Comparative Evaluation of ICDAS, WHO and Histological Examination in Detection of Occlusal Carious Lesions
DOI:
https://doi.org/10.14295/bds.2020.v23i3.1938Abstract
Detection of occlusal carious lesions with visual scoring systems is in a continuous validation with the histological depth of carious demineralization. Objective: The present study aimed to compare the International Caries Detection and Assessment System (ICDAS), the World Health Organization (WHO) system and histological examination in detecting occlusal carious lesions. Material and Methods: 20 premolars were evaluated by visual examination using ICDAS, WHO and histological examination using stereomicroscope (SM) for occlusal caries detection. Occlusal surfaces were evaluated by two examiners then all teeth were visually and histologically assessed. Results: For each of three systems the inter class correlation coefficient was examined, the differences between the three systems of occlusal caries detection were minimal. The visual examination through WHO recorded the higher intercorrelation coefficient followed by ICDAS system then histological examination respectively. Conclusion: WHO and ICDAS have demonstrated reproducibility and diagnostic accuracy when compared with histological examination for detecting occlusal caries.
Keywords
International caries detection and assessment system; World health organization; Histological examination; Occlusal caries.
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References
Baelum V. What is an appropriate caries diagnosis? Acta Odontol Scand. 2010; 68 (2): 65-79.
Neuhaus KW, Ellwood R, Lussi A, Pitts NB. Traditional lesion detection aids. Monogr Oral Sci. 2009; 21: 42-51.
Karlsson L, Johansson E, Tranaeus S. Validity and reliability of laser-induced fluorescence measurements on carious root surfaces in vitro. Caries Res. 2009; 43 (5): 397-404.
Kuhnisch J, Ifland S, Tranaeus S, Heinrich-Weltzien R. Comparison of visual inspection and different radiographic methods for dentin caries detection on occlusal surfaces. Dentomaxillofac. Radiol. 2009; 38 (7): 452-457.
Sridhar N, Tandon S, Rao N. A comparative evaluation of DIAGNOdent with visual and radiography for detection of occlusal caries: an in vitro study. Indian J Dent Res. 2009; 20 (3): 326-331.
Ripa LW, Leske GS, Varma AO. Longitudinal Study of the Caries Susceptibility of Occlusal and Proximal Surfaces of First Permanent Molars, J Public Hith Dent. 1988; 48: 8-13.
Anderson M. Risk assessment and epidemiology of dental caries: review of the literature. Pediatr Dent. 2002; 24: 377-385.
Vehkalahti MM, Widstrom E: Teaching received in caries prevention and perceived need for Best Practice Guidelines among recent graduates in Finland. Eur J Dent Educ. 2004; 8: 7-11.
Ismail AI. Visual and visuo-tactile detection of dental caries. J Dent Res. 2004; 83: 56-66.
Lussi A, Imwinkelried S, Pitts N, Longbottom C, Reich E. Performance and reproducibility of a laser fluorescence system for detection of occlusal caries in vitro. Caries Res. 1999; 33: 261-266.
WHO. Oral Health Surveys: Basic Methods, Ed 4. Geneva, World Health Organization. 1997.
Pitts N. ICDAS-an international system for caries detection and assessment being developed to facilitate caries epidemiology, research and appropriate clinical management. Community Dent Health. 2004; 21: 193-198.
Ekstrand KR, Ricketts DN, Kidd EA. Reproducibility and accuracy of three methods for assessment of demineralization depth on the occlusal surface: an in vitro examination. Caries Res. 1997; 31: 224-231.
Fyffe HE, Deery CH, Nugent ZJ, Nuttall NM, Pitts NB. Effect of diagnostic threshold on the validity and reliability of epidemiological caries diagnosis using the Dundee Selectable Threshold Method for caries diagnosis (DSTM). Community Dent. Oral Epidemiol. 2000; 28: 42-51.
Ekstrand KR, Ricketts DN, Kidd EA. Occlusal caries: pathology, diagnosis and logical management. Dent Update. 2001; 28: 380-387.
Chesters RK, Pitts NB, Matuliene G, Kvedariene A, Huntington E, Bendinskaite R, Balciuniene I, Matheson JR, Nicholson JA, Gendvilyte A, Sabalaite R, Ramanauskiene J, Savage D, Mileriene J. An abbreviated caries clinical trial design validated over 24 months. J Dent Res. 2002; 81: 637-640.
Ricketts DN, Ekstrand KR, Kidd EA, Larsen T. Relating visual and radiographic ranked scoring systems for occlusal caries detection to histological and microbiological evidence. Oper Dent. 2002; 27: 231-237.
Ekstrand KR, Ricketts DN, Longbottom C, Pitts NB. Visual and tactile assessment of arrested initial enamel carious lesions: an in vivo pilot study. Caries Res. 2005; 39:173-177.
Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol. 2007; 35(3): 170–178.
Stoleriu S, Pancu G, Iovan G, Ghiorghe A, Andrian S. Comparative Study Regarding Who And Icdas-Ii System Of Detection Of Occlusal Caries. J Rom Oral Rehab. 2012; 4-2.
Ekstrand KR, Kuzmina I, Bjornda L, Thylstrup A. Relatioship between external and histologic features of progressive stages of caries in the occlusal fossa. Caries Res. 1995; 29: 243-250.
Featherstone JD. Dental caries: a dynamic disease process. Aust Dent J. 2008; 53: 286–91.
Ogawa K, Yamashita Y, Ichijo T, Fusayama T. The ultrastructure and hardness of the transparent layer of human carious dentin. J Dent Res. 1983; 62(1): 7–10.
Jablonski-Momeni A, Stachniss V, Ricketts DN, Heinzel- Gutenbrunner M, Pieper K. Reproducibility and accuracy of the ICDAS-II for detection of occlusal caries in vitro. Caries Res. 2008; 42: 79–87.
Braga MM, Oliveira LB, Bonini GA, Bo ̈necker M, Mendes FM. Feasibility of the International Caries Detection and Assessment System (ICDAS-II) in epidemiological surveys and comparability with standard World Health Organization criteria. Caries Res. 2009; 43: 245–59.
Iranzo-Cortes JE, Montiel-Company JM, Almerich-Silla JM. Caries diagnosis: agreement between WHO and ICDAS II criteria in epidemiological surveys. Community Dent Health. 2013 ; 30: 108–11.
Ekstrand KR, Martignon S, Ricketts DJ, Qvist V. Detection and activity assessment of primary coronal caries lesions: a method- ologic study. Oper Dent. 2007; 32: 225–35.
Gomez J, Zakian C, Salsone S, Pinto, SC, Taylor A, Pretty IA, Ellwood R. In vitro performance of different methods in detecting occlusal caries lesions. J Dent. 2013; 41: 180–6.
El-Damanhoury HM, Fakhruddin KS, Awad MA. Effectiveness of teaching International Caries Detection and Assessment Sys- tem II and its e-learning program to freshman dental students on occlusal caries detection. Eur J Dent. 2014; 8: 493–7.
Diniz MB, Lima LM, Eckert G, Zandona AG, Cordeiro RC, Pinto LS. In vitro evaluation of ICDAS and radiographic examination of occlusal surfaces and their association with treatment decisions. Oper Dent. 2011; 36: 133–42.
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