Diagnostic accuracy of five different techniques for detection of approximal caries

Yeler, Defne Yalçın; Koraltan, Melike

doi:10.17214/gaziaot.294870

Cited by 3 publications

(2 citation statements)

References 29 publications

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“…To best implement minimal intervention measures, early diagnosis is the primary objective [27]. Conventional bitewings remain the gold standard to diagnose and detect approximal lesions, though they have a low sensitivity for the detection of early lesions extending only to the outer enamel, this ranges from 51 to 64% for enamel lesions and is 67% for caries reaching the enamel-dentin junction (EDJ) [28,29]. This means that 33% of lesions confined to the EDJ may go undiagnosed.…”

Section: Discussionmentioning

confidence: 99%

Introducing an Innovative Approach for Managing Proximal Non-Cavitated Carious Lesions in Juvenile Permanent Dentition: Combining Orthodontic Separators and Silver Fluoride Application

Ahmed,

Al Nesser,

Schmoeckel

2023

Medicina

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Background and Objectives: The aim was to introduce an innovative, easy and cheap clinical approach for the control of multiple proximal non-cavitated lesions via the application of 38% silver fluoride after placement of orthodontic separators in the permanent dentition in high-caries-risk children. Materials and Methods: The case series describes the management of initial proximal carious lesions using silver fluoride (SF) products in the permanent dentition of two adolescent patients with prior proximal caries progression. Both presented with multiple asymptomatic carious lesions that were identified through the use of bitewing radiographs and classified according to the ADA proximal caries classification system. Using orthodontic separators prior to the planned application of SF, most of the surfaces could then be quickly directly examined to check for surface integrity. Follow-up examinations were conducted clinically and radiographically for at least one year to monitor lesion progression. Results: None of the 25 enamel lesions (E1/E2) exhibited signs of progression after single SF application, while 2 out of 11 dentine lesions (D1) showed progression and required restorative intervention. The progressed lesions potentially had non-cleansable micro-cavitations that were either clinically undetected or not fully reached with the micro-brush in SF application. Thus, this should have been repeated or combined with SF application via soaked superfloss to potentially achieve better results. Conclusions: Single application of 38% silver fluoride directly onto active enamel lesions in juvenile permanent teeth with the prior use of orthodontic separators combined with a caries-risk-specific prevention program appears to be highly effective and should be considered as a viable minimally invasive option for patients and clinicians due to its cost-effectiveness and time efficiency.

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Section: Discussionmentioning

confidence: 99%

Introducing an Innovative Approach for Managing Proximal Non-Cavitated Carious Lesions in Juvenile Permanent Dentition: Combining Orthodontic Separators and Silver Fluoride Application

Ahmed,

Al Nesser,

Schmoeckel

2023

Medicina

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“…However, using digital bitewing radiographs for proximal caries detection has quite wide range of sensitivity (53 -93 %) and specificity (67 -93 %) (26)(27)(28)(29). The obtained results may be affected by characteristics and variation of cases included in each study.…”

Section: Sample Size Estimation For Diagnostic Test Analysismentioning

confidence: 99%

Proximal caries detection on smartphone display

Lappanakokiat

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The aim of this study was to compare diagnostic accuracy in proximal caries detection between bitewing radiographs exported from PACS software and taken with a smartphone viewed in a smartphone display. A total of 200 proximal surfaces from digital bitewing radiographs were included in this study. Images of all radiographs were captured from a medical-grade and a common display by an iPhone 8 Plus and stored as JPEG files. Exported DICOM files were converted into JPEG format and transferred to the smartphone used for image capturing. Each proximal surface was rated by 7 observers with 5-point-scale. Weighted kappa test was used to determine intra- and inter-observer agreements. Three certified oral radiologists evaluated the same images on the medical-grade display. Obtained consensus was used to calculate sensitivity, specificity, accuracy, positive predictive value, negative predictive value and generate ROC curves. T-test and one-way ANOVA were used to compare mean AUC between dentinal and enamel caries and among three image acquiring methods. The result showed that inter- and intra-observer agreement ranged from moderate to almost perfect. Comparison of mean AUC showed significant higher value in group of exported images. While there was no significant difference between group of images captured from a medical-grade display and images captured from a common display. Significant differences between mean AUC in detection of dentinal caries were seen in all image groups. For enamel caries, only mean AUC in group of exported images was significantly higher. Detection of proximal caries should be done using directly exported images from PACS software. Captured images should be evaluated with caution since considerable factors can affect image quality.

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Accuracy of in vitro radiographs in determining the remaining dentin thickness below deep dentin caries in deciduous molars

2020

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SummaryBackground/Aim: The determination of remaining dentin thickness (RDT) is quite critical in providing appropriate treatment indications especially in deciduous molars. The aim of this study was to investigate the accuracy of in vitro pre-operative radiographs before caries removal in RDT measurement.Material and Methods: This in vitro study was conducted with 30 lower deciduous second molars with deep approximal dentinal caries. Following the standardized digital radiographs were obtained, RDT was measured by determining the closest distance between the carious lesion and the pulp chamber on the computer software. After caries removal, the samples were sectioned in mesio-distal direction and photographed. RDT was measured on photographs similarly to radiographic measurements. In statistical analysis, Interclass Correlation Coefficient (ICC), Wilcoxon-Signed and Bland Altman Plot (BAP) tests were performed to determine the agreement and statistically difference.Results: The mean RDT value in photographs was found to be 10% higher than measured on radiographs. Although, correlation coefficient was within confidence interval, both RDT values showed good but not excellent agreement (correlation coefficient= 0.812). Also, BAP test did not demonstrate strong agreement. In descriptive statistics, significant difference was found between two measurements (p<0.05).Conclusions: Pre-operative radiological examination can not alone provide reliable results regarding the accurate determination depth of caries lesions. Clinicians should also consider operative diagnostic criteria for appropriate treatment options in deciduous teeth.

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Diagnostic accuracy of five different techniques for detection of approximal caries

Cited by 3 publications

References 29 publications

Introducing an Innovative Approach for Managing Proximal Non-Cavitated Carious Lesions in Juvenile Permanent Dentition: Combining Orthodontic Separators and Silver Fluoride Application

Introducing an Innovative Approach for Managing Proximal Non-Cavitated Carious Lesions in Juvenile Permanent Dentition: Combining Orthodontic Separators and Silver Fluoride Application

Proximal caries detection on smartphone display

Accuracy of in vitro radiographs in determining the remaining dentin thickness below deep dentin caries in deciduous molars

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