OBJECTIVES: To develop a method for recording dental caries at the D1 (enamel and dentine) diagnostic threshold (without loss of D3 information) and assess its reliability, 'benchmark' validity and potential effects on reported caries prevalence and needs assessment. METHODS: Multi-examiner training, calibration and validation trial. Two groups of 10 dental examiners were trained to diagnose dental caries at the D1 (enamel and dentine) diagnostic threshold under the conditions of a caries prevalence survey, prior to a calibration trial being undertaken. RESULTS: Where 'experienced examiners' were trained to examine at the D1 (enamel and dentine) diagnostic threshold, under the conditions of a cross-sectional epidemiological survey, there was no significant deterioration in inter-examiner agreement on the assessment of teeth and a significant difference in one of two comparisons on the assessment of surfaces using the kappa statistic. Assessed against a benchmark examiner, there was no significant loss of sensitivity at the D1 diagnostic threshold compared with the D3 threshold and, although there was a significant loss of specificity at the D1 threshold, all specificity values could be considered to be high. CONCLUSIONS: Modifying the diagnostic criteria typically used in surveys of caries prevalence (to allow assessment of the levels of enamel caries which could benefit from preventive care as well as dentinal caries requiring restorative care) in adolescents does not adversely affect the reliability or benchmark validity of experienced examiners to a significant degree.
OBJECTIVES: To develop a method for recording dental caries at the D1 (enamel and dentine) diagnostic threshold (without loss of D3 information) and assess its reliability, 'benchmark' validity and potential effects on reported caries prevalence and needs assessment. METHODS: Multi-examiner training, calibration and validation trial. Two groups of 10 dental examiners were trained to diagnose dental caries at the D1 (enamel and dentine) diagnostic threshold under the conditions of a caries prevalence survey, prior to a calibration trial being undertaken. RESULTS: Where 'experienced examiners' were trained to examine at the D1 (enamel and dentine) diagnostic threshold, under the conditions of a cross-sectional epidemiological survey, there was no significant deterioration in inter-examiner agreement on the assessment of teeth and a significant difference in one of two comparisons on the assessment of surfaces using the kappa statistic. Assessed against a benchmark examiner, there was no significant loss of sensitivity at the D1 diagnostic threshold compared with the D3 threshold and, although there was a significant loss of specificity at the D1 threshold, all specificity values could be considered to be high. CONCLUSIONS: Modifying the diagnostic criteria typically used in surveys of caries prevalence (to allow assessment of the levels of enamel caries which could benefit from preventive care as well as dentinal caries requiring restorative care) in adolescents does not adversely affect the reliability or benchmark validity of experienced examiners to a significant degree.
Authors: John P Brown; Bennett T Amaechi; James D Bader; Gregg H Gilbert; Sonia K Makhija; Juanita Lozano-Pineda; Michael C Leo; Chuhe Chen; William M Vollmer Journal: Community Dent Oral Epidemiol Date: 2013-11-08 Impact factor: 3.383
Authors: Renato Pereira da Silva; Andréa Videira Assaf; Fábio Luiz Mialhe; Karine Laura Cortellazi Mendes; Marcelo de Castro Meneghim; Antonio Carlos Pereira Journal: Int J Public Health Date: 2020-02-03 Impact factor: 3.380
Authors: David W Banting; Bennett T Amaechi; James D Bader; Peter Blanchard; Gregg H Gilbert; Christina M Gullion; Jan Carlton Holland; Sonia K Makhija; Athena Papas; André V Ritter; Mabi L Singh; William M Vollmer Journal: J Public Health Dent Date: 2011-08-17 Impact factor: 1.821
Authors: Robert J Berkowitz; Hyun Koo; Michael P McDermott; Mary Therese Whelehan; Patricia Ragusa; Dorota T Kopycka-Kedzierawski; Jeffrey M Karp; Ronald Billings Journal: J Public Health Dent Date: 2009 Impact factor: 1.821
Authors: Richard Macey; Tanya Walsh; Philip Riley; Anne-Marie Glenny; Helen V Worthington; Lucy O'Malley; Janet E Clarkson; David Ricketts Journal: Cochrane Database Syst Rev Date: 2021-06-14