A systematic review of selected caries prevention and management methods

Bader, James D.; Shugars, Daniel A.; Bonito, Arthur J.

doi:10.1034/j.1600-0528.2001.290601.x

Cited by 176 publications

(176 citation statements)

References 34 publications

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“…Our results showed that the visual-tactile method failed to determine the presence of occlusal caries lesion in 3.4% of the cases, so the condition of the patient was underestimated. Concerning the application of the visual-tactile method for proximal lesions, it is generally accepted that it could lead to false negative results, especially when the process involves only the enamel [19,20]. In the diagnosis of non-cavitated proximal lesions, our results correspond to other reports: the radiographic method is accurate when the dentin is involved, but often leads to underestimation when only the enamel is affected, although it gives better results than the visual-tactile method [21,22].…”

Section: Resultssupporting

confidence: 78%

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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: 78%

“…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: 74%

Effectiveness of near-infrared transillumination in early caries diagnosis

Мarinova-Takorovа

Panov

Anastasova

2016

Biotechnology & Biotechnological Equipment

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“…According to some of the results, the radiographic method was found to have worse performance than the visual examination and LF device methods when compared using sensitivity, specificity, accuracy, and AUC values (20)(21)(22)(23). This could be due to the depth of the caries lesion on the radiograph, difficulty in noticing hidden caries because of the fissure system and not removing all of the colorization on the occlusal region (21,24,25). Therefore, new methods are being researched for early caries lesions.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of Diagnostic Tests Using Information Theory for Multi-Class Diagnostic Problems and its Application for the Detection of Occlusal Caries Lesions

Arslan¹,

Karaağaoğlu²,

Özkan³

et al. 2014

Balkan Med J

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Diagnostic tests are widely used in medical science for diagnosing the presence or absence of a disease. These tests may not discriminate between subjects with and without the disease or disorder with perfect accuracy. Several methods are available to evaluate the performance of diagnostic tests when the purpose of the test is to discriminate between two possible disease states. Different performance indices have been proposed to determine the accuracy of diagnostic tests when both the disease state and the test result are binary. However, in some cases, the disease state may have more than two categories. For this reason, there is a need for other methods to characterize the accuracy of diagnostic tests. In this study, we propose a method which is useful in terms of selecting the most appropriate diagnostic test when the disease state and test results have three or more classes. In this study, information content (IC) and proportional reduction in diagnostic uncertainty (PRDU) were introduced as measures of diagnostic test accuracy. To demonstrate the applicability of these statistics, we evaluated the diagnostic performance of four different diagnostic methods which are used for dental caries detection: visual inspection, radiography, laser fluorescence (LF) and micro-computed tomography (M-CT) examination.Background: Several methods are available to evaluate the performance of the tests when the purpose of the diagnostic test is to discriminate between two possible disease states. However multi-class diagnostic problems frequently appear in many areas of medical science. Hence, there is a need for methods which will enable us to characterize the accuracy of diagnostic tests when there are more than two possible disease states. Aims: To show that two information theory measures, information content (IC) and proportional reduction in diagnostic uncertainty (PRDU), can be used for the evaluation of the performance of diagnostic tests for multi-class diagnostic problems that may appear in different areas of medical science. Study Design: Diagnostic accuracy study. Methods: Sixty freshly extracted permanent human molar and premolar teeth suspected to have occlusal caries lesions were selected for the study and were assessed by two experienced examiners. Each examiner performed two evaluations. Histological examination was used as the gold standard. The scores of the histological examination were defined as sound (n=11), enamel caries (n=22) and dentin caries (n=27). Diagnostic performance of i) visual inspection, ii) radiography, iii) laser fluorescence (LF) and iv) micro-computed tomography (M-CT) caries detection methods was evaluated by calculating IC and PRDU. Results: Micro-computed tomography examination was the best method among the diagnostic techniques for the diagnosis of occlusal caries in terms of both IC and PRDU. M-CT examination supplied the maximum diagnostic information about the diagnosis of occlusal caries in the first (IC: 1.056; p<0.05), (PRDU: 70.5%) and second evaluation (IC: 1.105; p<0.05),...

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“…This could be due to the difficulties in diagnosing borderline cases (i.e., H-Ts may have less experience in screening for caries). This would appear reasonable given the difficulties in caries diagnosis at all levels of the profession (Bader et al 2001) and the proliferation of adjunctive aids to inform this decision. The forest plots ( Figs.…”

Section: Discussionmentioning

confidence: 99%