An Abbreviated Caries Clinical Trial Design Validated over 24 Months

Chesters, R.K.; Pitts, Nigel; Matuliene, Giedre; Kvedariene, A.; Huntington, E.; Bendinskaitė, Rūta; Balciuniene, Irena; Matheson, J. R.; Nicholson, James M.; Gendvilyte, A.; Sabalaite, R.; Ramanauskiene, J.; Savage, D. C. L.; Mileriene, J.

doi:10.1177/154405910208100912

Cited by 73 publications

(65 citation statements)

References 11 publications

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“…No entanto, os resultados de reprodutibilidade para os três instrumentos de medida utilizados para o nível de detecção da doença com a inclusão de LI corroboram com diferentes tipos estudos, como ensaios clínicos 19,20,21 , estudos específicos de calibração da cárie dentá-ria 8,14 e pesquisas de cunho epidemiológico 22,23 . Dessa forma, pode-se afirmar que a calibração de examinadores, a partir de limiares de diagnóstico com inclusão de lesões em estágios iniciais, é possível e viável para sua aplicação em diferentes tipos de estudo, mesmo em estudos epidemiológicos.…”

Section: Discussionunclassified

Comparação entre medidas de reprodutibilidade para a calibração em levantamentos epidemiológicos da cárie dentária

et al. 2006

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Comparar três medidas (kappa, porcentagem geral de concordância e índice dice) utilizadas para se determinar a reprodutibilidade do diagnóstico da cárie em levantamentos epidemiológicos, sob diferentes níveis de detecção da doença. Onze examinadores com experiência prévia em levantamentos epidemiológicos foram submetidos a um processo teórico-clínico de calibração. Dois níveis de detecção da cárie foram adotados: Organização Mundial da Saúde (OMS) e OMS com inclusão de lesões iniciais em esmalte (OMS + LI). Os exames foram realizados em 23 crianças de 6-7 anos de idade com e sem atividade da doença. A análise dos dados foi realizada mediante dois limiares: OMS e OMS + LI. Valores médios dos índices kappa, porcentagem geral de concordância e dice foram considerados altos (>0,90), à exceção do índice dice para o limiar OMS + LI (0,69). O kappa, por ser um índice de concordância ajustado, pode ser considerado como instrumento de escolha para a calibração dos examinadores. Entretanto, na impossibilidade de seu uso, recomenda-se a utilização da porcentagem geral de concordância associada ao índice dice, a fim de direcionar e aprimorar os examinadores no exame das lesões cariosas.

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Section: Discussionunclassified

Comparação entre medidas de reprodutibilidade para a calibração em levantamentos epidemiológicos da cárie dentária

et al. 2006

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“…따라서 과거에 비해 향상된 구강건강상태를 가진 환자들을 효과적으로 관리하기 위해서는 무엇보다도 치아우식증 탐지 및 평가에 대한 기준이 세분화 되어야 하며, 와동이 형성되기 전인 비 와동형 우식증에 대한 명확한 탐지 기준이 필요하다. 이러한 시대적 요구에 따라 치아우식증에 대한 통합적인 평가 기준을 개발하였는데, 이것이 바로 International Caries Detection and Assessment System(ICDAS)이다 [8][9][10][11][12][13][14] . .…”

Section: 서론unclassified

Review on International Caries Detection and Assessment System

Kim¹

2014

J Korean Soc Dent Hyg

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Objectives : In most developed countries there has been a substantial decrease in the prevalence of dental caries in children of 12 years old over the past 40 years. This change in epidemiology highlights the importance of preventive management in dentistry. For successful management of early caries lesions, it is essential to detect and assess the pathological changes of dental caries. Therefore, the purpose of this study was to investigate the overview of International Caries Detection and Assessment System(ICDAS) criteria for the detection and assessment of early caries lesions by literature reviews. Results : This literature review provided an overview of International Caries Detection and Assessment System(ICDAS) criteria for the detection and assessment of early caries lesions. This article showed the principles, concept, and primary caries detection criteria of the ICDAS. The ICDAS can macroscopically measure the enamel surface changes and potential histological depth of caries lesions by the surface characteristics of the teeth. The ICDAS criteria allow researchers and clinicians to choose the stage of dental caries and characteristics for assessment.Conclusions : ICDAS can be an adjunct method to clinical decision making and preventive treatment planning.

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“…The inclusion of enamel caries allows recording of early carious lesions that may develop and heal as a result of changes in behaviour and the application of fluoride. [112][113][114] Although the work of Chesters and colleagues 112 suggests that changes in dental caries status can readily be measured within an abbreviated (24-month) clinical trial design by including enamel caries, the measure was included as an exploratory element of the research as little is known about the prevalence and behaviour of enamel lesions in the UK population of adults attending general dental practices. However, this is an important measure in terms of OHImp and the findings of this study will help to inform future research and the suitability of enamel caries as an outcome measure in clinical dental practice.…”

Section: Rationale For Choice Of Outcome Measuresmentioning

confidence: 99%

The INCENTIVE study: a mixed-methods evaluation of an innovation in commissioning and delivery of primary dental care compared with traditional dental contracting

Hulme

Robinson

Douglas

et al. 2016

Health Serv Deliv Res

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Godson J, et al. The INCENTIVE study: a mixed-methods evaluation of an innovation in commissioning and delivery of primary dental care compared with traditional dental contracting. Health Serv Deliv Res 2016;4(18). Health Services and Delivery ResearchISSN 2050-4349 (Print) ISSN 2050-4357 (Online) This journal is a member of and subscribes to the principles of the Committee on Publication Ethics (COPE) (www.publicationethics.org/).Editorial contact: nihredit@southampton.ac.ukThe full HS&DR archive is freely available to view online at www.journalslibrary.nihr.ac.uk/hsdr. Print-on-demand copies can be purchased from the report pages of the NIHR Journals Library website: www.journalslibrary.nihr.ac.uk Criteria for inclusion in the Health Services and Delivery Research journalReports are published in Health Services and Delivery Research (HS&DR) if (1) they have resulted from work for the HS&DR programme or programmes which preceded the HS&DR programme, and (2) they are of a sufficiently high scientific quality as assessed by the reviewers and editors. HS&DR programmeThe Health Services and Delivery Research (HS&DR) programme, part of the National Institute for Health Research (NIHR), was established to fund a broad range of research. It combines the strengths and contributions of two previous NIHR research programmes: the Health Services Research (HSR) programme and the Service Delivery and Organisation (SDO) programme, which were merged in January 2012.The HS&DR programme aims to produce rigorous and relevant evidence on the quality, access and organisation of health services including costs and outcomes, as well as research on implementation. The programme will enhance the strategic focus on research that matters to the NHS and is keen to support ambitious evaluative research to improve health services.For more information about the HS&DR programme please visit the website: http://www.nets.nihr.ac.uk/programmes/hsdr This reportThe research reported in this issue of the journal was funded by the HS&DR programme or one of its preceding programmes as project number 09/1004/04. The contractual start date was in January 2012. The final report began editorial review in June 2015 and was accepted for publication in October 2015. The authors have been wholly responsible for all data collection, analysis and interpretation, and for writing up their work. The HS&DR editors and production house have tried to ensure the accuracy of the authors' report and would like to thank the reviewers for their constructive comments on the final report document. However, they do not accept liability for damages or losses arising from material published in this report.This report presents independent research funded by the National Institute for Health Research (NIHR). The views and opinions expressed by authors in this publication are those of the authors and do not necessarily reflect those of the NHS, the NIHR, NETSCC, the HS&DR programme or the Department of Health. If there are verbatim quotations included in this publication the...

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An Abbreviated Caries Clinical Trial Design Validated over 24 Months

Cited by 73 publications

References 11 publications

Comparação entre medidas de reprodutibilidade para a calibração em levantamentos epidemiológicos da cárie dentária

Comparação entre medidas de reprodutibilidade para a calibração em levantamentos epidemiológicos da cárie dentária

Review on International Caries Detection and Assessment System

The INCENTIVE study: a mixed-methods evaluation of an innovation in commissioning and delivery of primary dental care compared with traditional dental contracting

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