Validation of Visual Caries Activity Assessment: A 2-yr Cohort Study

TY - JOUR

T1 - Validation of Visual Caries Activity Assessment

T2 - A 2-yr Cohort Study

AU - Guedes, R S

AU - Piovesan, C

AU - Ardenghi, T M

AU - Emmanuelli, B

AU - Braga, M M

AU - Ekstrand, K R

AU - Mendes, F M

N1 - © International & American Associations for Dental Research.

PY - 2014/7

Y1 - 2014/7

N2 - We evaluated the predictive and construct validity of a caries activity assessment system associated with the International Caries Detection and Assessment System (ICDAS) in primary teeth. A total of 469 children were reexamined: participants of a caries survey performed 2 yr before (follow-up rate of 73.4%). At baseline, children (12-59 mo old) were examined with the ICDAS and a caries activity assessment system. The predictive validity was assessed by evaluating the risk of active caries lesion progression to more severe conditions in the follow-up, compared with inactive lesions. We also assessed if children with a higher number of active caries lesions were more likely to develop new lesions (construct validity). Noncavitated active caries lesions at occlusal surfaces presented higher risk of progression than inactive ones. Children with a higher number of active lesions and with higher caries experience presented higher risk of developing new lesions. In conclusion, the caries activity system associated with the ICDAS presents predictive and construct validity in primary teeth in the assessment of occlusal caries lesions, but predictive validity was not observed in smooth surfaces.

AB - We evaluated the predictive and construct validity of a caries activity assessment system associated with the International Caries Detection and Assessment System (ICDAS) in primary teeth. A total of 469 children were reexamined: participants of a caries survey performed 2 yr before (follow-up rate of 73.4%). At baseline, children (12-59 mo old) were examined with the ICDAS and a caries activity assessment system. The predictive validity was assessed by evaluating the risk of active caries lesion progression to more severe conditions in the follow-up, compared with inactive lesions. We also assessed if children with a higher number of active caries lesions were more likely to develop new lesions (construct validity). Noncavitated active caries lesions at occlusal surfaces presented higher risk of progression than inactive ones. Children with a higher number of active lesions and with higher caries experience presented higher risk of developing new lesions. In conclusion, the caries activity system associated with the ICDAS presents predictive and construct validity in primary teeth in the assessment of occlusal caries lesions, but predictive validity was not observed in smooth surfaces.

U2 - 10.1177/0022034514531017

DO - 10.1177/0022034514531017

M3 - Journal article

C2 - 24713370

SN - 0895-9374

VL - 93

SP - 101S-107S

JO - Advances in dental research

JF - Advances in dental research

IS - 7 Suppl 1

ER -