Use of ICDAS-II, Fluorescence-Based Methods, and Radiography in Detection and Treatment Decision of Occlusal Caries Lesions: An In Vitro Study

Jablonski-Momeni, Anahita; Stucke, Jasmin; Steinberg, Torben; Heinzel‐Gutenbrunner, Monika

doi:10.1155/2012/371595

Cited by 46 publications

(53 citation statements)

References 27 publications

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“…Nevertheless, until now, this is the first study that assessed the performance of the Vista Cam digital intraoral camera as an auxiliary method of detecting caries. In the literature, we only found studies that assessed (in vitro) the performance of the Vista Cam iX 12,26 , a version of the camera with a more simple optical set. Although the Vista Cam iX has multiple functions on the same camera (intraoral and fluorescence camera), only the fluorescence was used in the previously published studies and the data obtained were compared with those found for the Vista Proof camera.…”

Section: Discussionmentioning

confidence: 99%

“…In their clinical practice, dentists use a wide variety of methods to detect caries on occlusal surfaces 11,12 . These methods include visual inspection, visual-tactile inspection, radiographs, digital radiographs, laser or light fluorescence based-methods, electrical impedance measurements 12 , intraoral images 13 , dyes and fiber-optic transillumination 11 .…”

Section: Introductionmentioning

confidence: 99%

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Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries

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Trevisan

Andrade

et al. 2017

Rev. odontol. UNESP

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ResumoIntrodução: A detecção de pequenas lesões de cárie ainda é um desafio para profissionais da Odontologia, que em sua prática clínica dispõem de uma grande variedade de métodos para detectar cáries nas superfícies oclusais. Objetivo: Avaliar clinicamente a efetividade da câmera de fluorescência Vista Proof, da microcâmera intraoral digital Vista Cam e do critério visual ICDAS (International Caries Detection and Assessment System) para detecção de lesões de cárie nas superfícies oclusais. Material e método: Cento e sete dentes posteriores de pacientes adultos foram examinados visualmente e por meio de radiografias digitais por um examinador que os classificou de acordo com a presença ou ausência de cárie. Os dentes foram então avaliados por outro examinador que utilizou o ICDAS, fluorescência e imagens digitais ampliadas. A efetividade dos métodos foi mensurada por meio da sensibilidade, especificidade, razão de verossimilhança positiva e negativa. Para cada método, a curva ROC (Receiver Operating Characteristic) e a área sob a mesma -AUROC (Area Under the ROC curve) foram estimadas. Resultado: Houve excepcional capacidade discriminante para as imagens intraorais (AUROC=0,93) e para o ICDAS (AUROC=0,91), com diferença estatística não significativa entre eles (z=0,35, p=0,73). A fluorescência apresentou capacidade discriminante aceitável (AUROC=0,78), embora tenha sido menor que os outros. A razão de verossimilhança positiva para a fluorescência foi 2,32, comparado a 20,58 para a imagem intraoral e 58,11 para o ICDAS. Conclusão: Ambos os métodos e o ICDAS exibiram um adequado desempenho clínico, sendo que o ICDAS e a imagem intraoral foram mais efetivos que a fluorescência.Descritores: Cárie dentária; efetividade; diagnóstico; fluorescência. AbstractIntroduction: The detection of small caries lesions is still a challenge for dental professionals who in their clinical practice have a wide variety of methods to detect caries on occlusal surfaces. Objective: To clinically assess the effectiveness of the Vista Proof fluorescence camera, the Vista Cam digital intraoral micro camera and the International Caries Detection and Assessment System (ICDAS) visual criterion for detecting caries lesions on occlusal surfaces of permanent teeth. Material and method: One hundred and seven posterior teeth from adult patients were examined visually and by means of digital radiographs by an examiner who rated them according to the presence or absence of occlusal caries. The teeth were then assessed by the other examiner using ICDAS, fluorescence and magnified digital images. The effectiveness of the methods was measured based on sensitivity, specificity, positive and negative likelihood ratio. For each method, the Receiver Operating Characteristic (ROC) curve and the Area Under the ROC curve (AUROC) were estimated. Result: There was exceptional discrimination capacity for the intraoral images (AUROC=.93) and the ICDAS (AUROC=.91), with no significant statistical difference between them (z=.35, p=.73). The fluorescence exhibited a...

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries

Presoto

Trevisan

Andrade

et al. 2017

Rev. odontol. UNESP

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“…The unaided implementation of ICDAS-II in various studies have led to diverging scientific data on reproducibility [4,13,18].…”

Section: Discussionmentioning

confidence: 99%

Impact of Low Level Magnification on Incipient Occlusal Caries Diagnosis and Treatment Decision Making

Sisodia

Manjunath

2014

JCDR

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Introduction: This in-vitro study aimed to test the accuracy and reproducibility in detection of incipient occlusal caries and treatment decision making using unenhanced visual-tactile technique and low level magnification by the use of loupes and surgical operating microscope (SOM).Methodology: Sixty extracted human posterior teeth were assessed by two examiners using ICDAS-II index and CPI-TN probe, with and without magnification. Histopathology was used as gold standard for diagnosis of caries and treatment decision making. Inter and intra examiner reproducibility was determined using Kappa statistics.

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“…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. This is in accordance with results from Mitropoulos et al, in which it was reported that specificity, sensitivity and LR+ and LR-values showed no significant differences between the examiners, and between unaided and magnified vision.…”

Section: Discussionmentioning

confidence: 59%

“…This spot was coded by the examiners in all the three methods. 9,21 For evaluating the ICDAS II coding -0, 1 and 2 (under wet and dry conditions) artificial saliva was used. Samples were randomly selected (Simple Random technique) and were examined.…”

Section: Methodsmentioning

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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Use of ICDAS-II, Fluorescence-Based Methods, and Radiography in Detection and Treatment Decision of Occlusal Caries Lesions: An In Vitro Study

Cited by 46 publications

References 27 publications

Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries

Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries

Impact of Low Level Magnification on Incipient Occlusal Caries Diagnosis and Treatment Decision Making

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

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