Luana Severo Alves1, Cristiano Susin2, Nailê Damé-Teixeira3, Marisa Maltz3. 1. Department of Restorative Dentistry, School of Dentistry, Federal University of Santa Maria, Santa Maria, Brazil. 2. Departments of Periodontics and Oral Biology, Dental College of Georgia, Augusta University, Augusta, GA, USA. 3. Department of Social and Preventive Dentistry, Faculty of Odontology, Federal University of Rio Grande do Sul, Porto Alegre, Brazil.
Abstract
AIM: This study aimed to compare the prevalence and extent of dental caries according to the standard World Health Organization (WHO), modified WHO and International Caries Detection and Assessment System (ICDAS) criteria among 12-year-old Brazilian schoolchildren and to assess the impact of these detection criteria on the assessment of sociodemographic risk indicators for dental caries. METHODS: This cross-sectional survey used a multistage probability sampling strategy to select a representative sample of 12-year-old schoolchildren. After tooth cleaning and drying, a single examiner recorded the presence of non-cavitated and cavitated caries lesions. A questionnaire gathered demographic and socio-economic information. Three proposed thresholds for caries detection were used: standard WHO criteria (only cavitated lesions); modified WHO criteria (active non-cavitated lesions and cavitated lesions); and ICDAS (all non-cavitated and cavitated lesions). Prevalence ratios (PR), rate ratios (RR) and 95% confidence intervals (95% CI) were estimated using survey Poisson regression analysis. RESULTS: In total, 1,528 of 1,837 eligible schoolchildren participated. Caries prevalence (standard WHO, 55.23%; modified WHO, 63.33%; ICDAS, 79.82%) and decayed, missing and filled teeth (DMFT) index (standard WHO, 1.39; modified WHO, 1.95; ICDAS, 3.78) increased as the detection criteria became more sensitive. Compared with the standard WHO criteria, ICDAS had a greater impact on caries estimates, mainly in schoolchildren of higher socio-economic background. All socio-economic variables were significantly associated with dental caries, irrespective of the detection criteria. CONCLUSION: 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.
AIM: This study aimed to compare the prevalence and extent of dental caries according to the standard World Health Organization (WHO), modified WHO and International Caries Detection and Assessment System (ICDAS) criteria among 12-year-old Brazilian schoolchildren and to assess the impact of these detection criteria on the assessment of sociodemographic risk indicators for dental caries. METHODS: This cross-sectional survey used a multistage probability sampling strategy to select a representative sample of 12-year-old schoolchildren. After tooth cleaning and drying, a single examiner recorded the presence of non-cavitated and cavitated caries lesions. A questionnaire gathered demographic and socio-economic information. Three proposed thresholds for caries detection were used: standard WHO criteria (only cavitated lesions); modified WHO criteria (active non-cavitated lesions and cavitated lesions); and ICDAS (all non-cavitated and cavitated lesions). Prevalence ratios (PR), rate ratios (RR) and 95% confidence intervals (95% CI) were estimated using survey Poisson regression analysis. RESULTS: In total, 1,528 of 1,837 eligible schoolchildren participated. Caries prevalence (standard WHO, 55.23%; modified WHO, 63.33%; ICDAS, 79.82%) and decayed, missing and filled teeth (DMFT) index (standard WHO, 1.39; modified WHO, 1.95; ICDAS, 3.78) increased as the detection criteria became more sensitive. Compared with the standard WHO criteria, ICDAS had a greater impact on caries estimates, mainly in schoolchildren of higher socio-economic background. All socio-economic variables were significantly associated with dental caries, irrespective of the detection criteria. CONCLUSION: 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.
Authors: Chaiana Piovesan; Fausto M Mendes; Fabiana V Ferreira; Renata S Guedes; Thiago M Ardenghi Journal: J Public Health Dent Date: 2010 Impact factor: 1.821
Authors: Amid I Ismail; Woosung Sohn; Marisol Tellez; Jenefer M Willem; James Betz; James Lepkowski Journal: Community Dent Oral Epidemiol Date: 2008-02 Impact factor: 3.383
Authors: Eleonor Vélez-León; Alberto Albaladejo; Katherine Cuenca-León; Magaly Jiménez-Romero; Ana Armas-Vega; María Melo Journal: Int J Environ Res Public Health Date: 2022-06-14 Impact factor: 4.614
Authors: Michael Raedel; Yvonne Wagner; Heinz-Werner Priess; Stefanie Samietz; Steffen Bohm; Michael H Walter Journal: Caries Res Date: 2021-06-29 Impact factor: 4.056
Authors: Ricardo Luiz de Barreto Aranha; Renata de Castro Martins; Diego Rodrigues de Aguilar; Johana Alejandra Moreno-Drada; Woosung Sohn; Carolina de Castro Martins; Mauro Henrique Nogueira Guimarães de Abreu Journal: Biomed Res Int Date: 2021-05-15 Impact factor: 3.411