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Comparative Study
. 2014 May;84(3):430-6.
doi: 10.2319/051313-371.1. Epub 2013 Oct 21.

Diagnosing the severity of buccal caries lesions in governmental and private orthodontic patients at debonding, using the ICDAS-II and the DIAGNOdent Pen

Naif A Almosa  1 , Ted Lundgren, Abdullah M Aldrees, Dowen Birkhed, Heidrun Kjellberg
Affiliations
Comparative Study

Diagnosing the severity of buccal caries lesions in governmental and private orthodontic patients at debonding, using the ICDAS-II and the DIAGNOdent Pen

Naif A Almosa et al. Angle Orthod. 2014 May.

Abstract

Objectives: To clinically evaluate the prevalence of buccal caries and white spot lesions (WSLs) at debonding in governmental and private orthodontic patients, using the International Caries Detection and Assessment System (ICDAS-II) and the DIAGNOdent Pen, and to study the correlation between the two methods.

Materials and methods: A cross-sectional study was carried out on the nonextracted premolars and anterior teeth of 89 orthodontic patients. They were recruited into two groups based on the treatment center they attended: governmental group (G; n=45) and private group (P; n=44). Immediately after debonding, the examination of buccal caries and WSLs on premolars and anterior teeth was carried out using the ICDAS-II and the DIAGNOdent Pen. Cross-tabulation was applied to study the correlation between the ICDAS-II index and the DIAGNOdent Pen by calculating the Spearman correlation coefficient.

Results: The G group showed a significantly higher (P<.0001) prevalence of WSLs and/or buccal caries compared to that of the P group based on evaluation by the two methods. Based on ICDAS-II, 43% of the patients in the P group and 9% in the G group were free from any WSLs. In the G group, 22% of the patients had ≥16 LESIONS, whereas there were none for the P group. The Spearman correlation coefficient between the two methods was .71.

Conclusions: The prevalence of caries and/or WSLs at debonding was significantly higher in the G group compared to the P group. The clinical index (ICDAS-II) showed a good correlation with the DIAGNOdent Pen.

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Figures

Figure 1.
Figure 1.
Intra- and interexaminer reliability of the ICDAS-II and the DP.
Figure 2.
Figure 2.
Prevalence (%) of buccal caries lesions in the G and P groups using the ICDAS-II and the DP.
Figure 3.
Figure 3.
Prevalence (%) of buccal caries lesions using the ICDAS-II in the G vs P groups.
Figure 4.
Figure 4.
Prevalence (%) of buccal caries lesions using the DP in the G vs P groups.
Figure 5.
Figure 5.
Prevalence (%) of patients in the G vs P groups with different numbers of buccal caries lesions.
See this image and copyright information in PMC

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