ArticleJournal of the American Dental Association (1939)2014
Twenty-month follow-up of occlusal caries lesions deemed questionable at baseline: findings from the National Dental Practice-Based Research Network.
Article in Journal of the American Dental Association (1939), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
13 citing papers in PubMed.
- Efficacy of PScientific reports · 2020Trial
- Management Thresholds for Molars With Occlusal Noncavitated Caries Lesions.International dental journal · 2023Article
- Diagnostic Value of Fluorescence Methods, Visual Inspection and Photographic Visual Examination in Initial Caries Lesion: A Systematic Review and Meta-Analysis.Dentistry journal · 2021Review
- Dual short wavelength infrared transillumination/reflectance mode imaging for caries detection.Journal of biomedical optics · 2021Article
- A dual handheld SWIR transillumination/reflectance probe for imaging lesions on tooth occlusal and proximal surfaces.Proceedings of SPIE--the International Society for Optical Engineering · 2020Article
- Dentists' decision strategies for suspicious occlusal caries lesions in a National Dental PBRN study.Journal of dentistry · 2018Article
- Surface characteristics and lesion depth and activity of suspicious occlusal carious lesions: Findings from The National Dental Practice-Based Research Network.Journal of the American Dental Association (1939) · 2017Article
- Near-IR and CP-OCT imaging of suspected occlusal caries lesions.Lasers in surgery and medicine · 2017Article
- Use of an optical clearing agent to enhance the visibility of subsurface structures and lesions from tooth occlusal surfaces.Journal of biomedical optics · 2016Article
- A system for simultaneous near-infrared reflectance and transillumination imaging of occlusal carious lesions.Proceedings of SPIE--the International Society for Optical Engineering · 2016Article
- Detection and proportion of very early dental caries in independent living older adults.Lasers in surgery and medicine · 2015Article
- Practitioner Engagement in Activities of the National Dental Practice-Based Research Network (PBRN): 7-Year Results.Journal of the American Board of Family Medicine : JABFMArticle
- Multispectral near-infrared reflectance and transillumination imaging of occlusal carious lesions: Variation in lesion contrast with lesion depth.Proceedings of SPIE--the International Society for Optical EngineeringArticle
Corrections and comments
- Commented on bySage advice.2015
Authors and funding
9 authors.
Funding
Abstract
backgroundA questionable occlusal caries (QOC) lesion can be defined as an occlusal surface with no radiographic evidence of caries, but caries is suspected because of clinical appearance. In this study, the authors report the results of a 20-month follow-up of these lesions.
methodsFifty-three clinicians from The National Dental Practice-Based Research Network participated in this study, recording lesion characteristics at baseline and lesion status at 20 months.
resultsAt baseline, 1,341 QOC lesions were examined; the treatment that was planned for 1,033 of those at baseline was monitoring (oral hygiene instruction, applying or prescribing fluoride or varnish, or both), and the remaining 308 received a sealant (n = 192) or invasive therapy (n = 116). At the 20-month visit, clinicians continued to monitor 927 (90 percent) of the 1,033 monitored lesions. Clinicians decided to seal 61 (6 percent) of the 1,033 lesions (mean follow-up, 19 months) and invasively treat 45 (4 percent) of them (mean follow-up, 15 months). Young patient age (< 18 years) (odds ratio = 3.4; 95 percent confidence interval, 1.7-6.8) and the lesion's being on a molar (odds ratio = 1.8; 95 percent confidence interval, 1.3-2.6) were associated with the clinician's deciding at some point after follow-up to seal the lesion or treat it invasively.
conclusionsAlmost all (90 percent) QOC lesions for which the treatment planned at baseline was monitoring still were planned to undergo monitoring after 20 months. This finding suggests that noninvasive management is appropriate for these lesions. PRACTICAL IMPLICATIONS: Previous study results from baseline indicated a high prevalence of QOC lesions (34 percent). Clinicians should consider long-term monitoring when making treatment decisions about these lesions.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.