Construct and predictive validity of clinical caries diagnostic criteria assessing lesion activity

被引：132
作者：
Nyvad, B
Machiulskiene, V
Baelum, V
机构：
[1] Aarhus Univ, Royal Dent Coll, Fac Hlth Sci, DK-8000 Aarhus C, Denmark
[2] Kaunas Univ Med, Clin Oral Pathol Operat Dent & Endodont, LT-3007 Kaunas, Lithuania
来源：
JOURNAL OF DENTAL RESEARCH | 2003年 / 82卷 / 02期
关键词：
caries diagnosis; clinical trial; fluoride toothpaste; validity;
D O I：
10.1177/154405910308200208
中图分类号：
R78 [口腔科学];
学科分类号：
1003 ;
摘要：
Even though there is no "gold standard" for determining caries lesion activity, it is nonetheless possible to evaluate the validity of such diagnostic measures. The aim of this study was to estimate the construct and predictive validity of caries lesion activity assessments by means of their ability to reflect known effects of fluoride on caries. A three-year trial of the effect of daily supervised brushing with fluoride toothpaste was carried out among 273 12-year-old children. All children were examined clinically according to diagnostic criteria for activity assessment. The relative risk (fluoride vs. control) for caries lesion transitions among diagnostic categories was calculated. Fluoride inhibited progression of caries at all stages of lesion formation while at the same time enhancing lesion regression. The effects were most pronounced for active non-cavitated lesions. It is concluded that the clinical diagnostic criteria have construct and predictive validity for the assessment of caries lesion activity.
引用
收藏
页码：117 / 122
页数：6
相关论文
共 20 条
  • [11] Prospective study of the effect of post-brushing rinsing behaviour on dental caries
    Machiulskiene, V
    Richards, A
    Nyvad, B
    Baelum, V
    [J]. CARIES RESEARCH, 2002, 36 (05) : 301 - 307
  • [12] THE CLINICAL BEHAVIOR OF FREE SMOOTH SURFACE CARIOUS LESIONS MONITORED OVER 2 YEARS IN A GROUP OF SCOTTISH CHILDREN
    NEILSON, A
    PITTS, NB
    [J]. BRITISH DENTAL JOURNAL, 1991, 171 (10) : 313 - 318
  • [13] Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions
    Nyvad, B
    Machiulskiene, V
    Baelum, V
    [J]. CARIES RESEARCH, 1999, 33 (04) : 252 - 260
  • [14] Assessing the stage of caries lesion activity on the basis of clinical and microbiological examination
    Nyvad, B
    Fejerskov, O
    [J]. COMMUNITY DENTISTRY AND ORAL EPIDEMIOLOGY, 1997, 25 (01) : 69 - 75
  • [15] Pot T J, 1977, Ned Tijdschr Tandheelkd, V85, P6
  • [16] FLUORIDE CONTENT OF BUCCAL SURFACE ENAMEL AND ITS RELATION TO DENTAL-CARIES IN CHILDREN
    RICHARDS, A
    JOOSTLARSEN, M
    FEJERSKOV, O
    THYLSTRUP, A
    [J]. ARCHIVES OF ORAL BIOLOGY, 1977, 22 (07) : 425 - 428
  • [17] *STAT CORP, 2001, STAT STAT SOFTW
  • [18] Ten Cate J. M., 1996, P252
  • [19] INFLUENCE OF FLUORIDE IN SOLUTION ON TOOTH DEMINERALIZATION .1. CHEMICAL-DATA
    TENCATE, JM
    DUIJSTERS, PPE
    [J]. CARIES RESEARCH, 1983, 17 (03) : 193 - 199
  • [20] Thylstrup A, 1994, Adv Dent Res, V8, P144
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