Longitudinal assessment on the impact of caries status of nearby surfaces on caries progression on the mesial surface of first molars.
Longitudinal assessment on the impact of caries status of nearby surfaces on caries progression on the mesial surface of first molars.
复制标题
纵向评估邻近表面的龋齿状况对第一磨牙近中表面龋齿进展的影响。
DOI：
10.1111/ipd.12650
复制
发表时间：
2020
影响因子：
3.8
通讯作者：
Zandona,AndreaFerreira
中科院分区：
文献类型：
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作者：
Lim,LiZhen;Preisser,John;Benecha,HabtamuKassa;Zandona,AndreaFerreira
背景：12岁以下儿童恒牙列中，第一恒磨牙的近端表面是最易患龋的。目的研究第一恒磨牙近中面（T6M）和第一恒磨牙远中面（t5D）与第一恒磨牙咬合面（t60）龋病进展的关系。儿童（5 - 13岁，N = 565）参加了一项为期4年的纵向龋齿研究，基线时至少有一个T6完全爆发，近端接触t5， t60和t5D没有修复或密封，并包括足够的咬颌x线片。利用国际龋齿检测和评估系统（ICDAS）的临床资料和x线片确定T6M、t60和t5D的龋齿状况。结果t5D和t60的基线龋率与T6M的随访龋率高度相关（P< 0.001）。t5D和t60的校正优势比分别为3.94 （95% CI:[1.78, 8.71]）和3.26 （95% CI:[1.46, 7.31]）。结论t60、t5D区龋的预防和管理工作具有重要意义。
BackgroundThe mesial surface of the first permanent molar is the most caries‐susceptible proximal surface of the permanent dentition in children under the age of 12.AimThe aim of this study was to determine the association between caries progression on the mesial surface of the first permanent molar (T6M) and caries on the distal surface of the primary second molar (t5D) and the occlusal surface of the first permanent molar (T6O).DesignChildren (between 5 and 13 years old; N = 565) that had participated in a 4‐year longitudinal caries study that at baseline had at least one T6 fully erupted with a t5 in proximal contact, with no restoration or sealant on T6O and t5D, and adequate bitewing radiographs were included. Clinical data using the International Caries Detection and Assessment System (ICDAS) and radiographs were used to determine the caries status of T6M, T6O, and t5D.ResultsBaseline caries presence on t5D and T6O were highly significantly associated with follow‐up caries presence on T6M (P< .001). The adjusted odds ratios corresponding to t5D and T6O were 3.94 (95% CI: [1.78, 8.71]) and 3.26 (95% CI: [1.46, 7.31]), respectively.ConclusionThese findings highlight the need for prevention and management of caries on T6O and t5D.