%0 Generic %A Martignon, Stefania %A Cortes, Andrea %A Gómez, Soledad Isabel %A Castiblanco, Gina Alejandra %A Baquero, Ximena %A Franco-Triviño, Ana María %A Palacio-Benavides, Juliana Carolina %A Gamboa, Luis Fernando %A Villena, Rita S %D 2018 %T How Long does it Take to Examine Young Children with the Caries ICDAS System and how do they Respond? %U https://scielo.figshare.com/articles/dataset/How_Long_does_it_Take_to_Examine_Young_Children_with_the_Caries_ICDAS_System_and_how_do_they_Respond_/7368137 %R 10.6084/m9.figshare.7368137.v1 %2 https://scielo.figshare.com/ndownloader/files/13621610 %2 https://scielo.figshare.com/ndownloader/files/13621613 %2 https://scielo.figshare.com/ndownloader/files/13621616 %2 https://scielo.figshare.com/ndownloader/files/13621619 %2 https://scielo.figshare.com/ndownloader/files/13621622 %K Dental caries %K diagnosis %K epidemiology %K children %K time %X

Abstract A caries-epidemiological study using the ICDASepi-merged system was conducted in Colombian young children. This study aimed at associating the time needed for the clinical examination of caries and caries risk in 1 to 5-year-old children according to age and caries risk, and to assess behavior and child pain self-perception during examination according to age. After IRB approval and given parents/caregivers’ informed consent, seven trained examiners assessed 1 to 5-year olds in kindergartens under local field conditions. ICDASepi-merged caries experience (depiMEmf) was assessed as follows: Initial-depi (ICDAS 1/2 without air-drying); Moderate-dM (ICDAS 3,4); Extensive-dE (ICDAS 5,6) lesions; due-to-caries fillings-f and missing-m surfaces/teeth. Caries risk was assessed with Cariogram®. Child’s behavior (Frankl-Behavior-Rating-Scale) and self-perceived pain (Visual-Analogue-Scale-of-Faces) during examination were evaluated. Clinical examination time was recorded with a stopwatch. A total of 592 children participated (1-yr.: n=31; 2-yrs.: n=96; 3-yrs.: n=155; 4-yrs.: n=209, 5-yrs.: n=101). The depiMEmfs prevalence was of 79.9% and the mean 8.4±10.4. Most were high-caries-risk children (68.9%). The majority (58.9%) showed ≥ positive-behavior and ≤ light-pain self-perception (88.4%). Mean clinical examination time was around 3.5 minutes (216.9±133.9 seconds). For 5-yr. olds it corresponded to 4 minutes (240.4±145.0 seconds) vs. 2 minutes (122.8±80.1 seconds) for 1-yr. olds (Kruskal-Wallis; p=0.00). For high- and low-caries risk children it was around 4.3 minutes (255.7±118.5 seconds) and 3.3 minutes (201.3±129.4 seconds), respectively (ANOVA; p=0.01). This study demonstrates using the ICDAS system in young children is feasible, taking less than 4 minutes for the clinical examination without children behavior/pain self-perception issues.

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