articulos de cariologia
Cariology in the 21st Century
State of the Art and Future Perspectives
Proceedings of a Symposium held at the 50th Anniversary ORCA Congress, July 2-6, 2003, Konstanz, Germany
Guest Editors: B. Nyvad, Aarhus; J.M. ten Cate, Amsterdam; C. Robinson, Leeds
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Paper
Diagnosis versus Detection of Caries
B. Nyvad
School of Dentistry, Faculty of Health Sciences, University of Aarhus, Aarhus, Denmark
Address of Corresponding Author
Caries Research 2004;38:192-198 (DOI: 10.1159/000077754)
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Key Words
Dental caries, detection
Dental caries, diagnosis
Diagnostic threshold
'Gold standard'
Lesion activity
Randomized controlled trial
Reliability
Treatment decision
Validity
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Abstract
Caries diagnosis is the art or act of identifying a disease from its signs and symptoms. This is distinct from the detection of the signs and symptoms themselves. The diagnosis forms the basis for making informed treatment decisions. Hence, if there is no diagnostic step expressed in terms of the probability of present and future occurrence of disease, practitioners may resort to treatments guided by previous experiences with similar clinical manifestations. This paper reviews various methodological aspects of caries diagnostic testing. It is concluded that rather than continuing to search for the truth of the diagnosis, it may be more informative to consider the consequences of the diagnosis. This view is supported by results from caries-preventive trials in which the activity of carious lesions has been monitored longitudinally over years.
Copyright © 2004 S. Karger AG, Basel
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Author Contacts
Bente Nyvad
School of Dentistry, Faculty of Health Sciences
University of Aarhus, Vennelyst Boulevard
DK-8000 Aarhus C (Denmark)
Tel. +45 89424074, Fax +45 86202202, E-Mail nyvad@odont.au.dk
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Article Information
Number of Print Pages : 7
Number of Figures : 4, Number of Tables : 0, Number of References : 35
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Dra.Francisca Lecannelier B.Especialista en OdontopediatriaDepartamento de Pediatria Bucal.Facultad de Odontologia.UdeC.UdeC
State of the Art and Future Perspectives
Proceedings of a Symposium held at the 50th Anniversary ORCA Congress, July 2-6, 2003, Konstanz, Germany
Guest Editors: B. Nyvad, Aarhus; J.M. ten Cate, Amsterdam; C. Robinson, Leeds
--------------------------------------------------------------------------------
Paper
Diagnosis versus Detection of Caries
B. Nyvad
School of Dentistry, Faculty of Health Sciences, University of Aarhus, Aarhus, Denmark
Address of Corresponding Author
Caries Research 2004;38:192-198 (DOI: 10.1159/000077754)
--------------------------------------------------------------------------------
Key Words
Dental caries, detection
Dental caries, diagnosis
Diagnostic threshold
'Gold standard'
Lesion activity
Randomized controlled trial
Reliability
Treatment decision
Validity
--------------------------------------------------------------------------------
Abstract
Caries diagnosis is the art or act of identifying a disease from its signs and symptoms. This is distinct from the detection of the signs and symptoms themselves. The diagnosis forms the basis for making informed treatment decisions. Hence, if there is no diagnostic step expressed in terms of the probability of present and future occurrence of disease, practitioners may resort to treatments guided by previous experiences with similar clinical manifestations. This paper reviews various methodological aspects of caries diagnostic testing. It is concluded that rather than continuing to search for the truth of the diagnosis, it may be more informative to consider the consequences of the diagnosis. This view is supported by results from caries-preventive trials in which the activity of carious lesions has been monitored longitudinally over years.
Copyright © 2004 S. Karger AG, Basel
--------------------------------------------------------------------------------
Author Contacts
Bente Nyvad
School of Dentistry, Faculty of Health Sciences
University of Aarhus, Vennelyst Boulevard
DK-8000 Aarhus C (Denmark)
Tel. +45 89424074, Fax +45 86202202, E-Mail nyvad@odont.au.dk
--------------------------------------------------------------------------------
Article Information
Number of Print Pages : 7
Number of Figures : 4, Number of Tables : 0, Number of References : 35
--------------------------------------------------------------------------------
Dra.Francisca Lecannelier B.Especialista en OdontopediatriaDepartamento de Pediatria Bucal.Facultad de Odontologia.UdeC.UdeC
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