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Children with rampant caries in the primary dentition: oral health situation one year after total dental rehabilitation under general anaesthesia

Type:  Abstract

Pubblication date:  /1/2001

Authors:  S. Gizani, F. Vinckier, M. Quirynen, D Declerck

Language:  English

Institution:  Catholic University Leuven, School of Dentistry, Oral Pathology and Maxillofacial Surgery: Department of Operative Dentistry Department of Periodontology Research group for microbial adhesion

Publication:  European Journal of Paediatric Dentistry

Publisher:  Ariesdue Srl

Keywords:  Rampant caries, Primary dentition, General anaesthesia, Treatment outcome

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Title:  Children with rampant caries in the primary dentition: oral health situation one year after total dental rehabilitation under general anaesthesia

Abstract:  Aim. The aim of the present study was to evaluate the dental status of children with rampant caries in their primary dentition, one year after full-mouth rehabilitation, and to assess the impact of a follow-up program on the clinical outcome. Method. A longitudinal follow-up study was undertaken at the paediatric dental clinic of the Catholic University of Leuven. Children younger than six years of age, with rampant caries in the primary dentition (more than 6 active lesions) and treated under general anaesthesia, were randomly allocated to two different programs. A first group received standard preventive instructions on one single occasion while the test group returned for 4 additional preventive sessions (at 2, 4, 6 and 9 months post-treatment). All children were re-examined after 12 months. Caries experience, level of plaque accumulation, degree of gingival inflammation, and mutans streptococci and Lactobacilli counts were determined at baseline and one year later. Results. A considerable drop-out rate was noted in both groups of children ( 40%, no difference between groups). Although oral cleanliness and gingival condition improved and microbial load decreased, caries experience showed an important increase with a dmfs-increment of 5.6 and 3.9 in standard and test-group, respectively. Failure rates of restorations were considerable (33.0 and 26.1% of restorations in standard and test-group, respectively). Differences between both groups were statistically not significant. Conclusion. It was concluded that caries activity remained a problem in most of the children studied. Restorations failed in a considerable number of cases and the proposed follow-up program could not significantly influence the outcome. More adapted restorative techniques should be used and/or developed, a specific follow-up strategy needs to be worked out and the primary prevention of rampant caries should receive more attention.

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