Occlusal caries detection in permanent molars according to WHO basic methods, ICDAS II and laser fluorescence measurements

Jan Kuehnisch, Susanne Berger, Inka Goddon, Helga Senkel, Nigel Pitts, Roswitha Heinrich-Weltzien

    Research output: Contribution to journalArticle

    72 Citations (Scopus)

    Abstract

    This epidemiological study aimed to compare the diagnostic outcome of the WHO criteria, ICDAS II criteria, laser fluorescence measurements, presence of plaque and roughness as activity scores on occlusal fissures and buccal/palatal pits of the first permanent molars. The study involved 311 children between 8 and 12 years of age from the Ennepe-Ruhr District in North Rhine-Westphalia, Germany. The surface-related caries status was registered according to the WHO basic method criteria (1997). Additionally, pit and fissure sealants, the ICDAS II visual criteria, the DIAGNOdent reading, plaque retention and surface roughness were documented. Caries experience was 1.0 (+/- 2.5) DMFS. About 70% of the examined students had no obvious dentin caries in the permanent dentition (DMFS = 0). Sealants were registered on 1.4 (+/- 1.7) occlusal fissures and 0.4 (+/- 0.9) palatal/buccal pits. Noncavitated caries lesions were recorded as ICDAS II score 1-4 on 1.8 (+/- 1.6) fissures and 1.5 (+/- 1.4) pits. The comparison of the diagnostic methods suggests a relationship between higher ICDAS II scores/DIAGNOdent values and a proportional increase in the occurrence of plaque as well as in the number of rough surfaces. In conclusion, this study showed the diagnostic potential of the ICDAS II criteria in comparison to the traditional WHO criteria by means of the noncavitated caries lesions additionally detected. The DIAGNOdent use in field studies that already apply detailed visual criteria seems to bring limited additional information. While the presence of plaque provides information for the caries activity assessment more work is required to provide information about the contribution of surface roughness.

    Original languageEnglish
    Pages (from-to)475-484
    Number of pages10
    JournalCommunity Dentistry and Oral Epidemiology
    Volume36
    Issue number6
    DOIs
    Publication statusPublished - Dec 2008

    Keywords

    • caries detection
    • dental caries
    • epidemiology
    • pits and fissures
    • IN-VIVO
    • LESION ACTIVITY
    • DENTAL-CARIES
    • PREVALENCE
    • SURFACES
    • THRESHOLDS

    Cite this

    Kuehnisch, Jan ; Berger, Susanne ; Goddon, Inka ; Senkel, Helga ; Pitts, Nigel ; Heinrich-Weltzien, Roswitha. / Occlusal caries detection in permanent molars according to WHO basic methods, ICDAS II and laser fluorescence measurements. In: Community Dentistry and Oral Epidemiology. 2008 ; Vol. 36, No. 6. pp. 475-484.
    @article{34693adda7904434bcdc4b442b2aa2d7,
    title = "Occlusal caries detection in permanent molars according to WHO basic methods, ICDAS II and laser fluorescence measurements",
    abstract = "This epidemiological study aimed to compare the diagnostic outcome of the WHO criteria, ICDAS II criteria, laser fluorescence measurements, presence of plaque and roughness as activity scores on occlusal fissures and buccal/palatal pits of the first permanent molars. The study involved 311 children between 8 and 12 years of age from the Ennepe-Ruhr District in North Rhine-Westphalia, Germany. The surface-related caries status was registered according to the WHO basic method criteria (1997). Additionally, pit and fissure sealants, the ICDAS II visual criteria, the DIAGNOdent reading, plaque retention and surface roughness were documented. Caries experience was 1.0 (+/- 2.5) DMFS. About 70{\%} of the examined students had no obvious dentin caries in the permanent dentition (DMFS = 0). Sealants were registered on 1.4 (+/- 1.7) occlusal fissures and 0.4 (+/- 0.9) palatal/buccal pits. Noncavitated caries lesions were recorded as ICDAS II score 1-4 on 1.8 (+/- 1.6) fissures and 1.5 (+/- 1.4) pits. The comparison of the diagnostic methods suggests a relationship between higher ICDAS II scores/DIAGNOdent values and a proportional increase in the occurrence of plaque as well as in the number of rough surfaces. In conclusion, this study showed the diagnostic potential of the ICDAS II criteria in comparison to the traditional WHO criteria by means of the noncavitated caries lesions additionally detected. The DIAGNOdent use in field studies that already apply detailed visual criteria seems to bring limited additional information. While the presence of plaque provides information for the caries activity assessment more work is required to provide information about the contribution of surface roughness.",
    keywords = "caries detection, dental caries, epidemiology, pits and fissures, IN-VIVO, LESION ACTIVITY, DENTAL-CARIES, PREVALENCE, SURFACES, THRESHOLDS",
    author = "Jan Kuehnisch and Susanne Berger and Inka Goddon and Helga Senkel and Nigel Pitts and Roswitha Heinrich-Weltzien",
    year = "2008",
    month = "12",
    doi = "10.1111/j.1600-0528.2008.00436.x",
    language = "English",
    volume = "36",
    pages = "475--484",
    journal = "Community Dentistry and Oral Epidemiology",
    issn = "0301-5661",
    publisher = "Wiley",
    number = "6",

    }

    Occlusal caries detection in permanent molars according to WHO basic methods, ICDAS II and laser fluorescence measurements. / Kuehnisch, Jan; Berger, Susanne; Goddon, Inka; Senkel, Helga; Pitts, Nigel; Heinrich-Weltzien, Roswitha.

    In: Community Dentistry and Oral Epidemiology, Vol. 36, No. 6, 12.2008, p. 475-484.

    Research output: Contribution to journalArticle

    TY - JOUR

    T1 - Occlusal caries detection in permanent molars according to WHO basic methods, ICDAS II and laser fluorescence measurements

    AU - Kuehnisch, Jan

    AU - Berger, Susanne

    AU - Goddon, Inka

    AU - Senkel, Helga

    AU - Pitts, Nigel

    AU - Heinrich-Weltzien, Roswitha

    PY - 2008/12

    Y1 - 2008/12

    N2 - This epidemiological study aimed to compare the diagnostic outcome of the WHO criteria, ICDAS II criteria, laser fluorescence measurements, presence of plaque and roughness as activity scores on occlusal fissures and buccal/palatal pits of the first permanent molars. The study involved 311 children between 8 and 12 years of age from the Ennepe-Ruhr District in North Rhine-Westphalia, Germany. The surface-related caries status was registered according to the WHO basic method criteria (1997). Additionally, pit and fissure sealants, the ICDAS II visual criteria, the DIAGNOdent reading, plaque retention and surface roughness were documented. Caries experience was 1.0 (+/- 2.5) DMFS. About 70% of the examined students had no obvious dentin caries in the permanent dentition (DMFS = 0). Sealants were registered on 1.4 (+/- 1.7) occlusal fissures and 0.4 (+/- 0.9) palatal/buccal pits. Noncavitated caries lesions were recorded as ICDAS II score 1-4 on 1.8 (+/- 1.6) fissures and 1.5 (+/- 1.4) pits. The comparison of the diagnostic methods suggests a relationship between higher ICDAS II scores/DIAGNOdent values and a proportional increase in the occurrence of plaque as well as in the number of rough surfaces. In conclusion, this study showed the diagnostic potential of the ICDAS II criteria in comparison to the traditional WHO criteria by means of the noncavitated caries lesions additionally detected. The DIAGNOdent use in field studies that already apply detailed visual criteria seems to bring limited additional information. While the presence of plaque provides information for the caries activity assessment more work is required to provide information about the contribution of surface roughness.

    AB - This epidemiological study aimed to compare the diagnostic outcome of the WHO criteria, ICDAS II criteria, laser fluorescence measurements, presence of plaque and roughness as activity scores on occlusal fissures and buccal/palatal pits of the first permanent molars. The study involved 311 children between 8 and 12 years of age from the Ennepe-Ruhr District in North Rhine-Westphalia, Germany. The surface-related caries status was registered according to the WHO basic method criteria (1997). Additionally, pit and fissure sealants, the ICDAS II visual criteria, the DIAGNOdent reading, plaque retention and surface roughness were documented. Caries experience was 1.0 (+/- 2.5) DMFS. About 70% of the examined students had no obvious dentin caries in the permanent dentition (DMFS = 0). Sealants were registered on 1.4 (+/- 1.7) occlusal fissures and 0.4 (+/- 0.9) palatal/buccal pits. Noncavitated caries lesions were recorded as ICDAS II score 1-4 on 1.8 (+/- 1.6) fissures and 1.5 (+/- 1.4) pits. The comparison of the diagnostic methods suggests a relationship between higher ICDAS II scores/DIAGNOdent values and a proportional increase in the occurrence of plaque as well as in the number of rough surfaces. In conclusion, this study showed the diagnostic potential of the ICDAS II criteria in comparison to the traditional WHO criteria by means of the noncavitated caries lesions additionally detected. The DIAGNOdent use in field studies that already apply detailed visual criteria seems to bring limited additional information. While the presence of plaque provides information for the caries activity assessment more work is required to provide information about the contribution of surface roughness.

    KW - caries detection

    KW - dental caries

    KW - epidemiology

    KW - pits and fissures

    KW - IN-VIVO

    KW - LESION ACTIVITY

    KW - DENTAL-CARIES

    KW - PREVALENCE

    KW - SURFACES

    KW - THRESHOLDS

    U2 - 10.1111/j.1600-0528.2008.00436.x

    DO - 10.1111/j.1600-0528.2008.00436.x

    M3 - Article

    VL - 36

    SP - 475

    EP - 484

    JO - Community Dentistry and Oral Epidemiology

    JF - Community Dentistry and Oral Epidemiology

    SN - 0301-5661

    IS - 6

    ER -