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Evaluation of Caries Status among Adolescents in Jeonju City with WHO Basic Methods, International Caries Detection and Assessment System II (ICDAS-II)

WHO basic methods와 International Caries Detection and Assessment System II (ICDAS-II)를 사용한 전주시 청소년의 우식상태 조사

  • Park, Kibong (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Kim, Doyoung (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Lee, Daewoo (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Kim, Jaehwan (Department of Pediatric Dentistry, College of Dentistry, Chonnam National University) ;
  • Yang, Yoenmi (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University) ;
  • Kim, Jaegon (Department of Pediatric Dentistry and Institute of Oral Bioscience, School of Dentistry, Chonbuk National University)
  • 박기봉 (전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 김도영 (전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 이대우 (전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 김재환 (전남대학교 치의학전문대학원 소아치과학교실) ;
  • 양연미 (전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소) ;
  • 김재곤 (전북대학교 치의학전문대학원 소아치과학교실 및 구강생체과학연구소)
  • Received : 2016.01.11
  • Accepted : 2016.04.20
  • Published : 2016.11.30

Abstract

Since it is favorable to include the incipient caries lesion in the diagnostic criteria in adolescence, this study had surveyed dental caries status of adolescents at ages of 13 and 16 by using WHO basic methods and ICDAS-II codes. In this study, mean DMFT index was 3.71, and mean DT index was 1.94. For both indices, the age 16 group showed higher values than the age 13 group. By groups of teeth, DMFT index and DT index exhibited highest to the lowest values in molar, premolar, and anterior teeth, respectively. 77.46% of total numbers of teeth were classified as code 0 in ICDAS-II. Compared to anterior teeth, numbers of decayed teeth were increased in posterior teeth. All caries lesions in anterior teeth and premolars were limited to enamel. ICDAS-II code is an useful method to detect the incipient caries lesion, allowing preventive control on caries management.

청소년기에는 초기 우식 병소를 진단 기준에 포함시키는 것이 더 유리하기에 본 연구에서는 WHO basic methods 와 ICDAS-II 점수를 활용하여 13세와 16세 청소년의 우식 상태를 조사하였다. 전체 우식경험영구치지수는 3.71, 우식영구치지수는 1.94이었으며 16세에서 13세보다 높았다. 군별로는 대구치, 소구치, 전치의 순으로 우식경험영구치지수와 우식영구치 지수가 높았다. 전체 치아의 ICDAS-II code 0은 77.46%이었으며, 후방치열로 갈수록 우식치아의 수가 증가하였다. 전치와 소구치의 우식은 모두 법랑질에 국한되었다. ICDAS-II 점수는 초기우식병소 발견에 용이하여 우식관리의 예방적 접근이 가능한 방법이다.

Keywords

References

  1. Ismail AI, Sohn W, Pitts NB, et al. : The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries. Community Dent Oral Epidemiol, 35:170-178, 2007. https://doi.org/10.1111/j.1600-0528.2007.00347.x
  2. Elderton RJ : Clinical studies concerning re-restoration of teeth. Adv Dent Res, 4:4-9, 1990. https://doi.org/10.1177/08959374900040010701
  3. Korean Academy of Pediatric Dentistry : Textbook of Pediatric Dentistry, 5th ed., Yenang, 217-270, 2014.
  4. Mountford PJ, Temperton DH : Recommendations of the International Commission on Radiological Protection (ICRP) 1990. Eur J Nucl Med, 19:77-79, 1992.
  5. Pitts NB : Current methods and criteria for caries diagnosis in Europe. J Dent Educ, 57:409-414, 1993.
  6. Bader JD, Shugar DA, Bonito AJ : A systematic review of the performance of methods for identifying carious lesions. J Publoc Health Dent, 62:201-213, 2002. https://doi.org/10.1111/j.1752-7325.2002.tb03446.x
  7. Rationale and evidence for the International Caries Detection and Assessment System (ICDAS II) reported by International Caries Detection and Assessment System Coordinating Committee. Available from URL: https://www.icdas.org/uploads/Rationale%20and%20Evidence%20ICDAS%20II%20revised%20re%20people%20only%202013.pdf (Assessed on February 3, 2014).
  8. Kim HJ, Noh HS, Joeng TS, et al. : Literature review of International Caries Detection and Assessment System II to oral examination for children. J Korean Acad Pediatr Dent, 38:202-209, 2011. https://doi.org/10.5933/JKAPD.2011.38.2.202
  9. Kwon BM, Bae IH, Joeng TS, et al. : Dental caries status of 14-16 year old adolescents in Yangsan area. J Korean Acad Pediatr Dent, 41:8-17, 2014. https://doi.org/10.5933/JKAPD.2014.41.1.8
  10. Ekstrand KR, Ricketts DN, Kidd EA : Reproducibility and accuracy of three methods for assessment of demineralization depth of the occlusal surface: an in vitro examination. Caries Res, 31:224-231, 1997. https://doi.org/10.1159/000262404
  11. Jablonski MA, Stachniss V, Pieper K : Reproducibility and accuracy of the ICDAS-II for detection of occlusal caries in vitro. Caries Res, 42:79-87, 2008. https://doi.org/10.1159/000113160
  12. Oral health surveys, basic methods, 5th edition reported by World Health Organization. Available from URL: http://apps.who.int/iris/bitstream/10665/97035/1/9789241548649_eng.pdf?ua=1 (Assessed on February 4, 2014).
  13. Criteria manual - International Caries Detection and Assessment System (ICDAS II) reported by International Caries Detection and Assessment System Coordinating Committee. Available from URL: https://www.icdas.org/uploads/ICDAS%20Criteria%20Document%20corrected%202013.pdf (Assessed on February 3, 2014)
  14. Norman OH, Franklin GG : Primary preventive dentistry, 6th ed. Prentice Hall, 38-60, 2004.
  15. Cho SH, Lee HS, Choi HJ, et al. : Correlation between caries experience and new colorimetric caries activity test in children. J Korean Acad Pediatr Dent, 42:30-37, 2015. https://doi.org/10.5933/JKAPD.2015.42.1.30
  16. Lindquist B, Emilson CG : Distribution and prevalence of mutans streptococci in the human dentition. J Dent Res, 69:1160-1166, 1990. https://doi.org/10.1177/00220345900690050801
  17. King NM, Shaw L, Murray JJ : Caries susceptibility of permanent first and second molars in children aged 5-15 years. Community Dent Oral Epidemiol, 8:151-158, 1980. https://doi.org/10.1111/j.1600-0528.1980.tb01278.x
  18. Carvalho JC, Figueredo CS, Mestrinho HD : Clinical report on plaque formation, distribution and maturation within the primary, mixed and permanent dentitions. Eur J Paediatr Dent, 10:193-199, 2009.
  19. Carvalho JC, Ekstrand KR, Thylstrup A : Dental plaque and caries on occlusal surfaces of first permanent molars in relation to stage of eruption. J Dent Res, 68:773-779, 1989. https://doi.org/10.1177/00220345890680050401
  20. Axelsson P, Lindhe J, Nysyrom B : On the prevention of caries and periodontal disease. J Clin Periodontol, 18:182-189, 1991. https://doi.org/10.1111/j.1600-051X.1991.tb01131.x
  21. Son JM, Kim SM, Choi NK : A study on the changes in patient distribution and practice pattern for last 8 years in the department of pediatric dentistry of chonnam national university dental hospital. J Korean Acad Pediatr Dent, 39:373-382, 2012. https://doi.org/10.5933/JKAPD.2012.39.4.373
  22. Almerich-Silla JM, Boronat-Ferrer T, Iranzo-Cortes JE, et al. : Caries prevalence in children from Valencia (Spain) using ICDAS II criteria, 2010. Med Oral Patol Oral Cir Bucal, 19:574-580, 2014.
  23. Honkala S, Runnel R, Honkala E, et al. : Effect of erythritol and xylitol on dental caries prevention in children. Caries Res, 48:482-490, 2014. https://doi.org/10.1159/000358399
  24. Guedes RS, Piovesan C, Mendes FM, et al. : Validation of visual caries activity assessment: A 2-yr Cohort Study. J Dent Res, 93:101-107, 2014. https://doi.org/10.1177/0022034514531017