Comparison of three methods for detection of carious lesions in proximal surfaces versus direct visual examination after tooth separation

2004 ◽  
Vol 28 (1) ◽  
pp. 59-62 ◽  
Author(s):  
Fabio Luiz Mialhe ◽  
Antonio Carlos Pereira ◽  
Vanessa Pardi ◽  
Marcelo de Castro Meneghim
Keyword(s):  
Clinical Examination ◽  
Visual Inspection ◽  
Fiber Optic ◽  
Carious Lesion ◽  
Caries Prevalence ◽  
Radiographic Assessment ◽  
Visual Examination ◽  
Lesion Depth ◽  
Preventive Approach ◽  
Carious Lesions

The present study aimed to compare clinical, fiber-optic transillumination and bite-wing radiographic assessment of carious lesion depth in contacting proximal surfaces with the results obtained by direct visual inspection after tooth separation of the respective surfaces. It is suggested that when a carious lesion is diagnosed as non-cavitated by clinical examination or restricted to enamel by FOTI or radiographic examinations in a population of children with low caries prevalence, dentists should adopt a preventive approach.

In Vivo Evaluation of DIAGNOdent for the Quantification of Occlusal Dental Caries

10.2341/08-54 ◽  
2009 ◽  
Vol 34 (2) ◽  
pp. 136-141 ◽  
Author(s):  
M. A. Khalife ◽  
J. R. Boynton ◽  
J. B. Dennison ◽  
P. Yaman ◽  
J. C. Hamilton
Keyword(s):  
Dental Caries ◽  
Clinical Relevance ◽  
Carious Lesion ◽  
Weak Correlation ◽  
In Vivo Evaluation ◽  
Lesion Depth ◽  
Carious Lesions

Clinical Relevance There is a weak correlation between DIAGNOdent readings and carious lesion depth and volume. Based on the current study, the appropriate DIAGNOdent cut-off point to detect carious lesions reaching the DEJ or beyond is between 35 and 40.

scholarly journals Diagnostic Value of Fluorescence Methods, Visual Inspection and Photographic Visual Examination in Initial Caries Lesion: A Systematic Review and Meta-Analysis

2021 ◽  
Vol 9 (3) ◽  
pp. 30
Author(s):  
Mai Thi Giang Thanh ◽  
Ngo Van Toan ◽  
Do Thi Thanh Toan ◽  
Nguyen Phu Thang ◽  
Ngoc Quang Dong ◽  
...  
Keyword(s):  
Systematic Review ◽  
Quality Assessment ◽  
Visual Inspection ◽  
Early Stage ◽  
Meta Analysis ◽  
Diagnostic Value ◽  
Caries Detection ◽  
Permanent Teeth ◽  
Visual Examination ◽  
Initial Caries

This systematic review and meta-analysis aimed to investigate the efficacy of fluorescence-based methods, visual inspections, and photographic visual examinations in initial caries detection. A literature search was undertaken in the PubMed and Cochrane databases. Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines were followed, and eligible articles published from 1 January 2009 to 30 October 2019 were included if they met the following criteria: they (1) assessed the accuracy of methods of detecting initial tooth caries lesions on occlusal, proximal, or smooth surfaces in both primary and permanent teeth (in clinical); (2) used a reference standard; (3) reported data regarding the sample size, prevalence of initial tooth caries, and accuracy of the methods. Data collection and extraction, quality assessment, and data analysis were conducted according to Cochrane standards Quality Assessment of Diagnostic Accuracy Studies-2. Statistical analyses were performed using Review Manager 5.3 and STATA 14.0. A total of 12 eligible articles were included in the meta-analysis. The results showed that the sensitivity and specificity of fluorescence-based methods were 80% and 80%, respectively; visual inspection was measured at 80% and 75%, respectively; photographic visual examination was measured at 67% and 79%, respectively. We found that the visual method and the fluorescence method were reliable for laboratory use to detect early-stage caries with equivalent accuracy.

scholarly journals Incidental Radiographic Discovery of a Screw in a Primary Molar: An Unusual Case Report in a 6 Year Old Child

2013 ◽  
Vol 2013 ◽  
pp. 1-3
Author(s):  
Farhin Katge ◽  
Sajjad Mithiborwala ◽  
Thejokrishna Pammi
Keyword(s):  
Case Report ◽  
Clinical Examination ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Primary Dentition ◽  
Carious Lesion ◽  
Pulp Chamber ◽  
Primary Molar ◽  
Traumatic Lesions ◽  
Unusual Case Report

Dentists often find foreign bodies in the primary dentition of children who habitually place objects in their mouths. The objects are frequently embedded in exposures that result from carious or traumatic lesions or from endodontic procedures that have been left open for drainage. Such bodies are often detected on routine radiographs and, less frequently, during clinical examination. We report a case of a 6-year-old boy who had inadvertently embedded a screw in his mandibular right first primary molar and had forgotten about it until it became symptomatic. The screw was impacted in the exposed pulp chamber due to a large carious lesion in the affected molar. This case report considers the possible medical and dental consequences of placing foreign bodies in the mouth.

scholarly journals A 42 year old female with thermal sensitivity in the lower left first molar tooth

2018 ◽  
Vol 11 (3) ◽  
pp. 231
Author(s):  
Hasan Ali ◽  
Mozammal Hossain ◽  
Md. Joynal Abdin
Keyword(s):  
Clinical Examination ◽  
Thermal Sensitivity ◽  
Molar Tooth ◽  
Posterior Region ◽  
Proximal Surface ◽  
Carious Lesions ◽  
Left Posterior ◽  
Vitality Test

<p><span>This article has no abstract. The first 100 words appear below:</span></p><p>A 42 year old female presented with the complaints of thermal sensitivity and impaction of food during mastication on her lower left posterior region. On clinical examination, carious lesions involving proximal surface was detected at the lower left first molar tooth which extended up to the dentin. The vitality test showed that the affected tooth was vital and the tooth was also non-tender to percussion.</p>

scholarly journals Detection of Occlusal Carious Lesion using the SoproLife® Camera: A Systematic Review

2016 ◽  
Vol 17 (9) ◽  
pp. 774-779 ◽  
Author(s):  
Sophie Doméjean ◽  
Julie Rongier ◽  
Michèle Muller-Bolla
Keyword(s):  
Systematic Review ◽  
Scientific Evidence ◽  
Assessment System ◽  
Caries Detection ◽  
Permanent Teeth ◽  
Carious Lesion ◽  
Carious Lesions ◽  
Pubmed Database ◽  
Icdas Ii

ABSTRACT Aim The aim of this systematic review was to assess the in vivo scientific evidence regarding the ability of a recently developed light fluorescence device, SoproLife® (Sopro-Acteon group, La Ciotat, France) in detecting occlusal carious lesions. The PubMed database was searched for in vivo trials that evaluated the validity of the SoproLife® camera for the detection of occlusal carious lesions. Among the 11 articles originally identified with the keyword “Soprolife,” only three articles were included. The three included surveys used the International Caries Detection and Assessment System (ICDAS)-II criteria as gold standard for the assessment of SoproLife® compared or not to other detection devices (DIAGNOdent® and Spectra Caries Detection Aid®). Two of the included studies reported only on permanent teeth or both primary and permanent teeth. The SoproLife® validity values varied markedly among studies with a sensitivity ranging between 0.43 and 0.95 and a specificity between 0.55 and 1. Interobserver reproducibility with the SoproLife® was reported in two of the three studies (0.98 and 0.72) and none of the studies reported about intraobserver reproducibility. No clear-cut conclusion can be made based on the three included clinical studies; further in vivo investigations are needed to confirm the validity of the SoproLife® camera in terms of detection of occlusal carious lesions. How to cite this article Doméjean S, Rongier J, Muller-Bolla M. Detection of Occlusal Carious Lesion using the SoproLife® Camera: A Systematic Review. J Contemp Dent Pract 2016;17(9):774-779.

scholarly journals Case Report: a 5-Year Follow-up of Proximal Caries Lesion Diagnosis

2018 ◽  
Vol 20 (3) ◽  
pp. 158
Author(s):  
Renata Espíndola Silveira ◽  
Isabela Pereira Furtado ◽  
Marco Aurélio Carvalho ◽  
Lawrence Gonzaga Lopes ◽  
João Batista Souza ◽  
...  
Keyword(s):  
Dental Caries ◽  
Clinical Examination ◽  
Oral Hygiene ◽  
Dietary Habits ◽  
Treatment Plan ◽  
Preventive Treatment ◽  
Diagnostic Methods ◽  
Carious Lesions ◽  
Oral Hygiene Instructions

Abstract This clinical case was aimed at reporting and discussing diagnostic methods for early detection and preventive treatment of proximal carious lesions. The patient presented to the dental clinic seeking treatment of a problem she reported as being “dental caries”. The patient’s orthodontist diagnosed dental caries, by means of radiographic exam. There was no evidence of any proximal carious lesion in the intraoral examination. The bitewing radiographs presented a radiolucent area limited to enamel in the mesial of maxillary left-second-bicuspid. For the purpose of confirming the intraoral diagnosis, an immediate tooth separation was performed. The immediate separation was unable to provide sufficient access; thus, the slow separation approach was performed. After 24-hours, tooth separation of 1mm was obtained, providing enough access for clinical examination. The proximal areas were evaluated by transillumination and impression taking. During the visual inspection, an area of enamel staining was observed, with no roughness due to tactile inspection and the evaluation by transillumination and impression showed no cavitation. The following preventive treatment plan was endorsed: oral hygiene instructions with emphasis to the importance of flossing the proximal areas, and healthy dietary habits. After a 5-years period of follow-up, the enhanced oral hygiene and heathy dietary habits were observed. A clinical examination with immediate tooth separation and bitewing radiographs was performed and showed no cavitation. Thecombination of methods for detecting carious lesions in proximal surfaces was effective in obtaining a diagnosis of cariesin the permanent dentition. The absence of cavitated lesions must be indicative of preventive treatment.Keywords: Dental Caries. Preventive Dentistry. Diagnosis, Oral.ResumoEste caso clínico objetivou relatar e discutir os métodos diagnósticos para detecção e tratamento preventivo de lesões cariosas proximais. A paciente procurou atendimento restaurador com queixa de cárie diagnosticada por exame radiográfico realizado após término de seu tratamento ortodôntico. Ao exame clínico não havia suspeita de lesão cariosa. A avaliação radiográfica revelou, na face mesialdo dente 25, presença de área radiolúcida limitada à metade externa do esmalte. Para confirmação do diagnóstico realizou-se a separação interdentária imediata, porém como a mesma não permitiu adequada visualização foi realizada a separação mediata e após 24 horas obteve-se adequada separação (1 mm) para o exame clínico. Em seguida, a superfície proximal foi avaliada por transiluminação e moldagem. Durante a inspeção visual foi constatada área de manchamento do esmalte, com ausência de rugosidade pela inspeção tátil e a avaliação tanto por transiluminação da superfície proximal, quanto por moldagem revelou ausência de cavitação. Devido o diagnóstico obtido o seguinte tratamento preventivo foi indicado: reforço de higiene oral com ênfase na importância do uso do fio dental e hábitos dietéticos saudáveis. Após 5 anos de acompanhamento melhoria da higiene oral e hábitos dietéticos foram constatados. O exame clínico com separação interdentária imediata e exame radiográfico revelaram ausência de cavitação. Conclui-se que a combinação de métodos de detecção de lesões cariosas proximais foi efetivo no diagnóstico da cárie dentária na dentição permanente. O resultado deste relato de caso mostrou que a ausência de lesões cariosas cavitadas deve ser um indicativo de tratamento preventivo.Palavras-chave: Cárie Dentária. Odontologia Preventiva. Diagnóstico Bucal.

scholarly journals Comparison of different methods for the occlusal dentine caries diagnosis

2005 ◽  
Vol 13 (1) ◽  
pp. 28-34 ◽  
Author(s):  
Soraya Fernandes Mestriner ◽  
Dionísio Vinha ◽  
Wilson Mestriner Junior
Keyword(s):  
Visual Inspection ◽  
Third Molars ◽  
Average Sensitivity ◽  
Caries Diagnosis ◽  
False Positive Diagnosis ◽  
Carious Lesions ◽  
Clinical Methods ◽  
Digital Radiograph ◽  
The City

The aim of this study was to compare the effectiveness of in-vitro methods for the occlusal dentine caries diagnosis. Thirty-eight sites were evaluated on third molars without macroscopic carious cavitation in adult individuals from the city of Barretos (SP), Brazil. Visual inspection (VI), endoscopic evaluation (AcuCam), visual inspection and blunt-tipped exploratory probes (Tactile), conventional bite-wing radiographs (CR), direct bite-wing digital radiograph (DR), and direct digital radiograph with contrast and brightness controled (DRbc) were used by five observers. In order to validate the data, the teeth were sectioned and histologically evaluated. The average sensitivity and specificity values of the methods were respectively:0,25 , 0,96 (VI); 0,15 , 0,92 (AcuCam); 0,17 , 0,95 (Tactile); 0,45 , 0,73 (CR); 0,33 , 0,80 (DR) and 0,35 , 0,84 (DRbc) , the effectiveness of clinical methods (VI, AcuCam and Tactile) as well as that of radiographic methods (CR, DR and DRbc) were comparatively similar. The clinical methods presented a smaller number of false-positive diagnosis than the radiographic methods. It was concluded that visual inspection is an important diagnostic method; conventional bite-wing and digital radiography aid the diagnosis and are equally efficient to diagnose carious lesions in the dentine of teeth without visible cavitation.

Comparison of Visual Examination, Bite-wing Radiography, and Fiberoptic Transillumination on Caries Detection

2017 ◽  
Vol 7 (2) ◽  
pp. 77-81
Author(s):  
Beste Inceoglu ◽  
Sebahat Gorgun ◽  
Halil T Yuksel ◽  
Emine S Kursun ◽  
Hakan Eren
Keyword(s):  
Caries Detection ◽  
Missing Teeth ◽  
Visual Examination ◽  
Occlusal Caries ◽  
Carious Lesions ◽  
Tooth Surfaces ◽  
Molar Teeth ◽  
Approximal Caries ◽  
Better Than

ABSTRACT Introduction The detection of carious lesions in the initial stages of development is very important to prevent the occurrence of cavitation. Visual examination and the use of a dental probe, bite-wing radiography, and fiberoptic transillumination (FOTI) have long been recommended for this purpose. Visual examination and probing of suspected lesions are useful for detecting occlusal caries, but achieve no gain of sensitivity and might cause irreversible tooth damage. Bite-wing radiography helps to detect approximal lesions better than clinical examination and probing the lesion. But the diagnostic performance of bite-wing radiography at approximal and occlusal sites is different. The FOTI is a quick and inexpensive method that can enhance visual examination of all tooth surfaces. The aim of this in vivo study is to compare FOTI with bite-wing radiography and visual examination in the detection of approximal and occlusal caries. Materials and methods A total of 46 patients without missing teeth and dentures in the posterior region of jaws were examined for the evaluation of all premolar and molar teeth contacts. Three blinded practitioners examined the patients. First one evaluated radiologically, second one visually, and the last one evaluated with FOTI. Results According to statistical results, bite-wing radiograph had the highest sensitivity. However, evaluation with FOTI had acceptable results to detect approximal caries. Conclusion Study of the results has shown that clinically FOTI is an adjunct method for detection of approximal caries. How to cite this article Eren H, Yuksel HT, Inceoglu B, Kursun ES, Gorgun S. Comparison of Visual Examination, Bite-wing Radiography, and Fiberoptic Transillumination on Caries Detection. J Contemp Dent 2017;7(2):77-81.

scholarly journals DMF-T index and caries prevalence of international class students of Faculty of Dentistry Universitas Padjadjaran

2013 ◽  
Vol 25 (2) ◽  
Author(s):  
Bonardeen Bin Lokman ◽  
Richata Fadhil ◽  
Ayu Trisna Hayati
Keyword(s):  
Dental Caries ◽  
Clinical Examination ◽  
Descriptive Study ◽  
Tooth Surface ◽  
Survey Method ◽  
Cavity Formation ◽  
Caries Prevalence ◽  
Organic Structure

Dental caries is a localized destruction of the tooth surface initiated by decalcification of the enamel followed by lysis of organic structure leading to cavity formation. The purpose of this research was to discover the DMF-T index and caries prevalence of all international class students of Faculty of Dentistry of Universitas Padjadjaran. This research was a descriptive study with the survey method. Data from 176 samples (batch 2004 until 2010 students) were taken through clinical examination and questionnaires. The result of this research showed that the average DMF-T index was 2.8, while the caries prevalence was 81.8%. From this research can be concluded that the average DMF-T index of all international class students of Faculty of Dentistry of Universitas Padjadjaran was categorized as moderate, while the caries prevalence was high.

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