Skip to main content

Nyvad Criteria for Assessment of Caries Lesion Activity and Severity

  • Chapter
  • First Online:
Detection and Assessment of Dental Caries

Abstract

The diagnostic criteria for the assessment of caries lesion activity and severity were developed by Nyvad and coworkers based on the evidence that the clinical status of the caries lesions can change in response to the oral environment. The Nyvad criteria reflect the visual-tactile surface characteristics of the caries lesions such as integrity, texture, translucency/opacity, lesion location, and surface color. The classification of caries lesions incorporates scores for active/progressing and inactive/arrested lesions at two levels of severity, non-cavitated and cavitated. The Nyvad criteria have been tested in clinical trials and proven to be reliable and valid. Clinical differentiation of the detected lesions according to their stage of activity allows dental professionals to identify lesions that are in need of treatment, to choose the appropriate management strategy, and to monitor the course of the disease.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Holmen L, Thylstrup A, Ogaard B, Kragh F. A polarized light microscopic study of progressive stages of enamel caries in vivo. Caries Res. 1985;19:348–54.

    Article  Google Scholar 

  2. Holmen L, Thylstrup A, Ogaard B, Kragh F. A scanning electron microscopic of progressive stages of enamel caries in vivo. Caries Res. 1985;19:355–67.

    Article  Google Scholar 

  3. Silvestrone LM. Remineralization phenomena. Caries Res. 1977;11:59–84.

    Article  Google Scholar 

  4. Thylstrup A, Bruun C, Holmen L. In vivo caries models—mechanisms for caries initiation and arrestment. Adv Dent Res. 1994;8:44–57.

    Article  Google Scholar 

  5. Backer Dirks O. Post eruptive changes in dental enamel. J Dent Res. 1966;45:503–11.

    Article  Google Scholar 

  6. Kidd EA, Fejerskov O. What constitutes dental caries? Histopathology of carious enamel and dentin related to the action of cariogenic biofilms. J Dent Res. 2004;83 Spec No C:C35–8.

    Article  Google Scholar 

  7. Nyvad B, Machiulskiene V, Baelum V. Reliability of a new caries diagnostic system differentiating between active and inactive caries lesions. Caries Res. 1999;33:252–60.

    Article  Google Scholar 

  8. Nyvad B, Machiulskiene V, Baelum V. Construct and predictive validity of clinical caries diagnostic criteria assessing lesion activity. J Dent Res. 2003;82:117–22.

    Article  Google Scholar 

  9. Nyvad B, Fejerskov O. Assessing the stage of caries lesion activity on the basis of clinical and microbiological examination. Community Dent Oral Epidemiol. 1997;25:69–75.

    Article  Google Scholar 

  10. Carvalho JC, Thylstrup A, Ekstrand KR. Results after 3 years of non-operative occlusal caries treatment of erupting first permanent molars. Community Dent Oral Epidemiol. 1992;20:187–92.

    Article  Google Scholar 

  11. Machiulskiene V, Richards A, Nyvad B, Baelum V. Prospective study of the effect of post-brushing rinsing behaviour on dental caries. Caries Res. 2002;36:301–7.

    Article  Google Scholar 

  12. Maltz M, et al. Result after two years of non-operative treatment of occlusal surfaces in children with high caries prevalence. Braz Dent J. 2003;14:48–54.

    Article  Google Scholar 

  13. Stookey G. Should a dental explorer be used to probe suspected carious lesions?. No—use of an explorer can lead to misdiagnosis and disrupt remineralization. J Am Dent Assoc. 2005;136:1527.

    PubMed  Google Scholar 

  14. Sellos MS, Soviero M. Reliability of the Nyvad criteria for caries assessment in primary teeth. Eur J Oral Sci. 2011;119:225–31.

    Article  Google Scholar 

  15. Nyvad B, Baelum V. Nyvad criteria for caries lesion activity and severity assessment: a validated approach for clinical management and research. Caries Res. 2018;52:397–405.

    Article  Google Scholar 

  16. Braga MM, Mendes FM, Martignon S, Ricketts DN, Ekstrand KR. In vitro comparison of Nyvad’s system and ICDAS-II with lesion activity assessment for evaluation of severity and activity of occlusal caries lesions in primary teeth. Caries Res. 2009;43:405–12.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Vita Machiulskiene .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Machiulskiene, V. (2019). Nyvad Criteria for Assessment of Caries Lesion Activity and Severity. In: Ferreira Zandona, A., Longbottom, C. (eds) Detection and Assessment of Dental Caries. Springer, Cham. https://doi.org/10.1007/978-3-030-16967-1_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-16967-1_5

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-16965-7

  • Online ISBN: 978-3-030-16967-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics