Caries OUT: Caries management in children with CariesCare International adapted to the pandemic
OBJECTIVES: To describe caries risk status, caries lesions and management decisions for both, using the CariesCare International (CCI) approach in children aged 3 to 8 years from Córdoba, as part of the multicenter interventional trial of a Caries OUT group, without aerosol generating procedures (AGP) and reducing face-to-face consultation. METHODS: Under informed consent (parents) and assent (children) and, with ethical approval (FO-UNC-4275/2021), 28 children participated (males n = 9; females n = 19), in a public institution and a private one (2020). The clinical history was applied using the framework project software, including the four dimensions (D) of the adapted CCI system: 1D-Determination of caries risk, including diet and tooth brushing practices; 2D-Detection and assessment of severity and activity of caries lesions (ICDAS epi-combined); 3D-Management decisions at individual and dental levels; 4D-Development (plan) of caries management (individual and dental levels) without AGP. RESULTS: 1D: 92.9% presented high risk; 2D: 2709 tooth surfaces were evaluated, finding caries lesions: Initial Active (n = 134), Inactive (n = 6); Moderate-Microcavity Active (n = 34), Shadow-underlying Active (n = 34); Severe Active (n = 52), Inactive (n = 2). 3D and 4D: Individual on-site/remote risk management (92.9%); dental: active monitoring (n = 25); non-operative management (Naf, SDF) (n = 154); operative management with dental preservation (ART) (n = 52); extraction/referral (n = 50). CONCLUSIONS: With CCI, a high risk and burden of caries was found, with according individual and dental management needs, without AGP and less consultation time, representing an alternative for children's dental care during the pandemic.
| Main Authors: | , , , , , , , , , |
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| Format: | Fil: Fil: Carletto-Körber, Fabiana. Universidad Nacional de Córdoba. Facultad de Odontología. Cátedra de Integral Niños y Adolescentes; Argentina. biblioteca |
| Language: | eng |
| Published: |
Sociedad Argentina de Investigación Odontológica
2021
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| Subjects: | Dental caries, COVID-19, Dental caries susceptibility, |
| Online Access: | http://hdl.handle.net/11086/548620 |
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