Kim Se-Yeon, Kim Han-Na
Department of Dental Hygiene, Jinju Health College, 52655 Jinju, Republic of Korea.
Department of Dental Hygiene, College of Medical and Health Sciences, Cheongju University, 28503 Cheongju, Republic of Korea.
J Clin Pediatr Dent. 2023 Nov;47(6):163-170. doi: 10.22514/jocpd.2023.091. Epub 2023 Nov 3.
The aim of the present study was to elucidate the correlation between the International Caries Detection and Assessment System (ICDAS) and the Snyder caries activity test (SCAT) for the assessment of early dental caries in preschool children. Dental health status of 153 children aged 3-5 years was evaluated by oral examination. The ICDAS stage (enamel opacity stage to cavitated dentine caries stage (stages 1-6)) was assigned based on the evaluation of each tooth surface by a trained dentist based on the number of decayed (d) and filled teeth (ft). In this study, scores of d3-6t (t, teeth), d3-6s (s, tooth surface), d3-6ft and d3-6fs were the cut-off points for enamel caries, set to ICDAS code 3 (d3). SCAT score was assigned based on the acid production level of lactic acid bacteria in plaque (scores: 1-4). Linear correlation analysis was used to determine the correlation between ICDAS and SCAT scores. The proportion of children for each of the dental caries status were as follows: d0, 46.4%; d1-2, 28.1%; d3-4, 9.8%; d5-6, 15.7%. Regarding SCAT scores, 30%, 30.1%, 26.8% and 12.4% children had no, mild, moderate and severe caries activity, respectively. The d3-6t, d3-6s, d3-6ft and d3-6fs indices increased with age and were 0.56, 0.82, 2.03 and 5.05, respectively. Children with a higher SCAT score had higher ICDAS scores ( < 0.05). Our findings suggest that a combination of ICDAS and SCAT scores is beneficial for diagnosing caries progression and highly active caries. Early childhood caries should be managed early to prevent the enamel opacity stage to progress to cavitation.
本研究的目的是阐明国际龋病检测与评估系统（ICDAS）与斯奈德龋活性试验（SCAT）之间的相关性，以评估学龄前儿童的早期龋齿情况。通过口腔检查评估了153名3至5岁儿童的口腔健康状况。ICDAS阶段（从釉质混浊阶段到龋洞形成的牙本质龋阶段（1 - 6期））由经过培训的牙医根据每个牙面的评估结果，依据龋坏（d）牙和充填（ft）牙的数量来确定。在本研究中，d3 - 6t（t，牙齿）、d3 - 6s（s，牙面）、d3 - 6ft和d3 - 6fs分数是釉质龋的截断点，设定为ICDAS代码3（d3）。SCAT分数根据菌斑中乳酸菌的产酸水平确定（分数：1 - 4）。采用线性相关分析来确定ICDAS和SCAT分数之间的相关性。各龋病状态儿童的比例如下：d0，46.4%；d1 - 2，28.1%；d3 - 4，9.8%；d5 - 6，15.7%。关于SCAT分数，分别有30%、30.1%、26.8%和12.4%的儿童无、有轻度、中度和重度龋活性。d3 - 6t、d3 - 6s、d3 - 6ft和d3 - 6fs指数随年龄增加，分别为0.56、0.82、2.03和5.05。SCAT分数较高的儿童ICDAS分数也较高（<0.05）。我们的研究结果表明，ICDAS和SCAT分数相结合有助于诊断龋病进展和高度活跃龋。幼儿龋应尽早处理，以防止釉质混浊阶段发展为龋洞形成。
