THE QUESTION OF MODERN SYSTEMATIZATION OF DENTAL CARIES IN UKRAINIAN CHILDREN

  • L. Khomenko Bogomolets national medical university
  • N. Bidenko Bogomolets national medical university
Keywords: dental caries, children, dental caries classifications, ICDAS, ICCMS.

Abstract

To represent the scientific achievements of Ukrainian dental researches we have to use modern terms and classifications accepted by most countries concerning to main stomatological diseases. It is particularly important in paediatric dentistry due to many peculiarities of children’s dental caries and high possibility of its prevention on early stages of tooth developing.

Objective. The aims of research are to analyze and systematize the most used dental caries classifications in paediatric dentistry and rationalization the application of International Caries Detection and Assessment System (ICDAS) in Ukrainian children.

Methods. Analysis of information about the most used dental caries classifications in spite of historical aspect and about ICDAS backgrounds, main principles and opportunities.

Results. The first idea of caries classification belonged to G.V.Black. He related the clinical practice of dentistry to a scientific basis. Such classification is still popular but activity of caries process and its initial stages aren’t included in it.

DMFt, DMFs are recommended by WHO for epidemiological dental investigations, these index not only reflects level of caries intensity, but also do not displays the initial stages of caries development and its activity.

The classification, used in Ukraine, comprised by Lucomskyi (1949) describes acute and chronic caries, initial, superficial, middle and deep caries. However differential diagnostics between middle and deep caries is difficult to be performed, especially in children, due to various thickness of dentine in different tooth areas. Furthermore the results of researches show mismatch between deepness of cavity and pathonmorphological changes in the pulp-dentinal complex. It is the cause why the using of terms „caries of enamel”, „caries of dentine” and „caries of cementum” are more preferable. The terms „acute caries” and „chronic caries” are not quite accurate and according to pathomorphology, and have to be replaced with terms „active, advanced carious lesions” and inactive or arrested caries.

International Caries Detection and Assessment System (ICDAS) based on visual and tactile exploring of caries cavity was proposed by the scientific group in 2002. It is a simple, logical, evidence-based system for detection and classification of caries in dental education, clinical practice, dental research, and dental public health

The ICDAS concept is the use of a standardized system, based on best available evidence for detecting early and later stages of caries severity, should lead to the acquisition of higher quality of information which could then be used to inform patient about appropriate diagnosis, prognosis, and clinical management of dental caries at both the individual and public health levels.

The International Caries Classification and Management System – ICCM - deliberately involves a range of options designed to accommodate the needs of different users through the ICDAS (International Caries Detection and Assessment System) domains of clinical practice, dental education, research and public health. The ICCM system seeks for providing a standardized method on overall caries classification and management, otherwise recognizes fully that there are different ways for implementing such systems locally. ICCMS™ found on the evidence-based ICDAS system for the staging of caries.

The ICCMS™ is a health outcomes focused system that aims to maintain health and save tooth structure. Staging of the caries process and activity assessment is followed by risk-adjusted preventive care, control of initial non-cavitated lesions, and conservative restorative treatment of deep dentinal and cavitated caries lesions. These systems are also available for paediatric dentistry.

Conclusions.

  1. Deems, it is expedient to use the terms „active, advanced carious lesions” instead of„acute caries” and inactive or arrested caries instead of „chronic caries”. It should be limited use of terms „medium caries” and „deep caries” and distinguish „caries of enamel”, „caries of dentine” and „caries of cementum”.
  2. ICDAS II and ICCMS are acceptable for scientific researches and practical paediatric dentists of Ukraine.

Downloads

Download data is not yet available.

References

1. Порівняльна оцінка стоматологічного здоров’я дітей шкільного віку за Європейськими індикаторами здоров’я порожнини рота / [Е.В. Безвушко, Л.Ф. Жугіна, А.А. Нарикова, Н.Чухрай] // Новини стоматології. – 2013. – № 3 (76). – С. 46-50.

2. Результаты пилотного проекта по исследованию действительности европейских индикаторов для оценки стоматологического здоровья детей подросткового возраста в странах СНГ / П.А.Леус, О.В.Деньга, А.Калбанов [и др.] // Стоматология детского возраста и профилактика стоматологических заболеваний: материалы ІІІ РоссийскоЕвропейского конгресса по детской стоматологии, 16-17 сент. 2013. – М.,2013. – С. 105-112.

3. Леус П.А. Мониторинг стоматологического здоровья детского населения на коммунальном уровне / П.А.Леус // Стоматология детского возраста и профилактика стоматологических заболеваний: материалы ІІІ Российско-Европейского конгресса по детской стоматологии, 16-17 сент. 2013. – М., 2013. – С. 99-105.

4. Гринишин О.Б. Порівняльна оцінка ураженості карієсом тимчасових молярів у дітей з використанням індексу ICDAS ІІ / О.Б. Гринишин, Е.В. Безвушко // Вісник стоматології. – 2014. - №1. – С. 69-74.

5. Black G.V. A work on operative dentistry: the technical procedures in filling teeth / G.V.Black.- Chicago: Medico-Dental Publishing, 1917.– 95 р.

6. Roberson Th.M. Studervant’s art and science of operative dentistry. Fourth edition /Th.M.Roberson, H.O.Heymann, E.J.Swift.– Mosby, 2006. – 1008 p.

7. Dental caries: The disease and its clinical management / Ed. by O.Fejerskov, E.A.M.Kidd. – Blackwell Munksgaard, 2008. – 616 p.

8. Klein H. Studies on dental caries. I. Dental status and dental needs of elementary school children / H.Klein, E.Paimer, J.W.Knutson // Public Health Rep. – 1938. - Vol.53. – P.751-765.

9. Broadbent J.M. For debate: problems with the DMF index pertinent to dental caries data analysis / J.M.Broadbent, W.M.Thomson // Community Dent. Oral Epidemiol. – 2005. – Vol.33. – P.400–409.

10. World Health Organization. Oral Health Surveys: Basic Methods. 4th ed. - Geneva: World Health Organization; 1997.

11. Oral Health Surveys, Basic Methods. 5th edition. - Geneva: WHO, 2013. – 44 p.

12. Лукомский И.Г. Болезни зубов и полости рта / И.Г. Лукомский. – М.: Медгиз, 1949. – 336 с.

13. Ekstrand K.R. Reproducibility and accuracy of three methods for assessment of demineralization depth of the occlusal surface: An in vitro examination / K.R.Ekstrand, D.N.Ricketts, E.A.Kidd // Caries Res. – 1997. - Vol.31(3). – Р.224–231.

14. Brannstrom M. Pulpal response to early dentinal caries / M.Brannstrom, P.O.Lind // J. Dent. Res. – 1965. – Vol.44. – P.1045-1050.

15. Baum L.J. Dentinal pulp conditions in relation to caries lesions / L.J.Baum // Int. Dent. J. – 1970. - Vol.20. – Р.309-337.

16. Bjorndal L. Indirect pulp therapy and stepwise excavation / L.Bjorndal // JOE – 2008. - Vol. 34, №7. – P. 29-33.

17. Боровский Е.В. Кариес зубов: препарирование и пломбирование / Е.В. Боровский. – М.: АО «Стоматология», 2001. – 144 с.

18. International Caries Detection and Assessment System (ICDAS) Coordinating Committee. Criteria Manual. International Caries Detection and Assessment System (ICDAS II). 29 р. https://www.icdas.org/uploads/ICDAS%20Criteria%20 Manual%20Revised%202009_2.pdf

19. The International Caries Detection and Assessment System (ICDAS): an integrated system for measuring dental caries / Ismail A.I., Sohn W., Tellez M. [et al.] // Community Dent. Oral. Epidemiol. – 2007. – Vol.35(3). – P.170-178.

20. A new approach to reliability assessment of dental caries examinations. Community Dent / Altarakemah Y., Al-Sane M., Lim S. [et al.] // Oral Epidemiol. – 2013. – Vol.41. – P.309–316.

21. Reproducibility and accuracy of the ICDAS-II for detection of occlusal caries in vitro / A.Jablonski- Momeni, V.Stachniss, D.N.Ricketts [et al.] // Caries Res. – 2008. – Vol.42. – P.79–87.

22. Occlusal caries detection in permanent molars according to WHO basic methods, ICDAS II and laser fluorescence measurements / J.Kuhnisch, S.Berger, I.Goddon [et al.] // Community Dent. Oral. Epidemiol. – 2008. – Vol.36. – P.475–484.

23. Topping G.V. Clinical visual caries detection / G.V.Topping, N.B.Pitts // Monogr. Oral Sci. – 2009. - Vol. 21. – P. 15-41.

24. ICCMS™ Guide for Practitioners and Educators / N.B.Pitts, A.I.Ismail, S.Martignon [et al.]. - 84 р.

25. Caries experience in a child population in a deprived area of Brazil, using ICDAS II / R.G.de Amorim, M.J.Figueiredo, S.C.Leal [et al.]. // Clin. Oral. Invest. – 2012. – Vol.16. – Р.513–520.

26. Caries prevalence (ICDAS) in 12-year-olds from low caries prevalence areas and association with independent variables / [A.Jablonski- Momeni, J.Winter, P.Petrakakis, S.Schmidt-Schafer] // International Journal of Paediatric Dentistry. – 2013. - Vol. 24. – Р. 90-97.

27. Caries prevalence in children from Valencia (Spain) using ICDAS II criteria, 2010 / [J.M. AlmerichSilla, T.Boronat-Ferrer, J.M.Montiel-Company, J.E. Iranzo-Cortes] // Med. Oral Patol. Oral Cir. Bucal. – 2014. - Vol. 1;19(6). – Р.574-580.

28. Боровая М.Л. Оценка состояния твердых тканей постоянных зубов у 12-13-летних школьников, проживающих в г. Минске / М.Л. Боровая, Ж.М. Бурак, А.В. Бутвиловский // Современная стоматология. – 2010. - №2. – С. 98-99.

29. Пустовойтова Н.Н. Современные подходы к диагностике кариозной болезни: учеб.-метод. пособие / Н.Н. Пустовойтова, Л.А. Казеко. – Минск : БГМУ, 2010. – 44 с.

30. Родионова А.С. Сравнительная эффективность различных средств гигиены полости рта в профилактике кариеса зубов у детей раннего возраста: автореф. дис. на соискание. уч. степени канд. мед. наук: спец. 14.01.14 «Стоматология» / Родионова Анастасия Сергеевна; Волгоградский государственный медицинский университет. – Волгоград, 2013. – 22 с.
Published
2018-03-21
How to Cite
Khomenko, L., & Bidenko, N. (2018). THE QUESTION OF MODERN SYSTEMATIZATION OF DENTAL CARIES IN UKRAINIAN CHILDREN. Ukrainian Dental Almanac, (2), 72-77. Retrieved from https://dental-almanac.org/index.php/journal/article/view/163
Section
CHILDHOOD STOMATOLOGY