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Latest & greatest articles for caries
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increment of the primary molars was 1.0 dmfs-molar in the test-group children and 1.6 dmfs-molar in the placebo group. The difference of 0.6 tooth surface equated to a 37.3% reduction in caries increment (number-needed-to-treat of 3), and was statistically significant (P 0.036; 95% confidence interval, 0.04-1.16). No side-effects (such as soft-tissue lesions and staining of teeth) were found at the 24-month examination.Six-monthly applications of chlorhexidine varnish were effective in reducing (...) the incidence of dentalcaries in primary molars.
Dentalcaries. Dentalcaries, otherwise known as toothdecay, is one of the most prevalent chronic diseases of people worldwide; individuals are susceptible to this disease throughout their lifetime. Dentalcaries forms through a complex interaction over time between acid-producing bacteria and fermentable carbohydrate, and many host factors including teeth and saliva. The disease develops in both the crowns and roots of teeth, and it can arise in early childhood as an aggressive toothdecay (...) that affects the primary teeth of infants and toddlers. Risk for caries includes physical, biological, environmental, behavioural, and lifestyle-related factors such as high numbers of cariogenic bacteria, inadequate salivary flow, insufficient fluoride exposure, poor oral hygiene, inappropriate methods of feeding infants, and poverty. The approach to primary prevention should be based on common risk factors. Secondary prevention and treatment should focus on management of the caries process over time
and the UK. Outcomes assessed in the review The primary outcome of interest was coronal caries increment;this was measured by the number of teeth/surfaces becoming decayed or filled (DFT/S) or decayed, filled or missing (DMFT/S). Studies in which there was insufficient information to extrapolate the results to all 28 teeth were excluded. How were decisions on the relevance of primary studies made? Two reviewers independently selected papers for inclusion. Papers considered relevant by at least one (...) . Effectiveness of fluoride in preventing caries in adults. Journal of Dental Research 2007; 86(5): 410-415 PubMedID Original Paper URL Indexing Status Subject indexing assigned by NLM MeSH Adult; Age Factors; DentalCaries /prevention & Fluoridation; Fluorides /administration & Humans; control; dosage /therapeutic use AccessionNumber 12007005706 Date bibliographic record published 10/03/2008 Date abstract record published 09/08/2008 Record Status This is a critical abstract of a systematic review that meets
2006; 56(6): 345-351 PubMedID Indexing Status Subject indexing assigned by NLM MeSH Acrylic Resins /chemistry; Confidence Intervals; DentalCaries /prevention & Dental Materials /chemistry; Dental Restoration Failure; Dental Restoration, Permanent /methods; Dentition, Permanent; Humans; Silicon Dioxide /chemistry; Survival Analysis; Tooth, Deciduous; control /therapy AccessionNumber 12007005201 Date bibliographic record published 29/02/2008 Date abstract record published 29/02/2008 Record Status (...) The atraumatic restorative treatment (ART) approach for managing dentalcaries: a meta-analysis The atraumatic restorative treatment (ART) approach for managing dentalcaries: a meta-analysis The atraumatic restorative treatment (ART) approach for managing dentalcaries: a meta-analysis van 't Hof M A, Frencken J E, van Palenstein Helderman W H, Holmgren C J CRD summary This review concluded that survival rates are high for single-surface atraumatic restorative treatment restorations in primary
sealants over time: a systematic review. Community Dentistry and Oral Epidemiology 2006; 34(6): 403-409 PubMedID DOI Other publications of related interest Ahovuo-Saloranta A, Hiiri A, Nordblad A, Worthington H, Malela M. Pit and fissure sealants for preventing dentaldecay in the permanent teeth of children and adolescents (Cochrane Review). In: The Cochrane Library, Issue 4, 2004. Chichester: John Wiley & Sons, Ltd. Indexing Status Subject indexing assigned by NLM MeSH DentalCaries /prevention (...) Caries-preventive effect of resin-based and glass ionomer sealants over time: a systematic review Caries-preventive effect of resin-based and glass ionomer sealants over time: a systematic review Caries-preventive effect of resin-based and glass ionomer sealants over time: a systematic review Beiruti N, Frencken JE, van 't Hof MA, van Palenstein Helderman WH CRD summary The authors concluded that there was no consistent evidence to determine the superiority of either resin-based or glass
Chlorhexidine varnish for preventing dentalcaries in children, adolescents and young adults: a systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
: horizon scanning technology note. Birmingham: National Horizon Scanning Centre (NHSC). 2006 Authors' objectives This study examines the use of photo-activated disinfection (PAD) in the treatment of toothdecay. Timeliness warning Available on request from NHSC. Final publication URL Indexing Status Subject indexing assigned by CRD MeSH DentalCaries /therapy; Disinfection /methods Language Published English Country of organisation England English summary An English language summary is available (...) Photo-activated disinfection for toothdecay: horizon scanning technology note Photo-activated disinfection for toothdecay: horizon scanning technology note Photo-activated disinfection for toothdecay: horizon scanning technology note NHSC Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation NHSC. Photo-activated disinfection for toothdecay
' objectives The aim of this review is to assess the effectiveness and cost-effectiveness of HealOzone (R) (CurOzone USA Inc., Ontario, Canada) for the management of pit and fissure caries, and root caries. The complete HealOzone procedure involves the direct application of ozone gas to the caries lesion on the tooth surface, the use of a remineralising solution immediately after application of ozone and the supply of a 'patient kit', which consists of toothpaste, oral rinse and oral spray all containing (...) fluoride. Authors' conclusions Any treatment that preserves teeth and avoids fillings is welcome. However, the current evidence base for HealOzone is insufficient to conclude that it is a cost-effective addition to the management and treatment of occlusal and root caries. To make a decision on whether HealOzone is a cost-effective alternative to current preventive methods for the management of dentalcaries, further research into its clinical effectiveness is required. Independent RCTs
Dental flossing and interproximal caries: a systematic review Dental flossing and interproximal caries: a systematic review Dental flossing and interproximal caries: a systematic review Hujoel P P, Cunha-Cruz J, Banting D W, Loesche W J CRD summary This review systematically assessed the effect of dental flossing on interproximal caries risk and found that professional flossing in children with low fluoride exposure is effective in reducing it. The poor reporting of review methods, poor quality (...) of the included studies and uncertainty about the appropriateness of statistical pooling mean that the reliability of the authors' conclusions is uncertain. Authors' objectives To systematically assess the effect of dental flossing on interproximal caries risk. Searching MEDLINE, the Cochrane CENTRAL Register, Web of Science and Current Controlled Trials were searched up to December 2004; the search terms were reported. The authors contacted selected investigators to obtain missing information and grey
Cost-effectiveness of a long-term dental health education program for the prevention of early childhood caries Cost-effectiveness of a long-term dental health education program for the prevention of early childhood caries Cost-effectiveness of a long-term dental health education program for the prevention of early childhood caries Kowash M B, Toumba K J, Curzon M E Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract (...) contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The health technology assessed was a dental health education (DHE) programme, involving home visits at 1- or 3-month intervals, intended to prevent early childhood caries (ECC). This programme was compared with a control group and with three other strategies. The alternative strategies were slow-release fluoride
controlled trials (RCTs), with an intervention or follow-up period of at least 3 years, comparing fluoridated milk with non-fluoridated milk. Primary outcome was change in caries experience, as measured by changes in decayed, missing and filled figures on tooth (dmft/DMFT) and surface (dmfs/DMFS).Inclusion decisions, data extraction and quality assessment were carried out independently and in duplicate. Study authors were contacted for additional information where necessary.Two RCTs involving 353 (...) Fluoridated milk for preventing dentalcaries. Dentalcaries remains a major public health problem in most industrialised countries, affecting 60% to 90% of school children and the vast majority of adults. Milk provides a relatively cost-effective vehicle for fluoride in the prevention of dental caries.To determine the effectiveness of fluoridated milk, as a means of delivering fluoride on a community basis, for preventing dental caries.We searched Cochrane Oral Health Group Trials Register (28
HealOzone for the treatment of toothdecay (occlusal pit and fissure caries and root caries) (TA92) Overview | HealOzone for the treatment of toothdecay (occlusal pit and fissure caries and root caries) | Guidance | NICE HealOzone for the treatment of toothdecay (occlusal pit and fissure caries and root caries) Technology appraisal guidance [TA92] Published date: 27 July 2005 Share Guidance on using an ozone-releasing device (HealOzone) in people with toothdecay. Guidance development process
HealOzone for the treatment of toothdecay (occlusal pit and fissure caries and root caries) HealOzone for the treatment of toothdecay (occlusal pit and fissure caries and root caries) HealOzone for the treatment of toothdecay (occlusal pit and fissure caries and root caries) National Institute for Clinical Excellence Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database (...) . Citation National Institute for Clinical Excellence. HealOzone for the treatment of toothdecay (occlusal pit and fissure caries and root caries) London: National Institute for Clinical Excellence (NICE) 2005: 21 Authors' objectives The aim of this study was to assess HealOzone as a treatment for toothdecay. Authors' conclusions Guidance 1.1 HealOzone is not recommended for the treatment of toothdecay (occlusal pit and fissure caries and root caries), except in well-designed randomised controlled
Ozone therapy for the treatment of dentalcaries. Dentalcaries is a bacterially mediated disease characterised by demineralisation of the tooth surface, which may lead to cavitation, discomfort, pain and eventual tooth loss. Ozone is toxic to certain bacteria in vitro and it has been suggested that delivering ozone into a carious lesion might reduce the number of cariogenic bacteria. This possibly could arrest the progress of the lesion and may, in the presence of fluoride, perhaps allow (...) different outcome measures, there is no reliable evidence that application of ozone gas to the surface of decayed teeth stops or reverses the decay process. There is a fundamental need for more evidence of appropriate rigour and quality before the use of ozone can be accepted into mainstream primary dental care or can be considered a viable alternative to current methods for the management and treatment of dentalcaries.
Dentalcaries prevention: the physician's role in child oral health Dentalcaries prevention: the physician's role in child oral health Dentalcaries prevention: the physician's role in child oral health Bader J D, Rozier G, Harris R, Lohr K N Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Bader J D, Rozier G, Harris R, Lohr K N. Dental (...) oral fluoride supplementation at currently recommended doses to preschool children older than 6 months of age whose primary water source is deficient in fluoride. Rationale: The USPSTF found fair evidence that, in preschool children with low fluoride exposure, prescription of oral fluoride supplements by primary care clinicians leads to reduced dentalcaries. The USPSTF concluded that the benefits of caries prevention using oral fluoride supplementation outweigh the potential harms of dental
Professional fluoride varnish treatment for caries control: a systematic review of clinical trials Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
had had both dental examinations and a serum cotinine level measurement.Passive smoking defined as serum cotinine levels of 0.2 to 10 ng/mL and caries defined as decayed (unfilled) or filled tooth surfaces.Twenty-five percent of the children had at least 1 unfilled decayedtooth surface and 33% had at least 1 filled surface. Fifty-three percent had cotinine levels consistent with passive smoking. Elevated cotinine level was significantly associated with both decayed (odds ratio [OR], 2.1; 95 (...) % confidence interval [CI], 1.5-2.9) and filled (OR, 1.4; 95% CI, 1.1-1.8) tooth surfaces in deciduous but not in permanent teeth. This relationship persisted after adjusting for age, sex, race, family income, geographic region, frequency of dental visits, and blood lead level. For dentalcaries in deciduous teeth, the adjusted OR was 1.8 (95% CI, 1.2-2.7) for the risk of decayed surfaces and 1.4 (95% CI, 1.1-2.0) for filled surfaces. We estimated the population attributable risk from passive smoking
Systematic review of studies comparing the anti-caries efficacy of children's toothpaste containing 600 ppm of fluoride or less with high fluoride toothpastes of 1,000 ppm or above Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.
prevention. Economic study type Cost-effectiveness analysis. Study population The study population comprised 12-year-olds who were identified as being at high risk of developing dentalcaries. High-risk patients were defined as those who had one or more decayed approximal surface, enamel or dentine caries, or had a filled approximal surface or a missing tooth due to caries. Patients that, in the opinion of the examining dentist, had a high risk of caries due to mental or physical disability or chronic (...) for variability in the data. The treatment time, unit cost for each of the dental health professionals, caries averted and discount rate were varied. No rationale for the ranges tested was provided. Estimated benefits used in the economic analysis The estimated benefit used in the economic evaluation was the cost per decayed enamel and dentine missing and filled surface averted (DeMFS). Cost results All the costs were discounted at a rate of 3%. The total cost of programme A was SEK 141.39 when delivered
suffering caries, and the proportion of children suffering dental extractions. At the end of the programme, when the children were 5 to 6 years old, they were examined using the British Association of the Study of Community Dentistry (BASCD) standards. The authors did not report if the study groups were shown to be comparable. For more information see the original paper (Davies et al. 2002). Effectiveness results The children who received 1,450 ppm F toothpaste had 16% less caries (mean dmft 2.15) than (...) the control group (mean dmft 2.57) who had received no toothpaste. This represented a mean reduction in dmft of 0.42. The proportion of children who suffered from caries was 50% for the 1,450 ppm F toothpaste group versus 58% for the control group. Twelve per cent of children in the toothpaste group had experienced one or more dental extractions compared with 17% of the control group. Clinical conclusions The free toothpaste programme achieved a caries reduction in children receiving the 1,450 ppm F