Brazilian Journal of Oral Sciences
Piracicaba Dental School - UNICAMP
Vol. 14, No. 1, 2015, pp. 78-83
Bioline Code: os15015
Full paper language: English
Document type: Research Article
Document available free of charge
Brazilian Journal of Oral Sciences, Vol. 14, No. 1, 2015, pp. 78-83
© Copyright 2015 - Brazilian Journal of Oral Sciences
Different methods of dental caries diagnosis in an epidemiological setting|
da Silva, Renato Pereira; Assaf, Andréa Videira; Ambrosano, Gláucia Maria Bovi; Mialhe, Fábio Luiz; de Castro Meneghim, Marcelo & Pereira, Antonio Carlos
Aim: To evaluate the performance of dental caries detection when adjunct methods are associated
and their applicability in epidemiological survey of dental caries, at D3 (cavitated carious lesions
at dentin layer) and D1+D3 (non cavitated and cavitated carious lesions at enamel/dentin layer)
diagnostic thresholds. Methods: A total of 2189 posterior teeth from 165 12-year-old schoolchildren
underwent visual examination without (CL1) and with artificial lighting (CL2), radiographic bitewing
(BW), fiber-optic transillumination/FOTI (FT), DIAGNOdent™ (DD) and associations of these methods.
Reproducibility was calculated by Kappa statistics and validity was calculated by sensitivity, specificity
and accuracy tests. ANOVA (Scott-Knott test) was performed in order to compare the average
values of DMF-S obtained by the diagnostic methods. Results: The CL2FTDDBW (D3) and
CL2BW (D1+D3) exams presented the highest values for accuracy at epidemiological setting.
The DMF-S index obtained for those exams was statistically different at D3 and D1+D3 thresholds.
Conclusions: The association of adjunct methods increased the validity of dental caries
examination in an epidemiological setting. However, the potential of CL2BW (traditional caries
detection methods) or visual exam performed under a more refined diagnostic criteria must be
considered in dental caries epidemiological surveys.
dental caries; diagnosis; oral; epidemiology
Alternative site location: http://www.fop.unicamp.br/brjorals