Effectiveness of Air Drying and Magnification Methods for Detecting Initial Caries on Occlusal Surfaces Using Three Different Diagnostic Aids

Goel, Deepti; Sandhu, Meera; Jhingan, Pulkit; Sachdev, Vinod

doi:10.17796/1053-4628-40.3.221

Cited by 7 publications

(3 citation statements)

References 12 publications

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“…Similar results were obtained by Goel et al in an in vitro study reporting 97.2% sensitivity of magnifying loupes when used in dry conditions while that with naked eye was 66.7%. 5 Pinelli et al reported similar results and observed that air drying the tooth surface before examination increases the reproducibility of caries detection rate using diagnodent. 11 Erten et al evaluated the efficiency of unaided visual examination, operating microscope and intraoral camera in the detection of dental caries and concluded that operating microscope improved caries detection as compared to visual examination alone.…”

Section: Discussionmentioning

confidence: 64%

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Comparison of Visual Examination and Magnification with DIAGNOdent for Detection of Smooth Surface Initial Carious Lesion–Dry and Wet Conditions

Sandhu¹,

Gupta²,

Jhingan³

2019

International Journal of Clinical Pediatric Dentistry

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Objective The aim of this study was to assess the effectiveness and reliability of magnification, DIAGNOdent in detection of smooth surface white spot lesions. Study design Three hundred children aged 5–10 years were examined by two examiners for presence of smooth surface white spot lesions using naked eye and magnifying loupes in wet and dry conditions followed by DIAGNOdent analysis. Data was analysed using Cohen's kappa coefficient, Friedman test and Paired t test. Accuracy was assessed by sensitivity and positive predicted values. Results Significant difference was found between naked eyes and magnifying loupes with and without air drying. While insignificant difference was found between DIAGNOdent and loupes. Conclusion Magnifying loupes with air drying is an effective method in detection of smooth surface white spot lesion. Clinical significance With the increased knowledge about the pathogenesis of dental caries and its ability to be remineralisable if detected early, makes it all the more important for the clinician to be vigilant in detection of early lesion to prevent the avoidable restorative approach for the same. Incorporation of magnification to routine dental examination by general dentist can help in early diagnosis and treatment of dental decay. This could prevent further progression of dental caries and reduces the incidence of tooth decay How to cite this article Gupta N, Sandhu M, et al. Comparison of Visual Examination and Magnification with DIAGNOdent for Detection of Smooth Surface Initial Carious Lesion—Dry and Wet Conditions. Int J Clin Pediatr Dent 2019;12(1):37–41.

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Section: Discussionmentioning

confidence: 64%

“…4 Magnifying loupes used in a dental setup when used in dry conditions provide better specificity in the detection of early carious lesions. 5…”

Section: Introductionmentioning

confidence: 99%

Comparison of Visual Examination and Magnification with DIAGNOdent for Detection of Smooth Surface Initial Carious Lesion–Dry and Wet Conditions

Sandhu¹,

Gupta²,

Jhingan³

2019

International Journal of Clinical Pediatric Dentistry

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“…Goel et al [ 14 ] examined the effect of magnification on the diagnosis of caries lesions in 44 extracted premolar teeth with intact occlusal surfaces and no visible cavitation. Diagnosis was made by visual inspection without magnification (unaided), ×4.2 magnification loupes, and a ×10 magnification microscope.…”

Section: Discussionmentioning

confidence: 99%

Dental Loupe’s Role in Detection of Caries of Molars in Children by Student and Dentists

Blumer,

Zidani,

Peretz

et al. 2023

Children

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Purpose: The objectives of this study were to examine the effectiveness of diagnosing occlusal caries in molar teeth in children under the use of loupes and, secondarily, to examine whether there is a difference in the diagnosis between permanent and primary teeth using dental loupes. In addition, to check whether the student’s diagnosis using loupes improves caries diagnosis compared to dentists’ diagnosis in both methods. Methods: The data were collected from 163 patients aged 6–14 who sought treatment in the Pedodontic Department of the Faculty of Dentistry at Tel-Aviv University during 2020–2021. The first and second permanent molars and second primary molars with deep groves were examined. A student and dentists made the diagnosis with and without loupes while using the ICDAS criteria. Results: The student’s examinations without the loupes detected no caries in 60% of the cases compared to 76.9% in the examinations with the loupes and found initial caries without cavitation (ICDAS1) in only 17.6% of teeth without loupes examination compared to 33% using loupes. The dentist correctly diagnosed no caries (ICDAS0) in 82.1% of cases without loupes and initial caries without cavitation (ICDAS1) in 62.5% of cases. The dentist correctly diagnosed distinct caries without cavitation (ICDAS2) in 90.8% of cases. No differences were observed in caries diagnosis between primary and permanent teeth when the examiner was a specialist/intern using loupes; however, there was a statistically significant difference (p = 0.047) when the diagnosis was made by a student using loupes. Clinical significance: The use of dental loupes is an effective method for the correct and early diagnosis of occlusal caries lesions in children’s molar teeth by both dentists and students, and this is in accordance with the principle of minimally invasive dentistry. There is a justification for the use of dental loupes for the diagnosis of initial occlusal caries in primary and permanent molars in children in a precise way. Using loupes especially improves the correct diagnosis of initial caries in primary teeth by students.

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Visual or visual-tactile examination to detect and inform the diagnosis of enamel caries

Macey

Walsh

Riley

et al. 2021

Cochrane Database of Systematic Reviews

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Effectiveness of Air Drying and Magnification Methods for Detecting Initial Caries on Occlusal Surfaces Using Three Different Diagnostic Aids

Cited by 7 publications

References 12 publications

Comparison of Visual Examination and Magnification with DIAGNOdent for Detection of Smooth Surface Initial Carious Lesion–Dry and Wet Conditions

Comparison of Visual Examination and Magnification with DIAGNOdent for Detection of Smooth Surface Initial Carious Lesion–Dry and Wet Conditions

Dental Loupe’s Role in Detection of Caries of Molars in Children by Student and Dentists

Visual or visual-tactile examination to detect and inform the diagnosis of enamel caries

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