Evidence on existing caries risk assessment systems: are they predictive of future caries?

Téllez, Marisol; Gómez, Juliana; Pretty, I A; Ellwood, R.P.; Ismaïl, Amid I.

doi:10.1111/cdoe.12003

Cited by 169 publications

(177 citation statements)

References 21 publications

Supporting

Mentioning

158

Contrasting

Unclassified

Order By: Relevance

“…35 It may, however, be dubious to base a decision of operative intervention on caries risk assessment, as evidence concerning the validity of existing methods for identifying individuals at high risk is limited. 36,6 Table 3 Intrarater agreement expressed as percentage of agreement (%) and kappa with confidence interval (CI) for the assessment of caries lesion progression of approximal surfaces (n 5 65) in bitewing radiography of adolescents Raters Agreement All surfaces assessed to present progression (5,6,7,9,10,12) a Surfaces assessed to present progression within enamel (5,6,9) a Surfaces assessed to present progression in outer half of dentine (7,10,12) Numbers refer to categories presented in Figure 1.…”

Section: Discussionmentioning

confidence: 99%

A novel classification system for assessment of approximal caries lesion progression in bitewing radiographs

Senneby¹,

Elfvin²,

Stebring-Franzon³

et al. 2016

Dentomaxillofacial Radiology

View full text Add to dashboard Cite

Objectives: To design and pilot a novel classification system for the assessment of caries lesion progression in bitewing radiography and to report rater agreement of the system. Methods: A classification system with drawings and text was designed to assess caries lesion progression. Guidelines for Reporting Reliability and Agreement Studies were used to study and report rater agreement. Pairs of posterior bitewing radiographs (baseline and 1-year follow-up) with different status concerning caries lesion progression were selected from files from public dental health clinics. 10 raters, 5 general dental practitioners and 5 specialists in oral and maxillofacial radiology were asked to assess the radiographs with the aid of the classification system. Seven raters repeated their assessments. Rater agreement was expressed as percentage of agreement and kappa. Results: Kappa for the interrater agreement of 10 raters assessing progression was 0.61, indicating substantial agreement. Agreement was moderate for progression in the outer half of the dentine (kappa 0.55) and within enamel (kappa 0.44). Pairwise interrater agreement varied (range 69-92%; kappa 0.42-0.84). For about half of the pairs of raters, kappa was substantial ($0.61). Intrarater agreement assessing progression was substantial (kappa 0.66-0.82). Conclusions: We demonstrated the applicability of the proposed classification system on caries lesion progression with respect to rater agreement. This system can provide a common framework for clinical decision-making on caries interventional methods and patient visiting intervals. Scientifically, this system allows for a comparative analysis of different methods of prevention and treatment of caries as well as of different caries risk assessment methods. Dentomaxillofacial Radiology (2016Radiology ( ) 45, 20160039. doi: 10.1259 Cite this article as: Senneby A, Elfvin M, Stebring-Franzon C, Rohlin M. A novel classification system for assessment of approximal caries lesion progression in bitewing radiographs. Dentomaxillofac Radiol 2016; 45: 20160039.

show abstract

Section: Discussionmentioning

confidence: 99%

A novel classification system for assessment of approximal caries lesion progression in bitewing radiographs

Senneby¹,

Elfvin²,

Stebring-Franzon³

et al. 2016

Dentomaxillofacial Radiology

View full text Add to dashboard Cite

show abstract

“…El porcentaje de niños clasificados correctamente como verdaderos positivos y verdaderos negativos fue 63%. La calidad de este estudio fue calificada como regular 17 .…”

Section: Holgerson Et Al 2009unclassified

“…No se proporcionaron los resultados relacionados con la sensibilidad y la especificidad de la predicción, y la falta de ajuste estadístico para los factores importantes de confusión que también podrían haber jugado un papel en el desarrollo de nuevas lesiones de caries es una de las principales limitaciones de este estudio. La calidad de este estudio fue calificado como pobre 17 .…”

Section: Domejean Et Al 2011unclassified

Modelos Explicativos De Caries De La Infancia Temprana

Fierro-Monti

Pérez

2017

RevFacOdonto

View full text Add to dashboard Cite

ResumenLa caries de la infancia temprana (CIT) es una enfermedad crónica altamente prevalente en niños, siendo un problema de salud pública, porque afecta una población considerada vulnerable. La construcción de modelos, en la planificación y evaluación de intervenciones en salud, resulta una herramienta valiosa, siendo frecuentemente utilizados para descubrir su etiología así como predecir el curso de la enfermedad. Se han presentado 11 modelos explicativos de la caries de la infancia temprana construidos en diversas poblaciones mundiales, que presentan similitudes y diferencias propias de los estudios y sus poblaciones infantiles. Objetivo: Identificar a través del tiempo, los diferentes tipos de modelos explicativos gráficos de la CIT Método: La búsqueda bibliográfica se realizó en MEDLINE, EMBASE, LILACS, SciELO, Science Direct, IBECS, Cochrane y CENTRAL conjugando los términos "early childhood caries", "explanatory models", "risk models", " graphic models", "conceptual models" con límites de idioma inglés y español, publicados entre 1995 y 2017. Resultados: Se presentan 11 modelos gráficos explicativos de CIT realizados en EUA, Reino Unido, Suecia, China, Escocia, Chile, y Brasil. Conclusión: Los modelos teóricos son construidos a fin de explicar la causalidad de los procesos biológicos, psicológicos y sociales que intervienen en el desarrollo de la enfermedad. Los modelos exlicativos presentados dan cuenta de las similitudes y diferencias presentes a edades tempranas en la población estudiada para dar causalidad y predicción a la caries. PALABRAS CLAVE: modelos explicativos, modelos de riesgo de caries de la infancia temprana. AbstractEarly childhood caries (CIT) is a highly prevalent chronic disease in children, being a public health problem because it affects a population considered vulnerable. The construction of models, in the planning and evaluation of health interventions, is a valuable tool, being frequently used to discover its etiology as well as to predict the course of the disease. We have presented 11 explanatory models of early childhood caries constructed in diverse world populations, which present similarities and differences characteristic of studies and their children populations. Objective: To identify over time, the different types of graphic explanatory models of the CIT. METHODS: The literature search was carried out in MEDLINE, EMBASE, LILACS, SciELO, Science Direct, IBECS, Cochrane and CENTRAL, combining the terms "early childhood caries", "explanatory models", "risk models", "graphic models", "conceptual models "with limits of English and Spanish language, published between 1995 and 2017. Results: 11 CIT explanatory graphic models are presented in USA, UK, Sweden, China, Scotland, Chile, and Brazil. Conclusion: The theoretical models are constructed in order to explain the causality of the biological, psychological and social processes involved in the development of the disease. The explicative models presented account for the similarities and differences present at early ages in th...

show abstract

“…assessed 8 , as well as the heterogeneity of populations studied, study design and analysis of data 9 . Currently, the CRA should aid the clinician in treatment decisions, recall intervals in dental office and even in the awareness of the patient and/or relatives 8 .…”

Section: Introductionmentioning

confidence: 99%

“…Currently, the CRA should aid the clinician in treatment decisions, recall intervals in dental office and even in the awareness of the patient and/or relatives 8 . This article seeks to evaluate the concept and caries risk factors as well as the scientific evidence about the CRA systems/guidelines described more frequently in the international literature.…”

Section: Introductionmentioning

confidence: 99%

Monitoring of caries disease by risk assessments and activity

Abanto

Berti

Miguita

et al. 2016

RGO, Rev. Gaúch. Odontol.

View full text Add to dashboard Cite

Dental caries is a non-communicable disease and is considered a public health problem. For diagnosis and correct treatment RESUMOA cárie dentária é uma doença não infecciosa e é considerada um problema de saúde pública. Para seu diagnóstico e correto tratamento é necessário a avaliação do risco e da atividade da doença cárie. A avaliação do risco de cárie é uma maneira de formalizar o equilíbrio e desequilíbrio da doença de modo previsível para realizar o diagnóstico da doença presente. Para tanto, a avaliação do risco de cárie é realizada através de diferentes sistemas. Outro parâmetro de grande importância a ser estudado é a atividade da doença cárie, pois através dela é realizada a correta decisão de tratamento para o paciente. Assim, o objetivo do presente artigo foi informar ao leitor: os conceitos e fatores de risco de cárie; os diferentes sistemas de avaliação de risco de cárie descritos na literatura; e quais sistemas são validados. Contudo, esta revisão de literatura proporciona a identificação e avaliação dos fatores de risco e atividade das lesões de cárie afim de possibilitar uma maior objetividade no diagnóstico e facilitar as decisões de um tratamento bem-sucedido.Termos de indexação: Cárie dentária. Diagnóstico bucal. Risco.

show abstract

Evidence on existing caries risk assessment systems: are they predictive of future caries?

Cited by 169 publications

References 21 publications

A novel classification system for assessment of approximal caries lesion progression in bitewing radiographs

A novel classification system for assessment of approximal caries lesion progression in bitewing radiographs

Modelos Explicativos De Caries De La Infancia Temprana

Monitoring of caries disease by risk assessments and activity

Contact Info

Product

Resources

About