How to Intervene in the Caries Process in Older Adults: A Joint ORCA and EFCD Expert Delphi Consensus Statement
Aim: To provide recommendations for dental clinicians for the management of dental caries in older adults with special emphasis on root caries lesions.Methods: A consensus workshop followed by a Delphi consensus process were conducted with an expert panel nominated by ORCA, EFCD, and DGZ boards. Based on a systematic review of the literature, as well as non-systematic literature search, recommendations for clinicians were developed and consented in a two-stage Delphi process.Results: Demographic and epidemiologic changes will significantly increase the need of management of older adults and root caries in the future. Agein...
Source: Caries Research - December 8, 2020 Category: Dentistry Source Type: research

Demineralization Inhibitory Effects of Highly Concentrated Fluoride Dentifrice and Fluoride Gels/Solutions on Sound Dentin and Artificial Dentin Caries Lesions in vitro
Objectives: The aim of this in vitro study was to compare the demineralization inhibitory effect of gels/solutions used in combination with either standard or highly fluoridated dentifrices on sound dentin as well as on artificial dentin caries-like lesions.Methods: Bovine dentin specimens (n = 240) with two different surfaces each (sound [ST] and artificial caries lesion [DT]) were prepared and randomly allocated to twelve groups. Weekly interventions during pH-cycling (28 days, 6 × 120 min demineralization/day) were: the application of gels/solutions containing amine fluoride/sodium fluoride (12,500 ppm F [ppm]; pH = 4....
Source: Caries Research - December 7, 2020 Category: Dentistry Source Type: research

67th ORCA Congress
Caries Res (Source: Caries Research)
Source: Caries Research - November 26, 2020 Category: Dentistry Source Type: research

Efficacy of Probiotic Milk for Caries Regression in Preschool Children: A Multicenter Randomized Controlled Trial
In conclusion, probiotic milk consumption either daily or tri weekly can modestly prevent new caries, but considerably reverse carious lesions, suggesting that a daily or triweekly dose interval is sufficient to reverse carious lesions.Caries Res (Source: Caries Research)
Source: Caries Research - November 23, 2020 Category: Dentistry Source Type: research

The Addition of Propylene Glycol Alginate to a Fluoride Solution to Control Enamel Wear: An in situ Study
In conclusion, PGA was not able to improve the protective e ffect of NaF against erosive enamel wear.Caries Res (Source: Caries Research)
Source: Caries Research - November 11, 2020 Category: Dentistry Source Type: research

Susceptibility of Dental Enamel of Different Ages to Caries-Like Lesion Development
This study investigated the impact of estimated age, anatomical location, and the presence of wear facets on the susceptibility of enamel to develop caries-like lesions. Extracted human premolars (n = 261) had their age estimated between 10 and 93 years old, using established forensic methods. Specimens of enamel (4 × 4 mm) were prepared from the middle of the buccal surfaces, preserving the outer surface layer. The central area of the block (4 × 1 mm) was protected with nail polish and used as an internal control. The specimens were demineralized for 8 days (with 0.1 M acetic acid, 1.28 mM Ca, 0.74 mM Pi, an d 0.03 µg ...
Source: Caries Research - November 11, 2020 Category: Dentistry Source Type: research

Salivary Hemoglobin Protects against Erosive Tooth Wear in Gastric Reflux Patients
Conclusions: Our results indicate that many proteins, with special emphasis on Hb, may be involved in the resistance of GERD patients to the occurrence of ETW. These proteins may be candidates for inclusion in dental products to protect against ETW.Caries Res (Source: Caries Research)
Source: Caries Research - November 10, 2020 Category: Dentistry Source Type: research

Sealing Proximal Non- and Micro-Cavitated Carious Lesions Using a One-Session Separator Technique: A 2-Year Randomised Clinical Study
The presence of initial caries accounts for the majority of approximal carious lesions in many countries. The aim of this clustered, split-mouth, randomised, controlled clinical trial was to use a metal separator to widen the approximal space in a one-visit session before sealing and to evaluate patient acceptance, together with the efficacy of the proximal sealing in arresting incipient carious lesions after 2 years. A total of 48 patients with a mean age of 41.9 years were selected. They had at least one pair of proximal initial carious lesions, including the distal surface of the canines to the mesial surface of the thi...
Source: Caries Research - November 4, 2020 Category: Dentistry Source Type: research

Pellicle Modification with Casein and Mucin Does Not Affect Surface Loss from Erosion and Abrasion
Conclusion: The observed differences in SMH suggest that a different abrasion protocol could lead to differences in surface loss, and further investigation of whether and under which conditions pellicle modification leads to increased resistance to abrasion remains worthwhile.Caries Res (Source: Caries Research)
Source: Caries Research - October 28, 2020 Category: Dentistry Source Type: research

Dose-Response Effect of Fluoride Dentifrices on De-/Remineralization of Root Dentine in situ
In conclusion, a dose-response F effect was observed, and the high-fluoride dentifrice was effective in enhancing root dentine remineralization in this short-term in situ study.Caries Res (Source: Caries Research)
Source: Caries Research - October 19, 2020 Category: Dentistry Source Type: research

Development of a Fluorescence-Based Caries Scoring System for an Intraoral Scanner: An in vitro Study
Conclusion: A fluorescence-based caries scoring system was developed for the intraoral scanner showing promising performance compared to state-of-the-art caries detection methods. The intraoral scanner accompanied by an automated caries scoring system may improve objective caries detection and increase the efficiency and effectiveness of oral examinations. Furthermore, this device has the potential to support reliable monitoring of early caries lesions.Caries Res (Source: Caries Research)
Source: Caries Research - October 14, 2020 Category: Dentistry Source Type: research

Long-Term Survival of Enamel-Defect-Affected Teeth
There has been considerable research focussed on the occurrence and aetiology of developmental defects of enamel, but less is known about the extent to which enamel-defect-affected teeth may be at greater risk for dental caries. The Dunedin Multidisciplinary Health and Development Study is a prospective cohort study of 1,037 children born in Dunedin, New Zealand, between April 1, 1972, and March 31, 1973. Participants were examined for the presence of developmental defects of enamel at the age of 9 years and then repeatedly for the occurrence of dental caries through to the age of 45 years. After controlling for confoundin...
Source: Caries Research - October 13, 2020 Category: Dentistry Source Type: research

Effect of Different Toothbrushing Routines on Interproximal Fluoride Concentration
This study aimed to evaluate the effect of different toothbrushing routines and different kinds of toothpaste on the interproximal fluoride concentration after toothbrushing and its clinical relevance to the recommendations given to patients regarding the process of toothbrushing. Eight adults participated a total of 8 times in order to test different toothbrushing routines with different amounts of toothpaste (1 or 2 cm), durations (1 or 2 min) and amounts of water after toothbrushing (10 or 20 mL). An additional 8 adults participated 6 times in total to test different forms of toothpaste administration (paste, gel and fo...
Source: Caries Research - October 7, 2020 Category: Dentistry Source Type: research

Effects of Additional Use of Bioactive Glasses or a Hydroxyapatite Toothpaste on Remineralization of Artificial Lesions in vitro
Conclusion: Under remineralizing in vitro conditions, brushing with 1,400 ppm FTP induced significantly more remineralization compared to storage in artificial saliva. The additional administration of both bioactive glasses as well as the substitutional brushing with an HTP resulted in significantly less remineralization compared to brushing with 1,400 ppm FTP.Caries Res (Source: Caries Research)
Source: Caries Research - September 30, 2020 Category: Dentistry Source Type: research

Effects of Sodium Trimetaphosphate, Associated or Not with Fluoride, on the Composition and pH of Mixed Biofilms, before and after Exposure to Sucrose
The aim of the present study was to evaluate the influence of sodium trimetaphosphate (TMP), associated or not with fluoride (F), on the concentrations of F, calcium (Ca), and phosphorus (P) and on the pH of mixed biofilms ofStreptococcus mutans andCandida albicans, before and after exposure to sucrose. The biofilms received three treatments (72, 78, and 96 h after the beginning of their formation), at three TMP concentrations (0.25, 0.5, or 1%), with or without F at 500 ppm. Solutions containing 500 and 1,100 ppm F as well as artificial saliva were also tested as controls. Biofilm pH was measured and the concentrations of...
Source: Caries Research - September 30, 2020 Category: Dentistry Source Type: research