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VOLUME 20 , ISSUE 7 ( July, 2019 ) > List of Articles

ORIGINAL RESEARCH

Predictors for Proximal Caries in Permanent First Molars: A Multiple Regression Analysis

Arshad Hasan, Javeria A Khan, Muhamamd Taqi, Farah Naz, Saman Waqar, Noorulain Mehak, Haris Mehmood

Keywords : Caries risk, Dental Caries, Permanent first molar, Predictor, Proximal surface, Regression analysis

Citation Information : Hasan A, Khan JA, Taqi M, Naz F, Waqar S, Mehak N, Mehmood H. Predictors for Proximal Caries in Permanent First Molars: A Multiple Regression Analysis. J Contemp Dent Pract 2019; 20 (7):818-821.

DOI: 10.5005/jp-journals-10024-2603

License: CC BY-NC 4.0

Published Online: 01-08-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Abstract

Aim: The aim of this study was to determine the predictors of proximal decay in the permanent first molar. Materials and methods: A cross-sectional study was conducted at the Department of Oral Medicine, Dow Dental College, Dow University of Health Sciences. A total of 171 patients presenting with 227 first molars were included. Calibrated examiners performed a detailed history and examination using a specialized form. The form recorded caries predictors and assigned a caries risk category based on the presence of these predictors. The statistical analysis was performed using the SPSS for windows version 17. A descriptive analysis was used to calculate the mean and proportions. Backward regression was carried out to evaluate the predictor for caries on mesial and distal surfaces at p ≤ 0.05. Results: The included 171 patients presented with a total of 227 decayed first molars and 412 decayed proximal surfaces. The mesial surface was found to be more affected by decay (0.92 ± 0.85). The caries risk profile explains 60%, and caries on the adjacent surface explains 90% of caries occurrence on the mesial surface. In the case of distal surfaces, the predictor which can cause caries significantly was caries risk only. The caries risk profile explains the 3% of caries occurrence on distal surfaces. Conclusion: Our study identified caries on the adjacent tooth surface and the caries risk profile as significant predictors of future caries risk for the mesial surface of permanent molars. Clinical significance: Predictors for mesial and distal surfaces of the permanent first molar may differ. Overall caries risk and status of adjacent teeth must be taken into account to predict future caries occurrence.


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  1. Sahito N, Sahito MA, et al. Prevalence of Dental Caries among School Children in Hyderabad Pakistan. Int Ann Adv Sci Res 2015;2(1):1–5.
  2. Leghari MA, Tanwir F. Dental caries prevalence and risk factors among school children age 12–15 years in malir, karachi. Pak Oral Dent J 2012;32(3):484–488.
  3. McDonald SP, Sheiham A. The distribution of caries on different tooth surfaces at varying levels of caries—a compilation of data from 18 previous studies. Community Dent Health 1992;9(1):39–48.
  4. Batchelor PA, Sheiham A. Grouping of tooth surfaces by susceptibility to caries: a study in 5–16 year-old children. BMC Oral Health 2004;4:2. DOI: 10.1186/1472-6831-4-2.
  5. Hopcraft MS, Morgan MV. Pattern of dental caries experience on tooth surfaces in an adult population. Community Dent Oral Epidemiol 2006;34(3):174–183. DOI: 10.1111/j.1600-0528.2006.00270.x.
  6. Edward S. Dental caries on adjacent approximal tooth surfaces in relation to order of eruption. Acta Odontol Scand 1997;55(1):27–30. DOI: 10.3109/00016359709091937.
  7. Dummer PM, Addy M, et al. Changes in the distribution of decayed and filled tooth surfaces and the progression of approximal caries in children between the ages of 11–12 years and 15–16 years. Br Dent J 1988;164(9):277–282. DOI: 10.1038/sj.bdj.4806429.
  8. Lith A, Lindstrand C, et al. Caries development in a young population managed by a restrictive attitude to radiography and operative intervention: II. A study at the surface level. Dentomaxillofacial Radiol 2002;31(4):232–239. DOI: 10.1038/sj.dmfr.4600705.
  9. Stenlund H, Mejare I, et al. Caries incidence rates in Swedish adolescents and young adults with particular reference to adjacent approximal tooth surfaces: a methodological study. Community Dent Oral Epidemiol 2003;31(5):361–367. DOI: 10.1034/j.1600-0528.2003.00015.x.
  10. Mejàre I, Stenlund H, et al. Influence of Approximal Caries in Primary Molars on Caries Rate for the Mesial Surface of the First Permanent Molar in Swedish Children from 6 to 12 Years of Age. Caries Res. 2001;35(3):178–185. DOI: 10.1159/000047453.
  11. Skudutyte-Rysstad R, Tveit AB, et al. Posterior composites and new caries on adjacent surfaces—any association? Longitudinal study with a split-mouth design. BMC Oral Health 2016;16(1):11. DOI: 10.1186/s12903-016-0167-2.
  12. Karlsson S. A clinical evaluation of fixed bridges, 10 years following insertion. J Oral Rehabil 1986;13(5):423–132. DOI: 10.1111/j.1365-2842.1986.tb01304.x.
  13. Haleem A, Khan AA. Dental caries and oral hygiene status of 12 years old school children in Pakistan. Pak J Med Res 2001;40(4):138–142.
  14. Khan AA, Sharea I, et al. Oral health in Pakistan: a situation analysis. Dev Dent 2004;5(2):35–44.
  15. Mohiuddin S, Nisar N, et al. Dental caries status among 6 and 12 years old school children of Karachi city. J Pak Dent Assoc 2015;24(1):39–45.
  16. Qazi HS, Azam S, et al. Prevalence of dental caries in the permanent dentition of patients seeking orthodontic treatment in Bara Kahu. Pak Oral Dent J 2011;31(2):371–373.
  17. Ali Shah SH, Muntaha S, et al. Incidence of caries in 6–12 years children visting Punjab dental hospital, Lahore and SardarBegum dental college and hospital, Peshawar. Pak Oral Dent J 2008;28(1):43–49.
  18. Azam S, Khurram MS, et al. Distribution of dental caries and its relationship to risk factors. Pak Oral Dent J 2011;31(2):453–456.
  19. General Assembly of the World Medical Association. World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. J Am Coll Dent 2014;81(3):14–18.
  20. Rehman K, Khan H, et al. Frequency of class II type carious lesions in first permanent molars and their association with pulp. Pak Oral Dent J 2009;29:119–22.
  21. Hilton TJ, Jack LF, Broome JC. (eds.) Summitt's fundamentals of operative dentistry, 4th ed. Hanover Park, IL: Quintessence Publishing Co. Inc.; 2013.
  22. American Dental Association Council on Scientific Affairs. Professionally applied topical fluoride: evidence-based clinical recommendations. J Am Dent Assoc 2006;137(8):1151–1159. DOI: 10.14219/jada.archive.2006.0356.
  23. World Health Organization. Oral health surveys: basic methods. World Health Organization; 2013.
  24. Greene JG, Vermillion JR. The simplified oral hygiene index. J Am Dent Assoc 1964;68(1):7–13. DOI: 10.14219/jada.archive.1964.0034.
  25. Löe H. The gingival index, the plaque index and the retention index systems. J Periodontol 1967;38(6P2):610–616. DOI: 10.1902/jop.1967.38.6_part2.610.
  26. Taqi M, Razak IA, et al. Caries Risk Assessment in School Children Using Reduced Cariogram Model. Pak J Med Sci 2017;33(4):948–952. DOI: 10.12669/pjms.334.13106.
  27. Vanderas AP, Kavvadia K, et al. Development of caries in permanent first molars adjacent to primary second molars with interproximal caries: four-year prospective radiographic study. Pediatr Dent 2004;26(4):362–368.
  28. Nordblad A, Larmas MA. Caries and fillings in the permanent dentition of cohorts of schoolchildredn in Espoo, Finland. Community Dent Oral Epidemiol 1986;14(5):271–273. DOI: 10.1111/j.1600-0528.1986.tb01070.x.
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