The purpose of this study was to combine a standardized visually based system, the International Caries Detection and Assessment System (ICDAS), with a sensitive fluorescence-based system, quantitative light-induced fluorescence (QLF), to determine the ability to monitor caries lesion progression. This combination (QLF-I) has the potential to increase the sensitivity of the visual method without compromising specificity. A total of 460 children were enrolled and examined at baseline, 8 months and 12 months by ICDAS and QLF by a single examiner. The examiner repeatability for both methods was comparable, varying between weighted kappa of 0.70 and 0.79. The DMFT score was 6.0 (SD 5.8) at baseline and 6.4 (SD 6.3) at 12 months, and both methods were able to follow the increase in incidence. The QLF-I scored more surfaces at the early ICDAS scores (1 and 2) and score 4. Not all lesions progressed at the same rate, differing by score at baseline and surface type.
© 2010 S. Karger AG, Basel
- Dental caries
- International Caries Detection and Assessment System
- Longitudinal study
- Quantitative light-induced fluorescence
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Andréa Ferreira Zandoná
415 Lansing Street, OH-144
Indianopolis, IN 46202 (USA)
Tel. +1 317 274 3409, Fax +1 317 274 5425
Received: December 22, 2009
Accepted after revision: April 24, 2010
Published online: June 30, 2010
Number of Print Pages : 6
Number of Figures : 0, Number of Tables : 3, Number of References : 33
Vol. 44, No. 3, Year 2010 (Cover Date: July 2010)
Journal Editor: Beighton D. (London)
ISSN: 0008-6568 (Print), eISSN: 1421-976X (Online)
For additional information: http://www.karger.com/CRE
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