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Precision of In Vivo Quantitative Tooth Wear Measurement Using Intra-Oral Scans
Published on: July 12, 2022
Caries risks and appropriate intervals between bitewing x-ray examinations in schoolchildren
Marcel Steiner1, Saskia Bühlmann, Giorgio Menghini
1Clinic for Preventive Dentistry, Periodontology and Cariology, Center of Dental Medicine, University of Zurich. marcel.steiner@zzm.uzh.ch
Dental bitewing X-rays should have intervals tailored to individual caries risk. Children with prior caries need annual checks, while those without may benefit from 8-year intervals.
Area of Science:
- Dentistry
- Radiology
- Public Health
Background:
- Bitewing examinations are crucial for detecting approximal caries.
- Balancing early lesion detection with radiation exposure is key.
- Determining appropriate intervals requires understanding caries risk.
Purpose of the Study:
- To estimate caries risk in the Swiss school population.
- To inform appropriate intervals for bitewing examinations based on caries risk.
Main Methods:
- Analysis of longitudinal data from 591 schoolchildren in Zurich.
- Examinations conducted at 4-year intervals.
- Carried out caries risk assessment based on age and prior caries experience.
Main Results:
- Overall caries risk was 7.1% for 7-year-olds and 17.6% for 11-year-olds over 4 years.
- 7-year-olds without prior caries had a 2.2% risk; those with prior caries had a 24.2% risk.
- 11-year-olds without prior caries had a 7.5% risk; those with prior caries had a 38.5% risk.
Conclusions:
- Caries risk varies significantly based on previous caries experience.
- Proposed 8-year interval for 7-year-olds with no caries experience.
- Proposed 1-year interval for 7-year-olds with existing caries experience.
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