Effect of Addition of Incipient Carious Lesions in Caries Diagnostic Criteria on Prevalence of Caries in North Indian Preschool Children of East Lucknow Region
Keywords :
Carious lesions, Infection control, White spot lesions
Citation Information :
Asad F, Singh N, Abdullah A, Malhotra R. Effect of Addition of Incipient Carious Lesions in Caries Diagnostic Criteria on Prevalence of Caries in North Indian Preschool Children of East Lucknow Region. Int J Clin Pediatr Dent 2021; 14 (5):644-647.
Aim and objective: To investigate the effect of the addition of incipient carious lesions into the WHO caries index on the prevalence of caries in preschoolers of East Lucknow city.
Study design: A cross-sectional observational study was conducted on 530 participants in the age-group of 3–6 years.
Materials and methods: The participants were randomly selected from nursery schools of the East Lucknow region. The dental caries status was assessed according to WHO and Ekstrand's criteria. In addition, the prevalence of cavitated and incipient carious lesions was also evaluated. The data were then subjected to statistical analysis.
Statistics: Chi-square test and Wilcoxon signed-rank test were performed to carry out statistical analysis. p value < 0.005 was taken as statistically significant.
Results: Out of 530 participants examined, caries prevalence by WHO and Ekstrand's criteria was (36.8%) and (57.4%), respectively. The mean dmft values according to WHO criteria and Ekstrand's criteria were 1.16 and 1.60, respectively. The prevalence of cavitated carious lesions was higher (66.27%) when compared with that of incipient carious lesions (33.73%).
Conclusion: A significant number of incipient carious lesions observed in the present study is an indication to include these lesions in caries diagnostic criteria. This would help in determining the exact prevalence of caries and aid in implementing proper preventive protocols for remineralization of incipient carious lesions.
Warren JJ, Levy SM. Longitudinal study of non-cavitated carious lesion progression in the primary dentition. J Public Health Dentis 2006;66(2):83–87. DOI: 10.1111/j.1752-7325.2006.tb02560.x.
Nyvad B, Machiulskiene V, Baelum V. Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions. Caries Res 1999;33(4):252–260. DOI: 10.1159/000016526.
Pitts N. “ICDAS”-an international system for caries detection and assessment being developed to facilitate caries epidemiology, research and appropriate clinical management. Community Dent Health 2004;21(3):193–198.
World Health Organization. Oral health surveys basic methods. Geneva: World Health Organization; 1997. p. 85.
Amarante E, Raadal M, Espelid I. Impact of diagnostic criteria on the prevalence of dental caries in Norwegian children aged 5, 12 and 18 years. Community Dent Oral Epidemiol 1998;26(2):87–94. DOI: 10.1111/j.1600-0528.1998.tb01933.x.
Ekstrand KR, Ricketts DN, Kidd EA. Reproducibility and accuracy of three methods for assessment of demineralization depth on the occlusal surface: an in vitro examination. Caries Res 1997;31(3):224–231. DOI: 10.1159/000262404.
Autio-Gold JT, Tomar SL. Prevalence of non-cavitated and cavitated carious lesions in 5-year old head start school children in Alachua County, Florida. Pediatr Dent 2005;27(1):54–60.
Parisotto TM, Steiner-Oliveira C, Souza-e-Silva CM, et al. Assessment of cavitated and active non-cavitated caries lesions in 3-to 4-year old preschool children: a field study. Int J Paediat Dent 2012;22(2):92–99. DOI: 10.1111/j.1365-263X.2011.01171.x.
Warren JJ, Levy SA, Kanellis MJ. Dental caries in the primary dentition: assessing prevalence of cavitated and non-cavitated lesions. J Public Health Dent 2002;62(2):109–114. DOI: 10.1111/j.1752-7325.2002.tb03430.x.
Correa Kassawara AB, Assaf AV, de Castro Meneghim M, et al. Comparison of epidemiological evaluations under different caries diagnostic thresholds. Oral Health Prev Dent 2007;2:137–144.
Kuvvetli SS, Cildir SK, Ergeneli S, et al. Prevalence of noncavitated and cavitated carious lesions in a group of 5-year-old Turkish children in Kadikoy, Istanbul. J Dent Child 2008;75:158–163.
Simratvir M, Moghe GA, Thomas AM, et al. Evaluation of caries experience in 3-6-year-old children, and dental attitudes amongst the caregivers in the Ludhiana city. J Indian Soc Pedod Prev Dent 2009;27(3):164–169. DOI: 10.4103/0970-4388.57097.
Gadhiane AM, Patil M, Khatib N, et al. Prevalence and determinants of early childhood caries among the children attending Anganwadis of Wardha district, India. IJDR 2013;24(2):199–205.
de Carvalho FS, Paz de Carvalho CA, da Silva Bastos R, et al. Dental caries experience in preschool children of Bauru, SP, Brazil. Braz J Oral Sci 2009;8(2):97–100.
Malvania EA, Krishnan A. Nursing caries prevalence among preschool children of Piparia village. J Oral Health Community Dentis 2011;5(1):37–41. DOI: 10.5005/johcd-5-1-37.
González MC, Ruíz JA, Fajardo MC. Comparison of the def index with Nyvad's caries diagnostic criteria in 3- and 4-year-old Colombian children. Pediatr Dent 2003;25:132–136.
Ismail AI, Brodeur J-M, Gagnon P, et al. Prevalence of noncavitated and cavitated lesions in a random sample of 7- to 9-year-old schoolchildren in Montreal, Quebec. Community Dent Oral Epidemiol 1992;20(5):250–255. DOI: 10.1111/j.1600-0528.1992.tb01693.x.
Trairatvorakul C, Kladkaew S, Songsiripradabboon S. Active management of incipient caries and choice of materials. J Dent Res 2008;87(3):228–232. DOI: 10.1177/154405910808700301.
