Comparison of different methods for the occlusal dentine caries diagnosis

Mestriner, Soraya Fernandes; Vinha, D; Mestriner, Wilson

doi:10.1590/s1678-77572005000100007

Cited by 9 publications

(7 citation statements)

References 24 publications

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“…False positive results were measured. Other authors obtained similar results, too [16,17,19,20]. Based on these and our study, we could recommend the device to be used as an adjunct method.…”

Section: Resultssupporting

confidence: 85%

“…It is a highly subjective method. This needs a significant experience and, even so, the sensitivity of the method varies from 0.30 to 0.80 and its specificity from 0.70 to 0.90 [13,17,18]. The combination of a visual and a tactile examination leads to more accurate diagnosis, but again the practitioner could be misled: on the one hand, the 'sticking' of the dental explorer could be due to anatomic structures and, on the other hand, the probe might not 'stick' when the so-called 'hidden caries' or fluoride syndrome is present.…”

Section: Resultsmentioning

confidence: 99%

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Effectiveness of near-infrared transillumination in early caries diagnosis

Мarinova-Takorovа

Panov

Anastasova

2016

Biotechnology & Biotechnological Equipment

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Early caries detection is essential for minimal intervention dentistry, since it could give the opportunity to reverse the process and eliminate or at least postpone the surgical treatment. The aim of the present study was to evaluate the effectiveness of near-infrared transillumination in early caries diagnosis for both occlusal and proximal lesions. Thirty-eight adult patients were included in the study. The results from the visual, radiological and near-infrared transillumination examination for proximal caries lesions were compared. The diagnostic abilities of these methods for occlusal lesions were assayed on 60 teeth. The three methods showed a very high level of correlation when there were caries lesions involving the enamel and dentin. Concerning proximal caries involving only the enamel, the visual-tactile diagnosis proved to be insufficiently sensitive even with the use of magnification. Radiographic examination and near-infrared transillumination correlated significantly, but the latter was more sensitive. Radiographic examination proved to be insufficiently sensitive for occlusal lesions. The results obtained with the near-infrared fluorescence correlated most with the visual-tactile examination. These results suggest that near-infrared transillumination is an effective method for diagnosis of lesions both involving only the enamel and involving the enamel and dentin. It could be used for both occlusal and proximal caries lesions and it could eventually substitute radiographic bitewings, especially in children and pregnant women, due to its efficiency as a diagnostic tool and the absence of radiation.

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Section: Resultssupporting

confidence: 85%

Section: Resultsmentioning

confidence: 99%

Effectiveness of near-infrared transillumination in early caries diagnosis

Мarinova-Takorovа

Panov

Anastasova

2016

Biotechnology & Biotechnological Equipment

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“…The three modalities had almost the same values for the areas under the ROC curves. Previous studies showed that digital radiographs had similar diagnostic accuracy to that of conventional radiographs in the detection of caries [9,13,14]. In addition, the interobserver agreement was similar between conventional and digital radiographs [13].…”

Section: Discussionmentioning

confidence: 71%

“…In addition to these abilities, digital radiographs have resulted in reduced usage of chemical products and involved smaller radiation doses [9].…”

Section: Introductionmentioning

confidence: 99%

Imaging of occlusal dentine caries: a comparison among conventional radiographs, digital radiographs, and cone-beam computed tomography images

2014

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Objectives To compare conventional radiographs, digital radiographs, equalized images of digital radiographs, and cone-beam computed tomography (CBCT) images for in vitro imaging of occluso-dentinal caries. Methods A total of 160 extracted human posterior teeth were evaluated in the study. All teeth were free of restorations and proximal caries. The clinical appearances of the occlusal surfaces of the teeth ranged from sound to discolored, with no macroscopic cavitation. Conventional intraoral radiographs, digital intraoral radiographs, and CBCT images of the teeth were taken. The images were evaluated independently by three observers for the presence of occluso-dentinal caries. The teeth were then sectioned and computerized images were obtained for the histological sections using a digital camera linked to a stereomicroscope at 109 magnification. The histological images were assessed for the presence or absence of dentinal caries. The sensitivity, specificity, accuracy, and area under the receiver-operating characteristic curve (Az value) were calculated for each diagnostic method.Results Sensitivity was greatest for CBCT images (mean = 0.63) and lowest for digital radiographs (mean = 0.38). Specificity was greatest for digital radiographs (mean = 0.76) and lowest for CBCT images (mean = 0.64). The mean Az values ranged from 0.56 to 0.60 (P [ 0.05). The interobserver and intraobserver agreements were greatest for CBCT images (mean kappa = 0.66 and 0.73, respectively). Conclusions There were no differences in the accuracy of detection of non-cavitated occluso-dentinal caries among the diagnostic modalities used. Cone-beam computed tomography images were more sensitive, while digital radiographs were more specific.

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“…Mestriner et al (27), después de evaluar distintos méto-dos de diagnóstico, concluyeron que los métodos tradicionales, la inspección visual y las radiografías, son efectivos y complementarios en la detección de caries.…”

Section: Diagnósticounclassified

Caries oclusal incipiente : Un nuevo enfoque

Almeida¹,

Palti²,

Silveira³

2014

Rev Estomatol Herediana.

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RESUMENNo obstante que el conocimiento sobre el diagnóstico y tratamiento de la caries dental ha avanzado, el diagnóstico de las lesiones oclusales todavía constituye un reto para los clínicos y los epidemiólogos. Los conocimientos sobre la enfermedad, así como los conceptos, formas de diagnóstico y tratamiento de la odontología han evolucionado debido, principalmente, a tres grandes factores: (1) la visión de la caries dental como una enfermedad y, consecuentemente, la posibilidad de intervenir más tempranamente; (2) el uso del flúor y (3) la aparición de materiales restauradores adhesivos, que permiten restauraciones más conservadoras. Esta nueva perspectiva ha conducido al surgimiento de una odontología preventiva que hoy reconoce la presencia de lesiones cariosas ocultas, menores e incipientes. La necesidad del diagnóstico temprano es fundamental, en el sentido de que mientras más pronto se realice la intervención, menor será la pérdida de estructura dentaria y mayor la posibilidad de éxito en la recuperación de la salud bucal. En los últimos tiempos han surgido diversos métodos de diagnóstico y, con ellos, dudas sobre cuál es el ideal y que pueda, además, cumplir las siguientes características: alto grado de sensibilidad y especificidad, bajo costo y fácil aplicación diaria. A pesar de los grandes adelantos tecnológicos observados en el diagnóstico de caries dental, se considera que el examen clínico correcto, acompañado por el examen radiográfico, es un método eficaz para el diagnóstico de lesiones incipientes, que se caracterizan por aparecer principalmente en las superficies oclusales. Cuando hay dudas sobre el diagnóstico de lesiones incipientes se recomiendan métodos alternos y complementarios de tipo invasivo. Palabras clave: CARIES DENTAL. diagnóstico.A new look: incipient occlusal caries ABSTRACT Even though the knowledge about diagnosis and treatment of dental caries is well established, occlusal caries diagnosis remains a great challenge for clinicians and epidemiologists. New concepts of dental caries as a disease and the possibility of an early treatment as well as the use of fluoride and development of adhesive materials, which permit more constructive restorative procedures may be responsible for a new perception of a preventive dentistry. Allowing the appearance of new type of lesions such as hidden caries, incipient caries and smaller caries. For these reasons, the need of an early diagnosis becomes fundamental, because of the aim of modern dentistry as a preventive approach rather than invasive repair of the disease. In the last years, new diagnosis methods were implemented bringing new doubts about which shows the accurate result. The ideal diagnosis method should have high sensibility and specificity, low cost and should be easy to work. Even with the great technologies in new diagnosis tools, an accurate clinical and radiographic exam are considered an effective method in the diagnosis of incipient caries lesions. These incipient caries lesions mostly appear in the occlusal surfaces. In ...

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Comparison of different methods for the occlusal dentine caries diagnosis

Cited by 9 publications

References 24 publications

Effectiveness of near-infrared transillumination in early caries diagnosis

Effectiveness of near-infrared transillumination in early caries diagnosis

Imaging of occlusal dentine caries: a comparison among conventional radiographs, digital radiographs, and cone-beam computed tomography images

Caries oclusal incipiente : Un nuevo enfoque

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