| 1. |
- Alian, Anna Y, et al.
(författare)
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Assessment of caries risk in elderly patients using the Cariogram model.
- 2006
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Ingår i: Journal of the Canadian Dental Association. - 1488-2159. ; 72:5, s. 459-63
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Tidskriftsartikel (refereegranskat)abstract
- For several decades, Swedish researchers, clinicians and educators have recognized risk assessment as an important part of routine management of dental caries. Innovative caries risk assessment models, such as the Cariogram software program, have been developed to systematize the evaluation of various risk factors for caries and to develop targeted prevention interventions based on caries risk. The benefits derived from these models in terms of improving the health of high-risk groups such as older adults have not been well studied. The purpose of this article is to demonstrate the application of the Cariogram software in the management of dental care for 3 elderly patients.
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| 2. |
- Fure, Solveig, 1941, et al.
(författare)
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Evaluation of different fluoride treatments of initial root carious lesions in vivo.
- 2009
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Ingår i: Oral health & preventive dentistry. - 1602-1622. ; 7:2, s. 147-54
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Tidskriftsartikel (refereegranskat)abstract
- PURPOSE: The aim of this study was to evaluate the efficacy of three topical fluoride treatments to arrest initial root carious lesions. MATERIALS AND METHODS: Forty patients participated in a randomised study. Of the 60 root carious lesions that were included, 20 were randomised for treatment with the Carisolv chemo-mechanical technique and the Duraphat (2.23% F) fluoride varnish, 20 with Duraphat alone and 20 with stannous fluoride solution (8%). The lesions were treated at baseline and after three and six months; a clinical evaluation was carried out on these occasions and after 1 year. RESULTS: All but four lesions were categorised as arrested caries during the 1-year follow-up period: 18 in the Carisolv/Duraphat group and 19 each in the Duraphat and the stannous fluoride groups, respectively. There was a minor reduction in the mean size of the lesions of around 0.1 to 0.2 mm height and width and a moderate change in colour from a lighter to a darker appearance. No obvious differences were found between the groups. The mean percentage of mutans streptococci in plaque from all lesions was 3.5% at baseline, and it decreased to 1.8% during the year. The decrease was, however, not statistically significant, and no significant differences were found between the groups. CONCLUSIONS: It can be concluded that the frequent topical application of fluoride could be a successful treatment for incipient root carious lesions, irrespective of the type of fluoride treatment used.
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| 3. |
- Fure, Solveig, 1941, et al.
(författare)
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Evaluation of the chemomechanical removal of dentine caries in vivo with a new modified Carisolv gel.
- 2004
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Ingår i: Clinical oral investigations. - : Springer Science and Business Media LLC. - 1432-6981 .- 1436-3771. ; 8:3, s. 139-44
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Tidskriftsartikel (refereegranskat)abstract
- Carisolv is a minimally invasive method for softening and removing dentine caries. A new, modified Carisolv gel has been developed in order to optimise the efficiency if its chemical caries dissolution. The aim of the present study was to compare the caries removal efficiency of the original gel with that of the new gel, which contains almost double the concentration of sodium hypochlorite. Ten dentists treated 202 cavities in 170 patients; 104 cavities were randomised to the new gel and 98 to the original gel. Their mean treatment times for caries removal were 6.7+/-4.1 min and 7.6+/-4.2 min, respectively ( P>0.05). In close-to-pulp lesions, constituting 32% of the cavities, the mean times for caries removal were 9.0+/-7.0 min and 11.6+/-4.4 min for the new and original gels, respectively ( P<0.01). Questionnaires revealed that 81% of the patients preferred chemomechanical treatment to drilling. In conclusion, the improved efficiency of the modified Carisolv gel did reduce the time for caries removal in deep lesions. However, it still needs more time than conventional drilling.
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| 4. |
- Fure, Solveig, 1941
(författare)
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Ten-year cross-sectional and incidence study of coronal and root caries and some related factors in elderly Swedish individuals.
- 2004
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Ingår i: Gerodontology. - 0734-0664. ; 21:3, s. 130-40
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Tidskriftsartikel (refereegranskat)abstract
- OBJECTIVE: The 10-year incidence of dental caries was related to some associated factors in a random sample of 65, 75 and 85-year-old inhabitants of Gothenburg. SUBJECTS: Of the 208 persons examined at baseline, 102 (49%) participated in the follow-up examination; 56, 37 and nine, respectively, in the different age groups. For the purpose of time-trend comparisons, a new random sample of 98 individuals aged 55 years was examined. RESULTS: Ninety-five per cent of the participants had developed one or more carious lesions during the 10-year period and the incidence of coronal and root caries increased with age. In the 65-year-olds, 9% of the root surfaces had decayed during the period, compared with 25% in the 85-year-olds. Secondary caries predominated over primary caries and prosthetic crowns accounted for 70% of the restored tooth surfaces. Twenty per cent of the individuals were daily smokers and 61% were taking drugs with hyposalivatory side-effects. The mean saliva secretion rates were lower in the older groups compared with the 'younger' ones. The overall salivary counts of mutans streptococci and lactobacilli had increased during the period and the values were highest in the oldest age groups. Salivary levels of lactobacilli and mutans streptococci, number of teeth, daily numbers of cigarettes and drugs and oral hygiene were the best predictors of the incidence of caries. CONCLUSION: The findings indicate that there is an increased risk of dental caries with age owing to unfavourable caries-related factors.
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| 5. |
- Hänsel Petersson, Gunnel, et al.
(författare)
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Comparing caries risk factors and risk profiles between children and elderly.
- 2004
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Ingår i: Swedish dental journal. - 0347-9994. ; 28:3, s. 119-28
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Tidskriftsartikel (refereegranskat)abstract
- The aim of this study was to compare the caries risk profiles of children and elderly, the actual annual caries increment and the impact of some selected caries related factors.The risk profiles were created by a computerised risk assessment program, the Cariogram, which evaluates data and presents the weighted and summarized result as one figure, illustrating the 'percent chance of avoiding caries' in the future. The data used originated from two separate longitudinal studies illustrating the Cariogram's capacity to assess caries risk. One study comprised about 400 children; the other included about 150 elderly. At baseline, information on past caries experience, diet, oral hygiene and use of fluoride was obtained. Saliva analyses included mutans streptococci and lactobacilli, buffering capacity and secretion rate. The caries risk was assessed and after two and five years, respectively, caries was re-evaluated and the incidence was compared with the predictions. Fifty percent of the children, but only two percent of the elderly appeared in the lowest caries risk group. Of the elderly, 26% belonged to the highest caries risk group versus 3 % of the children.The mean DFS increment per year for the total group of children was 0.4 +/- 0.8 (SD) and 1.2 +/- 1.9 for the elderly. Individual factors contributing significantly to the higher risk profiles for the adults were higher plaque scores, higher counts of mutans streptococci and lower buffering capacity. Over all, the risk for caries, as assessed by the Cariogram, was twice as high for the elderly.
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| 6. |
- Lingström, Peter, 1960, et al.
(författare)
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The release of vitamin C from chewing gum and its effects on supragingival calculus formation.
- 2005
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Ingår i: European journal of oral sciences. - : Wiley. - 0909-8836 .- 1600-0722. ; 113:1, s. 20-7
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Tidskriftsartikel (refereegranskat)abstract
- The aims of this study were to evaluate (i): whether vitamin C in chewing gum, alone or in combination with carbamide, influences calculus formation, and (ii) whether carbamide affects the release, stability and uptake of vitamin C in a chewing gum. In two test series (Series I and II), 30 subjects, all calculus formers, participated. They were instructed to chew on five (Series I) or 10 (Series II) pieces of gum per day for a period of 3 months. The chewing gums were: vitamin C (60 mg, Series I), non-vitamin C (Series I) and vitamin C + carbamide (30 mg + 30 mg, Series II). In both series, no gum was used as a negative control. Calculus formation was scored on three lingual sites on the six anterior mandibular teeth according to the Volpe-Manhold index. The effect on plaque and gingivitis was also determined. A significant reduction in the total calculus score was observed after the use of vitamin C (33%) and vitamin C + carbamide (12%) gums compared with no gum use; this reduction was most pronounced in the heavy calculus formers. A reduced amount of visible plaque was also observed after use of vitamin C and non-vitamin C gum, but only the vitamin C gum reduced the number of bleeding sites (37%). In a separate study, the release, stability and uptake of vitamin C were evaluated using the iodine titration method in both saliva and urine after exposure to the following gums: vitamin C + carbamide (30 mg + 30 mg) and vitamin C (30 mg). There was no indication that carbamide affected the release, stability or uptake of vitamin C when used in a chewing gum.
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