ArticleClinical oral investigations2020
Secondary caries: prevalence, characteristics, and approach.
Article in Clinical oral investigations, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 88 papers, 2 of them syntheses that pooled it.
What it found
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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
88 citing papers in PubMed, 2 syntheses or guidelines pooled it, 194 citations in OpenAlex.
- Clinical efficacy of bioactive restorative materials in controlling secondary caries: a systematic review and network meta-analysis.BMC oral health · 2023Pooled it
- Secondary caries and marginal adaptation of ion-releasing versus resin composite restorations: a systematic review and meta-analysis of randomized clinical trials.Scientific reports · 2022Pooled it
- Clinical performance of an innovative self-cure bulk-fill composite compared to dual-cure and light-cure bulk-fill composite in posterior restorations: a 1-year randomized controlled clinical trial.Clinical oral investigations · 2026Trial
- Clinical evaluation of different bi-layer biomimetic strategies of composite resin in large class I cavities: an 18-month randomized clinical trial.BMC oral health · 2026Trial
- GuREx-MIH: cost-effectiveness analysis of extraction versus restorative treatment for first permanent molars affected by Molar-Incisor Hypomineralisation in 11-year-old Swedish children.BMC oral health · 2026Trial
- Comparison of two clinical approaches based on visual criteria for secondary caries assessments and treatment decisions in permanent posterior teeth.BMC oral health · 2022Trial
- Article
- Limitations of off-the-shelf multimodal foundation models in secondary caries detection on interproximal radiographs.Odontology · 2026Article
- New Biocidal Additive for Resin-Based Dental Composites: Is Modification with Didodecyldimethylammonium Bromide (DDAB) Effective?Polymers · 2026Article
- Dynamic changes in oral microbiome composition during early childhood caries management.Applied microbiology and biotechnology · 2026Article
- Advanced Dental Composite Technology via Bisilanized Dual-Action Nanofillers for Biofilm Control.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026Article
- Microhardness and Chemical Composition of Glass Ionomer and Glass Hybrid Cements Modified with Experimental Bioactive Glasses.Acta stomatologica Croatica · 2026Article
- Microstructural characterization of enamel at different walls of Class II cavities.BMC oral health · 2026Article
- Article
- Accuracy of visual and radiographic ICDAS-merged criteria for secondary caries on permanent posterior teeth.Journal of clinical and experimental dentistry · 2026Review
- Optimizing Dental Resin-Based Composite Polymerization with Distance and Exposure Variables: Preliminary Study.Materials (Basel, Switzerland) · 2026Article
- Biological evaluation of resin-modified glass ionomer cement containing coumarin derivatives for dental application.Journal of Taibah University Medical Sciences · 2026Article
- Clinical Management of Cervical Restorations with Closing Gap Technique: A Follow-Up of Two Cases.Dentistry journal · 2026Article
- Cost-effectiveness of 6-year school-based caries preventive interventions in Thailand: a system dynamics modeling study.Frontiers in public health · 2026Article
- Comparison of microleakage in restorative materials used for deep cervical margin elevation: a systematic review.Biomaterial investigations in dentistry · 2026Review
28 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors at 1 institution in 1 country.
Funding
Abstract
objectivesThe objectives of this cross-sectional survey were to determine the prevalence of secondary caries (SC) in general population, to identify patient- and material-related factors which may affect the prevalence, and to describe some clinical characteristics of SC lesions. MATERIALS AND
methodsA total of 4036 restorations in 450 patients, who visited the university dental clinic for a regular (half) yearly checkup, were examined clinically (and radiographically) for the presence of SC. Clinical characteristics of the detected SC lesions (size, activity, and location) and the planned treatment were recorded. In addition, patients' caries-risk status was assessed according to the modified "cariogram" model.
resultsIn total, 146 restorations were diagnosed with SC, which gives an overall prevalence of 3.6%. Restorative material, restoration class, patient's caries risk, and smoking habits were shown to be important factors, as SC prevalence was significantly higher with composites, class II restorations, high-caries-risk patients, and smokers. Restorations' gingival margins were most frequently affected by SC. The largest number of restorations with SC (72%) was scheduled for the replacement.
conclusionsPrevalence of SC was higher with composite than with amalgam restorations, irrespective of the patient's caries-risk status. Gingival margins of class II, including MOD restorations, seem to be the place of less resistance to SC development. Management of SC seems to place a considerable burden on the health care workforce and expenditure. CLINICAL RELEVANCE: Secondary caries (SC) is considered to be the main cause of dental restoration failure and one of the biggest clinical challenges related to dental composites. Nevertheless, its prevalence in daily practice is still not clear, which impedes an accurate estimation of its impact on health care costs.
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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.