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Published in: Clinical Oral Investigations 2/2015

01-03-2015 | Short Communication

Association between two visual criteria in assessing non-cavitated caries lesion activity on occlusal surfaces of permanent molars

Authors: R. S. Oliveira, J. E. A. Zenkner, M. Maltz, J. A. Rodrigues

Published in: Clinical Oral Investigations | Issue 2/2015

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Abstract

Objective

This study aimed to evaluate the association between two visual criteria in assessing non-cavitated caries lesion activity on occlusal surfaces of permanent molars.

Materials and methods

Thirty-nine patients with at least one permanent molar with non-cavitated caries lesion on the occlusal surface were selected. Molars were assessed according to their activity status following two criteria: ICDAS-LAA and a qualitative criterion based on clinical characteristics.

Results

The results showed that the LAA criterion seems to overestimate caries activity. A weak association between both criteria in assessing caries lesion activity and low specificity for ICDAS-LAA was observed.

Conclusions

The ICDAS-LAA criterion is not suitable to assess non-cavitated caries lesion activity on occlusal surfaces of permanent molars because it assesses the lesions to be active more frequently than the qualitative criterion.

Clinical relevance

The determination of caries lesion activity is a key decision point in the treatment of caries disease. This study discusses the best option to assess the activity of non-cavitated occlusal caries lesions.
Literature
1.
go back to reference Gustafsson BE, Quensel CE, Swenander LL et al (1954) The Vipeholm dental caries study. The effects of different levels of carbohydrate intake in 436 individuals observed for five years. Acta Odontol Scand 11:232–364CrossRefPubMed Gustafsson BE, Quensel CE, Swenander LL et al (1954) The Vipeholm dental caries study. The effects of different levels of carbohydrate intake in 436 individuals observed for five years. Acta Odontol Scand 11:232–364CrossRefPubMed
2.
go back to reference Holmen LTA, Thylstrup A, Artun J (1987) Clinical and histological features observed during arrestment of active enamel carious lesions in vivo. (Part 1). Caries Res 21:546–554CrossRefPubMed Holmen LTA, Thylstrup A, Artun J (1987) Clinical and histological features observed during arrestment of active enamel carious lesions in vivo. (Part 1). Caries Res 21:546–554CrossRefPubMed
3.
go back to reference Nyvad B, Machiulskiene V, Baelum V (1999) Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions. Caries Res 33:252–260CrossRefPubMed Nyvad B, Machiulskiene V, Baelum V (1999) Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions. Caries Res 33:252–260CrossRefPubMed
4.
go back to reference Carvalho JC, Thylstrup A, Ekstrand KR (1992) Results after 3 years of non-operative occlusal caries treatment of erupting permanent first molars. Community Dent Oral Epidemiol 20:187–192CrossRefPubMed Carvalho JC, Thylstrup A, Ekstrand KR (1992) Results after 3 years of non-operative occlusal caries treatment of erupting permanent first molars. Community Dent Oral Epidemiol 20:187–192CrossRefPubMed
5.
go back to reference Maltz M, Barbachan e Silva B, Carvalho DQ, Volkweis A (2003) Results after two years of non-operative treatment of occlusal surface in children with high caries prevalence. Braz Dent J 14:48–54CrossRefPubMed Maltz M, Barbachan e Silva B, Carvalho DQ, Volkweis A (2003) Results after two years of non-operative treatment of occlusal surface in children with high caries prevalence. Braz Dent J 14:48–54CrossRefPubMed
6.
go back to reference Zenkner JEA, Alves LS, Oliveira RS, Bica RH, Wagner MB, Maltz M (2013) Influence of eruption stage and biofilm accumulation on occlusal caries in permanent molars: a generalized estimating equations logistic approach. Caries Res 47:177–182CrossRefPubMed Zenkner JEA, Alves LS, Oliveira RS, Bica RH, Wagner MB, Maltz M (2013) Influence of eruption stage and biofilm accumulation on occlusal caries in permanent molars: a generalized estimating equations logistic approach. Caries Res 47:177–182CrossRefPubMed
7.
go back to reference Pitts NB (2009) Detection, assessment, diagnosis and monitoring of caries. Karger, BaselCrossRef Pitts NB (2009) Detection, assessment, diagnosis and monitoring of caries. Karger, BaselCrossRef
8.
go back to reference Ekstrand KR, Martignon S, Ricketts DJ, Qvist V (2007) Detection and activity assessment of primary coronal caries lesions: a methodologic study. Oper Dent 32:225–235CrossRefPubMed Ekstrand KR, Martignon S, Ricketts DJ, Qvist V (2007) Detection and activity assessment of primary coronal caries lesions: a methodologic study. Oper Dent 32:225–235CrossRefPubMed
9.
go back to reference Braga MM, Mendes FM, Martignon S, Ricketts DN, Ekstrand KR (2009) In vitro comparison of Nyvad's system and ICDAS-II with Lesion Activity Assessment for evaluation of severity and activity of occlusal caries lesions in primary teeth. Caries Res 43:405–412CrossRefPubMed Braga MM, Mendes FM, Martignon S, Ricketts DN, Ekstrand KR (2009) In vitro comparison of Nyvad's system and ICDAS-II with Lesion Activity Assessment for evaluation of severity and activity of occlusal caries lesions in primary teeth. Caries Res 43:405–412CrossRefPubMed
10.
go back to reference Braga MM, Ekstrand KR, Martignon S, Imparato JC, Ricketts DN, Mendes FM (2010) Clinical performance of two visual scoring systems in detecting and assessing activity status of occlusal caries in primary teeth. Caries Res 44:300–308CrossRefPubMed Braga MM, Ekstrand KR, Martignon S, Imparato JC, Ricketts DN, Mendes FM (2010) Clinical performance of two visual scoring systems in detecting and assessing activity status of occlusal caries in primary teeth. Caries Res 44:300–308CrossRefPubMed
11.
go back to reference Carvalho JC, Ekstrand KR, Thylstrup A (1989) Dental plaque and caries on occlusal surfaces of first permanent molars in relation to stage of eruption. J Dent Res 68:773–779CrossRefPubMed Carvalho JC, Ekstrand KR, Thylstrup A (1989) Dental plaque and caries on occlusal surfaces of first permanent molars in relation to stage of eruption. J Dent Res 68:773–779CrossRefPubMed
12.
go back to reference Carvalho JC, Ekstrand KR, Thylstrup A (1991) Results after 1 year of non-operative occlusal caries treatment of erupting permanent first molars. Community Dent Oral Epidemiol 19:23–28CrossRefPubMed Carvalho JC, Ekstrand KR, Thylstrup A (1991) Results after 1 year of non-operative occlusal caries treatment of erupting permanent first molars. Community Dent Oral Epidemiol 19:23–28CrossRefPubMed
13.
go back to reference Nyvad B, Machiulskiene V, Baelum V (2003) Construct and predictive validity of clinical caries diagnostic criteria assessing lesion activity. J Dent Res 82:117–122CrossRefPubMed Nyvad B, Machiulskiene V, Baelum V (2003) Construct and predictive validity of clinical caries diagnostic criteria assessing lesion activity. J Dent Res 82:117–122CrossRefPubMed
14.
go back to reference Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H et al (2007) The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol 35:170–178CrossRefPubMed Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H et al (2007) The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol 35:170–178CrossRefPubMed
15.
go back to reference Krasse B (1996) The caries decline: is the effect of fluoride toothpaste overrated? Eur J Oral Sci 104:426–429CrossRefPubMed Krasse B (1996) The caries decline: is the effect of fluoride toothpaste overrated? Eur J Oral Sci 104:426–429CrossRefPubMed
16.
go back to reference Baelum V, Heidmann J, Nyvad B (2006) Dental caries paradigms in diagnosis and diagnostic research. Eur J Oral Sci 114:263–277CrossRefPubMed Baelum V, Heidmann J, Nyvad B (2006) Dental caries paradigms in diagnosis and diagnostic research. Eur J Oral Sci 114:263–277CrossRefPubMed
Metadata
Title
Association between two visual criteria in assessing non-cavitated caries lesion activity on occlusal surfaces of permanent molars
Authors
R. S. Oliveira
J. E. A. Zenkner
M. Maltz
J. A. Rodrigues
Publication date
01-03-2015
Publisher
Springer Berlin Heidelberg
Published in
Clinical Oral Investigations / Issue 2/2015
Print ISSN: 1432-6981
Electronic ISSN: 1436-3771
DOI
https://doi.org/10.1007/s00784-014-1375-2

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