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Evaluation of Nonproximal Caries as Predictor of Proximal Caries in Primary Molars
Vineet Dhar1, Soe Mon2, Mark D Macek3
1Department of Pediatric Dentistry, University of Maryland School of Dentistry, Maryland, USA.
Background:
Most caries prevalence studies are conducted in community-based settings, usually with no radiographs, therefore, it is questionable if visual examination alone captures the true extent of disease.
Aim:
Since it is relatively easy to diagnose occlusal and facial/lingual surface (nonproximal caries) on visual examination, our aim was to evaluate for an association between nonproximal caries (NP) and proximal caries (P), which if present can provide a tool to help decision makers in estimating the true extent of the disease.
Design:
A cross-sectional retrospective chart audit was done using records of 106 children to determine the association between NP and P caries in the primary dentition.
Results:
Our mean dft for NP lesions only was 1.55. Based on our data, the mean dft considering all pit and fissure plus the proximal lesions was 2.54, which is a 63.2% increase from the dft based on NP caries only. We found a significant association between NP caries and radiographically detectable P caries. Proximal lesions were twice as likely to exist on primary molars when non-proximal/pit and fissure carious lesions were present.
Conclusion:
The results imply that proximal caries, and thus need for treatment, are being underestimated during visual exams.
How To Cite This Article:
Dhar V, Mon S, Macek MD. Evaluation of Nonproximal Caries as Predictor of Proximal Caries in Primary Molars. Int J Clin Pediatr Dent, 2018;11(6):457-461.
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