A Commentary on Caries Detection, Validity, Reliability, and Outcomes of Care

Ismaïl, Amid I.; Téllez, Marisol; Pitts, Nigel

doi:10.1159/000480360

Cited by 7 publications

(5 citation statements)

References 26 publications

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“…Several studies have reported that enamel or noncavitated caries lesions contribute much of the total caries prevalence in different populations and may be an indicator to help assess the risk status of an individual [8][9][10]. Recognising the process of dental caries development, and progression, clinical indices such as International Caries Detection and Assessment System (ICDAS) [11][12][13][14], helpfully map the profile of disease at individual level, recognising the importance of shifting from a restorative-approach towards early non-invasive management of disease [15,16]. However, the total picture of the caries distribution including all stages of lesions among school-aged children in the United Kingdom (UK) has not been examined before.…”

Section: Introductionmentioning

confidence: 99%

Dental caries thresholds among adolescents in England, Wales, and Northern Ireland, 2013 at 12, and 15 years: implications for epidemiology and clinical care

et al. 2021

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Background Dental caries is the most prevalent condition globally. Despite improvements over the past few decades, there remains a significant disease burden in childhood. Epidemiological surveys provide insight to disease patterns and trends, and have traditionally focused on obvious decay which are inconsistent with contemporary clinical criteria. This study examined the distribution of dental caries in 12- and 15-year-olds in England, Wales and Northern Ireland, by severity threshold, at surface, tooth and child level and explored its association with socioeconomic, psychological and behavioural factors. Methods Data from 12- and 15-year-olds in the 2013 Children’s Dental Health Survey (CDHS 2013) were analysed at three levels, taking account of dental caries thresholds which involved recording both clinical decay [visual enamel caries (AV) and above] and obvious decay [non-cavitated dentine lesions (2V) and above]. Negative binomial regression was used to identify factors associated with dental caries experience at both thresholds. Results The prevalence and severity of dental caries experience was higher among 15-year-olds at all levels. Visual change in enamel (AV) was by far the most common stage of caries recorded in both ages. The average number of surfaces with obvious decay experience, which has been the traditional epidemiological threshold, in 12- and 15-year-olds was 2.3 and 3.9 respectively. The corresponding values under the clinical decay threshold were higher, at 3.9 and 5.9 respectively. Visualisation of the distribution of dental caries at surface/tooth-level exhibited horizontal symmetry and to a lesser extent vertical symetry. In the adjusted models for both ages, country/region, school type, area deprivation, high frequency sugar consumption and irregular dental attendance were associated with greater caries experience in both groups. Dental anxiety was inversely associated with caries experience among 15-year-olds. Conclusion This research highlights the importance of recognising dental caries patterns by surface, tooth and child-level amongst adolescents and the value of reporting dental caries distribution by threshold in epidemiological surveys, including its relevance for clinical care. Inclusion of enamel caries reveals the extent of caries management required at a point when non-invasive care is possible, emphasising the importance of prevention through contemporary primary care, which includes supporting self-care.

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Section: Introductionmentioning

confidence: 99%

Dental caries thresholds among adolescents in England, Wales, and Northern Ireland, 2013 at 12, and 15 years: implications for epidemiology and clinical care

et al. 2021

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“…При проведении фиброоптической трансиллюминации используется светоизлучающий диод, испускающий узкий пучок белого света для просвечивания зуба [12]. FOTI имеет более высокую чувствительность к поражениям дентина, чем к поражениям эмали [13]. Метаанализ, проведенный Ie и Verdonschot [14], показал, что FOTI лучше подходит для диагностики окклюзионного кариеса на ранней стадии по сравнению с визуальным осмотром и рентгенографией.…”

Section: методы трансиллюминацииunclassified

Modern Methods of Occlusal Caries Diagnosis in Children

Шаковец¹,

Наумович²,

Чернявская³

2022

Стоматология. Эстетика. Инновации

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Кариес зубов является наиболее частым хроническим заболеванием детского возраста. Первые постоянные моляры характеризуются сложной анатомией окклюзионной поверхности, низкой степенью минерализации твердых тканей, что приводит к раннему развитию кариеса в них и активному его течению. Поэтому раннее выявление кариеса окклюзионных поверхностей моляров всегда представляет собой сложную задачу, и для ее решения не существует идеальных методов, обладающих высокой чувствительностью или специфичностью. В данной статье приводится подробное описание следующих современных методов диагностики кариеса окклюзионных поверхностей моляров: визуальный осмотр с использованием индекса ICDAS II; методы трансиллюминации (фиброоптическая трансиллюминация FOTI, фиброоптическая трансиллюминация с цифровым изображением DIFOTI с использованием устройства DIAGNOcam); флуоресцентные методы (с использованием устройств DIAGNOdent, DIAGNOdent pen; лазерная флуоресценция с усилением красителя (DELF); количественная лазерно-индуцированная флуоресценция QLF (с использованием устройств VistaCam iX Proof, Midwest Caries I.D.)). Авторы исследований, проанализированных в данном обзоре, не пришли к единому мнению относительно наибольшей эффективности того или иного метода диагностики окклюзионного кариеса. Упомянутые диагностические методы обладают достаточным уровнем чувствительности и специфичности и значительно расширяют возможности раннего выявления окклюзионного кариеса. Для получения наиболее достоверного результата рекомендуется использовать их в сочетании между собой и в качестве дополнения к визуальной оценке. Dental caries is the most common chronic childhood disease. The first permanent molars are characterized by a specific anatomy of the occlusal surface, a low level of tissue mineralization which leads to the quick development of dental caries and its active course. Therefore, the early detection of occlusal caries in molars is always a challenge for a dentist. There are no ideal methods with high sensitivity or specificity. This article provides a detailed description of modern methods for occlusal caries diagnosis: visual examination using ICDAS II index, transillumination methods (FOTI FiberOptic TransIllumination; DIFOTI digital image fiberoptic transillumination using DIAGNOcam device), fluorescence methods (using DIAGNOdent, DIAGNOdent devices; Dye Enhanced Laser Fluorescence, DELF; Quantitative Light-induced Fluorescence QLF (using VistaCam iX Proof, Midwest Caries I.D. devices)). Method for diagnosing occlusal caries among themselves and as a complement to the evaluation effect.

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“…The first paper [Ismail et al, 2018] discusses the general principles of development and validation of caries diagnostic criteria based on the desired outcomes of care. The other 2 papers are dedicated to the presentation of the most commonly used validated clinical caries classifications: the criteria for lesion activity and severity assessment, the "Nyvad criteria" [Nyvad and Baelum, 2018], and a systematic review on the overall reproducibility and accuracy of ICDAS [Ekstrand et al, 2018].…”

confidence: 99%

Clinical Diagnosis of Dental Caries in the 21st Century: Introductory Paper – ORCA Saturday Afternoon Symposium, 2016

Mačhiulskienė¹,

Carvalho²

2018

Caries Res

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Classifications employed to measure dental caries should first of all reflect the dynamics of the disease, in order to provide a solid basis for subsequent treatment decisions and for further monitoring of dental health of individual patients and populations. The contemporary philosophy of dental caries management implies that nonoperative treatment of caries lesions should be implemented whenever possible, limiting operative interventions to the severe and irreversible cases. The ORCA Saturday Afternoon Symposium 2016, held back-to-back to the 63rd ORCA Congress in Athens, Greece, was intended to provide an update on general requirements for clinical caries diagnosis and to overview caries diagnostic classifications including their rationale, validation, advantages, and limitations. Clinical caries diagnostic criteria and caries management outcomes are interrelated, and any diagnostic classification disregarding this concept is outdated, according to the current understanding of oral health care. Choosing clinical caries diagnostic classifications that assess the activity status of detected lesions should be a priority for dental professionals since these classifications favor the best clinical practice directed towards nonoperative interventions. The choice of clinical caries diagnostic classifications in research, in clinical practice, and in public health services should be guided by the best available scientific evidence. The clinical caries diagnostic classifications should be universally applicable in all these fields. Policy making in oral health care and the underlying policy analyses should follow the same standards. Any clinical caries diagnostic classification disregarding the universality of its use is of limited or no interest in the context of the clinical caries diagnosis of today.

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A Commentary on Caries Detection, Validity, Reliability, and Outcomes of Care

Cited by 7 publications

References 26 publications

Dental caries thresholds among adolescents in England, Wales, and Northern Ireland, 2013 at 12, and 15 years: implications for epidemiology and clinical care

Dental caries thresholds among adolescents in England, Wales, and Northern Ireland, 2013 at 12, and 15 years: implications for epidemiology and clinical care

Modern Methods of Occlusal Caries Diagnosis in Children

Clinical Diagnosis of Dental Caries in the 21st Century: Introductory Paper – ORCA Saturday Afternoon Symposium, 2016

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