In vitro Detection of Occlusal Caries on Permanent Teeth by a Visual, Light-Induced Fluorescence and Photothermal Radiometry and Modulated Luminescence Methods

Jallad, Mahmoud; Zero, Domenick T.; Eckert, George J.; Zandoná, Andréa Ferreira

doi:10.1159/000437214

Cited by 24 publications

(19 citation statements)

References 39 publications

(72 reference statements)

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“…3,8,14 Nevertheless, the use of QLF for detecting occlusal carious lesions has not presented promising results in permanent teeth. 12,13 With regard to the utilization of QLF for detecting initial lesions in primary teeth in our study, lower or similar sensitivity and accuracy values than those obtained with visual inspection were obtained with the different fluorescence parameters evaluated. Concerning specificity and Az, the values were similar among all methods.…”

Section: Discussionsupporting

confidence: 56%

“…These findings observed for initial and dentin caries lesions corroborate the poor performance obtained with QLF for occlusal carious lesions in permanent teeth, as pointed out in previous studies. 12,13 LFpen yielded similar results to those of visual inspection for initial lesions, but lower specificity for dentin caries lesions. We also observed great differences compared to the values obtained with red fluorescence in QLF.…”

Section: Discussionmentioning

confidence: 59%

“…Therefore, this method is appropriate for detecting the early signs of carious lesions and for monitoring the arrestment of these lesions after non-operative treatments, mainly on free smooth surfaces. 3,8 However, studies to investigate the accuracy of QLF in detecting occlusal carious lesions have been unsatisfactory for permanent teeth, 12,13 and no previous studies were conducted with primary teeth. Moreover, the accuracy of QLF in detecting occlusal caries lesions using histological evaluation has not been investigated as reference standard.…”

Section: Introductionmentioning

confidence: 99%

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Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth

et al. 2017

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We aimed to investigate the performance of fluorescencebased methods (FBMs), compared to visual inspection after histological validation, in detecting and assessing the activity status of occlusal carious lesions in primary teeth. One examiner evaluated 50 primary molars close to exfoliation in 24 children. Teeth were assessed using quantitative light-induced fluorescence (QLF) and pen-type laser fluorescence (LFpen). After exfoliation, histological validation was performed. Teeth were cut and sections were evaluated for lesion depth and activity status (after utilization of a pH indicator) under a stereomicroscope. Parameters related to the performance of the methods in detecting caries lesions at two thresholds (initial and dentin lesions) were calculated. Regarding the activity status, lesions were classified into sound+inactive or active, and the area under the ROC curve and the diagnostic odds ratio values of the methods were calculated and compared. Evaluation of red fluorescence using QLF presented higher sensitivity but lower specificity than visual inspection in detecting dentin caries lesions. However, QLF considering different parameters and LFpen had similar performance to that obtained with visual inspection. Regarding activity assessment, all FBMs and visual inspection also presented similar performance. In conclusion, FBMs did not prove advantageous for the detection and activity assessment of occlusal caries lesions in primary molars when compared to visual inspection.

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Section: Discussionsupporting

confidence: 56%

Section: Discussionmentioning

confidence: 59%

Section: Introductionmentioning

confidence: 99%

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Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth

et al. 2017

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“…This was also the case for conceptual papers and other reviews (not primary studies). Neuhaus et al [2011] 0.73 (0.21, 1.25) Jallad et al [2015] 0.88 (0.80, 0.96) Ekstrand et al [2011] 0.96 (0.83, 1.09) Diniz et al [2011] 0.89 (0.86, 0.92) Souza et al [2013] 0.92 (0.72, 1.12) Gomez et al [2013] 0.85 (0.56, 1.14) Cotta et al [2015] Ekstrand et al [2011] 0.91 (0.78, 1.04) Castilho et al [2016] 0.60 (0.24, 0.96) Ozkan et al [2015] 0.76 (0.38, 1.14) Ko et al [2015] 0.96 (0.94, 0.96) Ekstrand et al [2007] 0. 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.…”

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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“…8,26 Jallad et al reported equal sensitivity and specificity, while comparing ICDAS II with other detection methods. 29 Interestingly Jablonski et al 2012 reported 100% sensitivity and specificity at D1 threshold. 21 The result of this study shows that there was no significant difference in the sensitivity and specificity values as well as the LH+ and LH-values in ICDAS II system under magnification.…”

Section: Discussionmentioning

confidence: 99%

Reliability and validity of ICDAS II coding for occlusal caries using magnification: an in-vitro study

Sathyanarayanan¹,

Usha²,

Sudhagar³

2017

Int J Sci Rep

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INTRODUCTIONDental caries is a disease that is characterized by the localized destruction of susceptible dental hard tissue by acidic by-products from bacterial fermentation of dietary carbohydrates. The process is a dynamic interaction at the biofilm-tooth interface characterised by alternating cycles of demineralisation and remineralization. A caries/carious lesion are a detectable change in the tooth structure that results from this interaction. The changes may range from initial outer surface demineralization, at the molecular level, through subsurface demineralization producing enamel white-spot lesion formation, through macroscopic lesion cavitation, to dentine and pulpal infection, to ABSTRACT Background: Pit and fissure caries presents diagnostic challenges due to its anatomical complexity and fluoride exposure. ICDAS II is a coding system for caries detection using clinical visual inspection. It identifies carious lesions by the change in colour, texture and surface integrity. Magnification might facilitate better detection of the lesions by enhancing the visual acuity. Thus, the objective of this study is to compare the reliability and validity of ICDAS II in detection of occlusal caries, with and without magnification, by using histological standard. Methods: This single blinded, randomized study included 334 unrestored extracted human premolars and molars. Two examiners independently scored pit and fissure caries status using ICDAS II criteria without magnification and later under 6 x magnification using surgical microscope. The samples were sectioned and lesions were scored using the ERK histological criteria, under Stereo microscope. The scores of the examiners were correlated with the histological scoring. Kappa statistics and Spearman correlation coefficients were performed. Optimal sensitivity, specificity of visual and enhanced visual examination was calculated by Receiver Operating Characteristic Curve (ROC). Likelihood ratios (LR) were also calculated. Results:The kappa values for Inter examiner reproducibility of visual and enhanced visual examination under microscope were 0.638-0.694 and for histological examination it was 0.979. Intra examiner reproducibility for visual and enhanced visual examination was 0.665 -0.594. There was a strong relationship between visual, enhanced visual and histological examinations. Spearman's correlation coefficient of ICDAS-II visual and enhanced visual examination for each examiner, to ERK histological scores was 0.869-0.848. The sensitivity and LR+ for visual and enhanced visual examination was decreased as the ICDAS score was increased and specificity and LR-increased with increased ICDAS score. Conclusions: Reliability and validity of ICDAS scoring in detecting occlusal caries under magnification did not differ from clinical visual inspection.

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In vitro Detection of Occlusal Caries on Permanent Teeth by a Visual, Light-Induced Fluorescence and Photothermal Radiometry and Modulated Luminescence Methods

Cited by 24 publications

References 39 publications

Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth

Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth

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

Reliability and validity of ICDAS II coding for occlusal caries using magnification: an in-vitro study

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