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Comparison of Icdas, Cast, Nyvad’s Criteria, and WHO-DMFT for Caries Detection in a Sample of Italian Schoolchildren

Bibliographic Data

ID15499681
AuthorsGuglielmo Campus (0000-0002-8573-485X, University of Bern, corresponding author), Fabio Cocco (0000-0003-1126-6157, University of Sassari), Livia Ottolenghi (0000-0001-7390-4316, Sapienza University of Rome), Maria Grazia Cagetti (0000-0002-2704-0585, University of Milan)
Year2019
Volume16
Issue21
Pages4120-4120
Publication date2019-10-25
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16214120
PMID31731559
OpenAlexW2981490547
LanguageEN
Citations received4
References cited2

Caries measurement methods vary considerably in terms of the stages of lesion considered making the comparison problematic among different surveys. In this cross-sectional study, four caries measurement methods, the WHO-DMFT, the International Caries Detection and Assessment System (ICDAS), the Caries Assessment Spectrum and Treatment (CAST), and the Nyvad Criteria were tested in a sample of children. Five-hundred 12-year old children (236 males and 264 females) were examined four times by four calibrated examiners. The calibration process showed that Cohen's Kappa exceeded the criterion of K = 0.75 and K = 0.80 for inter/intra-examiner agreement, respectively. In the survey, the total number of misclassification errors for the four methods amounted to 312 observations (67.94% regarding enamel lesions). The greatest difference among methods was shown by number of sound teeth ( p n = 9505, 74.14%; ICDAS n = 2628, 20.49%; CAST n = 5053, 39.41%; and Nyvad Criteria n = 4117, 32.11%. At the level of dentinal Distinct/Active Cavity lesions, no statistically significant difference was observed ( p = 0.40) between ICDAS ( n = 1373, 10.71%), CAST ( n = 1371, 0.69%), and Nyvad Criteria ( n = 1720, 13.41%). In the severe caries levels, all methods were partially in agreement, while no accordance was found for the initial (enamel) lesions. A common language in caries detection is critical when different studies are compared

Carious lesion · Detection threshold · Enamel paint · Kappa · Significant difference · Dental Health and Care Utilization · Dental Research and COVID-19 · Dentistry · Mathematics · Medicine · Oral microbiology and periodontitis research · Orthodontics

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Unique citing works4
Citations per year0.67
Citation span2020 - 2025 (6)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 4

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