A Caries Susceptibility Classification of Tooth Surfaces by Survival Time

Hannigan, Ailish; O'Mullane, D; Barry, D. G.; Schäfer, Fred; Roberts, Anthony

doi:10.1159/000016576

Cited by 73 publications

(55 citation statements)

References 7 publications

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“…2,3 The diagnosis of occlusal caries, especially the noncavitated type, is a difficult and problematic task because of the superficial remineralization potential that can delay cavitation and because of the extensive use of fluorides that can slow the progress of the lesion, strengthen occlusal enamel, and mask dentinal caries. 4,5 In the past decade, numerous studies have been published to improve existing dental caries detection techniques and to seek new noninvasive ones that could quantify the depth of carious lesions.…”

Section: Introductionmentioning

confidence: 99%

Comparative In Vitro Validation of VistaProof and DIAGNOdent Pen for Occlusal Caries Detection in Permanent Teeth

Seremidi¹,

Lagouvardos²,

Kavvadia³

2012

Operative Dentistry

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Laser/light fluorescence devices were highly reliable for occlusal caries diagnosis in permanent teeth but not superior in accuracy to visual methods. SUMMARYPurpose: Current caries diagnostic tools are neither very accurate nor very reliable for the detection of carious lesions of different depths. Thus, the development of new devices and techniques is needed. The aim of this in vitro study was to validate a newer fluorescence device, VistaProof (VP), and compare it with DIAGNOdent Pen (DP), direct visual (DV) and indirect visual methods (IDV), with respect to accuracy and reliability for the detection of occlusal caries in permanent teeth.Methods and Materials: One hundred seven sites on 41 occlusal surfaces of recently extracted premolars were selected and classified into lesion categories according to Ekstrand's clinical criteria, by direct and indirect visual examination. The fluorescence of the sites was also measured by the two devices, and the teeth were ground through the sites for histological evaluation of their lesion depth. One calibrated examiner of high reliability (intraclass correlation coefficient [ICC].0.85) made all of the evaluations. Sensitivity, specificity, and accuracy of each detection method were estimated based on histological examination as the reference method, estimated using cutoff limits calculated on the basis of best agreement between the devices' values and histological examination. McNemar tests and receiver operating characteristic (ROC) curve , 2012, 37-3, 234-245 analyses were used to compare the validity measures of all detection methods at a=0.05, while the ICC was used to test the reproducibility of the methods based on a second measurement one week after the first.Results: There was no statistically significant difference (p.0.05) between the accuracy of DP and VPs for both enamel and dentin lesions. The areas under the ROC curves (AUC) for the two devices were also found not to be different (p.0.05). The reliability of DP was statistically significantly better than VP (p,0.05).Conclusion: The validity of both fluorescence devices were not found to be significantly different and not better than visual methods for the detection of noncavitated carious lesions.

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Section: Introductionmentioning

confidence: 99%

Comparative In Vitro Validation of VistaProof and DIAGNOdent Pen for Occlusal Caries Detection in Permanent Teeth

Seremidi¹,

Lagouvardos²,

Kavvadia³

2012

Operative Dentistry

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“…[1][2][3] The activity, location and surface continuity of carious lesions are primary factors in restorative treatment decision-making. 3 Additionally, factors, such as local environmental conditions, individual patient factors (trigger conditions, risk factors, compliance) and dentist factors (characteristics, preferences and practice variables), are integral to the decision-making process.…”

Section: Introductionmentioning

confidence: 99%

The Use of a Microscope for Restorative Treatment Decision-making on Occlusal Surfaces

Akarslan

Erten²

2009

Operative Dentistry

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SUMMARYUsing an operating microscope, this study assessed the effect of 16x magnification on the restorative treatment of posterior teeth and compared the results against an unaided visual examination in vitro. Three dentists examined 300 premolars and molars at different times using an unaided visual examination and an operating microscope at 16x magnification. The observers examined the occlusal surfaces of teeth according to a patient model and selected a treatment protocol based on the following scale: 0: No Active Care (NC); 1: Preventive Care (PC) and 2: Operative Care and Preventive Care (OC+PC) advised. According to the results, there was good intra-observer agreement and moderate interobserver agreement with both techniques. No significant difference was found between the treatment using an unaided visual examination and that using an operating microscope. The use of a microscope at 16x magnification did not aid in the restorative treatment decision-making on occlusal surfaces.

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“…ment of risk, further refining of caries management and development of specific caries control strategies [Li et al, 1993;Slade et al, 1996;Hannigan et al, 2000;Psoter et al, 2003].…”

mentioning

confidence: 99%

Caries Patterns in Primary Dentition in 3-, 5- and 7-Year-Old Children: Spatial Correlation and Preventive Consequences

et al. 2006

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This study aimed to contribute to the descriptive information of oral health status in the primary dentition, especially concerning the distribution and spatial correlation of lesions. Data were obtained from two surveys. In the Signal-Tandmobiel® project 4,468 7-year-old children in Flanders (Belgium) were selected by a stratified clustered random sample. In the Tandje de Voorste – Smile for Life (TDV) project, data were obtained from 1,291 3-year-old and 1,315 5-year-old children. The children were examined by trained dentists, using standardized and widely accepted criteria, based on the British Association for the Study of Community Dentistry criteria. At the population level, symmetry in the prevalence of caries experience across the midline was tested at the tooth and tooth surface levels using generalized estimating equations and alternating logistic regression (ALR) approaches. Individual symmetry was tested using an approach described by Hujoel et al. [J Dent Res 1994;73:1575–1580]. Descriptive observations suggested a symmetrical distribution of caries experience at the population level. The null hypothesis of symmetry could not be rejected at a 0.05 level, suggesting that caries experience might be symmetric in the deciduous dentition. Based on the ALR approach, 2 × 2 associations of caries experience at the tooth and surface levels, both in 5- and 7-year-olds, appeared to be strongest for the left-right pairs in the mandible, followed by the left-right pairs in the maxilla. At the individual level the hypothesis of random caries pattern was rejected (p < 0.0001). In conclusion, at the population level the null hypothesis of left-right symmetry could not be rejected, while at the individual level lesions tended to cluster on one side of the mouth.

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A Caries Susceptibility Classification of Tooth Surfaces by Survival Time

Cited by 73 publications

References 7 publications

Comparative In Vitro Validation of VistaProof and DIAGNOdent Pen for Occlusal Caries Detection in Permanent Teeth

Comparative In Vitro Validation of VistaProof and DIAGNOdent Pen for Occlusal Caries Detection in Permanent Teeth

The Use of a Microscope for Restorative Treatment Decision-making on Occlusal Surfaces

Caries Patterns in Primary Dentition in 3-, 5- and 7-Year-Old Children: Spatial Correlation and Preventive Consequences

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