Use of laser fluorescence (DIAGNOdentTM) for in vivo diagnosis of occlusal caries: a systematic review

Pinheiro, Isauremi Vieira de Assunção; Medeiros, Maria Cristina dos Santos; Ferreira, Maria Ângela Fernandes; Lima, Kênio Costa de

doi:10.1590/s1678-77572004000300003

Cited by 14 publications

(16 citation statements)

References 15 publications

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“…The results were in accordance with the study conducted by Pinheiro et al 20 They assessed the accuracy of laser fluorescence (DIAGNOdent) for diagnosis of occlu-sal caries in permanent teeth and found that kappa value is 0.89 for DIAGNOdent and concluded that in routine dental check-up of children, DIAGNOdent appears to be a useful adjunct. 20 …”

Section: Discussionsupporting

confidence: 89%

Evaluation of different Diagnostic Modalities for Diagnosis of Dental Caries: An in vivo Study

Tomar¹,

Singh²,

Zaidi³

et al. 2016

International Journal of Clinical Pediatric Dentistry

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AimThe aim of this study was to compare and evaluate the efficacy of different diagnostic aids for diagnosis of dental caries and to compare the validity in terms of sensitivity and specificity of all four diagnostic modalities for diagnosis of caries.Materials and methodsOcclusal surfaces of 100 primary and permanent molars were examined using the four diagnostic systems (visual, intraoral camera, DIAGNOdent, and DIAGNOdent with dye). These results were compared with operative intervention gold standard. Sensitivity and specificity were calculated for each diagnostic system for both enamel and dentin caries. Interrater agreement was calculated for each diagnostic system using kappa statistics.ResultsFor both enamel and dentin caries, the highest sensitivity values were provided by DIAGNOdent (0.91 and 0.72) and lowest for visual examination on wet surface (0.60 and 0.50). For both enamel and dentin caries, the specificity was found to be highest for intraoral camera on dry surface and lowest for visual examination. The DIAGNOdent gave the highest value of interrater agreement (kappa), i.e., 0.816 as compared with 0.03 for visual examination.ConclusionThe study clearly demonstrated that DIAGNO-dent was the most accurate and valid system tested for the detection of occlusal caries. It has the advantage of quantifying the mineral content, helping to improve the diagnostic efficacy and treatment and accurate assessment of fissures where the visual examination alone is not adequate, thus complementing the traditional dental examination.How to cite this articleZaidi I, Somani R, Jaidka S, Nishad M, Singh S, Tomar D. Evaluation of different Diagnostic Modalities for Diagnosis of Dental Caries: An in vivo Study. Int J Clin Pediatr Dent 2016;9(4):320-325.

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Section: Discussionsupporting

confidence: 89%

Evaluation of different Diagnostic Modalities for Diagnosis of Dental Caries: An in vivo Study

Tomar¹,

Singh²,

Zaidi³

et al. 2016

International Journal of Clinical Pediatric Dentistry

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“…Changes in the mineral content result in changes in patterns of fluorescence. [34] A numerical value is assigned to the degree of fluorescence, which is used to indicate the extent of caries.…”

Section: Introductionmentioning

confidence: 99%

Role of casein phosphopeptide amorphous calcium phosphate in remineralization of white spot lesions and inhibition of Streptococcus mutans?

Vashisht¹,

Indira

Ramachandran

et al. 2013

J Conserv Dent

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Introduction:To promote the remineralization by ionic exchange mechanism instead of invasive techniques many remineralizing agents can be used.Objective:To evaluate the remineralization effects of casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) on white spot lesions (WSLs) and its inhibitory effect on Streptococcus mutans colonization.Materials and Methods:The study group consisted of 60 subjects exhibiting at least 1-WSL. Subjects were randomly divided into 2 groups: A test group using CPP-ACP cream (GC-Tooth Mousse, Leuven, Belgium) and a control group using only fluoride containing toothpaste for a period of 3-month. Baseline WSLs were scored using DIAGNOdent device (KaVo Germany) and the saliva samples were collected to measure S. mutans counts. After the 3-month period the WSLs were again recorded and the saliva collection was repeated.Result:DIAGNOdent measurements were increased by time (P = 0.002) in the control group and no statistically significant difference (P = 0.217) was found in the test group by the 3-month period. In both groups, the mutans counts were decreased in the 3-month experimental period.Conclusion:These clinical and laboratory results suggested that CPP-ACP containing cream had a slight remineralization effect on the WSL in the 3-month evaluation period however, longer observation is recommended to confirm whether the greater change in WSLs is maintained.

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“…It is, therefore, impossible to detect very early caries lesions in the enamel. What is more, the interpretation of lesions on tangent surfaces is difficult in the case of tooth crowding [2,6,9,[14][15][16][17]19,20,25]. b) Digital radiographs (radiovisiography).The equipment of many dental surgeries includes devices for taking digital radiographs (radiovisiography).…”

Section: Radiological Methodsmentioning

confidence: 99%

“…The more intense the caries lesions, the greater number the devices shows. According to the criteria used in examination with DIAGNOdent by Lussi et al and the DIGNOdent score recommended by the manufacturer, a normal tooth scores from 0-14, enamel caries score: 15-20, while a result over 21 points to dental caries and is an indication for treatment intervention [2,[5][6][7]9,10,[15][16][17][18][19][20]22,[24][25][26]. In the case of dental plaque presence, non-caries tooth discoloration or polishing paste remains, there is a risk of false positive result.…”

Section: Methods Based On Electrical and Optical Phenomena A)mentioning

confidence: 99%

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Selected caries diagnostic methods

Kuchta

Szymańska

2014

Current Issues in Pharmacy and Medical Sciences

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Standard caries diagnostic methods include a visual tactile method, as well as several radiographic methods. The former is a subjective method, while bitewing radiographs and digital radiographs (radiovisiography) enable detection of caries lesions only after 30% of hard dental tissue mineral substances have been lost. The paper presents methods based on electrical and optical phenomena that allow early caries diagnosis. Strengths and weaknesses of each presented method are discussed, basing this on recent literature review. The methods of caries detection generally used in daily clinical practice, combined with alternative methods, make it possible to significantly increase the effectiveness of dental caries diagnosis.

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Use of laser fluorescence (DIAGNOdentTM) for in vivo diagnosis of occlusal caries: a systematic review

Cited by 14 publications

References 15 publications

Evaluation of different Diagnostic Modalities for Diagnosis of Dental Caries: An in vivo Study

Evaluation of different Diagnostic Modalities for Diagnosis of Dental Caries: An in vivo Study

Role of casein phosphopeptide amorphous calcium phosphate in remineralization of white spot lesions and inhibition of Streptococcus mutans?

Selected caries diagnostic methods

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