Impact of different detection criteria on caries estimates and risk assessment

Alves, Luana Severo; Susin, Cristiano; Damé‐Teixeira, Nailê; Maltz, Marisa

doi:10.1111/idj.12352

Cited by 21 publications

(19 citation statements)

References 26 publications

(33 reference statements)

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“…It is noteworthy to point out that only 2 examiners were involved in the data collection, one calibrated by the other, and that we used a popula-tion-based sample. This population can be classified as a low-caries population (mean DMF-T at the cavity level of 1.39 at 12 years of age [Alves et al, 2018]) with frank access to fluoridated water and to fluoridated toothpaste. In this respect, the present paper differs from the previous studies assessing lesion activity.…”

Section: Discussionmentioning

confidence: 99%

Can We Diagnose a Patient’s Caries Activity Based on Lesion Activity Assessment? Findings from a Cohort Study

et al. 2020

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This cohort study evaluated the fate of sound surfaces and inactive non-cavitated (INC) and active non-cavitated (ANC) caries lesions in a population-based sample of South Brazilian adolescents, in answer to the question: “Is lesion activity assessment a reliable criterion to diagnose a patient’s caries activity?” A total of 801 schoolchildren were examined at baseline (aged 12 years) and after a mean time interval of 2.5 years. Data collection included a questionnaire and clinical examination. Patients were classified as caries-free (patients without any lesion), caries-inactive (patients with only inactive lesions), and caries-active (patients with at least one active lesion). The primary outcome was caries progression (presence of cavity, underlying dentin shadow, filling, or extraction at the follow-up exam). Negative binomial regression models were used to estimate the risk for caries progression. The main predictor variable was status of the surface at baseline: sound, INC, or ANC. Progression rates of 1.0, 9.0, and 12.6% were found for sound surfaces, INC, and ANC, respectively. INC (incidence risk ratio [IRR] 5.37, 95% CI 4.22–6.83) and ANC (IRR 4.96, 95% CI 3.43–7.17) had greater risk for caries progression than sound surfaces. Similar risks for progression were found for ANC and INC (IRR 0.92, 95% CI 0.64–1.32). Progression rates were 0.6, 1.1, and 2.2% for caries-free, caries-inactive, and caries-active individuals, respectively (<i>p</i> < 0.05). The risk for caries progression of sound surfaces was higher among caries-active adolescents (caries-free: IRR 2.78, 95% CI 1.63–4.72; caries-inactive: IRR 2.19, 95% CI 1.65–2.90). Caries-inactive patients behaved similarly to caries-free individuals (IRR 1.27, 95% CI 0.73–2.20). This study demonstrated the possibility of defining a patient’s caries activity profile based on lesion features.

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Section: Discussionmentioning

confidence: 99%

Can We Diagnose a Patient’s Caries Activity Based on Lesion Activity Assessment? Findings from a Cohort Study

et al. 2020

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“…Estimates were computed using different criteria to define the D component: WHO criterion, 22 including only cavitated lesions; modified WHO criterion, including the active non-cavitated and all the cavitated lesions. 23 Both criteria were used to calculate the DMFT index, defined as the number of decayed, missing or filled teeth. The different components of the index (DT, MT, FT) were also described separately.…”

Section: Discussionmentioning

confidence: 99%

“…1,24 Studies have consistently shown better oral health conditions among children with more educated parents. 23,26 The association between plaque and gingivitis, in relation to a higher caries index, has been frequently reinforced in epidemiological studies. 27,28,29 Regarding the dental attendance pattern, it is known that those who visit the dentist motivated by pain tend to show poorer oral health than those who visit the dentist for a routine examination.…”

Section: Discussionmentioning

confidence: 99%

“…Our findings emphasize the importance of including caries activity assessment in epidemiological studies. 23,33 Among the measures adopted to avoid potential sources of bias, we would like to highlight our training and calibration processes (measurement bias), as well as our sample selection strategy, which included a census in the rural area and the selection of a representative sample in the urban area (selection bias). Even under field conditions, it was possible to obtain "almost perfect" kappa values according to Landis and Koch.…”

Section: Discussionmentioning

confidence: 99%

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Oral health status of schoolchildren living in rural and urban areas in southern Brazil

et al. 2020

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“…The high discrepancy of association results found over articles points to a high degree of inconsistency. Differences in the diagnosis criteria and the exposure could result in different findings, and this issue has been comprehensively discussed on other healthcare issues [ 53 , 54 ]. The variation of TMD diagnostic criteria may impact its prevalence [ 1 ], and in our systematic review, it has probably changed the rate of association between stress and TMD.…”

Section: Discussionmentioning

confidence: 99%

Association between Stress at Work and Temporomandibular Disorders: A Systematic Review

Aranha

Martins

Aguilar

et al. 2021

BioMed Research International

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Temporomandibular disorders (TMD) have been traditionally associated with psychosocial factors; however, occupational stress as a factor related to TMD has not been adequately assessed in the literature. The aim was to investigate the association between stress at work and TMD on adult paid workers. An electronic search included PubMed, Scopus, Web of Science, Embase, and LILACS databases. Manual searches in the included articles’ reference and gray literature were performed. There were no restrictions regarding language or publication period. The inclusion criteria comprised observational studies with paid workers of any category, of both sexes, above 18 years old, assessing occupational stress/stress or distress and TMD as diagnosis or isolated signs and symptoms. Methodological quality was evaluated using Joanna Briggs tools. We narratively assessed the evidence using the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) approach. We collected 12 studies. 50% reported a positive association between stress and TMD diagnostic across various job categories. On the other hand, TMJ sounds (a TMD sign) and work stress were associated only in a musicians’ population. However, the shortage of eligible articles and the methodological limitations provided a very low certainty of the evidence; only 4 of the studies used validated tools for both stress and TMD (2 reporting positive association). The association between stress and TMD is inconclusive by the available data. In the future, we expect more robust epidemiologic studies addressing these relevant aspects.

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Impact of different detection criteria on caries estimates and risk assessment

Abstract: The inclusion of non-cavitated lesions impacted estimates of prevalence and extent of dental caries, mainly when ICDAS was used. No impact was observed on the association between caries and socio-economic variables.

Cited by 21 publications

References 26 publications

Can We Diagnose a Patient’s Caries Activity Based on Lesion Activity Assessment? Findings from a Cohort Study

Can We Diagnose a Patient’s Caries Activity Based on Lesion Activity Assessment? Findings from a Cohort Study

Oral health status of schoolchildren living in rural and urban areas in southern Brazil

Association between Stress at Work and Temporomandibular Disorders: A Systematic Review

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