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Need of non-operative caries treatment in 16-year-olds from Northern Norway

  • I. D. JacobsenEmail author
  • C.-G. Crossner
  • H. M. Eriksen
  • I. Espelid
  • C. Ullbro
Original Scientific Article

Abstract

Aim

To assess the prevalence of proximal enamel lesions, the need for non-operative caries treatment and the quality of dental restorations in 869 students aged 16 years from Northern Norway.

Methods

All first year upper secondary school students in Tromsø and Balsfjord municipalities were invited to participate in an oral- and general health project (Fit Futures). The attendance rate was 90%, and all subjects born in 1994 (449 males and 420 females) were included in the present study. Dental caries was registered according to a 5-graded scale (1–2 = enamel lesions; 3–5 = dentinal lesions). Scores from 1 to 4 were used to register the quality of restorations (1 = good; 2 = acceptable; 3 = poor; 4 = unacceptable).

Results

Only 6% of the 16-year-olds were completely caries-free. There were 84% of the participants with proximal enamel lesions. A majority of them had either previously restored teeth (35%) or both restored teeth and untreated dentinal caries lesions (34%). When using the D-value of the DMFS-index as a diagnostic criterion, 39% of the participants were in need of restorative treatment. When proximal enamel lesions were included in the diagnosis, the number of participants in need of restorative and/or non-operative caries treatment was 85%. Over 1/3 of the participants presented with at least one restoration below an acceptable quality level.

Conclusions

Dental caries is still a major health problem affecting the total teenage population. A non-operative treatment strategy should be considered relevant in order to reduce the need for restorative treatment.

Keywords

Proximal enamel caries Dental caries Non-operative treatment Adolescents Oral health 

Notes

Compliance with ethical standards

Conflict of interest

There are no conflicts of interest for any of the authors.

Ethical approval

The project was in accordance with the ethical standards of the national research committee and with the 1964 Helsinki declaration and its later amendments.

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Copyright information

© European Academy of Paediatric Dentistry 2018

Authors and Affiliations

  • I. D. Jacobsen
    • 1
    Email author
  • C.-G. Crossner
    • 1
  • H. M. Eriksen
    • 1
  • I. Espelid
    • 2
  • C. Ullbro
    • 1
  1. 1.Department of Clinical Dentistry, Faculty of Health SciencesUiT The Arctic University of NorwayTromsöNorway
  2. 2.Institute of Clinical Dentistry, Faculty of DentistryUniversity of OsloOsloNorway

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