Use of ICDAS-II Criteria in the Detection of Caries Lesion in Cleft Lip and Palate Patients

Luciana Lourenço Ribeiro Vitor, Isabela Ramalho Rodrigues, Bianca Zeponi Fernandes Mello, Cleide de Felício Carvalho Carrara, Vivian Agostino Biella Passos, Thais Marchini Oliveira

Abstract


Objective: To use the International Caries Detection and Assessment System (ICDAS-II) to evaluate the scores of different stages of caries lesion development in cleft lip and palate children. Material and Methods: Fifty cleft lip and palate children aged6-10 years at mixed dentition were selected. Two examiners, one after the other, performed the visual examination of dental surfaces. Firstly, the teeth were cleaned with the aid of pumice and water paste. The examination was carried out under the dental chair reflector, after air drying for 5 seconds with air-water syringe, and with the aid of a WHO probe. The sites comprising the sample were classified according to criteria proposed by ICDAS-II. Results: Ten children met the inclusion criteria. Twenty-five anterior teeth at the cleft area and 93 posterior teeth were assessed, totalizing 590 surfaces classified by ICDAS-II. Four hundred and ninety-four surfaces were scored as sound (code 0-0) regarding the Caries Lesion Condition. Only one surface was scored as partial sealant (code 1), according to the Tooth Surface Condition, but classified as sound regarding the Caries Lesion Condition (code 1-0). No surface exhibited stainless steel; porcelain, gold or porcelain fused to metal crowner veneer; lost or broken restoration; and temporary restoration (codes 5, 6, 7, and 8, respectively). Conclusion: ICDAS-II shows good performance in analyzing caries lesions through more specific assessment and more accurate examination, enabling the detection of caries lesion development at several stages.

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References


Nyvad B. Diagnosis versus detection of caries. Caries Res 2004; 38(3):192-8.

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(3):231-7.

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(3):193-8.

Braga MM, Martignon S, Ekstrand KR, Ricketts DN, Imparato JC, Mendes FM. Parameters associated with active caries lesions assessed by two different visual scoring systems on occlusal surfaces of primary molars - a multilevel approach. Community Dent Oral Epidemiol 2010; 38(6):549-58.

Braga MM, Mendes FM, Ekstrand KR. Detection activity assessment and diagnosis of dental caries lesions. Dent Clin North America. 2010; 54(3):479-93.

Cadavid AS, Lince CM, Jaramillo MC. Dental caries in the primary dentition of a Colombian population according to the ICDAS criteria. Braz Oral Res 2010; 24(2):211-6.

Ekstrand KR, Martignon S, Ricketts DJ, Qvist V. Detection and activity assessment of primary coronal caries lesions: a methodologic study. Oper Dent 2007; 32(3):225-35.

Ismail AI, Sohn W, Tellez M, Amaya A, Sen A, Hasson H, et al. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol 2007; 35(3):170-8.

Ormond C, Douglas G, Pitts N. The use of the International Caries Detection and Assessment System (ICDAS) in a National Health Service general dental practice as part of an oral health assessment. Prim Dent Care 2010; 17(4):153-59.

Ismail AI, Lim S, Sohn W. A transition scoring system of caries increment with adjustment of reversals in longitudinal study: evaluation using primary tooth surface data. Community Dent Oral Epidemiol 2011; 39(1):61-8.

Braga MM, Oliveira LB, Bonini GA, Bonecker 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(4):245-9.

Ismail AI, Sohn W, Tellez M, Willem JM, Betz J, Lepkowski J. Risk indicators for dental caries using the International Caries Detection and Assessment System (ICDAS). Community Dent Oral Epidemiol 2008; 36(1):55-68.

Shoaib L, Deery C, Ricketts DN, Nugent ZJ. Validity and reproducibility of ICDAS II in primary teeth. Caries Res 2009; 43(6):442-8.

Sohn W, Ismail A, Amaya A, Lepkowski J. Determinants of dental care visits among low-income African-American children. J Am Dent Assoc 2007; 138(3):309-18; quiz 95-96, 98.

Braga MM, Mendes FM, Martignon S, Ricketts DN, Ekstrand KR. In vitro comparison of Nyvad's system and ICDAS-II with Lesion Activity Assessment for evaluation of severity and activity of occlusal caries lesions in primary teeth. Caries Res 2009; 43(5):405-12.

Diniz MB, Rodrigues JA, Hug I, Cordeiro Rde C, Lussi A. Reproducibility and accuracy of the ICDAS-II for occlusal caries detection. Community Dent Oral Epidemiol 2009; 37(5):399-404.

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(2):79-87.

Freitas JA, das Neves LT, de Almeida AL, Garib DG, Trindade-Suedam IK, Yaedu RY, et al. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies/USP (HRAC/USP)--Part 1: overall aspects. J Appl Oral Sci 2012; 20(1):9-15.

Britton KF, Welbury RR. Dental caries prevalence in children with cleft lip/palate aged between 6 months and 6 years in the West of Scotland. Eur Arch Paediatr Dent 2010; 11(5):236-41.

Freitas JA, Garib DG, Oliveira M, Lauris Rde C, Almeida AL, Neves LT, et al. Rehabilitative treatment of cleft lip and palate: experience of the Hospital for Rehabilitation of Craniofacial Anomalies-USP (HRAC-USP)--part 2: pediatric dentistry and orthodontics. J Appl Oral Sci 2012; 20(2):268-81.

King NM, Wong WL, Wong HM. Caries experience of chinese children with cleft lip and palate. Cleft Palate Craniofac J 2013; 50(4):448-55.

Fung L, Smales R, Ngo H, Moun G. Diagnostic comparison of three groups of examiners using visual and laser fluorescence methods to detect occlusal caries in vitro. Aust Dent J 2004; 49(2):67-71; quiz 101.

Rodrigues JA, Hug I, Diniz MB, Lussi A. Performance of fluorescence methods, radiographic examination and ICDAS II on occlusal surfaces in vitro. Caries Res 2008; 42(4):297-304.

Ekstrand KR. Improving clinical visual detection--potential for caries clinical trials. J Dent Res 2004; 83 Spec No C:C67-71.

Pereira-Olivera S. Assessment of proximal caries lesions through microtomography, cone beam CT and digital radiographs [Thesis]. São Paulo: Faculdade de Odontologia da USP, Universidade de São Paulo; 2009.

Kuhnisch J, Berger S, Goddon I, Senkel H, Pitts N, Heinrich-Weltzien R. Occlusal caries detection in permanent molars according to WHO basic methods, ICDAS II and laser fluorescence measurements. Community Dent Oral Epidemiol 2008; 36(6):475-84.

Bonner BC, Bourgeois DM, Douglas GV, Chan K, Pitts NB. The feasibility of data collection in dental practices, using codes for the International Caries Detection and Assessment System (ICDAS), to allow European general dental practitioners to monitor dental caries at local, national, and international levels. Prim Dent Care 2011; 18(2):83-90.

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(2):133-42.

Nelson S, Eggertsson H, Powell B, Mandelaris J, Ntragatakis M, Richardson T, et al. Dental examiners consistency in applying the ICDAS criteria for a caries prevention community trial. Community Dent Health. 2011; 28(3):238-42.




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