Differential Impacts of Caries Classification in Children and Adults: A Comparison of ICDAS and DMF-T

Melgar, Rosa Ana; Pereira, Joanna Tatith; Luz, Patrícia Blaya; Hugo, Fernando Neves; Araújo, Fernando Borba de

doi:10.1590/0103-6440201600990

Cited by 38 publications

(42 citation statements)

References 19 publications

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“…Rapid occurrence of dental decay in pit and fissures majorly owes to the fact of proximity of fissure depth to dentino-enamel junction (DEJ) and the dentin underneath that is highly prone to caries. 1,2,[5][6][7] Many prospective trials have been undertaken to examine the effect of sealing over caries, using clinical, radiographic, and bacterial sampling methods. 7,8 Most of these studies suggest that caries progression is either slowed down or even arrested under the effect of sealants.…”

Section: Discussionmentioning

confidence: 99%

“…3,4 Moreover, permanent first molar extractions top the data for the rate and incidence of extractions as compared to other teeth. 5 Since the occlusal surface of young permanent first molars is susceptible to caries and the caries on these surfaces begin soon after the eruption, early sealing is indicated as suggested by Melgar et al 6 and supported by various other authors. [1][2][3][4][5] Traditionally epidemiologic indices have been proposed to evaluate variations in the incidence of new lesions and the progression of the existing dental lesions.…”

Section: Introductionmentioning

confidence: 94%

“…These indices produce more proficient ways of assessing change in the status of decay and the degree of improvement can be calculated directly. 1,3,6 Pit and fissure sealants have been found out to be highly effective at decay prevention, with reduction in the development and progression of caries by greater than 50%. The pathbreaking research by Lussi 7 clearly demonstrates that sealants can be used therapeutically over noncavitated carious lesions.…”

Section: Introductionmentioning

confidence: 99%

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Clinical Study of Pit and Fissure Morphology and its Relationship with Caries Prevalence in Young Permanent First Molars

Beg¹,

Altaf²,

Garg³

et al. 2019

Journal of South Asian Association of Pediatric Dentistry

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Aim:To study the various types of pit and fissure morphology in young permanent first molars and their relationship with caries prevalence arch-wise and quadrant-wise. Materials and methods: Four hundred young permanent first molars in 100 patients between 8 years and 10 years were examined. Teeth were examined using dental caries diagnostic index, decayed missing filled surfaces of permanent first molar (DMFSM1) index per the World Health Organization (WHO) guidelines (2013), and pit and fissure morphology index (Symons, 1996). Results: It was found that intermediate type of fissures was most prevalent followed by shallow type of fissures. Deep fissures had significantly more caries than intermediate, and shallow had the least incidence of caries, irrespective of the jaw type and arch side. Also, in general, the left side of arch had lesser caries than that in the right side. Conclusion: It is recommended to seal off the intermediate and deep pits and fissures in children with high risk of caries, and appropriate preventive measures should be taken. Tooth morphology can be used as an indicator to identify the children at high risk, especially in settings where resources are not adequate.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 94%

Section: Introductionmentioning

confidence: 99%

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Clinical Study of Pit and Fissure Morphology and its Relationship with Caries Prevalence in Young Permanent First Molars

Beg¹,

Altaf²,

Garg³

et al. 2019

Journal of South Asian Association of Pediatric Dentistry

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“…Studies differed in their grouping of caries scores. For example, nine different caries surfaces measures and seven caries teeth measures were identified in this review. Some studies grouped them to classify caries as dentin and enamel lesions while others classified them as initial/early, moderate/established and severe/extensive lesions .…”

Section: Discussionmentioning

confidence: 99%

Caries reporting in studies that used the International Caries Detection and Assessment System: A scoping review

ElSalhy

Ali

Lai

et al. 2018

Comm Dent Oral Epid

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Objective To explore how caries was reported in studies that employed the International Caries Detection and Assessment System (ICDAS). Methods A systematic database search up to August 2017 was carried out using PubMed, Ovid MEDLINE, Cochrane library and ISI Web of Science electronic databases. Only studies that used the ICDAS for dental caries examinations were included. Studies were excluded if the examination was done only for the validation or the calibration of the ICDAS and/or if the examination was not done for the whole dentition. Measures used to report caries were considered. Results A total of 126 papers met the inclusion criteria. Forty‐four different synthesis measures were used to report caries. Most of the studies used a combination of multiple measures to report patient's caries level. These reporting measures cluster into four main groups: the number of individual ICDAS scores (ie, total counts of every score); the number of decayed surfaces/teeth (ie, total counts of combined caries scores for surfaces or teeth); measures of caries experience (ie, total counts of combined caries scores, filled and/or missing surfaces or teeth); and measures of central tendency and dispersion. The number of decayed surfaces and individual ICDAS scores were the most commonly used measures. Three studies used mean ICDAS score (ie, total ICDAS scores divided by the number of teeth), two used mean ICDAS score of carious teeth (ie, total ICDAS scores divided by the number of carious teeth) and two used the maximum ICDAS score (ie, highest ICDAS score recorded). The total ICDAS score was used only once. Many studies synthesized from the ICDAS the number of decayed, missing and filled teeth/surfaces (dmft/DMFT, dmfs/DMFS) as a measure of caries experience. Conclusions There are variations among studies in the utilization of the system to summarize caries. Most studies presented caries data using the categorical characteristics of the ICDAS.

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“…T he remineralization of non-cavitated incipient lesions associated with the control of etiologic factors is the early way to reestablish the integrity of the tooth structure caused by caries disease and reverse this scenario [1][2][3]. For this purpose, fluoride-base compounds are the most investigated and used agents themselves or associated [4,5].…”

Section: Introductionmentioning

confidence: 99%

Effect of enamel pretreatment on the fluoride remineralization of artificial white spot lesions

Araújo

Lucena

Freitas

et al. 2018

BDS

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Ciência Odontológica Brasileira ReSumoObjetivos: A aplicação tópica de flúor é a principal estratégia para remineralizar lesões de mancha branca (MB). Foi proposto que o aumento na retenção deste íon na superfície pode favorecer a remineralização. Portanto, o tratamento prévio da superfície do esmalte foi proposto para otimizar sua eficácia. Material e Métodos: Este estudo objetivou avaliar a capacidade de remineralização do fluoreto com e sem pré-tratamento do esmalte com ácido fosfórico e nitrato de alumínio e a resistência do esmalte após novo desafio ácido. Vinte e quatro blocos de esmalte bovino foram obtidos e selecionados pela média inicial de microdureza de superfície (MS). Em seguida, MB foram artificialmente induzidas através de ciclagem DES-RE e os espécimes aleatorizados em dois grupos de acordo com o pré-tratamento do esmalte a ser avaliado (n=12): F (flúor gel acidulado 1,23% -APF -4 min) e P-Al-F (ácido fosfórico 37% -30s + nitrato de alumínio 0,05M 1min + APF por 4 min). Após o tratamento, um novo desafio ácido semelhante ao inicial foi realizado. Novas avaliações de MS foram obtidas em cada etapa. Os valores foram processados e a porcentagem de perda mineral da superfície (%PDS) foi obtida. Os dados foram analisados estatisticamente por ANOVA dois critérios e teste de Tukey (p<0,05). Resultados: Não houveram diferenças entre os protocolos avaliados. Para ambos grupos, uma diferença significante entre as fases do estudo foi detectada: observouse uma queda no %PDS após o tratamento e aumento do %PDS após novo desafio ácido. Conclusão: O pré-tratamento do esmalte com ácido fosfórico associado com nitrato de alumínio promoveu efeito similar à aplicação isolada do APF na remineralização das MB artificiais, recuperando parcialmente a dureza de superfície. Após o novo desafio ácido, os dois grupos ofereceram resistência parcial. PAlAvRAS-ChAveCáries dental; Esmalte dentário; Fluoreto; Remineralização dentária. ABSTRACTObjective: The topical fluoride application is the main strategy to remineralize white spots lesions (WSL). It is assumed that increasing its retention in the surface can favor remineralization. Therefore, previous treatments of the enamel surface are purposed to optimize its efficacy. This study aimed to evaluate the remineralization capacity of the fluoride without and with the pre-treatment of the enamel with phosphoric acid and aluminum nitrate and then, the enamel acid-resistance after new acid challenge. Material and Methods: Twenty-four enamel bovine blocks were obtained and selected by means of initial surface microhardness (SMH) measurements. In sequence, WSL were artificially inducted by DE-RE cycling and randomized in two groups according to the enamel pretreatment to be tested (n=12): F (1.23% fluoride gel -APF-4min) and P-Al-F (37% phosphoric acid-30s + 0.05M aluminum nitrate 1min + APF-4min). After then, a new acid challenge was equally performed. Additional SMH assessments were performed in each step. The values were processed and the percentage of SH loss (%SHL) was obtain...

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Differential Impacts of Caries Classification in Children and Adults: A Comparison of ICDAS and DMF-T

Cited by 38 publications

References 19 publications

Clinical Study of Pit and Fissure Morphology and its Relationship with Caries Prevalence in Young Permanent First Molars

Clinical Study of Pit and Fissure Morphology and its Relationship with Caries Prevalence in Young Permanent First Molars

Caries reporting in studies that used the International Caries Detection and Assessment System: A scoping review

Effect of enamel pretreatment on the fluoride remineralization of artificial white spot lesions

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