, Olivieri A. Caries prevalence and tooth surface distribution in a group of 5-year-old Italian children. Eur Arch Paediatr Dent. 2009;10(1):33–7. https://doi.org/10.1007/BF03262665.
Gruythuysen RJ, van der Linden LW, Wöltgens JH, et al. Differences between primary and permanent teeth in posteruptive age dependency of radiological changes in enamel during the development of approximal caries. J Biol Buccale. 1992;20(1):59–62.
Guedes RS, Piovesan C, Floriano I, et al. Risk of initial and moderate caries lesions in primary teeth to progress to dentine cavitation: a 2-year cohort study. Int J Paediatr Dent. 2016;26(2):116–24. https://doi.org/10.1111/ipd.12166.
Hasan A, Khan JA, Taqi M, et al. Predictors for proximal caries in permanent first molars: a multiple regression analysis. J Contemp Dent Pract. 2019;20(7):818–21. https://doi.org/10.5005/jp-journals-10024-2603.
Kühnisch J, Anttonen V, Duggal MS, et al. Best clinical practice guidance for prescribing dental radiographs in children and adolescents: an EAPD policy document. Eur Arch Paediatr Dent. 2020;21(4):375–86. https://doi.org/10.1007/s40368-019-00493-x.
Lynch RJM. The primary and mixed dentition, post-eruptive enamel maturation and dental caries: a review. Int Dent J. 2013;63:3–13. https://doi.org/10.1111/idj.12074.
Manepalli S, Nuvvula S. Caries prevalence and susceptibility of surfaces on individual primary teeth in children of Nellore town. Int J Sci Res. 2020;9:76–8. https://doi.org/10.36106/ijsr.
Naing L, Winn T, Rusli B. Practical issues in calculating the sample size for prevalence studies. Arch Orofac Sci. 2006;1:9–14.
Parisotto TM, Santos MN, Rodrigues LK, Costa LS. Behavior and progression of early carious lesions in early childhood: a 1-year follow-up study. J Dent Child (Chic). 2012;79(3):130–5.
Pitts NB, Ekstrand KR. International caries detection and assessment system (ICDAS) and its international caries classification and management system (ICCMS)—methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol. 2013;41(1):e41-52.
Pitts NB, Ismail AI, Martignon S, Ekstrand K, Douglas DVA, Longbottom C. ICCMSTM Guide for practitioners and educators The international caries classification and management system (ICCMSTM) implementation workshop. BMC Oral Health. 2014. https://doi.org/10.1186/1472-6831-15-S1-S9.
Ravikumar K, Nasim I, Chaudhary M. Prevalence of proximal caries in the posterior teeth in patients visiting a dental college. J Complement Med Res. 2020;11:246. https://doi.org/10.5455/jcmr.2020.11.04.31.
Splieth CH, Kanzow P, Wiegand A, et al. How to intervene in the caries process: proximal caries in adolescents and adults—a systematic review and meta-analysis. Clin Oral Investig. 2020;24(5):1623–36. https://doi.org/10.1007/s00784-020-03201-y.
Stenlund H, Mejare I, Kallestal C. Caries incidence rates in Swedish adolescents and young adults with particular reference to adjacent approximal tooth surfaces: a methodological study. Community Dent Oral Epidemiol. 2003;31(5):361–7. https://doi.org/10.1034/j.1600-0528.2003.00015.x.
Subka S, Rodd H, Nugent Z, Deery C. In vivo validity of proximal caries detection in primary teeth, with histological validation. Int J Paediatr Dent. 2019;29(4):429–38. https://doi.org/10.1111/ipd.12478.
Tickotsky N, Petel R, Araki R, Moskovitz M. Caries progression rate in primary teeth: a retrospective study. J Clin Pediatr Dent. 2017;41(5):358–61. https://doi.org/10.17796/1053-4628-41.5.358.
Vanderas AP, Manetas C, Koulatzidou M, Papagiannoulis L. Progression of proximal caries in the mixed dentition: a 4-year prospective study. Pediatr Dent. 2003;25(3):229–34.
Vanderas AP, Kavvadia K, Papagiannoulis L. Development of caries in permanent first molars adjacent to primary second molars with interproximal caries: four-year prospective radiographic study. Pediatr Dent. 2004;26(4):362–8.
Waggoner W, Nelson T, et al. Restorative dentistry for the primary dentition. In: Christensen JR, Mabry TR, Townsend JA, et al., editors. Pediatric dentistry infancy through adolescence. 6th ed. Philadelphia: Elsevier Health Sciences; 2019. p. 304–28.
Warren JJ, Levy SM, Broffitt B, Kanellis MJ. Longitudinal study of non-cavitated carious lesion progression in the primary dentition. J Public Health Dent. 2006;66(2):83–7. https://doi.org/10.1111/j.1752-7325.2006.tb02560.x.
Zandoná FA, Santiago E, Eckert GJ, Katz BP, de Oliveira SP, Capin OR, et al. The natural history of dental caries lesions: a 4-year observational study. J Dent Res. 2012;91(9):841–6. https://doi.org/10.1177/00220345124550.
Acknowledgement
The authors are grateful to Associate Professor Thosapol Piyapattamin, Assistant Professor Potjaman Totium, Assistant Professor Sasima Puwanan, Dr. Supanya Naivikul and Assistant Professor Kornchanok Wayakanon for their contribution in this study.
Funding
This research was supported by Faculty of dentistry, Naresuan University.
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This research study was carried out after ethics approval from the Naresuan University Institutional Review Board since 16 June 2020.
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Sakulratchata, R., Saelow, D., Banyat, S. et al. Progression of proximal caries in primary molars using the radiographic ICDAS: a retrospective cohort study. Eur Arch Paediatr Dent (2024). https://doi.org/10.1007/s40368-024-00886-7
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DOI: https://doi.org/10.1007/s40368-024-00886-7