Oliveira R S, Zenkner J E A, Maltz M, Rodrigues J A
Department of Pediatric Dentistry, School of Dentistry, Federal University of Rio Grande do Sul (UFRGS), Rua Ramiro Barcelos, 2492, Porto Alegre, RS, Brazil.
Clin Oral Investig. 2015 Mar;19(2):565-8. doi: 10.1007/s00784-014-1375-2. Epub 2014 Dec 3.
This study aimed to evaluate the association between two visual criteria in assessing non-cavitated caries lesion activity on occlusal surfaces of permanent molars.
Thirty-nine patients with at least one permanent molar with non-cavitated caries lesion on the occlusal surface were selected. Molars were assessed according to their activity status following two criteria: ICDAS-LAA and a qualitative criterion based on clinical characteristics.
The results showed that the LAA criterion seems to overestimate caries activity. A weak association between both criteria in assessing caries lesion activity and low specificity for ICDAS-LAA was observed.
The ICDAS-LAA criterion is not suitable to assess non-cavitated caries lesion activity on occlusal surfaces of permanent molars because it assesses the lesions to be active more frequently than the qualitative criterion.
The determination of caries lesion activity is a key decision point in the treatment of caries disease. This study discusses the best option to assess the activity of non-cavitated occlusal caries lesions.
本研究旨在评估两种视觉标准在评估恒牙磨牙咬合面非龋洞性龋损活动性方面的相关性。
选取39例患者，其至少有一颗恒牙磨牙咬合面存在非龋洞性龋损。根据以下两种标准对磨牙的活动状态进行评估：国际龋病检测与评估系统-病变活动度评估（ICDAS-LAA）以及基于临床特征的定性标准。
结果显示，LAA标准似乎高估了龋病活动度。观察到在评估龋损活动性时，两种标准之间存在弱相关性，且ICDAS-LAA的特异性较低。
ICDAS-LAA标准不适用于评估恒牙磨牙咬合面非龋洞性龋损的活动性，因为与定性标准相比，它更频繁地将病变评估为活动状态。
龋损活动性的判定是龋病治疗中的关键决策点。本研究探讨了评估非龋洞性咬合面龋损活动性的最佳选择。
