Clinical detection of caries in the primary dentition with and without bitewing radiography

Newman, B., Seow, W. K., Kazoullis, S., Ford, D. and Holcombe, T. (2009) Clinical detection of caries in the primary dentition with and without bitewing radiography. Australian Dental Journal, 54 1: 23-30. doi:10.1111/j.1834-7819.2008.01084.x


Author Newman, B.
Seow, W. K.
Kazoullis, S.
Ford, D.
Holcombe, T.
Title Clinical detection of caries in the primary dentition with and without bitewing radiography
Journal name Australian Dental Journal   Check publisher's open access policy
ISSN 0045-0421
Publication date 2009-01-01
Year available 2009
Sub-type Article (original research)
DOI 10.1111/j.1834-7819.2008.01084.x
Open Access Status Not yet assessed
Volume 54
Issue 1
Start page 23
End page 30
Total pages 7
Editor P. M. Bartold
Place of publication United Kingdom
Publisher Wiley - Blackwell Publishing Ltd
Language eng
Subject 110507 Paedodontics
920402 Dental Health
C1
Abstract Background: Inadequate detection of caries in the primary dentition due to non-use of bitewing radiography is commonly encountered in paediatric practice. The present study investigated the increased benefits of using bitewing radiography in addition to the visual-tactile examination technique for detection of primary dentition caries in a non-fluoridated community, and determined the prevalence of "hidden'' occlusal caries in the primary dentition.
Formatted abstract
BACKGROUND: Inadequate detection of caries in the primary dentition due to non-use of bitewing radiography is commonly encountered in paediatric practice. The present study investigated the increased benefits of using bitewing radiography in addition to the visual-tactile examination technique for detection of primary dentition caries in a non-fluoridated community, and determined the prevalence of "hidden" occlusal caries in the primary dentition.

METHODS:
Primary teeth were scored for caries at the restorative threshold using a visual-tactile technique followed by bitewing radiographic examination in a sample of 611 schoolchildren aged 6.4 +/- 0.5 yrs to 12.1 +/- 0.8 yrs residing in a non-fluoridated city.

RESULTS:
Overall, at the restorative threshold, the visual-tactile technique could detect 62 per cent of occlusal caries compared to 74 per cent for bitewing radiography (p < 0.001). The prevalence of "hidden" occlusal caries was 12 per cent. In contrast, for primary molar proximal surface caries, the visual-tactile technique could detect only 43 per cent of caries compared with 91 per cent for bitewing radiography (p < 0.001).

CONCLUSIONS:
In the primary dentition, use of bitewing radiography increases the detection rate of proximal surface caries substantially. It is recommended that bitewing radiography be included as part of the routine examination of children with proximal surfaces that cannot be visualized.
Keyword Primary dentition caries
deciduous caries
hidden caries
bitewing radiography
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: 2010 Higher Education Research Data Collection
School of Dentistry Publications
 
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Created: Sat, 15 Aug 2009, 22:16:17 EST by Margot Dallinger on behalf of School of Dentistry