Gudkina Jekaterina, Amaechi Bennett T, Abrams Stephen H, Brinkmane Anda, Jelisejeva Ieva
Department of Conservative Dentistry and Oral Health, Riga Stradins University, Riga, Latvia.
Department of Comprehensive Dentistry, University of Texas Health Science Center at San Antonio, San Antonio, Texas, United States.
Eur J Dent. 2019 Jul;13(3):413-419. doi: 10.1055/s-0039-1700250. Epub 2019 Dec 3.
The purpose of this study was to investigate the caries increment and oral hygiene changes over a 3-year period and also compare the sensitivity and specificity of Radke's caries assessment method to ICDAS II among 6- and 12-year-old children in Riga, Latvia.
Thirty-eight 6 and thirty-nine 12-year-old children were examined visually and with bitewing (BW) radiographs for dental caries at baseline and after a 3-year period. Decayed, missing, and filled surfaces (dmfs/DMFS) in all teeth were scored by one calibrated examiner using the Radke's caries scoring criteria. Oral hygiene level was determined using Green-Vermillion index (G-V ind.) at baseline and after 3 years. ICDAS II was used to assess all children only at the 3rd-year time point. The parents of the 6- and 12-year-old children responded to a questionnaire on oral hygiene at baseline and at the 3-year mark.
The data were analyzed using -test, Chi-square test, Wilcoxon test (α= 0.05), and sensitivity and specificity tests.
The mean (SD) values of G-V ind. and caries experience at baseline/3-year period in 6- versus 12-year-old children were as follows. G-V ind.: 1.14(0.80) /1.48(0.89) [ = 0.4768] versus 0.99(0.45)/1.45(1.22) [ = 0.0337]. DMFS: 0.72(1.02)/ 3.13(3.13) [ = 0.0000] versus 6.79(5.14)/14.79(9.86)[ = 0.0000]; dmfs: 11.26(8.71)/7.74 (4.86) [ = 0.0780] versus 3.57 (2.03)/1.5(0.71)[ = 0.3173].The sensitivity and specificity of Radke to ICDAS II of caries-affected surfaces was: in proximal surfaces-0.57 and 0.98, on occlusal surfaces-0.83 and 0.98, on buccal/lingual surfaces-0.43 and 0.99.
The result of the present study suggests that the increased caries experience over a 3-year period among the 6- and 12-year-old children in Riga may be due to the concurrent decreased level of oral hygiene, suggesting that ICDAS II instead of Radke's criteria should be used to detect and monitor dental caries.
本研究旨在调查3年期间的龋齿增量和口腔卫生变化，并比较拉脱维亚里加6岁和12岁儿童中Radke龋齿评估方法与国际龋病检测和评估系统第二版（ICDAS II）的敏感性和特异性。
38名6岁儿童和39名12岁儿童在基线时和3年后接受了口腔视诊和咬翼片（BW）X线检查以评估龋齿情况。由一名经过校准的检查者使用Radke龋齿评分标准对所有牙齿的龋、失、补牙面（dmfs/DMFS）进行评分。在基线时和3年后使用Green-Vermillion指数（G-V指数）确定口腔卫生水平。仅在第3年时间点使用ICDAS II对所有儿童进行评估。6岁和12岁儿童的家长在基线时和3年时回答了一份关于口腔卫生的问卷。
使用t检验、卡方检验、Wilcoxon检验（α = 0.05）以及敏感性和特异性检验对数据进行分析。
6岁与12岁儿童在基线/3年期间G-V指数和龋齿经历的均值（标准差）如下。G-V指数：1.14(0.80)/1.48(0.89) [P = 0.4768] 对比 0.99(0.45)/1.45(1.22) [P = 0.0337]。DMFS：0.72(1.02)/3.13(3.13) [P = 0.0000] 对比 6.79(5.14)/14.79(9.86)[P = 0.0000]；dmfs：11.26(8.71)/7.74(4.86) [P = 0.0780] 对比 3.57(2.03)/1.5(0.71)[P = 0.3173]。Radke法相对于ICDAS II在龋损表面的敏感性和特异性为：邻面-0.57和0.98，咬合面-0.83和0.98，颊/舌面-0.43和0.99。
本研究结果表明，里加6岁和12岁儿童在3年期间龋齿经历增加可能是由于口腔卫生水平同时下降，这表明应使用ICDAS II而非Radke标准来检测和监测龋齿。
