Correlation of clinical and radiographic diagnosis of carious lesions in posterior teeth
DOI:
https://doi.org/10.17533/udea.rfo.v28n2a7Keywords:
Dental caries, Coronal x-ray, Non-parametric statisticsAbstract
Introduction: dental caries is a public health problem affecting a large percentage of the population. The carious process is highly variable and has periods of progression that alternate with periods of stability of the damaged tissue. There are different techniques to diagnose dental caries, including clinical and radiographic evaluation. Objective: the objective of this study was to establish correlation between the clinical and radiographic caries diagnosis suggested by ICCMSTM, in deciduous and permanent molars of a school population. Methods: descriptive study evaluating a sample for convenience of 1174 proximal and occlusal tooth surfaces of permanent and deciduous molars, taken from the database of 35 outpatients treated at the school of dentistry, who were clinically and radiographically evaluated for caries as recommended by the ICCMSTM based on bitewing x-rays. Results: the clinical and radiographic diagnosis was correlated in 1174 proximal and occlusal surfaces, with 0.41 Spearman's rank correlation coefficient (p < 0,05). The findings suggest that 95.6% of teeth diagnosed as healthy coincided with the clinical and radiographic results; in early mild stages, there was coincidence in only 8.16% and 6.4% respectively. Conclusions: there is low correlation between the clinical diagnosis of caries and the radiographic examination, in relation to ICCMSTM standards.
Downloads
References
Ismail AI. Clinical diagnosis of precavitated carious lesions. Community Dent Oral Epidemiol 1997; 25(1): 13-23.
Colombia. Ministerio de Salud y Protección Social. IV Estudio nacional de salud bucal. ENSAB IV: para saber cómo estamos y saber qué hacemos. Bogotá: Ministerio de Salud y Protección Social; 2014.
Fejerskov O, Kidd E. Dental caries: the disease and its clinical management. 2 ed. Singapore: Blackwell Munksgaard; 2008.
Ricketts DN, Kidd EA, Smith BG, Wilson RF. Clinical and radiographic diagnosis of occlusal caries: a study in vitro. J Oral Rehabil 1995; 22(1): 15-20.
Pereira AC, Eggertsson H, Martinez-Mier EA, Mialhe FL, Eckert GJ, Zero DT. Validity of caries detection on occlusal surfaces and treatment decisions based on results from multiple caries-detection methods. Eur J Oral Sci 2009; 117(1): 51–57. DOI: 10.1111/j.1600-0722.2008.00586.x URL: https://doi.org/10.1111/j.1600-0722.2008.00586.x
Pitt NB , Ismail AI, Martignon S, Ekstrand K,. Douglas VA, Longbottom C. ICCMS ™ guide for practitioners and educators.London: King’s College London; 2014.
Angmar-Månsson B, ten-Bosch JJ. Advances in methods for diagnosing coronal caries: a review. Adv Dent Res 1993; 7(2): 70-79. DOI: 10.1177/08959374930070021801 URL: https://doi.org/10.1177/08959374930070021801
Friedman J, Marcus MI. Transillumination of the oral cavity with the use of fiber optics. J Am Dent Assoc 1970; 80(4): 801-809.
Hernández JR, Gómez JF. Determinación de la especificidad y sensibilidad del ICDAS y fluorescencia Láser en la detección de caries in vitro. Rev ADM 2012; 69(3): 120-124.
Rock WP, Kidd EA. The electronic detection of demineralisation in occlusal fissures. Br Dent J 1988; 164(8): 243-247.
Wenzel A, Hintze H, Mikkelsen L, Mouyen F. Radiographic detection of occlusal caries in non-cavitated teeth. A comparison of conventional film radiographs, digitized film radiographs, and RadioVisioGraphy. Oral Surg Oral Med Oral Pathol 1991; 72(5): 621-626.
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): 133-142. DOI: 10.2341/10-006-L URL: https://doi.org/10.2341/10-006-L
Ekstrand KR, Ricketts DN, Kidd EA: Reproducibility and accuracy of three methods for assessment of demineralization depth of the occlusal surface: an in vitro examination. Caries Res 1997; 31(3): 224-231.
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): 231-237.
Pitts NB, Ekstrand KR. ICDAS Foundation. International Caries Detection and Assessment System (ICDAS) and its International Caries Classification and Management System (ICCMS TM): methods for staging of the caries process and enabling dentists to manage caries. Community Dent Oral Epidemiol 2013; 41(1): e41–e52. DOI: 10.1111/cdoe.12025 URL: https://doi.org/10.1111/cdoe.12025
Pitts NB, Stamm J. International Consensus Workshop on Caries Clinical Trials (ICW-CCT): final consensus statements: agreeing where the evidence leads. J Dent Res 2004; 83: C125–C128
Ismail AI, Sohn W, Tellez M. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol 2007; 35(3): 170–178. DOI: 10.1111/j.1600-0528.2007.00347.x URL: https://doi.org/10.1111/j.1600-0528.2007.00347.x
Mitropoulos P, Rahiotis C, Stamatakis H, Kakaboura A. Diagnostic performance of the visual caries classification system ICDAS II versus radiography and micro-computed tomography for proximal caries detection: an in vitro study. J Dent 2010: 38(11), 859-867. DOI: 10.1016/j.jdent.2010.07.005 URL: https://doi.org/10.1016/j.jdent.2010.07.005
White S, Pharoah MJ. Radiología oral: principios e interpretación. 4 ed. Madrid: Harcourt; 2002.
Arango MC, Zapata AM, Saldarriaga A. Caries dental en escolares incluyendo evaluación radiográfica de lesiones proximales. [Tesis de grado Especialista en Odontopediatría]. Medellín: Universidad CES. Facultad de Odontología; 2014
Ari T, Ari N. The performance of ICDAS-II using low-powered magnification with light-emitting diode headlight and alternating current impedance spectroscopy device for detection of occlusal caries on primary molars. ISRN Dent 2013; 2013: 276070. DOI: 10.1155/2013/276070 URL: https://doi.org/10.1155/2013/276070
Bertella N, Moura dos S, Alves LS, Damé-Teixeira N, Fontanella V, Maltz M. Clinical and radiographic diagnosis of underlying dark shadow from dentin (ICDAS 4) in permanent molars. Caries Res, 2013: 47(5): 429-432. DOI: 10.1159/000350924 URL: https://doi.org/10.1159/000350924
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. DOI: 10.1159/000148162 URL: https://doi.org/10.1159/000148162
Lobo MM, Pecharki GD, Gushi LL, Silva DD, Cypriano S, Meneghim MC et al. Occlusal caries diagnosis and treatment. Braz J Oral Sci 2003; 2(6): 239-244.
Tveit AB, Espelid I, Fjelltveit A. Radiographic diagnosis of occlusal caries. J. Dent. Res 1991; 70(Suppl 1): 494.
Downloads
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2017 Revista Facultad de Odontología Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright Notice
Copyright comprises moral and patrimonial rights.
1. Moral rights: are born at the moment of the creation of the work, without the need to register it. They belong to the author in a personal and unrelinquishable manner; also, they are imprescriptible, unalienable and non negotiable. Moral rights are the right to paternity of the work, the right to integrity of the work, the right to maintain the work unedited or to publish it under a pseudonym or anonymously, the right to modify the work, the right to repent and, the right to be mentioned, in accordance with the definitions established in article 40 of Intellectual property bylaws of the Universidad (RECTORAL RESOLUTION 21231 of 2005).
2. Patrimonial rights: they consist of the capacity of financially dispose and benefit from the work trough any mean. Also, the patrimonial rights are relinquishable, attachable, prescriptive, temporary and transmissible, and they are caused with the publication or divulgation of the work. To the effect of publication of articles in the journal Revista de la Facultad de Odontología, it is understood that Universidad de Antioquia is the owner of the patrimonial rights of the contents of the publication.
The content of the publications is the exclusive responsibility of the authors. Neither the printing press, nor the editors, nor the Editorial Board will be responsible for the use of the information contained in the articles.
I, we, the author(s), and through me (us), the Entity for which I, am (are) working, hereby transfer in a total and definitive manner and without any limitation, to the Revista Facultad de Odontología Universidad de Antioquia, the patrimonial rights corresponding to the article presented for physical and digital publication. I also declare that neither this article, nor part of it has been published in another journal.
Open Access Policy
The articles published in our Journal are fully open access, as we consider that providing the public with free access to research contributes to a greater global exchange of knowledge.
Creative Commons License
The Journal offers its content to third parties without any kind of economic compensation or embargo on the articles. Articles are published under the terms of a Creative Commons license, known as Attribution – NonCommercial – Share Alike (BY-NC-SA), which permits use, distribution and reproduction in any medium, provided that the original work is properly cited and that the new productions are licensed under the same conditions.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.