Detection of Occlusal Carious Lesion using the SoproLife® Camera: A Systematic Review

Abstract

Aim:The aim of this systematic review was to assess the in vivo scientific evidence regarding the ability of a recently developed light fluorescence device, SoproLife ® (Sopro-Acteon group, La Ciotat, France) in detecting occlusal carious lesions.The PubMed database was searched for in vivo trials that evaluated the validity of the SoproLife ® camera for the detection of occlusal carious lesions. Among the 11 articles originally identified with the keyword "Soprolife," only three articles were included.The three included surveys used the International Caries Detection and Assessment System (ICDAS)-II criteria as gold standard for the assessment of SoproLife ® compared or not to other detection devices (DIAGNOdent ® and Spectra Caries Detection Aid ® ). Two of the included studies reported only on permanent teeth or both primary and permanent teeth. The SoproLife ® validity values varied markedly among studies with a sensitivity ranging between 0.43 and 0.95 and a specificity between 0.55 and 1. Interobserver reproducibility with the SoproLife ® was reported in two of the three studies (0.98 and 0.72) and none of the studies reported about intraobserver reproducibility.No clear-cut conclusion can be made based on the three included clinical studies; further in vivo investigations are needed to confirm the validity of the SoproLife ® camera in terms of detection of occlusal carious lesions.

The Efficacy of Soprolife® in Detecting in Vitro Remineralization of Early Caries Lesions

“…Further, the device combines a high-magnification intraoral camera and a laser fluorescence device allowing the lesion and its real topography to be seen in a magnified enlarged view [ 13 ], facilitating a better visibility [ 33 , 34 ], as well as a high discrimination, more particularly in anfractuous permanent premolars and molars [ 35 ]…”

“…With SoproLife ® , clinicians may visualize and record the lesion, obtain information about the success of long-term protective applications and increase patient motivation by enabling re-evaluation of treatment. Thus, SoproLife ® may support the patient-practitioner communication; and since it is free of ionizing radiation, it could be useful in the carious lesion detection in children and pregnant women [ 35 ].…”

“…Further, the device combines a high-magnification intraoral camera and a laser fluorescence device allowing the lesion and its real topography to be seen in a magnified enlarged view [13], facilitating a better visibility [33,34], as well as a high discrimination, more particularly in anfractuous permanent premolars and molars [35] With SoproLife ® , clinicians may visualize and record the lesion, obtain information about the success of long-term protective applications and increase patient motivation by enabling re-evaluation of treatment. Thus, SoproLife ® may support the patient-practitioner communication; and since it is free of ionizing radiation, it could be useful in the carious lesion detection in children and pregnant women [35]. [36].…”

<p>Clinical applications of intraoral camera to increase patient compliance - current perspectives</p>

“…Jablonski-Momeni et al compared near-infrared imaging system (VistaCam iX Proxi) and conventional digital radiographs for the diagnosis of proximal enamel lesions and found that there was moderate agreement between the methods and found no significant difference 18. A recent systematic review on LIF with Soprolife IOC has concluded that there was no clear evidence on the detection of occlusal caries lesions and recommended future studies 19Figure 2Scores of SOPROLIFE in blue fluorescence mode to detect caries.…”

Caries Diagnosis Aided by Fluorescence

“…A clinical study reported that, when using ICDAS as a reference standard, the performance of the Soprolife in terms of sensitivity and specificity for occlusal caries detection (43%) was less than that of the DIAGNOdent (62%) [71]. In a recent systematic review of the detection of occlusal caries, reported values for sensitivity for the Soporlife ranged between 43% and 95%, and for specificity between 55 and 100% [72]. Due to a limited number of clinical studies, further work is needed to confirm the validity of the SoproLife® intra-oral camera for detecting occlusal carious lesions.…”