Assessment of Dental Caries and Intervention in the First Permanent Molars of Brazilian Children

Juliana Campos Chaves,Mirian De Waele Souchois De Marsillac,Adilis Alexandria,Tatiane Ramos Dos Santos,Tatiana Kelly Da Silva Fidalgo

doi:10.1590/pboci.2021.152

Juliana Campos Chaves, Mirian De Waele Souchois De Marsillac + Show 3 more

Open Access

https://doi.org/10.1590/pboci.2021.152

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Abstract

Objective: To evaluate the prevalence of caries stages and interventions on first permanent molars (FPM) in Brazilian children . Material and Methods: Data from FPM were extracted from dental records of children aged 5-14 years of age that attended the UERJ Pediatric Dentistry Clinic. Data include patient age, sex, biofilm index, presence of carious lesions in all stages, and the treatments. Data was analyzed using the SPSS® 20.0 program. Results: A total of 158 dental records were analyzed, 587 registers were related to the caries stage and 601 related to the interventions; mean age of 8.26 (±1.4 years) and 53.2% were girls. The prevalence of active/inactive white spot (AWS/IWS) varied from 14.3% to 21.6% in right upper and lower left FPM, respectively. Enamel/dentin lesions without pulp involvement were also more prevalent in the lower arch and ranged from 3.4% for the right upper to 11.5% for the lower right FPM. Cavities with pulp involvement or indicated extraction ranged from 0% to 1.4%. Treatment included dental sealants, varying from 17.1 to 24.0% (n=126) and restorations, varying from 1.3 to 11.8% (n=38). The lower right were the most affected teeth . Conclusion: First permanent molars presented a higher prevalence of dental caries in early stages and the most prevalent treatment was related to the initial carious process, fluor therapy and sealants.

Highlights

The first permanent molar erupts in the oral cavity at approximately six years of age, becoming more vulnerable and susceptible to the development of caries lesions in this period due to its early eruption and anatomical structure [1,2,3,4,5]
First permanent molars presented a higher prevalence of dental caries in early stages and the most prevalent treatment was related to the initial carious process, fluor therapy and sealants
The dental caries status of the disease was analyzed, as well as previous treatments performed on first permanent molars

Summary

Introduction

The first permanent molar erupts in the oral cavity at approximately six years of age, becoming more vulnerable and susceptible to the development of caries lesions in this period due to its early eruption and anatomical structure [1,2,3,4,5]. The first permanent molar is an extremely important dental element in the oral cavity. This teeth eruption impacts on third molar eruption contribute to the development of physiological occlusion and adequate masticatory function [6] and, frequently, parents of children did not attribute the correct relevance for this tooth [7]. The difficulty of brushing these elements by those responsible or by the patient, the infra-occlusion that prevents the tooth from having contact with an antagonist for self-cleaning and the greater amount of fissures and fissures on the occlusal surface make the first permanent molar an element more susceptible to disease caries, which makes it a target of concern for dentists [10,11]. When the first permanent molar is erupting, it is less mineralized and undergoes post-eruptive maturation [12]

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