Detection Activity Assessment and Diagnosis of Dental Caries Lesions

Braga, Mariana Minatel; Mendes, Fausto Medeiros; Ekstrand, Kim R.

doi:10.1016/j.cden.2010.03.006

Cited by 162 publications

(197 citation statements)

References 55 publications

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“…2 However, due to its subjective nature, quantitative methods have been suggested as possible alternatives. 3,8 This study evaluated different FBMs for detecting and assessing the activity status of carious lesions in primary molars. This is the first study to investigate these methods, with later validation of all samples after exfoliation of primary teeth.…”

Section: Discussionmentioning

confidence: 99%

“…3,8,14 Nevertheless, the use of QLF for detecting occlusal carious lesions has not presented promising results in permanent teeth. 12,13 With regard to the utilization of QLF for detecting initial lesions in primary teeth in our study, lower or similar sensitivity and accuracy values than those obtained with visual inspection were obtained with the different fluorescence parameters evaluated.…”

Section: Discussionmentioning

confidence: 99%

“…Higher values indicate more severe caries lesions. 3,8,25,26 On the other hand, QLF is an intraoral camera that uses a high-intensity halogen lamp that emits a blue light (λ = 405 nm) for excitation of the tooth. Then, the camera captures the fluorescence coming from the tooth (green fluorescence) and from bacterial metabolites (red fluorescence).…”

Section: Discussionmentioning

confidence: 99%

“…3,7,8 One of these FBMs is diode laser fluorescence (LF), the first method launched in the market to detect occlusal carious lesions. 7,9 After that, a pen-type laser fluorescence (LFpen) device was introduced for the detection of carious lesions on both occlusal and approximal surfaces.…”

Section: Introductionmentioning

confidence: 99%

“…Therefore, this method is appropriate for detecting the early signs of carious lesions and for monitoring the arrestment of these lesions after non-operative treatments, mainly on free smooth surfaces. 3,8 However, studies to investigate the accuracy of QLF in detecting occlusal carious lesions have been unsatisfactory for permanent teeth, 12,13 and no previous studies were conducted with primary teeth. Moreover, the accuracy of QLF in detecting occlusal caries lesions using histological evaluation has not been investigated as reference standard.…”

Section: Introductionmentioning

confidence: 99%

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Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth

et al. 2017

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We aimed to investigate the performance of fluorescencebased methods (FBMs), compared to visual inspection after histological validation, in detecting and assessing the activity status of occlusal carious lesions in primary teeth. One examiner evaluated 50 primary molars close to exfoliation in 24 children. Teeth were assessed using quantitative light-induced fluorescence (QLF) and pen-type laser fluorescence (LFpen). After exfoliation, histological validation was performed. Teeth were cut and sections were evaluated for lesion depth and activity status (after utilization of a pH indicator) under a stereomicroscope. Parameters related to the performance of the methods in detecting caries lesions at two thresholds (initial and dentin lesions) were calculated. Regarding the activity status, lesions were classified into sound+inactive or active, and the area under the ROC curve and the diagnostic odds ratio values of the methods were calculated and compared. Evaluation of red fluorescence using QLF presented higher sensitivity but lower specificity than visual inspection in detecting dentin caries lesions. However, QLF considering different parameters and LFpen had similar performance to that obtained with visual inspection. Regarding activity assessment, all FBMs and visual inspection also presented similar performance. In conclusion, FBMs did not prove advantageous for the detection and activity assessment of occlusal caries lesions in primary molars when compared to visual inspection.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth

et al. 2017

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The Benefit of Early Preventive Dental Care for Children

Arévalo

Roldan

2017

JAMA Pediatr

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there were not significant reductions in suicide attempts 2 years prior to same-sex marriage. We found that suicide attempts were stable over time prior to the implementation of state same-sex marriage policies, suggesting that improvements in outcomes that might be associated with increasingly supportive environments for sexual minorities did not predate changes in legal status of same sex marriage.We also agree that there is a need for further high-quality evidence to better understand the nature of the association between same-sex marriage and suicide attempts among both adolescent and adult populations. While Kamtchum-Tatuene et al suggest that reduced teen suicide attempts may indicate delayed suicide attempts until adulthood, the available evidence indicates a positive association between suicide attempts in adolescence and adulthood 2 and that the implementation of state same-sex marriage policies in Massachusetts was associated with improvements in adult mental health. 3 Rather than hypothesizing that marriage is the ultimate goal of sexual minority populations, we suggest there are a number of potential mechanisms by which state samesex marriage policies may be associated with reduced adolescent suicide attempts, including reduced stigma. We agree that further research is critical to understand the mechanisms by which state same-sex marriage policies were associated with adolescent suicide attempts and to assess the association between policies affecting sexual and gender minority rights and health outcomes more broadly.

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