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Direct versus Photographic Caries Assessment Using the ICDAS Criteria in Orthodontic Patients (58th Annual ORCA Congress July 6–9, 2011, Kaunas, Lithuania) Corto (RESUMEN)


Información de la publicación

Información de la publicación
Tipo de publicación

Científica

Tipología

Investigación y estudios

Medio de publicación

Digital: Revista digital

Resumen

Objective: To compare direct visual versus photographic assessment of caries by means of the ICDAS scoring system, in a sample of patients undergoing fixed appliance therapy.


Materials and Methods: The previously cleaned teeth of 101 12- to 35-years old patients with 6 1 year of appliance treatment were visually examined, using a dental light, air and a WHO probe by a trained examiner (inter-examiner kappa = 0.85 from a previous study).

One month later standardised images (Nikon D80 camera, 105 mm Nikon Macro, twin flash) were viewed on a monitor (Dell Inspiron 530S). Each patient having 28 teeth, 72 sites were examined per mouth: the occlusal surfaces, including all pits (2 in premolars; 3 in molars); and the buccal surfaces, including the fissure and cervical third in the lower molars. Five percent of examinations were repeated. Results: The mean age of subjects was 19.9 8

6.8 years (55% female; 45% male). The intra-examiner reliability was almost perfect for both methods (kappa values 1 0.81). A total of 2,114 (75%) teeth were assessed, corresponding to 4,729 examination sites. By visual exam, the sample showed a mean traditional DF-S (ICDAS 4–6) of 8.63 8 7.95 (D-S: 0.23 8 0.42; F-S: 8.41 8 8), with the D component being all ICDAS4, non-cavitated dentine lesions. When 1–3 ICDAS scores were included this figure increased to 14.93 8 8.91. All subjects had at least one ICDAS1–4 caries lesion present. The visual photographic examination disclosed a significantly higher (McNemar-Bowker test; p = 0.000) mean number of carious sites (9.12 8 2.58) compared with the direct examination (6.52 8 1.92). Conclusion: The use of photographic images for the assessment of dental caries by means of the ICDAS criteria detected a higher mean number of sites with caries lesions present. Universidad El Bosque partially funded this project.

Autores

STEFANIA MARTIGNON BIERMANN, JUAN SEBASTIAN LARA, INGRID MORA, G BAUTISTA-MENDOZA, MARIA DANIELA HERNANDEZ ZAMBRANO, SANDRA PATRICIA CASTANO DUQUE

Registro ISSN

0008-6568

SNIES Área

Dentistry

SNIES Categoría

Dentistry (miscellaneous)

Fecha de publicación 12 de mayo de 2011
Fecha de aceptación 05 de diciembre de 2011
Medio indexado (nombre)

Caries Research

Bases de datos donde está referenciada

PUBMED

Información de apoyo a la difusión
Enlaces 58th Annual ORCA Congress
58th Annual ORCA Congress.Caries Res 2011;45:174–242 DOI: 10.1159/000328514

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