The natural history of dental caries lesions: A 4-year observational study

A. Ferreira Zandoná, E. Santiago, G. J. Eckert, Barry Katz, S. Pereira De Oliveira, O. R. Capin, M. Mau, Domenick Zero

Research output: Contribution to journalArticle

51 Citations (Scopus)

Abstract

Dental caries is a ubiquitous disease affecting all age groups and segments of the population. It is known that not all caries lesions progress to cavitation, but little is known regarding the progression pattern of caries lesions. This study's purpose was to evaluate the natural history of dental caries using a standardized, visually based system, the International Caries Detection and Assessment System (ICDAS). The study population consisted of 565 consenting children, who were enrolled and examined at baseline and at regular intervals over 48 months with ICDAS and yearly bitewing radiographs. Of these, 338 children completed all examinations. Not all lesions cavitated at the same rate, differing by surface type and baseline ICDAS severity score and activity status. With increasing severity, the percentage of lesions progressing to cavitation increased: 19%, 32%, 68%, and 66% for ICDAS scores 1, 2, 3, and 4, respectively. Lesions on occlusal surfaces were more likely to cavitate, followed by buccal pits, lingual grooves, proximal surfaces, and buccal and lingual surfaces. Cavitation was more likely on molars, followed by pre-molars and anterior teeth. Predictors of cavitation included age, gender, surfaces and tooth types, and ICDAS severity/activity at baseline. In conclusion, characterization of lesion severity with ICDAS can be a strong predictor of lesion progression to cavitation.

Original languageEnglish
Pages (from-to)841-846
Number of pages6
JournalJournal of Dental Research
Volume91
Issue number9
DOIs
StatePublished - Sep 2012

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Cheek
Dental Caries
Tongue
Observational Studies
Tooth
Population
Age Groups

Keywords

  • activity
  • dental caries
  • Hispanic
  • ICDAS
  • lesion progression
  • longitudinal study

ASJC Scopus subject areas

  • Dentistry(all)

Cite this

Ferreira Zandoná, A., Santiago, E., Eckert, G. J., Katz, B., Pereira De Oliveira, S., Capin, O. R., ... Zero, D. (2012). The natural history of dental caries lesions: A 4-year observational study. Journal of Dental Research, 91(9), 841-846. https://doi.org/10.1177/0022034512455030

The natural history of dental caries lesions : A 4-year observational study. / Ferreira Zandoná, A.; Santiago, E.; Eckert, G. J.; Katz, Barry; Pereira De Oliveira, S.; Capin, O. R.; Mau, M.; Zero, Domenick.

In: Journal of Dental Research, Vol. 91, No. 9, 09.2012, p. 841-846.

Research output: Contribution to journalArticle

Ferreira Zandoná, A, Santiago, E, Eckert, GJ, Katz, B, Pereira De Oliveira, S, Capin, OR, Mau, M & Zero, D 2012, 'The natural history of dental caries lesions: A 4-year observational study', Journal of Dental Research, vol. 91, no. 9, pp. 841-846. https://doi.org/10.1177/0022034512455030
Ferreira Zandoná A, Santiago E, Eckert GJ, Katz B, Pereira De Oliveira S, Capin OR et al. The natural history of dental caries lesions: A 4-year observational study. Journal of Dental Research. 2012 Sep;91(9):841-846. https://doi.org/10.1177/0022034512455030
Ferreira Zandoná, A. ; Santiago, E. ; Eckert, G. J. ; Katz, Barry ; Pereira De Oliveira, S. ; Capin, O. R. ; Mau, M. ; Zero, Domenick. / The natural history of dental caries lesions : A 4-year observational study. In: Journal of Dental Research. 2012 ; Vol. 91, No. 9. pp. 841-846.
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