Identifying a Potential Summary Measure for Overall Caries Level in Children Examined with the International Caries Detection and Assessment System

2017 ◽  
Vol 51 (6) ◽  
pp. 568-575 ◽  
Author(s):  
Mohamed ElSalhy ◽  
Aishah Alsumait ◽  
Hollis Lai ◽  
José Manuel Almerich-Silla ◽  
Chaiana Piovesan ◽  
...  
Keyword(s):  
Permanent Dentition ◽  
Primary Dentition ◽  
Assessment System ◽  
Mixed Dentition ◽  
Caries Detection ◽  
Strong Correlations ◽  
Summary Measure ◽  
Severity Levels ◽  
The Relationship ◽  
Caries Lesions

Objective: To identify a potential summative summary measure that reflects a patient's overall caries level in children examined with the International Caries Detection and Assessment System (ICDAS). Subjects and Methods: Participants were 1- to 15-year-old children from Kuwait, Brazil, and Spain. Children's teeth were examined using the ICDAS. Multiple measures of central tendency and dentition-specific indices were considered as potential summative measures. The relationship between the summative measures and number of caries lesions was evaluated considering degrees of caries severity using Spearman's correlation analysis. The results were generated using the Kuwaiti sample and were cross-validated using the Brazilian and Spanish samples. Results: A total of 2,808 children participated in the present study. Total ICDAS score and mean ICDAS score showed a strong correlation with the number of caries lesions at different caries severity levels in primary, mixed, and permanent dentitions. The total ICDAS score of 51 buccal (B), 61B, 54 occlusal (O), 55O, 64O, 65O, 74O, 75O, 84O, and 85O surfaces in primary dentition and the total ICDAS score of 14O, 16 lingual (L), 16O, 24O, 26L, 26O, 36B, 36O, 37O, 46O, 46B, and 47O surfaces in permanent dentition or mixed dentition (if present) showed strong correlations with the number of caries lesions at different caries severity levels. Conclusions: Total ICDAS and mean ICDAS scores were the best summary measures of overall caries level at different dental stages. Total ICDAS scores of selectively examined 10 surfaces in primary dentition and 12 surfaces in permanent dentition can give an excellent summary measure for a patient's overall caries level with high diagnostic accuracy.

scholarly journals Metabolic Profile of Supragingival Plaque Exposed to Arginine and Fluoride

2019 ◽  
Vol 98 (11) ◽  
pp. 1245-1252 ◽  
Author(s):  
M.M. Nascimento ◽  
A.J. Alvarez ◽  
X. Huang ◽  
C. Browngardt ◽  
R. Jenkins ◽  
...  
Keyword(s):  
Acid Production ◽  
Metabolic Profile ◽  
Assessment System ◽  
Caries Detection ◽  
Metabolic Profiles ◽  
Ph Homeostasis ◽  
Supragingival Plaque ◽  
Plaque Ph ◽  
Oral Biofilms ◽  
Caries Lesions

Caries lesions develop when acid production from bacterial metabolism of dietary carbohydrates outweighs the various mechanisms that promote pH homeostasis, including bacterial alkali production. Therapies that provide arginine as a substrate for alkali production in supragingival oral biofilms have strong anticaries potential. The objective of this study was to investigate the metabolic profile of site-specific supragingival plaque in response to the use of arginine (Arg: 1.5% arginine, fluoride-free) or fluoride (F: 1,100 ppm F/NaF) toothpastes. Eighty-three adults of different caries status were recruited and assigned to treatment with Arg or F for 12 wk. Caries lesions were diagnosed using International Caries Detection and Assessment System II, and plaque samples were collected from caries-free and carious tooth surfaces. Taxonomic profiles were obtained by HOMINGS (Human Oral Microbe Identification using Next Generation Sequencing), and plaque metabolism was assessed by the levels of arginine catabolism via the arginine deiminase pathway (ADS), acidogenicity, and global metabolomics. Principal component analysis (PCA), partial least squares–discriminant analysis, analysis of variance, and random forest tests were used to distinguish metabolic profiles. Of the 509 active lesions diagnosed at baseline, 70 (14%) were inactive after 12 wk. Generalized linear model showed that enamel lesions were significantly more likely to become inactive compared to dentin lesions ( P < 0.0001), but no difference was found when treatment with Arg was compared to F ( P = 0.46). Arg significantly increased plaque ADS activity ( P = 0.031) and plaque pH values after incubation with glucose ( P = 0.001). F reduced plaque lactate production from endogenous sources ( P = 0.02). PCA revealed differences between the metabolic profiles of plaque treated with Arg or F. Arg significantly affected the concentrations of 16 metabolites, including phenethylamine, agmatine, and glucosamine-6-phosphate ( P < 0.05), while F affected the concentrations of 9 metabolites, including phenethylamine, N-methyl-glutamate, and agmatine ( P < 0.05). The anticaries mechanisms of action of arginine and fluoride are distinct. Arginine metabolism promotes biofilm pH homeostasis, whereas fluoride is thought to enhance resistance of tooth minerals to low pH and reduce acid production by supragingival oral biofilms.

scholarly journals Monitoring of Sound and Carious Surfaces under Sealants over 44 Months

2014 ◽  
Vol 93 (11) ◽  
pp. 1070-1075 ◽  
Author(s):  
M. Fontana ◽  
J.A. Platt ◽  
G.J. Eckert ◽  
C. González-Cabezas ◽  
K. Yoder ◽  
...  
Keyword(s):  
Assessment System ◽  
Retention Rates ◽  
Caries Detection ◽  
Major Barrier ◽  
Occlusal Surfaces ◽  
Before And After ◽  
Permanent Molars ◽  
Caries Lesions ◽  
Sealant Retention ◽  
Lesion Severity

Although there is strong evidence for the effectiveness of sealants, one major barrier in sealant utilization is the concern of sealing over active caries lesions. This study evaluated detection and monitoring of caries lesions through a clear sealant over 44 mo. Sixty-four 7- to 10-year-old children with at least 2 permanent molars with International Caries Detection and Assessment System (ICDAS) scores 0-4 (and caries less than halfway through the dentin, radiographically) were examined with ICDAS, DIAGNOdent, and quantitative light-induced fluorescence (QLF) before sealant placement and 1, 12, 24, and 44 mo (except QLF) after. Bitewing radiographs were taken yearly. DIAGNOdent and QLF were able to distinguish between baseline ICDAS before and after sealant placement. There was no significant evidence of ICDAS progression at 12 mo, but there was small evidence of minor increases at 24 and 44 mo (14% and 14%, respectively) with only 2% ICDAS ≥ 5. Additionally, there was little evidence of radiographic progression (at 12 mo = 1%, 24 mo = 3%, and 44 mo = 9%). Sealant retention rates were excellent at 12 mo = 89%, 24 mo = 78%, and 44 mo = 70%. The small risk of sealant repair increased significantly as baseline ICDAS, DIAGNOdent, and QLF values increased. However, regardless of lesion severity, sealants were 100% effective at 12 mo and 98% effective over 44 mo in managing occlusal surfaces at ICDAS 0-4 ( i.e., only 4 of 228 teeth progressed to ICDAS ≥ 5 associated with sealants in need of repair and none to halfway or more through the dentin, radiographically). This study suggests that occlusal surfaces without frank cavitation (ICDAS 0-4) that are sealed with a clear sealant can be monitored with ICDAS, QLF, or DIAGNOdent, which may aid in predicting the need for sealant repair.

scholarly journals Early Diagnosis of Bilateral Supplemental Primary and Permanent Maxillary Lateral Incisors: A Case Report

2011 ◽  
Vol 05 (02) ◽  
pp. 215-219 ◽  
Author(s):  
Gozde Yildirim ◽  
Sule Bayrak
Keyword(s):  
Case Report ◽  
Early Diagnosis ◽  
Permanent Dentition ◽  
Primary Dentition ◽  
Mixed Dentition ◽  
Diagnosis And Treatment ◽  
Supernumerary Teeth ◽  
Delayed Eruption ◽  
Normal Shape ◽  
Shape And Size

ABSTRACTSupernumerary teeth occur frequently in permanent dentition, but they are rarely found in primary dentition. Supernumerary teeth of orthodox shape and size that resemble normal dentition are called ‘supplemental teeth’. Supplemental teeth are less common than supernumerary teeth and are often overlooked because of their normal shape and size. Supplemental teeth may cause esthetic problems, delayed eruption and crowding, and they require early diagnosis and treatment to prevent complications. The case reported here is one of bilateral supplemental teeth impeding the eruption of permanent maxillary lateral incisors, and it emphasizes the importance of early diagnosis and treatment during early mixed dentition. (Eur J Dent 2011;5:215-219)

scholarly journals Caries Prevalence Evolution and Risk Factors among Schoolchildren and Adolescents from Valencia (Spain): Trends 1998–2018

2020 ◽  
Vol 17 (18) ◽  
pp. 6561
Author(s):  
Teresa Almerich-Torres ◽  
José María Montiel-Company ◽  
Carlos Bellot-Arcís ◽  
José Enrique Iranzo-Cortés ◽  
José Carmelo Ortolá-Siscar ◽  
...  
Keyword(s):  
Risk Factors ◽  
Permanent Dentition ◽  
Assessment System ◽  
Caries Detection ◽  
Cluster Sampling ◽  
Caries Prevalence ◽  
Deciduous Dentition ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Icdas Ii

The aim of this study was to determine the caries status and risk factors in the schoolchildren of Spain’s Valencia region in 2018 and to compare them to the 20-year evolution of caries indicators in the region. A cross-sectional survey was conducted with 1722 children and adolescents aged between 6 and 15 using cluster sampling. Caries status, using International Caries Detection and Assessment System II (ICDAS II) criteria, and sociodemographic variables were recorded. To ensure the comparison with previous studies using WHO caries criteria, the cut-off point was established at ICDAS II code 4. Caries prevalence was found to be 37.4% and the decayed and filled teeth index (dft) was 1.23 at 6 years for deciduous dentition (DD). In permanent dentition (PD) at 12 years, caries prevalence was 30.1% with a 0.66 decayed, missing and filled teeth index (DMFT), and at 15 years, prevalence was 44.6% and DMFT was 1.21. Socioeconomic status poses a major risk factor for caries prevalence in deciduous dentition; it is 1.8 times higher in the lowest socioeconomic group. Deciduous dentition status has worsened in the most recent eight-year period, whereas in permanent dentition the 12- and 15-year values are similar to those of the 2010 survey. Evolution analysis suggests that community dental care programs be enhanced, involving preventive activities staring at the first year and targeting disadvantaged groups.

The relationhip between occlusal factors and bruxism in permanent and mixed dentition in Turkish children

2001 ◽  
Vol 25 (3) ◽  
pp. 191-194 ◽  
Author(s):  
Saziye Sari ◽  
Hayriye Sonmez
Keyword(s):  
Permanent Dentition ◽  
Mixed Dentition ◽  
Class I ◽  
Primary Molars ◽  
Turkish Children ◽  
Angle Class ◽  
Relationship Of ◽  
The Relationship ◽  
Anterior Posterior

The aim of this study was to investigate the relationship between occlusal factors (overjet, overbite, Angle's Classification of molars and cuspids, the relationship of the primary molars, openbite, lateral openbite, scissorbite and crossbite) and bruxism in permanent and mixed dentition in Turkish children. For this reason 182 children with mixed dentition and 212 children with permanenth dentition were included in this study. Occlusal conditions were examined clinically and bruxism was assesed by using interview and questionnaires. Z Test was used to compare the results. It was found that in both dentition some occlusal factors related with bruxism (overjet &gt; 6 mm, overbite &gt; 5 mm, negative overjet, openbite in permanent dentition; overjet &gt; 6 mm, overbite &gt; 5 mm, scissorbite, anterior-posterior multiple teeth crossbite, Angle Class I occlusion in mixed dentition.

The International Caries Detection and Assessment System – ICDAS: A Systematic Review

2018 ◽  
Vol 52 (5) ◽  
pp. 406-419 ◽  
Author(s):  
Kim Rud Ekstrand ◽  
Thais Gimenez ◽  
Fernanda R. Ferreira ◽  
Fausto M. Mendes ◽  
Mariana M. Braga
Keyword(s):  
Roc Curves ◽  
Diagnostic Odds Ratio ◽  
Assessment System ◽  
Caries Detection ◽  
Activity Assessment ◽  
Caries Progression ◽  
Overall Performance ◽  
Meta Analyses ◽  
Caries Lesions ◽  
Specific Search

The aims of this study were: (1) to evaluate the overall reproducibility and accuracy of the International Caries Detection and Assessment System (ICDAS) for assessing coronal caries lesions, and (2) to investigate the use of systems associated with the ICDAS for activity assessment of coronal caries lesions. Specific search strategies were adopted to identify studies published up to 2016. For the first objective, we selected studies that assessed primary coronal caries lesions using the ICDAS as a reference standard. A total of 54 studies were included. Meta-analyses summarized the results concerning reproducibility and accuracy (correlation with histology, summary ROC curves [SROC], and diagnostic odds ratio [DOR]). The latter 2 were expressed at D1/D3 levels. The heterogeneity of the studies was also assessed. Reproducibility values (pooled) were > 0.65. The ICDAS mostly presented a good overall performance as most areas under SROC were > 0.75 at D1 and > 0.90 at D3; DOR ≥6. For the second objective, we selected studies investigating activity assessment associated with the ICDAS. The meta-analyses pooled results based on the same methodology and parameters as above. Longitudinal findings regarding caries progression were described to estimate the validity of these systems. On average, the systems for activity assessment of caries lesions showed moderate values concerning reproducibility and overall performance. Active caries lesions were more prone to progress than inactive ones after 2 years. In conclusion, the ICDAS presented a substantial level of reproducibility and accuracy for assessing primary coronal caries lesions. Additional systems associated with the ICDAS that classify caries lesion activity can be useful as they are moderately reproducible and accurate.

scholarly journals Mesiodense; a common dental problems in pediatric patient. A case report

2020 ◽  
Vol 10 (2) ◽  
pp. 26-28
Author(s):  
Huda Mannan ◽  
Anam Ahmed ◽  
Khandakar Nuruzzaman
Keyword(s):  
Case Report ◽  
General Population ◽  
Early Detection ◽  
Pediatric Patient ◽  
Permanent Dentition ◽  
Primary Dentition ◽  
Mixed Dentition ◽  
Permanent Teeth ◽  
Dental Anomalies ◽  
Supernumerary Tooth

A mesiodense is a most common supernumerary tooth which is one of the most significant dental anomalies at the primary and early mixed dentition stages. The reported prevalence of mesiodense in general population ranges between 0.15% to 1.9% and more frequently found in the permanent dentition but rarely found in primary dentition. Mesiodense are primarily responsible for eruption disturbances or delay of the maxillary anterior permanent teeth emergence. Therefore the dentists and parents are great concern about malocclusion and esthetic problems which is caused by mesiodense. Early detection, diagnosis and treatment of mesiodense is important to prevent further complications in permanent dentition. A case of mesiodense of 8 years old child in upper anterior region in mixed dentition and their management have been discussed. Update Dent. Coll. j: 2020; 10 (2): 26-28

Prevalence of Cariogenic and Periodontopathic Bacteria in Japanese Children in the Primary and Mixed Dentitions

2011 ◽  
Vol 36 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Junko Shimomura-Kuroki ◽  
Kie Yamashita-Matsuda ◽  
Yukio Miyagawa ◽  
Shohachi Shimooka
Keyword(s):  
Primary Dentition ◽  
Mixed Dentition ◽  
Caries Experience ◽  
Periodontal Pathogens ◽  
Streptococcus Sobrinus ◽  
Single Nucleotide ◽  
Cariogenic Bacteria ◽  
Periodontopathic Bacteria ◽  
The Relationship ◽  
Oral Condition

Aim: The purpose of the present study was to evaluate the relationship between infection with cariogenic bacteria or periodontal pathogens and the oral condition of children in the primary and mixed dentition stages. Method: Children aged 3 to 11 years were selected. Detection of cariogenic and periodontopathic bacteria and single nucleotide polymorphism (SNP) analyses were performed, and the prevalence of infection with cariogenic bacteria or periodontal pathogens based on caries experience and dental stage was compared. Results: The prevalence of Streptococcus mutans in both stages was significantly higher in the caries group than in the caries-free group. The prevalence of Streptococcus sobrinus was significantly higher in the caries group only in the mixed dentition stage. The prevalence of periodontal pathogens was significantly higher in the mixed dentition stage than in the primary dentition stage, regardless of caries experience. However, there were no significant differences in the prevalence of the periodontal pathogens between the primary dentition and mixed dentition stages, based on caries experience. Conclusion: Our data suggested that cariogenic and periodontopathic bacteria have different infection patterns, and that the period of infection with these bacteria also differs.

scholarly journals Influence of Examiner Experience on Clinical Performance of Visual Inspection in Detecting and Assessing the Activity Status of Caries Lesions

2013 ◽  
Vol 38 (6) ◽  
pp. 583-590 ◽  
Author(s):  
T Gimenez ◽  
DG Bittar ◽  
C Piovesan ◽  
CAB Guglielmi ◽  
KY Fujimoto ◽  
...  
Keyword(s):  
Clinical Features ◽  
Visual Inspection ◽  
Dental Treatment ◽  
Pediatric Dentistry ◽  
Dental Students ◽  
Assessment System ◽  
Caries Detection ◽  
Caries Activity ◽  
Caries Lesions ◽  
Different Levels

SUMMARYOur hypothesis was that a method of caries activity evaluation based on the clinical features of the lesions would be less time consuming but more influenced by the examiner's experience than the scoring system used in association with the International Caries Detection and Assessment System (ICDAS). Thus, the aim of this study was to evaluate the performance of three groups of examiners with different levels of experience using two different methods to assess the activity status of caries lesions by visual inspection. A cross-sectional study in a dental office setting was performed selecting 18 children, aged three to eight years, who had sought dental treatment at a dental school. Examinations to detect caries lesions were performed using visual inspection by six examiners with different levels of experience: two undergraduate dental students, two specialists in pediatric dentistry, and two graduate students. The examiners used ICDAS and two different methods to assess caries activity: using an additional score system or considering the examination of clinical features. Two benchmark examiners examined the children in a joint session, and their consensus was considered to be the reference standard. The sensitivity, specificity, and reproducibility were calculated for different thresholds: all, cavitated, and active caries lesions. Multilevel analyses were performed to compare the different methods and examiners. No differences were observed among the examiners, either in detecting all lesions and cavitated lesions or regarding the activity assessment. The methods of assessing activity status performed similarly, but the time spent on examinations was shorter for the method evaluating clinical features. In conclusion, the experience of examiners does not significantly influence the performance of visual inspection, and both methods of assessing activity status result in similar diagnostic accuracy.

scholarly journals Supernumerary Teeth in Primary Dentition and Early Intervention: A Series of Case Reports

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Rakesh N. Bahadure ◽  
Nilima Thosar ◽  
Eesha S. Jain ◽  
Vidhi Kharabe ◽  
Rahul Gaikwad
Keyword(s):  
Early Intervention ◽  
Early Recognition ◽  
Case Reports ◽  
Common Type ◽  
Permanent Dentition ◽  
Primary Dentition ◽  
Mixed Dentition ◽  
Dental Anomalies ◽  
Supernumerary Teeth ◽  
Lower Arch

Supernumerary teeth are considered as one of the most significant dental anomalies during the primary and early mixed dentition stages. They are of great concern to the dentists and parents because of the eruption, occlusal, and esthetic problems they can cause. Supernumerary teeth occur more frequently in the permanent dentition but rarely in primary dentition. Mesiodens is the most common type of supernumerary teeth but rarely seen in lower arch. Early recognition and diagnosis of supernumerary teeth is important to prevent further complications in permanent dentition. Four cases of supernumerary teeth with mesiodens in upper and lower arch in primary dentition and their management have been discussed.

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