Caries OUT: Caries management in children with CariesCare International adapted to the pandemic
Fil: Carletto-Körber, Fabiana. Universidad Nacional de Córdoba. Facultad de Odontología. Cátedra de Integral Niños y Adolescentes; Argentina.
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| Format: | conferenceObject |
| Language: | eng |
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Sociedad Argentina de Investigación Odontológica
2023
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| Online Access: | http://hdl.handle.net/11086/548620 |
| _version_ | 1806012143538012160 |
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| author | Carletto-Körber, Fabiana Vázquez, Fernando Rafael Oña, Jennifer Ann Martin, Anabella Martinez Cortes, Angie Carolina Douglas, Gail Newton, Tim Pitts, Nigel Deery, Chris Martignon, Stefania |
| author_facet | Carletto-Körber, Fabiana Vázquez, Fernando Rafael Oña, Jennifer Ann Martin, Anabella Martinez Cortes, Angie Carolina Douglas, Gail Newton, Tim Pitts, Nigel Deery, Chris Martignon, Stefania |
| author_sort | Carletto-Körber, Fabiana |
| collection | Repositorio Digital Universitario |
| description | Fil: Carletto-Körber, Fabiana. Universidad Nacional de Córdoba. Facultad de Odontología. Cátedra de Integral Niños y Adolescentes; Argentina. |
| format | conferenceObject |
| id | rdu-unc.548620 |
| institution | Universidad Nacional de Cordoba |
| language | eng |
| publishDate | 2023 |
| publisher | Sociedad Argentina de Investigación Odontológica |
| record_format | dspace |
| spelling | rdu-unc.5486202024-07-02T19:01:26Z Caries OUT: Caries management in children with CariesCare International adapted to the pandemic Carletto-Körber, Fabiana Vázquez, Fernando Rafael Oña, Jennifer Ann Martin, Anabella Martinez Cortes, Angie Carolina Douglas, Gail Newton, Tim Pitts, Nigel Deery, Chris Martignon, Stefania Dental caries COVID-19 Dental caries susceptibility Fil: Carletto-Körber, Fabiana. Universidad Nacional de Córdoba. Facultad de Odontología. Cátedra de Integral Niños y Adolescentes; Argentina. Fil: Vázquez, Fernando Rafael. Universidad Nacional de Córdoba. Facultad de Odontología. Cátedra de Integral Niños y Adolescentes; Argentina. Fil: Oña, Jennifer Ann. Universidad Nacional de Córdoba. Facultad de Odontología. Cátedra de Integral Niños y Adolescentes; Argentina. Fil: Martin, Anabella. Universidad Nacional de Córdoba. Facultad de Odontología. Cátedra de Integral Niños y Adolescentes; Argentina. Fil: Martinez Cortes, Angie Carolina. Universidad El Bosque. Vicerrectoría de Investigaciones; Colombia. Fil: Douglas, Gail. University of Leeds. Dental Public Health. Leeds Dental Institute; United Kindom. Fil: Newton, Tim. King’s College London. Dental Innovation and Impact. Faculty of Dentistry, Oral and Craniofacial Sciences; United Kindom. Fil: Pitts, Nigel. King’s College London. Dental Innovation and Impact. Faculty of Dentistry, Oral and Craniofacial Sciences; United Kindom. Fil: Deery, Chris. University of Sheffield. School of Clinical Dentistry; United Kindom. Fil: Martignon, Stefania. University of Sheffield. School of Clinical Dentistry; United Kindom. OBJECTIVES: To describe caries risk status, caries lesions and management decisions for both, using the CariesCare International (CCI) approach in children aged 3 to 8 years from Córdoba, as part of the multicenter interventional trial of a Caries OUT group, without aerosol generating procedures (AGP) and reducing face-to-face consultation. METHODS: Under informed consent (parents) and assent (children) and, with ethical approval (FO-UNC-4275/2021), 28 children participated (males n = 9; females n = 19), in a public institution and a private one (2020). The clinical history was applied using the framework project software, including the four dimensions (D) of the adapted CCI system: 1D-Determination of caries risk, including diet and tooth brushing practices; 2D-Detection and assessment of severity and activity of caries lesions (ICDAS epi-combined); 3D-Management decisions at individual and dental levels; 4D-Development (plan) of caries management (individual and dental levels) without AGP. RESULTS: 1D: 92.9% presented high risk; 2D: 2709 tooth surfaces were evaluated, finding caries lesions: Initial Active (n = 134), Inactive (n = 6); Moderate-Microcavity Active (n = 34), Shadow-underlying Active (n = 34); Severe Active (n = 52), Inactive (n = 2). 3D and 4D: Individual on-site/remote risk management (92.9%); dental: active monitoring (n = 25); non-operative management (Naf, SDF) (n = 154); operative management with dental preservation (ART) (n = 52); extraction/referral (n = 50). CONCLUSIONS: With CCI, a high risk and burden of caries was found, with according individual and dental management needs, without AGP and less consultation time, representing an alternative for children's dental care during the pandemic. OBJETIVO: Describir el estado de riesgo de caries, lesiones de caries y decisiones de manejo de ambas, mediante el abordaje con CariesCare International (CCI), en niños de 3 a 8 años de Córdoba, como parte del ensayo multicéntrico intervencional de un grupo Caries OUT, sin procedimientos generadores de aerosoles (PGA) y disminuyendo consulta presencial. MATERIALES Y MÉTODOS: Bajo consentimiento (padres) y asentimiento (niños) informado y, con aprobación ética (FO-UNC-4275/2021), participaron 28 niños (varones: n=9; mujeres: n=19), en una institución pública y una privada (2020).Se aplicó la historia clínica utilizando el software del proyecto marco, incluyendo las cuatro dimensiones (D) del sistema CCI adaptado:1D-Determinación del riesgo de caries, incluyendo prácticas de dieta y de cepillado dental; 2D-Detección y valoración de severidad y actividad de lesiones de caries (ICDAS epi-combinado); 3D-Decisiones de manejo a niveles individual y dental; 4D: Desarrollo (plan) de manejo de caries (niveles individual y dental) sin procedimientos generadores de aerosoles (PGA). RESULTADOS: 1D:92.9% presentó riesgo alto; 2D: se valoraron 2709 superficies dentarias, encontrándose lesiones de caries: Iniciales Activas (n=134), Inactivas (n=6); Moderadas-Microcavidad Activas (n=34), Sombra-subyacente Activas (n=34); Severas Activas (n=52), Inactivas (n=2). 3D y 4D: Manejo individual de riesgo presencial/remoto (92.9%); dental: monitoreo activo (n=25); manejo no operatorio (Naf, SDF) (n=154); manejo operatorio con preservación dental (TRA) (n=52); exodoncia/derivación (n=50). CONCLUSIÓN: Con CCI se encontró alto riesgo y carga de caries, con necesidades de manejo individual y dental acordes, sin PGA y menor tiempo de consulta, representando una alternativa de atención de niños durante la pandemia. Fil: Carletto-Körber, Fabiana. Universidad Nacional de Córdoba. Facultad de Odontología. Cátedra de Integral Niños y Adolescentes; Argentina. Fil: Vázquez, Fernando Rafael. Universidad Nacional de Córdoba. Facultad de Odontología. Cátedra de Integral Niños y Adolescentes; Argentina. Fil: Oña, Jennifer Ann. Universidad Nacional de Córdoba. Facultad de Odontología. Cátedra de Integral Niños y Adolescentes; Argentina. Fil: Martin, Anabella. Universidad Nacional de Córdoba. Facultad de Odontología. Cátedra de Integral Niños y Adolescentes; Argentina. Fil: Martinez Cortes, Angie Carolina. Universidad El Bosque. Vicerrectoría de Investigaciones; Colombia. Fil: Douglas, Gail. University of Leeds. Dental Public Health. Leeds Dental Institute; United Kindom. Fil: Newton, Tim. King’s College London. Dental Innovation and Impact. Faculty of Dentistry, Oral and Craniofacial Sciences; United Kindom. Fil: Pitts, Nigel. King’s College London. Dental Innovation and Impact. Faculty of Dentistry, Oral and Craniofacial Sciences; United Kindom. Fil: Deery, Chris. University of Sheffield. School of Clinical Dentistry; United Kindom. Fil: Martignon, Stefania. University of Sheffield. School of Clinical Dentistry; United Kindom. Otras Ciencias de la Salud 2023-08-29T14:59:38Z 2023-08-29T14:59:38Z 2021 conferenceObject 978-987-46399-4-3 http://hdl.handle.net/11086/548620 eng Attribution-NonCommercial-ShareAlike 4.0 International http://creativecommons.org/licenses/by-nc-sa/4.0/ Impreso Sociedad Argentina de Investigación Odontológica |
| spellingShingle | Dental caries COVID-19 Dental caries susceptibility Carletto-Körber, Fabiana Vázquez, Fernando Rafael Oña, Jennifer Ann Martin, Anabella Martinez Cortes, Angie Carolina Douglas, Gail Newton, Tim Pitts, Nigel Deery, Chris Martignon, Stefania Caries OUT: Caries management in children with CariesCare International adapted to the pandemic |
| title | Caries OUT: Caries management in children with CariesCare International adapted to the pandemic |
| title_full | Caries OUT: Caries management in children with CariesCare International adapted to the pandemic |
| title_fullStr | Caries OUT: Caries management in children with CariesCare International adapted to the pandemic |
| title_full_unstemmed | Caries OUT: Caries management in children with CariesCare International adapted to the pandemic |
| title_short | Caries OUT: Caries management in children with CariesCare International adapted to the pandemic |
| title_sort | caries out caries management in children with cariescare international adapted to the pandemic |
| topic | Dental caries COVID-19 Dental caries susceptibility |
| url | http://hdl.handle.net/11086/548620 |
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