This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Qvist, V. Articles by Bruun, M. Search for Related Content PubMed PubMed Citation Articles by Qvist, V. Articles by Bruun, M. Social Bookmarking                         What's this?

Progression of Approximal Caries in Relation to Iatrogenic Preparation Damage

Department of Cariology and Endodontics, School of Dentistry, Faculty of Health Sciences, University of Copenhagen, Nörre Alle 20, 2200 Copenhagen N, Denmark

L. Johannessen

Department of Cariology and Endodontics, School of Dentistry, Faculty of Health Sciences, University of Copenhagen, Nörre Alle 20, 2200 Copenhagen N, Denmark

M. Bruun

Public Dental Child Health Service, Copenhagen, Denmark

The aim of the present study was to evaluate the effect of iatrogenic preparation damage on the need for operative caries treatment of approximal surfaces, adjacent to Class II amalgam restorations.

The material was collected by 77 dentists from the Public Dental Child Health Service in Denmark. It consisted of die-stone models of 187 first-time Class II preparations, adjacent to 190 unfilled approximal surfaces of 58 primary and 132 permanent teeth. The cavity preparations were performed in children between 4 and 17 years of age. They were all filled with amalgam. Information about operative treatment and exfoliation or extraction of the preparation teeth and the adjacent teeth during the following seven years was obtained from the patients' records.

sStereomicroscopic examination of the models revealed preparation damage on 64% of the unfilled approximal surfaces in primary teeth and on 69% of the corresponding test surfaces in permanent teeth. During the observation period, operative treatment was performed on 10% of the undamaged test surfaces in primary teeth and on 35% of the damaged ones (p < 0.05). The corresponding figures for test surfaces in permanent teeth were 6% and 15% (p < 0.05). It is concluded that iatrogenic preparation damage is a frequent side-effect of operative intervention with approximal caries lesions, and represents a dental health problem, since the damage increases caries progression and the perceived need for restorative therapy of the adjacent teeth.

REFERENCES

• Armitage P., Berry G. (1987). Statistical methods in medical research. 2nd ed. Oxford (England): Blackwell Scientific Publications, 421-439.
• Cardwell JE, Roberts BJ (1972). Damage to adjacent teeth during cavity preparation. J Dent Res 51:1269-1270.
• Elderton RJ (1987). Positive dental prevention. The prevention in childhood of dental disease in adult life. London (England): Heinemann Medical Books, 57-95.
• Hunter B. (1985). Survival of dental restorations in young patients. Community Dent Oral Epidemiol 13:285-287.[CrossRef][Medline] [Order article via Infotrieve]
• Jokstad A., Johannessen L., Qvist V., Mjor IA ( 1989). Cavities for class I-II for amalgam. Dan Dent J 93:230-236.
• Long TD ( 1980). The effect of the morphology of adjacent tooth surfaces on amalgam and crown preparations (abstract). J Dent Res 59 (Spec Iss D):1799.
• Modeer T., Twetman S., Bergstrand F. (1984). Three-year study of the effect of fluoride varnish (Duraphat) on proximal caries progression in teenagers. Scand J Dent Res 92:400-407.[Medline] [Order article via Infotrieve]
• Radlanski RJ, Jager A., Schwestka R., Bertzbach F. (1988). Plaque accumulations caused by interdental stripping. Am J Orthod Dentofac Orthop 94:416-420.[CrossRef][Medline] [Order article via Infotrieve]
• Sheridan JJ (1985). Air-rotor stripping. J Clin Orthod 19:43-59.[Medline] [Order article via Infotrieve]
• Sheridan JJ, Ledoux PM (1989). Air-rotor stripping and proximal sealants. An SEM evaluation. J Clin Orthod 23:790-794.
• Svanberg M. (1992). Class II amalgam restorations, glass-ionomer tunnel restorations and caries development on adjacent tooth surfaces: a three year clinical study. Caries Res (in press).
• Thordarson A., Zachrisson BU, Mjor IA ( 1991). Remodeling of canines to the shape of lateral incisors by grinding. A long-term clinical and radiographic evaluation. Am J Orthod Dentofac Orthop 100:123-132.[CrossRef][Medline] [Order article via Infotrieve]
• Thylstrup A., Rolling I. (1975). The life table method in clinical dental research. Community Dent Oral Epidemiol 3:5-10.[Medline] [Order article via Infotrieve]
• Zachrisson BU, Mjor IA ( 1975). Remodeling of teeth by grinding. Am J Orthod 68:545-53.[CrossRef][Medline] [Order article via Infotrieve]

Journal of Dental Research, Vol. 71, No. 7, 1370-1373 (1992)
DOI: 10.1177/00220345920710070401


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?

This article has been cited by other articles:

				V. Qvist, L. Laurberg, A. Poulsen, and P.T. Teglers Longevity and Cariostatic Effects of Everyday Conventional Glass-ionomer and Amalgam Restorations in Primary Teeth: Three-year Results Journal of Dental Research, July 1, 1997; 76(7): 1387 - 1396. [Abstract] [PDF]

This Article Abstract Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Qvist, V. Articles by Bruun, M. Search for Related Content PubMed PubMed Citation Articles by Qvist, V. Articles by Bruun, M. Social Bookmarking                         What's this?