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Observational Study
. 2014 Jul;93(7 Suppl):101S-107S.
doi: 10.1177/0022034514531017. Epub 2014 Apr 8.

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

R S Guedes  1 , C Piovesan  2 , T M Ardenghi  3 , B Emmanuelli  3 , M M Braga  1 , K R Ekstrand  4 , F M Mendes  5
Affiliations
Observational Study

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

R S Guedes et al. J Dent Res. 2014 Jul.

Erratum in

  • Corrigendum.
    [No authors listed] [No authors listed] J Dent Res. 2015 Dec;94(12):1784. doi: 10.1177/0022034515607203. Epub 2015 Sep 10. J Dent Res. 2015. PMID: 26359436 Free PMC article.

Abstract

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.

Keywords: ICDAS; dental caries; diagnosis; longitudinal studies; preschool children; validity.

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Conflict of interest statement

The authors declare no potential conflicts of interest with respect to the authorship and/or publication of this article.

Comment in

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