International Journal of Clinical Pediatric Dentistry

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VOLUME 11 , ISSUE 6 ( November-December, 2018 ) > List of Articles

Original Article

Evaluation of Nonproximal Caries as Predictor of Proximal Caries in Primary Molars

Vineet Dhar, Soe Mon, Mark D Macek

Keywords : Caries, Nonproximal lesions, Proximal lesions

Citation Information : 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.

DOI: 10.5005/jp-journals-10005-1557

License: CC BY-NC 4.0

Published Online: 01-12-2011

Copyright Statement:  Copyright © 2018; The Author(s).


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.

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