In vitro performance of the DIAGNOcam for detecting proximal carious lesions adjacent to composite restorations

Elhennawy, Karim; Askar, Haitham; Jost‐Brinkmann, Paul‐Georg; Reda, Seif; Al-Abdi, Allam; Paris, Sebastian; Schwendicke, Falk

doi:10.1016/j.jdent.2018.03.002

Cited by 24 publications

(14 citation statements)

References 30 publications

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“…17 recorded a sensitivity of 68% for NILT, similar to that obtained by Elhennawy et al . 36 (63% in teeth with restorations in proximal cavities). Baltacioglu et al .…”

Section: Discussionmentioning

confidence: 99%

Combined Near-Infrarred Light Transillumination and Direct Digital Radiography Increases Diagnostic In Approximal Caries

Melo

Pascual

Ruiz‐Camps

et al. 2019

Sci Rep

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The objective of this study was to evaluate the clinical ability of Near-Infrared Light-Transillumination (NILT) for approximal dentinal caries detection and to compare with direct digital-radiography (DDR), as well as to determine whether the combination of both techniques improves the diagnostic capacity of the lesions. From 88 patients (over 18 years), 138 posterior teeth (76 molars and 62 premolars), that had approximal caries reached into dentine determined by DDR, were included. Lesion extension and DDR images were scored as follows: D0 = sound surface, D1/D2 = caries restricted to the outer/inner-half of the enamel, and D3/4 = caries restricted to the outer/inner-half of the dentin. Opening of the approximal surface using 0.5 mm-in-diameter diamond-bar was used as gold-standard. The lesion extension was then determined by the following criteria: no dentinal caries (D0/1/2) or dentinal caries (D3/4). Seventy-one lesions were D3 and 67 lesions were D4. Sensitivities of overall/D3/D4 were 98.0/95.7/100.0 (NILT) and 100/100/100 (DDR), respectively. Correlations with gold-standard were 0.92 (NILT) and 0.42 (DDR), respectively. The correlation increased to 0.97 (p = 0.045) on combining NILT and DDR. There was no difference in sensitivity between the methods (p > 0.05); but was differences in the correlation (p < 0.01). It can be concluded that NILT showed sensitivity similar to that of DDR and higher correlation than DDR for approximal dentinal caries detection. Accordingly, it may be used to monitor the progression of caries without exposing the patient to ionizing radiation, this being of particular interest in growing patients and in pregnant women. In this respect, NILT can be an effective diagnostic tool adjunctive to bitewing radiographs in detecting approximal dentinal caries. The combination of NILT and DDR represents an increase in the diagnosis of approximal lesions The proposed diagnostic protocol comprises visual examination, followed by NILT and DDR only if the former technique detects approximal caries.

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“…17 recorded a sensitivity of 68% for NILT, similar to that obtained by Elhennawy et al . 36 (63% in teeth with restorations in proximal cavities). Baltacioglu et al .…”

Section: Discussionmentioning

confidence: 99%

Combined Near-Infrarred Light Transillumination and Direct Digital Radiography Increases Diagnostic In Approximal Caries

Melo

Pascual

Ruiz‐Camps

et al. 2019

Sci Rep

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“…Data was Repeated measure ANOVA and multiple comparisons (Tukey test) were used to compare between durations in each group. Independent t-test was used to compare groups in each duration as in table (4).…”

Section: Resultsmentioning

confidence: 99%

“…Figures (1)(2)(3)(4)(5)(6) showing representative SEM photomicrographs of resin replica of restorations of both groups at the different evaluation periods. Regarding the marginal adaptation of the restorations, table (3) revealed a 100% Alpha scoring (complete marginal adaptation) in both groups throughout the study period.…”

Section: Resultsmentioning

confidence: 99%

“…It identifies caries lesions on the basis of their clinical visual appearance; the examination is aided by a ballended explorer and should be carried out on clean and dry teeth 3 . On the other hand, several modern devices are used to detect the presence of early dental caries lesion of which is DIAGNOCam which utilizes near-infrared light that can be used easily in all segments of dentition and was reported as an effective method for the diagnosis of occlusal caries without cavitation in permanent molar teeth 4 .…”

Section: Introductionmentioning

confidence: 99%

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Effect of Hydro- abrasion versus Conventional Cavity Preparation on the Clinical Performance of Composite Resin Restoration

kashkosh

Genaid

2021

Egyptian Dental Journal

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Aim: To evaluate the effect of hydro abrasion versus the conventional drill method of cavity preparation on the clinical performance of composite restoration over one year follow up period. Materials and methods:Twenty patients with occlusal carious lesions were selected and examined with DIAGNO cam and ICDAS visual criteria to select teeth having ICDAS Code 3 or 4. Forty lesions were randomly divided into two groups (n=20) according to the method of caries removal. Cavities were prepared by the conventional drill method in group I and by hydro-abrasion in group II. Cavities of both groups were restored by self-etch adhesive (Adper Easy Bond) and nano-filled composite (Filtek Z350XT). All restorations were evaluated after 24 hours, after 9 and 12 months according to (USPHS) criteria for retention, marginal adaptation, postoperative sensitivity, marginal discoloration, and secondary caries.Results: Mild, moderate -severe and very severe pain was recorded in group I While in group II, only mild pain was recorded in (40%) of cases. The statistical analysis of the collected data related to the tested USPHS criteria revealed 100% Alpha scoring regarding retention, marginal adaptation and secondary caries in both groups throughout the study period. The gap width measured under SEM was found increased sig. by time in both groups. Marginal discoloration was observed in the two groups after nine and 12 months. Post-operative hypersensitivity was found only in group I in 100% of cases at the base line and was disappeared during the next follow up period. Conclusion:Hydro-abrasion could be recommended as a preferred method of cavity preparation in shallow to mild carious lesions compared to the conventional cavity preparation method.

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“…Light-induced fluorescence (n = 3) was sensitive but showed low specificity. Recent in vitro data found near-infrared light transillumination potentially useful to detect secondary lesions, with similar accuracy as radiographic assessment and being superior to visual-tactile detection [48]. Overall, visual, radiographic, and laser-fluorescence detection are potentially useful to detect secondary caries.…”

Section: Detecting Secondary Carious Lesionsmentioning

confidence: 99%

Secondary caries: what is it, and how it can be controlled, detected, and managed?

et al. 2020

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Objectives To assess how to control, detect, and treat secondary caries. This review serves to inform a joint ORCA/EFCD consensus process. Methods Systematic and non-systematic reviews were performed or consulted and narratively synthesized. Results Secondary (or recurrent) caries is defined as a lesion associated with restorations or sealants. While the restorative material itself has some influence on secondary caries, further factors like the presence and size of restoration gaps, patients' caries risk, and the placing dentist's experience seem more relevant. Current detection methods for secondary caries are only sparsely validated and likely prone for the risk of over-detection. In many patients, it might be prudent to prioritize specific detection methods to avoid invasive overtreatment. Detected secondary caries can be managed either by repair of the defective part of the restoration or its complete replacement. Conclusions There is sparse data towards the nature of secondary caries and how to control, detect, and treat it. Clinical significance Despite often claimed to be a major complication of restorations, there is surprisingly little data on secondary caries. Longer-term studies may be needed to identify differences in secondary caries risk between materials and to identify characteristic features of progressive lesions (i.e., those in need of treatment).

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In vitro performance of the DIAGNOcam for detecting proximal carious lesions adjacent to composite restorations

Abstract: Near-infrared-light transillumination could be used as a radiation-free adjunct or alternative to RA for detecting carious lesions adjacent to composite restorations.

Cited by 24 publications

References 30 publications

Combined Near-Infrarred Light Transillumination and Direct Digital Radiography Increases Diagnostic In Approximal Caries

Combined Near-Infrarred Light Transillumination and Direct Digital Radiography Increases Diagnostic In Approximal Caries

Effect of Hydro- abrasion versus Conventional Cavity Preparation on the Clinical Performance of Composite Resin Restoration

Secondary caries: what is it, and how it can be controlled, detected, and managed?

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