Accuracy in radiographic diagnosis: Dutch practitioners and dental caries

Mileman, P.A.; Weele, L T van der

doi:10.1016/0300-5712(90)90050-o

Cited by 45 publications

(28 citation statements)

References 19 publications

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“…It has been found that clinical examination alone detects fewer than half of the approximal lesions present, whereas bitewing radiographs can facilitate detection of more than 90% of the lesions [Pitts, 1996]. Dentists' radiograph-based restorative decisions are subject to wide variation [Downer and Kay, 1996;Lewis et al, 1996], and some additional variation is likely to occur between dentists due to differences in radiographic diagnostic accuracy [Mileman and van der Weele, 1990]. Judging the radiographic appearance of approximal caries is not the only factor in clinical decision making, but it is an important indicator of dentists' treatment philosophy regarding operative and non-operative treatment.…”

Section: Discussionmentioning

confidence: 99%

Changes in the Treatment Concept for Approximal Caries from 1983 to 2009 in Norway

2011

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The aim was to measure variations in threshold for operative treatment of approximal caries in permanent teeth and the use of restorative materials, compared with results from studies conducted in Norway in 1983 and 1995. In 2009, a precoded questionnaire was sent electronically to 3,654 dentists with E-mail addresses in the member register of the Norwegian Dental Association. The questions were related to caries, treatment strategies and choice of dental materials. Replies were obtained from 61% of the dentists after two reminders. Restorative treatment of approximal lesions confined to enamel, based on radiographic appearance, was proposed by 7% of the dentists, compared with 66% in 1983 and 18% in 1995. Younger dentists, significantly more often than older, would defer operative treatment of approximal lesions until the lesion was visible in dentine. While tunnel preparation most often was the preparation of choice in 1995 (47%), saucer-shaped preparation was most favoured in 2009 (69%). Tunnel preparation was only preferred by 4% of the dentists. Resin composite was the restorative material preferred by 95%, compared with 16% in 1995. The corresponding values for conventional glass ionomer cement (GIC) were 1 versus 22%, for resin-modified GIC 1 versus 7%, and for a combination of GIC and resin composite 2 versus 22%. Compomer was preferred by 1% of the respondents. The authors conclude that treatment concepts for approximal caries have changed considerably during the last 26 years. In 2009, only 7% of dentists reported that they would treat approximal caries operatively before the lesion reached dentine.

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Section: Discussionmentioning

confidence: 99%

Changes in the Treatment Concept for Approximal Caries from 1983 to 2009 in Norway

2011

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“…Dental practitioners traditionally use a combination of the two methods. Several studies reported increased Sn for detection of approximal caries when bitewing radiographs were used in conjunction with visual-tactile examination (10)(11)(12). However, approximal carious lesions were detected much earlier when tooth separation was performed compared to visual-tactile or bitewing radiographic examination without tooth separation (11)(12)(13).…”

Section: Introductionmentioning

confidence: 99%

Alternative methods to visual and radiographic examinations for approximal caries detection

Abogazalah

Ando

2017

Journal of Oral Science

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A shift in caries prevalence from occlusal surfaces to approximal surfaces has been demonstrated by epidemiological studies. Two recent meta-analyses evaluated the performance of visual examination and radiography for carious lesion detection, and reported low sensitivity but high specificity for early approximal caries detection. This suggests that the conventional methods have a higher risk of failing to detect approximal lesions. Consequently, in caries susceptible populations, there is a risk of progression of non-cavitated lesions to irreversible tooth destruction before the lesions are detected. This paper aims to review the performance of unconventional and novel methods for approximal caries detection. In vitro and in vivo studies identified through a MEDLINE search using keywords such as caries detection, approximal caries detection, light fluorescence and dental caries, and transillumination and dental caries were reviewed. The unconventional methods known to be used for approximal caries detection and included in this review are: cone beam computed tomography, fiber-optic trans-illumination, digital imaging fiber optic trans-illumination, nearinfrared digital imaging transillumination, optical coherence tomography, laser fluorescence, ultrasound, and LED reflection and refraction.

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“…Alternatively, histological validation based on microradiographic or microscopic examination of hemi-or serially sectioned teeth has been applied [Mileman and van der Weele, 1990;Wenzel et al, 1991a, b;Svanaes et al, 1996;White and Yoon, 1997;Ludlow and Abreu, 1999;Ludlow et al, 2001;. Histological validation may be able to fulfil the criteria for a robust gold standard since it is believed to meet all three criteria listed above.…”

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confidence: 99%

Diagnostic Outcome of Methods Frequently Used for Caries Validation

Hintze

Wenzel

2003

Caries Res

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The aim of this study was to compare the caries diagnostic outcome of four methods frequently used as validation for dental caries. The diagnostic outcome of clinical examination (CL), radiography (RA), and histology after serial tooth sectioning (HI-serial) on 373 approximal and 158 occlusal surfaces was compared, and furthermore histology after hemi- (HI-hemi) and serial sectioning on another 113 approximal and 53 occlusal surfaces was compared. Two thresholds for each method (CL: (1) sound vs. all caries scores, and (2) non-cavitated vs. cavitated lesions; RA and HI: (1) sound vs. all caries scores, and (2) no dentine vs. dentine lesions) were evaluated. In general, large differences in diagnostic outcomes were observed with the various methods. At threshold 1, CL resulted in significantly more lesions than both RA and HI-serial on approximal surfaces, and than RA on occlusal surfaces. At threshold 2, no significant differences between CL, RA and HI-serial were found on approximal surfaces, but on occlusal surfaces significantly more lesions were diagnosed with RA and HI-serial than with CL. Significantly more occlusal lesions were found by HI-serial than by RA at both thresholds 1 and 2. On approximal surfaces, a similar result was found only at threshold 1. On approximal surfaces, significantly more lesions were diagnosed with HI-serial than with HI-hemi at both thresholds 1 and 2. On occlusal surfaces the same was found only at threshold 1. The intra-observer reproducibility was higher using HI-serial than using RA and CL.

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Accuracy in radiographic diagnosis: Dutch practitioners and dental caries

Cited by 45 publications

References 19 publications

Changes in the Treatment Concept for Approximal Caries from 1983 to 2009 in Norway

Changes in the Treatment Concept for Approximal Caries from 1983 to 2009 in Norway

Alternative methods to visual and radiographic examinations for approximal caries detection

Diagnostic Outcome of Methods Frequently Used for Caries Validation

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