Gainneos Pradeep Daniel, Selvam Mallika, Vasaviah Suresh Kumar, Krishnan Ramesh
PG Student, Department of Pedodontics, Vinayaka Missions Sankarachariyar Dental College, VMRFDU, Salem, Tamil Nadu, India.
Professor and Head of the Department, Department of Pedodontics, Vinayaka Missions Sankarachariyar Dental College, VMRFDU, Salem, Tamil Nadu, India.
J Pharm Bioallied Sci. 2019 May;11(Suppl 2):S240-S245. doi: 10.4103/JPBS.JPBS_307_18.
Dental caries is the most common chronic disease of children aged 6-11 years. The International Caries Detection and Assessment System-Lesion Activity Assessment (ICDAS-LAA) is a precise tool for the clinical assessment of dental caries by visual appearance, tactile feeling, and potential for plaque accumulation. Ora test is a chairside tool to estimate the ability of acid produced by bacteria to cause demineralization, in a suitable environment. Aim of this study is to correlate ICDAS-LAA and Ora test in assessing the caries risk of a patient on the dental chair.
A total of 60 school children aged between 6 and 9 years were included in the study. Of 60 children, 30 (Group A) were caries free and 30 (Group B) had decayed missing extraction, filled (DMF) score of 1-3. All the children were initially subjected to ICDAS-LAA scoring, which was assessed by one examiner followed by chairside Ora test performed by another examiner.
Statistical analysis was done using Pearson correlation test, and a negative linear relation was found between the time taken for color change in Ora test and ICDAS-LAA scores.
A direct correlation exists between ICDAS-LAA scores and Ora test, which shows that microbial activity correlates well with lesion activity.
龋齿是6至11岁儿童最常见的慢性疾病。国际龋病检测与评估系统-病变活动评估(ICDAS-LAA)是一种通过视觉外观、触觉感受以及菌斑积聚可能性对龋齿进行临床评估的精确工具。奥拉测试是一种在合适环境下用于评估细菌产生的酸导致脱矿能力的椅旁工具。本研究的目的是在评估牙科椅上患者的龋病风险时,将ICDAS-LAA与奥拉测试相关联。
本研究共纳入60名6至9岁的学童。在这60名儿童中,30名(A组)无龋齿,30名(B组)的龋失补(DMF)评分在1至3分。所有儿童最初均接受ICDAS-LAA评分,由一名检查者进行评估,随后由另一名检查者进行椅旁奥拉测试。
采用Pearson相关检验进行统计分析,发现奥拉测试中颜色变化所需时间与ICDAS-LAA评分之间存在负线性关系。
ICDAS-LAA评分与奥拉测试之间存在直接相关性,这表明微生物活性与病变活性密切相关。