Accuracy of the DIAGNOcam and bitewing radiographs in the diagnosis of cavitated proximal carious lesions in primary molars

Alamoudi, NM; Khan, JA; El-Ashiry, EA; Felemban, Osama; Bagher, Sara M.; Al-Tuwirqi, AA

doi:10.4103/njcp.njcp_237_19

Cited by 14 publications

(18 citation statements)

References 2 publications

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“…Meanwhile, the Diagnocam has been established in several studies as an effective diagnostic tool for the detection of proximal caries lesions, whereas data for occlusal caries diagnostics are scarce. Additionally, it must be mentioned that Diagnocam is a separate appliance that cannot be integrated into other hardware or software solutions [ 23 , 24 , 25 ].…”

Section: Introductionmentioning

confidence: 99%

New Caries Diagnostic Tools in Intraoral Scanners: A Comparative In Vitro Study to Established Methods in Permanent and Primary Teeth

Schlenz

Schupp

Schmidt

et al. 2022

Sensors

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The aim of this in vitro study was to systematically investigate new caries diagnostic tools, including three intraoral scanners, and compare them to established diagnostic methods. For a standardized analysis of occlusal and proximal caries lesions, human permanent and primary teeth (n = 64) were embedded in models and investigated in a phantom head using six different caries diagnostic methods: visual examination, bitewing radiography, Diagnocam (KaVo, Biberach, Germany), Trios 4 (3Shape, Copenhagen, Denmark), iTero Element 5D (Align Technology, San José, CA, USA), and Planmeca Emerald S (Planmeca, Helsinki, Finland). The diagnostic methods were investigated and compared to reference µ-CT for permanent and primary teeth separately. For occlusal caries diagnostics in permanent teeth, the best agreement to the reference (reliability) was obtained for Planmeca Emerald S (ĸ = 0.700), whereas in primary teeth, for visual examination (ĸ = 0.927), followed by Trios 4 (ĸ = 0.579). Regarding proximal caries diagnostics, bitewing radiography, as the gold standard, exhibited the highest agreement for permanent (ĸ = 0.643) and primary teeth (ĸ = 0.871). Concerning the analysis of the diagnostic quality (sensitivity and specificity) using receiver operating characteristic (ROC) curve analysis, comparable findings were obtained for area under curve (AUC) values as for reliability. No diagnostic method could be identified that is generally suitable for occlusal and proximal lesions in both dentitions. Overall, caries diagnostics with intraoral scanners seem to be interesting tools that should be further investigated in clinical studies.

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Section: Introductionmentioning

confidence: 99%

New Caries Diagnostic Tools in Intraoral Scanners: A Comparative In Vitro Study to Established Methods in Permanent and Primary Teeth

Schlenz

Schupp

Schmidt

et al. 2022

Sensors

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“…Mais da metade dos estudos avaliaram o método radiográfico e, apesar das variáveis metodológicas, os resultados apresentaram alta sensibilidade e especificidade, tanto para radiografias convencionais quanto digitais, independentemente da face dental estudada. Alamoudi et al (2019) compararam a capacidade diagnóstica entre o DIAGNOcam (dispositivo utilizado para detecção de cárie precoce que se baseia no uso de transiluminação através de luz infravermelha) e radiografias interproximais na detecção de lesões de cárie proximais cavitadas. Para isso, foram analisadas e radiografadas as superfícies dos primeiros molares decíduos de crianças saudáveis de 5 a 8 anos de idade.…”

Section: Uso De Exames De Imagem Para Diagnóstico De Lesão De Cárieunclassified

Diagnóstico De Lesões De Cárie Por Imagem: Revisão De Literatura

Mazarollo¹,

KREICH²,

FERNANDES³

et al. 2022

Publ. Biologicas

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A doença cárie apresenta diferentes fatores etiológicos e, quando instalada em seu hospedeiro, precisa ser diagnosticada rapidamente, evitando assim possíveis complicações na estrutura dentária, na saúde e na estética do paciente. Algumas regiões dentárias apresentam dificuldades para a identificação dessas lesões, o que pode resultar na necessidade de utilizar métodos associados, como exames de imagem. O objetivo deste trabalho foi revisar a literatura sobre a importância de exames imaginológicos para a complementação do diagnóstico de lesões de cárie. A radiografia convencional, o primeiro método desenvolvido, e ainda utilizado, mostra bons resultados, contudo, apresenta algumas desvantagens, como: tempo de processamento, possibilidade de erros durante o processo e necessidade de espaço físico para armazenamento. Já as radiografias digitais apresentam melhor qualidade de imagem, menor exposição aos raios X, facilidade de armazenamento e visualização, além da possibilidade de manipulação em softwares, resultando em maior sensibilidade e especificidade no diagnóstico. Outros exames também são utilizados, como: a tomografia computadorizada de feixe cônico (TCFC), que não deve ser a primeira opção devido à alta exposição à radiação; a ressonância magnética (RM), que não utiliza raios X para a obtenção da imagem e tem custo elevado; a ultrassonografia de alta frequência (UAF), que apresenta ótimos resultados em diagnóstico de lesões incipientes e na avaliação de extensão e profundidade, mas é pouco utilizada; e a tomografia de coerência óptica 3D (OCT), que mostrou resultado promissor na avaliação de lesões na face oclusal, mas ainda está em desenvolvimento. Sendo assim, os exames complementares por imagem assumem um importante papel auxiliar na detecção e diagnóstico de lesões cariosas.

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“…Alamoudi et al . performed a cross‐sectional analysis of diagnosing cavitated proximal lesions in primary molars and concluded that DC showed higher sensitivity and better accuracy than BWR 22 . However, the significant heterogeneity in the study designs and the reference standards make it difficult to affirm that NIRLT could substitute X‐rays in the auxiliary diagnosis of carious lesions.…”

Section: Introductionmentioning

confidence: 99%

“…20,21 Alamoudi et al performed a cross-sectional analysis of diagnosing cavitated proximal lesions in primary molars and concluded that DC showed higher sensitivity and better accuracy than BWR. 22 However, the significant heterogeneity in the study designs and the reference standards make it difficult to affirm that NIRLT could substitute X-rays in the auxiliary diagnosis of carious lesions. Furthermore, among these studies, an in-vitro model cannot completely simulate the intra-oral condition whereas some in-vivo experiments used visual inspection or cavities opening as a reference standard, [16][17][18][19][20][21][22][23][24][25] which cannot be used as a gold standard to accurately assess the sensitivity and specificity of DC.…”

Section: Introductionmentioning

confidence: 99%

“…22 However, the significant heterogeneity in the study designs and the reference standards make it difficult to affirm that NIRLT could substitute X-rays in the auxiliary diagnosis of carious lesions. Furthermore, among these studies, an in-vitro model cannot completely simulate the intra-oral condition whereas some in-vivo experiments used visual inspection or cavities opening as a reference standard, [16][17][18][19][20][21][22][23][24][25] which cannot be used as a gold standard to accurately assess the sensitivity and specificity of DC. As Macey et al reported, high-quality studies for DC could still be useful becausetheir true effect on the dental examination does not currently seem to have been explored.…”

Section: Introductionmentioning

confidence: 99%

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Validity of near‐infrared light transillumination for the assessment of proximal caries in permanent teeth

Wang

Yang

et al. 2021

Australian Dental Journal

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Purpose The aim of this study was to evaluate the performance of DIAGNOcam (DC) in diagnosing proximal caries and to compare its effectiveness with the International Caries Detection and Assessment System (ICDAS) and bitewing radiography (BWR). Methods 118 premolars extracted for orthodontic reasons were included and examined using three detection methods and validated by histological sections as the gold standard. The sensitivity, specificity and areas under the ROC curve (Az value) at the outer half enamel (D1), inner half enamel (D2) and dentine (D3) thresholds were compared between different methods. Results At all categories, the specificity of DC was almost as high as ICDAS and BWR. DC showed a significantly higher sensitivity (0.68) than both visual (0.33) and radiographic examination (0.47) at the D1 threshold. DC presented the highest Az value (area under the ROC curve) at the D1 and D2 threshold (0.81, 0.86), while BWR showed the greatest Az values at D3 (0.94). Furthermore, DC had the highest association strength with the gold standard (Spearman’s ρ = 0.80). Conclusions It can be concluded that DC could detect proximal caries effectively and showed comparable or even better performance than ICDAS and BWR.

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Accuracy of the DIAGNOcam and bitewing radiographs in the diagnosis of cavitated proximal carious lesions in primary molars

Cited by 14 publications

References 2 publications

New Caries Diagnostic Tools in Intraoral Scanners: A Comparative In Vitro Study to Established Methods in Permanent and Primary Teeth

New Caries Diagnostic Tools in Intraoral Scanners: A Comparative In Vitro Study to Established Methods in Permanent and Primary Teeth

Diagnóstico De Lesões De Cárie Por Imagem: Revisão De Literatura

Validity of near‐infrared light transillumination for the assessment of proximal caries in permanent teeth

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