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Fecha Publicación: 2011-07-01
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López Soto OP, Cerezo Correa M del P. Evaluación de una prueba que mide la susceptibilidad del esmalte a la caries dental. Hacia Promoc. Salud [Internet]. 1 de julio de 2011 [citado 21 de noviembre de 2024];16(2):97-108. Disponible en: https://revistasojs.ucaldas.edu.co/index.php/hacialapromociondelasalud/article/view/1909
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Objetivo: correlacionar los resultados de la prueba colorimétrica con la historia de caries de los pacientes adultos jóvenes, para determinar la posibilidad de usarla como indicador de la susceptibilidad del esmalte adulto a la disolución en ácidos, propios de la placa dental o de factores erosivos externos. Metodología: estudio analítico correlacional, determinación del tamaño de la muestra con nivel de confianza del 95%, poder del 80%, razón 1:1, razón de riesgo 1:5. Muestra: 87 personas en el grupo con historia de caries y 83 en el de sanos, selección aleatoria de instituciones de educación para adultos de la ciudad de Manizales. Criterios de inclusión: tener entre 18 y 20 años y dientes anteriores superiores. Se firmó el consentimiento informado. Aplicación de técnica colorimétrica en ambos grupos, se utilizaron discos de 2,8 mm de papel absorbente impregnados en una solución de cristal violeta; un ácido grabador (ácido clorhídrico a un pH de 1,9) y una escala colorimétrica de pH. Se aplicaron la prueba de Kappa, sensibilidad y especificidad. Resultados: resistente según la prueba: 55%, y no resistente: 45%. Según la prueba Kappa, la concordancia entre la prueba y la susceptibilidad del esmalte son bajas (IC: 0,59 – 1,47 Kappa 0,1). La sensibilidad (36%) y el valor predictivo positivo (40%) fueron bajos. La especificidad (45%) y el valor predictivo negativo (40%) también fueron bajos. Conclusiones: no hay concordancia entre la susceptibilidad a la disolución ácida del esmalte según la prueba utilizada en esta investigación y la experiencia pasada de caries en adultos jóvenes.
Palabras clave:
Citas
Dirección Territorial de Salud de Caldas. Perfil epidemiológico 2008. Caldas: Dirección Territorial de Salud de Caldas; 2008.
Ministerio de la Protección Social de Colombia. Decreto 3039 de 2007. Plan Nacional de Salud Pública 2007-2010. Ministerio de la Protección Social de Colombia;2007.
Rodríguez Miro, MJ. Etiopatogenia de la caries dental. Actualidad en estomatología, serie Inf Tem 3 1979; 1. En: Rodríguez M, Gispert E, Rodríguez J, Fonte M, Vega D, Rojas G, Rodríguez A, Cantillo E, Ávila L. Resistencia del esmalte a la disolución ácida: su relación con la actividad cariogénica. Rev Cubana Estomatol 1989;26(1-2):57-69.
Jenkins GN. Some physiological aspects of dental caries: physiology and biochemistry of the mouth. Blacwell scientific publications 1978; 9:255-269. In: Tucker K, Adams M, Shaw L, Smith AJ. Human enamel as a substrate for in vitro acid dissolution studies: Influence of tooth surface and morphology. Caries Res 1998;32:135-40.
Curzon ME et al. Strontium in drinking water and dental caries. J Dent Res (Spec Issue 1977) Abstrac 167,A 84.
Isokangas P, Alanen P, Tiekso J. The clinician’s ability to identify caries risk subjects without saliva tests - a pilot study. Community Dent Oral Epidemiol 1993; 21:8-10.
Boletín Informativo. Cooperación técnica entre países del área Andina, Centroamérica y Caribe Hispano. Centro Nacional de Materiales Dentales (CNMD) “Dr. Hugo Paolini Ricci. Universidad Central de Venezuela 1991; 4
Gisper E, Cantillo E, Rivero A, Cruz M. Remineralización in vivo del esmalte desmineralizado artificialmente. Rev Cub Estomatol 2001;38(1):5-9.
Sánchez TL, Sáenz LP, Gómez ME, Pérez J. Resistencia del esmalte a la disolución ácida y su correlación con la caries dental. Rev Salud Pub Méx 1995;37(3):224-31.
Rodríguez MJ, Gispert E, Gallego J, Fonte M, Vega D, Rojas Rodríguez A, Cantillo E, Rodríguez A, Ávila LE. La resistencia del esmalte a la disolución ácida: su relación con la actividad criogénica. Rev Cub Estomatol 1989;26(1-2)57-69.
Pelton AR, Gronsky R, Williams DB. Images of materials. Oxford: Oxford University Press;1991. In: Wang LJ, Tang R, Bonstein T, Bush P,Nancollas GH. Enamel demineralization in primary and permanent teeth. J Dent Res 2006;85(4):359-63.
Veis A. Mineralization in organic matrix frameworks. In: Dove PM, De Yoreo JJ, Weiner S, editors. Biomineralization. Reviews in mineralogy and geochemistry. Washington, DC: The Mineralogical Society of America; 2003. p. 249-89.
Shellis RP. Relationship between human enamel structure and the formation of caries-like lesions in vitro. Arch Oral Biol 1984;29:975-81.
Sonju Clasen AB, Ogaard B, Duschner H, Ruben J, Arends J, Sonju T. Caries development in fluoridated and non-fluoridated deciduous and permanent enamel in situ examined by microradiography and confocal laser scanning microscopy. Adv Dent Res 1997;11:442-7.
Dowker SE, Elliott JC, Davis GR, Wassif HS. Longitudinal study of the three-dimensional development of subsurface enamel lesions during in vitro demineralization. Caries Res 2003; 37:237-45.
Naujoks R, Schade H, Zelinka F. Chemical composition of different areas of the enamel of deciduous and permanent teeth (the content of Ca, P, CO2, Na and N2). Caries Res 1967;1:137-43.
Angker L, Nockolds C, Swain MV, Kilpatrick N. Quantitative analysis of the mineral content of sound and carious primary dentine using BSE imaging. Arch Oral Biol 2004;49:99-107.
Cuy JL, Mann AB, Livi KJ, Teaford MF, Weihs TP. Nanoindentation mapping of the mechanical properties of human molar tooth enamel. Arch Oral Biol 2002;47:281-91.
Le Geros RZ. (1991). Calcium phosphates in oral biology and medicine. Basel: Karger. In: Wang LJ, Tang R, Bonstein T, Bush P,Nancollas GH. Enamel demineralization in primary and permanent teeth. J Dent Res 2006; 85(4):359-63.
Weiner S, Dove PM. (2003). An overview of biomineralization processes and the problem of the vital effect. In: Dove PM, De Yoreo JJ, Weiner S, editors. Biomineralization. Reviews in mineralogy and geochemistry. Washington, DC: The Mineralogical Society of America;2003. p. 1-29.
Wang LJ, Tang R, Bonstein T, Bush P, Nancollas GH. Enamel demineralization in primary and permanent teeth. J Dent Res 2006;85(4):359-63.
Kautsky MB, Featherstone JDB. Effect of salivary components on dissolution rates of carbonated apatites. Caries Res 1993;27:373-77.
Slominay BL, Murty VLN, Zdebska E, Slomiany A, Gwodzinsky K, Mande IE. Tooth surface pellicle lipids and their role in the protection of dental enamel against acid lactic diffusion in man. Arch oral boil 1986;31:187-91.
Fischer SJ, Prakophol A, Kajisa L, Murray PA. External radiolabellin of components of pellicle on human enamel and cementum. Arch oral Biol 1987;32:509-17.
Rovelstad GH, Geller JH, Cohen AH. Caries susceptibility tests, hyaluronidase activity of saliva and dental caries experience. J Dent res 1958;32(2):306-11.
Ellliot K, Fitzsimons DW, editors. Hard tissue Growth, repair and remineralization. CIBA oundation Symposium No. 11. Amsterdam: Elsevier: 57-990. In: Christoffersen J, Cristoffersen MR, Ruben J, Arends J. The effect of EHDP concentration on enamel demineralization in vitro. J Dent Res 1991;70(2):123-26.
Featherstone JDB, Duncan JF, Cutress TW. Amechanism for dental caries base don chemical processes and diffusion phenomena during in vitro caries simulation on human tooth enamel. Arch Oral Biol 1979;24:101-12.
Christoffersen J, Cristoffersen MR, Ruben J, Arends J. The effect of EHDP concncetration on enamel demineralization in vitro. J Dent Res 1991;70(2):123-26.
Christoffersen J, Cristoffersen MR. Kinetics of dissolution of calcium hidroxyapatyte II.dissolution in non-stoichiometric solutions at constant pH. J Crystal Growtrh 1979;47:671-79.
Margolis HC, Zhang YP, Lee CY, Kent RL, Moreno EC. Kinetics of enamel demineralization in vitro. J Dent Res 1999;78(7):1326-55.
Featherstone JD, Rodgers BE. Effect of acetic, lactic and other organic acids on the formation of artificial carious lesions. Caries Res 1981;15:377-85.
Johnson NW, editor. Risk markers for oral diseases. Volume I, Dented Caries, Markers of high and low risk groups and individuals. Cambridge: Cambridge University Press;1991. In: Isokangas P, Alanen P, Tiekso J. The clinician’s ability to identify caries risk subjects without saliva tests - a pilot study. Community Dent Oral Epidemiol 1993;21:8-10.
Bader JD, editor. Risk and assessment in dentistry. Chapel Hill: University of North Carolina Dental Ecology; 1990. In: Isokangas P, Alanen P, Tiekso J. The clinician’s ability to identify caries risk subjects without saliva tests - a pilot study. Community Dent Oral Epidemiol 1993:21:8-10.
Stamm JW, Disney JA, Graves RC, Bohannan HM, Albernathy JR. The University of North Carolina caries risk assessment study. 1: Rationale and content. J Public Heallh Dent 1988;48:225-232. In: Isokangas P, Alanen P, Tiekso J. The clinician’s ability to identify caries risk subjects without saliva tests - a pilot study. Community Dent Oral Epidemiol 1993;21:8-10.
Alaluusua S, Kleemola -Kujala E, Gronross L, Evalahti M. Salivary caries-related tests as predictors of future caries increment in teenagers. A three-year longitudinal study. Oral Microhiot Immunol 1990;5-77-81.
KlocK B, Krasse B. A comparison between different methods for prediction of caries activity. Scand J Dent Res 1979; H7:129-39.
Birkeland JM, Broch L, Jorkjen J L.Caries experience as predictor for caries incidence. Community Dent Oral Epidemiol 1976;4:66-9.
Seppa L, Haussen H. Frequency of initial caries lesions as predictor of future caries increment in children. Scand J Dent Res 1988;96: 9-13.
Seppa L, Hausen H, Pollanen L, Helasjharju K, Karkkainen S. Past caries recording made in Public Dental Clinics as predictors of caries prevalence in early adolescence. Community Dent Oral Epidemiol 1989;17:277-81.
López OP, Cerezo MP, Paz AL. Puesta a prueba de un instrumento que predice el riesgo de caries dental. Rev Col de investigación en odontología [serie en línea] 2010 [citado 2011 Mar 17];1(2). Disponible en URL: http://rcio.org/index.php/rcio/article/viewArticle/23
Silverstone LM. The histopathology of enamel lesions produced in vitro previously exposing to calcifying fluids. Caries Res, 1970;4:31-48. In: Sánchez TL, Sáenz LP, Gómez MA, Pérez J. Resistencia del esmalte a la disolución ácida y su correlación con la caries dental. Salud Pública Mex 1995;37:224-31.
Ministerio de la Protección Social de Colombia. Decreto 3039 de 2007. Plan Nacional de Salud Pública 2007-2010. Ministerio de la Protección Social de Colombia;2007.
Rodríguez Miro, MJ. Etiopatogenia de la caries dental. Actualidad en estomatología, serie Inf Tem 3 1979; 1. En: Rodríguez M, Gispert E, Rodríguez J, Fonte M, Vega D, Rojas G, Rodríguez A, Cantillo E, Ávila L. Resistencia del esmalte a la disolución ácida: su relación con la actividad cariogénica. Rev Cubana Estomatol 1989;26(1-2):57-69.
Jenkins GN. Some physiological aspects of dental caries: physiology and biochemistry of the mouth. Blacwell scientific publications 1978; 9:255-269. In: Tucker K, Adams M, Shaw L, Smith AJ. Human enamel as a substrate for in vitro acid dissolution studies: Influence of tooth surface and morphology. Caries Res 1998;32:135-40.
Curzon ME et al. Strontium in drinking water and dental caries. J Dent Res (Spec Issue 1977) Abstrac 167,A 84.
Isokangas P, Alanen P, Tiekso J. The clinician’s ability to identify caries risk subjects without saliva tests - a pilot study. Community Dent Oral Epidemiol 1993; 21:8-10.
Boletín Informativo. Cooperación técnica entre países del área Andina, Centroamérica y Caribe Hispano. Centro Nacional de Materiales Dentales (CNMD) “Dr. Hugo Paolini Ricci. Universidad Central de Venezuela 1991; 4
Gisper E, Cantillo E, Rivero A, Cruz M. Remineralización in vivo del esmalte desmineralizado artificialmente. Rev Cub Estomatol 2001;38(1):5-9.
Sánchez TL, Sáenz LP, Gómez ME, Pérez J. Resistencia del esmalte a la disolución ácida y su correlación con la caries dental. Rev Salud Pub Méx 1995;37(3):224-31.
Rodríguez MJ, Gispert E, Gallego J, Fonte M, Vega D, Rojas Rodríguez A, Cantillo E, Rodríguez A, Ávila LE. La resistencia del esmalte a la disolución ácida: su relación con la actividad criogénica. Rev Cub Estomatol 1989;26(1-2)57-69.
Pelton AR, Gronsky R, Williams DB. Images of materials. Oxford: Oxford University Press;1991. In: Wang LJ, Tang R, Bonstein T, Bush P,Nancollas GH. Enamel demineralization in primary and permanent teeth. J Dent Res 2006;85(4):359-63.
Veis A. Mineralization in organic matrix frameworks. In: Dove PM, De Yoreo JJ, Weiner S, editors. Biomineralization. Reviews in mineralogy and geochemistry. Washington, DC: The Mineralogical Society of America; 2003. p. 249-89.
Shellis RP. Relationship between human enamel structure and the formation of caries-like lesions in vitro. Arch Oral Biol 1984;29:975-81.
Sonju Clasen AB, Ogaard B, Duschner H, Ruben J, Arends J, Sonju T. Caries development in fluoridated and non-fluoridated deciduous and permanent enamel in situ examined by microradiography and confocal laser scanning microscopy. Adv Dent Res 1997;11:442-7.
Dowker SE, Elliott JC, Davis GR, Wassif HS. Longitudinal study of the three-dimensional development of subsurface enamel lesions during in vitro demineralization. Caries Res 2003; 37:237-45.
Naujoks R, Schade H, Zelinka F. Chemical composition of different areas of the enamel of deciduous and permanent teeth (the content of Ca, P, CO2, Na and N2). Caries Res 1967;1:137-43.
Angker L, Nockolds C, Swain MV, Kilpatrick N. Quantitative analysis of the mineral content of sound and carious primary dentine using BSE imaging. Arch Oral Biol 2004;49:99-107.
Cuy JL, Mann AB, Livi KJ, Teaford MF, Weihs TP. Nanoindentation mapping of the mechanical properties of human molar tooth enamel. Arch Oral Biol 2002;47:281-91.
Le Geros RZ. (1991). Calcium phosphates in oral biology and medicine. Basel: Karger. In: Wang LJ, Tang R, Bonstein T, Bush P,Nancollas GH. Enamel demineralization in primary and permanent teeth. J Dent Res 2006; 85(4):359-63.
Weiner S, Dove PM. (2003). An overview of biomineralization processes and the problem of the vital effect. In: Dove PM, De Yoreo JJ, Weiner S, editors. Biomineralization. Reviews in mineralogy and geochemistry. Washington, DC: The Mineralogical Society of America;2003. p. 1-29.
Wang LJ, Tang R, Bonstein T, Bush P, Nancollas GH. Enamel demineralization in primary and permanent teeth. J Dent Res 2006;85(4):359-63.
Kautsky MB, Featherstone JDB. Effect of salivary components on dissolution rates of carbonated apatites. Caries Res 1993;27:373-77.
Slominay BL, Murty VLN, Zdebska E, Slomiany A, Gwodzinsky K, Mande IE. Tooth surface pellicle lipids and their role in the protection of dental enamel against acid lactic diffusion in man. Arch oral boil 1986;31:187-91.
Fischer SJ, Prakophol A, Kajisa L, Murray PA. External radiolabellin of components of pellicle on human enamel and cementum. Arch oral Biol 1987;32:509-17.
Rovelstad GH, Geller JH, Cohen AH. Caries susceptibility tests, hyaluronidase activity of saliva and dental caries experience. J Dent res 1958;32(2):306-11.
Ellliot K, Fitzsimons DW, editors. Hard tissue Growth, repair and remineralization. CIBA oundation Symposium No. 11. Amsterdam: Elsevier: 57-990. In: Christoffersen J, Cristoffersen MR, Ruben J, Arends J. The effect of EHDP concentration on enamel demineralization in vitro. J Dent Res 1991;70(2):123-26.
Featherstone JDB, Duncan JF, Cutress TW. Amechanism for dental caries base don chemical processes and diffusion phenomena during in vitro caries simulation on human tooth enamel. Arch Oral Biol 1979;24:101-12.
Christoffersen J, Cristoffersen MR, Ruben J, Arends J. The effect of EHDP concncetration on enamel demineralization in vitro. J Dent Res 1991;70(2):123-26.
Christoffersen J, Cristoffersen MR. Kinetics of dissolution of calcium hidroxyapatyte II.dissolution in non-stoichiometric solutions at constant pH. J Crystal Growtrh 1979;47:671-79.
Margolis HC, Zhang YP, Lee CY, Kent RL, Moreno EC. Kinetics of enamel demineralization in vitro. J Dent Res 1999;78(7):1326-55.
Featherstone JD, Rodgers BE. Effect of acetic, lactic and other organic acids on the formation of artificial carious lesions. Caries Res 1981;15:377-85.
Johnson NW, editor. Risk markers for oral diseases. Volume I, Dented Caries, Markers of high and low risk groups and individuals. Cambridge: Cambridge University Press;1991. In: Isokangas P, Alanen P, Tiekso J. The clinician’s ability to identify caries risk subjects without saliva tests - a pilot study. Community Dent Oral Epidemiol 1993;21:8-10.
Bader JD, editor. Risk and assessment in dentistry. Chapel Hill: University of North Carolina Dental Ecology; 1990. In: Isokangas P, Alanen P, Tiekso J. The clinician’s ability to identify caries risk subjects without saliva tests - a pilot study. Community Dent Oral Epidemiol 1993:21:8-10.
Stamm JW, Disney JA, Graves RC, Bohannan HM, Albernathy JR. The University of North Carolina caries risk assessment study. 1: Rationale and content. J Public Heallh Dent 1988;48:225-232. In: Isokangas P, Alanen P, Tiekso J. The clinician’s ability to identify caries risk subjects without saliva tests - a pilot study. Community Dent Oral Epidemiol 1993;21:8-10.
Alaluusua S, Kleemola -Kujala E, Gronross L, Evalahti M. Salivary caries-related tests as predictors of future caries increment in teenagers. A three-year longitudinal study. Oral Microhiot Immunol 1990;5-77-81.
KlocK B, Krasse B. A comparison between different methods for prediction of caries activity. Scand J Dent Res 1979; H7:129-39.
Birkeland JM, Broch L, Jorkjen J L.Caries experience as predictor for caries incidence. Community Dent Oral Epidemiol 1976;4:66-9.
Seppa L, Haussen H. Frequency of initial caries lesions as predictor of future caries increment in children. Scand J Dent Res 1988;96: 9-13.
Seppa L, Hausen H, Pollanen L, Helasjharju K, Karkkainen S. Past caries recording made in Public Dental Clinics as predictors of caries prevalence in early adolescence. Community Dent Oral Epidemiol 1989;17:277-81.
López OP, Cerezo MP, Paz AL. Puesta a prueba de un instrumento que predice el riesgo de caries dental. Rev Col de investigación en odontología [serie en línea] 2010 [citado 2011 Mar 17];1(2). Disponible en URL: http://rcio.org/index.php/rcio/article/viewArticle/23
Silverstone LM. The histopathology of enamel lesions produced in vitro previously exposing to calcifying fluids. Caries Res, 1970;4:31-48. In: Sánchez TL, Sáenz LP, Gómez MA, Pérez J. Resistencia del esmalte a la disolución ácida y su correlación con la caries dental. Salud Pública Mex 1995;37:224-31.
