Comparison of two clinical approaches based on visual criteria for secondary caries assessments and treatment decisions in permanent posterior teeth
Abstract 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 crit...
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| Format: | Article |
| Language: | English |
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BMC
2022-03-01
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| Series: | BMC Oral Health |
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| Online Access: | https://doi.org/10.1186/s12903-022-02112-6 |
| _version_ | 1818315586343534592 |
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| author | Cacia Signori CaCIA collaborative group Juliana Lays Stolfo Uehara Vitor Henrique Digmayer Romero Bruna Lorena Pereira Moro Mariana Minatel Braga Fausto Medeiros Mendes Maximiliano Sérgio Cenci |
| author_facet | Cacia Signori CaCIA collaborative group Juliana Lays Stolfo Uehara Vitor Henrique Digmayer Romero Bruna Lorena Pereira Moro Mariana Minatel Braga Fausto Medeiros Mendes Maximiliano Sérgio Cenci |
| author_sort | Cacia Signori |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-13T09:07:53Z |
| format | Article |
| id | doaj.art-1cc6331a2fa24ac999e14ebd9f036317 |
| institution | Directory Open Access Journal |
| issn | 1472-6831 |
| language | English |
| last_indexed | 2024-12-13T09:07:53Z |
| publishDate | 2022-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Oral Health |
| spelling | doaj.art-1cc6331a2fa24ac999e14ebd9f0363172022-12-21T23:53:02ZengBMCBMC Oral Health1472-68312022-03-0122111210.1186/s12903-022-02112-6Comparison of two clinical approaches based on visual criteria for secondary caries assessments and treatment decisions in permanent posterior teethCacia Signori0CaCIA collaborative group1Juliana Lays Stolfo Uehara2Vitor Henrique Digmayer Romero3Bruna Lorena Pereira Moro4Mariana Minatel Braga5Fausto Medeiros Mendes6Maximiliano Sérgio Cenci7Graduate Program in Dentistry, School of Dentistry, Federal University of PelotasSchool of Dentistry, Federal University of PelotasGraduate Program in Dentistry, School of Dentistry, Federal University of PelotasGraduate Program in Dentistry, School of Dentistry, Federal University of PelotasDepartment of Pediatric Dentistry, School of Dentistry, University of São PauloDepartment of Pediatric Dentistry, School of Dentistry, University of São PauloDepartment of Pediatric Dentistry, School of Dentistry, University of São PauloGraduate Program in Dentistry, School of Dentistry, Federal University of PelotasAbstract 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.https://doi.org/10.1186/s12903-022-02112-6Caries detectionDental cariesRestorationsVisual inspectionSecondary caries |
| spellingShingle | Cacia Signori CaCIA collaborative group Juliana Lays Stolfo Uehara Vitor Henrique Digmayer Romero Bruna Lorena Pereira Moro Mariana Minatel Braga Fausto Medeiros Mendes Maximiliano Sérgio Cenci Comparison of two clinical approaches based on visual criteria for secondary caries assessments and treatment decisions in permanent posterior teeth BMC Oral Health Caries detection Dental caries Restorations Visual inspection Secondary caries |
| title | Comparison of two clinical approaches based on visual criteria for secondary caries assessments and treatment decisions in permanent posterior teeth |
| title_full | Comparison of two clinical approaches based on visual criteria for secondary caries assessments and treatment decisions in permanent posterior teeth |
| title_fullStr | Comparison of two clinical approaches based on visual criteria for secondary caries assessments and treatment decisions in permanent posterior teeth |
| title_full_unstemmed | Comparison of two clinical approaches based on visual criteria for secondary caries assessments and treatment decisions in permanent posterior teeth |
| title_short | Comparison of two clinical approaches based on visual criteria for secondary caries assessments and treatment decisions in permanent posterior teeth |
| title_sort | comparison of two clinical approaches based on visual criteria for secondary caries assessments and treatment decisions in permanent posterior teeth |
| topic | Caries detection Dental caries Restorations Visual inspection Secondary caries |
| url | https://doi.org/10.1186/s12903-022-02112-6 |
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