Emerging Technologies for Dentin Caries Detection—A Systematic Review and Meta-Analysis

Serban, Christa; Lungeanu, Diana; Bota, Sergiu-David; Cotca, Claudia C.; Negruțiu, Meda Lavinia; Duma, Virgil-Florin; Sinescu, Cosmin; Craciunescu, Emanuela Lidia

doi:10.3390/jcm11030674

Cited by 4 publications

(3 citation statements)

References 84 publications

(81 reference statements)

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“…In recent years, several systematic reviews and meta-analyses have been conducted on the efficacy of such devices. 20,21 While studies showed controversial results with their effectiveness as stand-alone devices, the combined approach of ICDAS and fluorescence seems to enhance the benefits from both systems.…”

Section: Discussionmentioning

confidence: 99%

Enhanced Clinical Decision-Making and Delivery of Minimally Invasive Care Using the ICCMS4D Integrated with Hands-Free Fluorescence-Based Loupes and a Chemomechanical Caries Removal Agent

2023

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The purpose of this case report was to evaluate an approach for enhanced clinical decision-making while providing minimally invasive treatment, using the combined International Caries Classification and Management System (ICCMS 4D) with hands-free fluorescence-enhanced loupes (Reveal, Designs for Vision Inc., New York City, NY, United States) and a chemo-mechanical caries removal agent (Papacárie Duo Gel, Formula & Acao, Sao Paulo, Brazil). In recent decades, a shift towards a conservative approach to caries management has developed. The use of adequate operative techniques and correct decision-making are of paramount importance for early caries detection and tooth-preserving operative care. The use of noninvasive fluorescence-based adjuncts for enhanced diagnostic accuracy has gained popularity. Fluorescence describes the absorption of photons by a molecule, followed by its partial emission at a longer wavelength. Fluorescence detection of bacterial activity is largely based on the red/orange fluorescence emanating from bacterial metabolism, and has been shown to be found particularly in active caries and mature anaerobic plaque. The combined approach of using the standardized visual International Caries Detection and Assessment System (ICDAS) with fluorescence as an operative adjunct was shown to enhance the advantages of both systems. The approach may potentially increase detection sensitivity without compromising the specificity of the visual tactile method. A recent hands-free device is aimed to combine simultaneous diagnosis and therapy (theragnosis) using fluorescence, while overcoming possible obstacles to workflow continuity. The “Reveal” fluorescence-enhanced loupes are fitted with a dual white light/fluorescence light, and are said to allow the clinician to conduct any operational procedure with optional fluorescence guidance, from detection to caries removal, to treatment completion. Using the described method, a comprehensive pathway that emphasizes evidence-based information, correct clinical decision-making, and a minimally invasive therapeutic approach was proposed. The approach may represent a potential advancement in providing minimally invasive caries care.

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Section: Discussionmentioning

confidence: 99%

Enhanced Clinical Decision-Making and Delivery of Minimally Invasive Care Using the ICCMS4D Integrated with Hands-Free Fluorescence-Based Loupes and a Chemomechanical Caries Removal Agent

2023

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“…Further studies [33] are devoted to the use of spectroscopic methods and early diagnostics for avoiding more invasive treatment and they point to the necessity of a full-scale imaging system to identify caries lesions that are not detected by traditional visual examination. Spectroscopic techniques [34], [35] belong to emerging technologies for dentin caries detection and surface analysis of dental materials. Present limitations are in the necessity to work with properly prepared samples without water that strongly absorbs radiation [36].…”

Section: Introductionmentioning

confidence: 99%

Absorption Spectroscopy in Dental Tissue Analysis

2023

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Oral health problems are closely associated with the analysis of dental tissue changes and the stomatologic treatment that follows. This paper explores the use of diffuse reflectance spectroscopy in the detection of dental tissue disorders. The data set includes 343 measurements of teeth spectra in the wavelength range from 400 to 1700 nm. The proposed methodology focuses on computational and statistical methods and the use of these methods for the classification of dental tissue into two classes (healthy and unhealthy) by estimating the probability of class membership. Signal processing is based on the difference between the healthy and unhealthy teeth reflectance spectra in the infrared and visible ranges. Selected features associated with observed spectra are then used for machine learning classification based on the experience of an expert in stomatology during the learning stage. The proposed modification of the weighted k-nearest neighbour method provides class boundaries and the probability of class membership during the verification stage. The accuracy of the classification process reached 95.4%. The proposed methodology and graphical user interface point to the possibility of using absorption spectroscopy in the evaluation of tissue quality changes and its possible implementation in the clinical environment.

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“…Currently, lasers have many applications, both as a complementary method and as an alternative method to some conventional procedures, such as caries detection, cavity preparation, endodontic treatment, soft tissue surgery, implant decontamination, photobiomodulation, prosthetics, dental materials, etc. [ 2 , 3 , 4 , 5 , 6 ]. In the field of orthodontics, research has been extensively carried out on the effect of laser radiation, which has allowed the development of new therapeutic approaches for tooth movement, pain control, bone regeneration, orthodontic bracket adhesion, and debonding procedures [ 7 , 8 , 9 ].…”

Section: Introductionmentioning

confidence: 99%

Laser Er:YAG-Assisted Debonding May Be a Viable Alternative to the Conventional Method for Monocrystalline Ceramic Brackets

Mocuta

Miron

Lungeanu

et al. 2022

IJERPH

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In orthodontic practice, due to the increased interest among patients in smile aesthetics, different types of brackets are now being used, with those most frequently applied being ones made of polycrystalline and monocrystalline ceramic. The aim of this study was to evaluate the laser Er:YAG-assisted debonding technique compared to conventional methods for removing monocrystalline ceramic brackets from human teeth. The study sample included 60 vital teeth (frontals of the upper jaw) from 10 patients who had monocrystalline ceramic brackets and were in the final phase of orthodontic treatment. The debonding procedure was carried out following a split-mouth study design, using either the conventional technique or laser Er:YAG 2940 nm radiation. For each tooth, three variables were evaluated: the patient’s sujective tooth sensitivity associated with the debonding, the time required for debonding, and pulp blood flow microdynamics after the debonding. Three evaluation instruments were used to assess and quantify the treatment effects: (i) the Wong–Baker FACES Pain Rating Scale for pain assessment; (ii) a digital stopwatch/timer to measure the time required to remove the bracket; and (iii) laser Doppler flowmetry (LDF) for recording the pulp blood flow evolution. The statistical analysis of the recorded data showed a statistically significant difference between the two debonding methods regarding the tooth sensitivity during the debonding and the time required for the procedure. The subjective tooth sensitivity was reduced from a mean ± standard deviation of 3.07 ± 1.46 to 0.47 ± 0.86 on the Wong–Baker FACES scale (Wilcoxon signed rank, p < 0.001). The necessary time for debonding was reduced by 0.697 ± 0.703 s per tooth (paired t-test, p < 0.001). There was no difference in the blood microdynamics between the two debonding techniques. According to the results of this study, the laser Er:YAG-assisted debonding technique may be a viable alternative to the conventional method for monocrystalline ceramic brackets.

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Emerging Technologies for Dentin Caries Detection—A Systematic Review and Meta-Analysis

Cited by 4 publications

References 84 publications

Enhanced Clinical Decision-Making and Delivery of Minimally Invasive Care Using the ICCMS4D Integrated with Hands-Free Fluorescence-Based Loupes and a Chemomechanical Caries Removal Agent

Enhanced Clinical Decision-Making and Delivery of Minimally Invasive Care Using the ICCMS4D Integrated with Hands-Free Fluorescence-Based Loupes and a Chemomechanical Caries Removal Agent

Absorption Spectroscopy in Dental Tissue Analysis

Laser Er:YAG-Assisted Debonding May Be a Viable Alternative to the Conventional Method for Monocrystalline Ceramic Brackets

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