Evaluating performance of dental caries detection methods among third-year dental students

Parviainen, H.; Vähänikkilä, Hannu; Laitala, Marja‐Liisa; Tjäderhane, Leo; Anttonen, Vuokko

doi:10.1186/1472-6831-13-70

Cited by 22 publications

(30 citation statements)

References 27 publications

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“…Concerning the histological method, the reliability analysis showed almost perfect agreement, corroborating the results found in previous studies 17,19,20 and reaffirming the condition of gold-standard method to detect caries lesions.…”

Section: Resultssupporting

confidence: 88%

Reliability of ICDAS to Detect Occlusal Caries among Master’s Degree students of Dentistry

et al. 2019

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The objective of this study was to investigate the reproducibility of the International System for the Detection and Evaluation of Caries (ICDAS) for the diagnosis of caries by students of the Master's Degree in Dentistry (n = 25). The occlusal surfaces of human third molars (n = 14) were evaluated by twenty-five (n = 25) students using the ICDAS index and later a questionnaire was applied on demographic and professional context data. The dental crowns were sectioned in mesial to distal direction to obtain slices of 1mm in thickness which were observed in a stereomicroscope (40X) to identify the greatest extension of caries lesion. Data were analyzed by the Chi-Square, Fisher's Exact and Spearman's Correlation Coefficient at a significance level of 5%. There was an influence in the diagnosis of caries among students and teeth, where the majority of those who declared themselves to be safe missed the diagnosis. There was variability between the diagnosis and the proposed treatment for caries, with a better diagnosis for tooth VII and less for X; greater fit for treatment of teeth XIII, XIV and lower for IV, VI. The histological cut showed that the teeth were more affected by caries than the ICDAS. It was concluded that the ICDAS reproducibility was partially satisfactory when the occlusal surface was evaluated by the master’s degree students. Keywords: Dental Caries. Diagnostic Techniques and Procedures. Therapeutics. ResumoEste trabalho teve o objetivo de investigar a reprodutibilidade do Sistema Internacional de Detecção e Avaliação de Cárie (ICDAS) para o diagnóstico da cárie, por estudantes de curso de Mestrado em Odontologia (n=25). As superfícies oclusais de terceiros molares humanos (n=14) foram avaliadas por vinte e cinco (n=25) estudantes, utilizando o índice ICDAS, e posteriormente foi aplicado questionário sobre dados demográficos e de contexto profissional. As coroas dentárias foram seccionadas no sentido mésio distal para obter fatias de 1 mm de espessura, que foram observadas em estereomicroscópio (40X) para identificar a maior extensão da lesão de cárie. Os dados foram analisados pelos Testes Qui-Quadrado, Exato de Fisher e Coeficiente de Correlação de Spearman, em nível de significância de 5%. Houve influência do grau de instrução dos estudantes no diagnóstico da cárie em relação ao dente avaliado e a maioria que se declarou segura errou o diagnóstico. Houve variabilidade entre o diagnóstico e o tratamento proposto para a cárie, com maior acerto para diagnóstico do dente VII e menor para o X; maior acerto para tratamento dos dentes XIII, XIV e menor para IV, VI. O corte histológico mostrou que os dentes estavam mais comprometidos pela cárie que o ICDAS. Concluiu-se que a reprodutibilidade do ICDAS foi satisfatória quando a superfície oclusal foi avaliada pelos mestrandos. Palavras-chave: Cárie Dentária. Técnicas e Procedimentos Diagnósticos. Terapêutica.

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Section: Resultssupporting

confidence: 88%

Reliability of ICDAS to Detect Occlusal Caries among Master’s Degree students of Dentistry

et al. 2019

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“…85 (0.65 Forest plots for meta-analysis and heterogeneity analysis of intra-and inter-examiner reproducibility when ICDAS was used for assessing caries lesion severity. Teo et al [2014] 0.84 (0.61, 1.07) Mitropoulos et al [2010] 0.51 (0.36, 0.66) Braga et al [2010] 0.91 (0.69, 1.13) Parviainen et al [2013] 0.47 (0.02, 0.92) Braga et al [2009b] 0.82 (0.62, 1.02) Achilleos et al [2013] 0.73 (0.28, 1.18) Braga et al [2009a] 0.47 (0.31, 0.63) Ozturk et al [2015] 0.37 (0.17, 0.57) Bussaneli et al [2015] 0.58 (0.17, 0.99) Jallad et al [2015] 0.72 (0.63, 0.81) Study selection was performed independently by 2 reviewers (T.G. and M.M.B.).…”

Section: Systematic Review: the Accuracy Of The Icdas In Detectingmentioning

confidence: 99%

The International Caries Detection and Assessment System – ICDAS: A Systematic Review

et al. 2018

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The aims of this study were: (1) to evaluate the overall reproducibility and accuracy of the International Caries Detection and Assessment System (ICDAS) for assessing coronal caries lesions, and (2) to investigate the use of systems associated with the ICDAS for activity assessment of coronal caries lesions. Specific search strategies were adopted to identify studies published up to 2016. For the first objective, we selected studies that assessed primary coronal caries lesions using the ICDAS as a reference standard. A total of 54 studies were included. Meta-analyses summarized the results concerning reproducibility and accuracy (correlation with histology, summary ROC curves [SROC], and diagnostic odds ratio [DOR]). The latter 2 were expressed at D1/D3 levels. The heterogeneity of the studies was also assessed. Reproducibility values (pooled) were > 0.65. The ICDAS mostly presented a good overall performance as most areas under SROC were > 0.75 at D1 and > 0.90 at D3; DOR ≥6. For the second objective, we selected studies investigating activity assessment associated with the ICDAS. The meta-analyses pooled results based on the same methodology and parameters as above. Longitudinal findings regarding caries progression were described to estimate the validity of these systems. On average, the systems for activity assessment of caries lesions showed moderate values concerning reproducibility and overall performance. Active caries lesions were more prone to progress than inactive ones after 2 years. In conclusion, the ICDAS presented a substantial level of reproducibility and accuracy for assessing primary coronal caries lesions. Additional systems associated with the ICDAS that classify caries lesion activity can be useful as they are moderately reproducible and accurate.

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“…The correct detection and diagnosis of a caries lesion is essential in the decision of the professional about which intervention to choose, 13 since the incorrect detection of carious lesion in a pigmented sulcus would lead to the removal of healthy dental tissue, Which goes against the modern concepts of minimally invasive Dentistry. 14 Tuñas et al 15 emphasize that darkened grooves, which are the result of biological sealing, still need attention nowadays, because in the past these grooves were often considered caries lesions that required restoring treatment.…”

Section: Discussionmentioning

confidence: 99%

Perception on Oclusal Pigmentation of Pits and Fissures in Simulated Aesthetic Restoration

Selvatici¹,

Valadas²,

Lotif³

et al. 2019

JYP

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Background: There are several resources to mimic the restorations in dental structures. The biological sealing can be confused with a carious lesion when seen by a layman. The aim of this study was to analyze the perception of occlusal characterization in posterior aesthetic restorations, using different degrees of pit and fissure pigmentation simulating biological sealing. Methods: This work analyzed the perception of dental students and lay patients in the acceptance of simulated aesthetic restorations in posterior teeth with different degrees of occlusal pigmentation, simulating the biological sealing. It is a cross-sectional research involving dental students and lay patients of the Federal University of Ceara (UFC) and Federal University of Espirito Santo (UFES). Results: Participants answered a questionnaire where, through pictures, the interviewees indicated which occlusal characterization they considered more esthetic. Lay participants tended to prefer restorations without pigmentation of pits and fissures while students preferred mostly restorations that accompany the level of pigmentation of adjacent teeth. Regarding the difficulty among students in visually differentiating biological sealing from a caries lesion, most of the UFC students (55%) stated that "yes" , while the majority of the UFES (52%) answered that "sometimes" (p=0.018). Conclusion: It is known that pictures are not sufficient means for the detection of dental caries, but that can be useful to evaluate if the interviewee associates the image with the disease, even without the technical knowledge to do so.This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

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Evaluating performance of dental caries detection methods among third-year dental students

Cited by 22 publications

References 27 publications

Reliability of ICDAS to Detect Occlusal Caries among Master’s Degree students of Dentistry

Reliability of ICDAS to Detect Occlusal Caries among Master’s Degree students of Dentistry

The International Caries Detection and Assessment System – ICDAS: A Systematic Review

Perception on Oclusal Pigmentation of Pits and Fissures in Simulated Aesthetic Restoration

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