scholarly journals Sensitivity and Specificity of Different Diagnostic Methods in Occlusal Caries Detection of Permanent Teeth among Paediatric Patients

2021 ◽  
Vol 16 (2) ◽  
pp. 113-126
Author(s):  
Ilham Wan Mokhtar ◽  
Annapurny Venkiteswaran ◽  
Mohd Yusmiaidil Putera Mohd Yusof
Keyword(s):  
Sensitivity And Specificity ◽  
Near Infrared ◽  
Visual Detection ◽  
Diagnostic Methods ◽  
Infrared Light ◽  
Caries Detection ◽  
Permanent Teeth ◽  
Occlusal Caries ◽  
Occlusal Caries Detection ◽  
Occlusal Surfaces

Dental caries is a commonly progressive disease that proceeds through various degrees of severity that a dentist can detect. The aims of the in vivo study were to assess the accuracy of the individual model (near-infrared light transillumination [NILT] device, visual and radiographic examinations) in detecting occlusal caries, and to evaluate the performance of visual and NILT device combination for occlusal caries detection in deciding the treatment options. Fifty-two non-cavitated occlusal surfaces from 16 patients were assessed with three different diagnostic devices in random order. Identified lesions were prepared and validated. Logistic regression analysis was performed for each method. The sensitivity and specificity values for each method and the combined models were statistically measured using RStudio version 0.97.551. At the enamel level, visual detection was the most sensitive method (0.88), while NILT was the most specific (0.93). NILT scored the highest for sensitivity (0.93) at the dentine level and visual detection scored the highest for specificity (0.88). Visual detection + NILT model was significantly better (p = 0.04) compared to visual detection or NILT alone (df = 1). The visual-NILT combination is a superior model in detecting occlusal caries on permanent teeth. The model provided surplus value in caries detection hence improving the treatment decision-making in occlusal surfaces.

scholarly journals In vivo performance of near-infrared light transillumination for dentine proximal caries detection in permanent teeth

2020 ◽  
Vol 32 (4) ◽  
pp. 187-193
Author(s):  
Ayşe Dündar ◽  
Mehmet Ertuğrul Çiftçi ◽  
Özlem İşman ◽  
Ali Murat Aktan
Keyword(s):  
Near Infrared ◽  
Infrared Light ◽  
Caries Detection ◽  
Permanent Teeth ◽  
Near Infrared Light ◽  
Proximal Caries

scholarly journals Comparison of novel and established caries diagnostic methods: a clinical study on occlusal surfaces

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Friederike Litzenburger ◽  
Gerrit Schäfer ◽  
Reinhard Hickel ◽  
Jan Kühnisch ◽  
Katrin Heck
Keyword(s):  
Diagnostic Performance ◽  
Diagnostic Methods ◽  
Laser Fluorescence ◽  
The Other ◽  
Caries Detection ◽  
Reference Standard ◽  
Occlusal Caries ◽  
Enamel Caries ◽  
Dentin Caries ◽  
Occlusal Caries Detection

Abstract Background The purpose of this prospective clinical diagnostic study with validation was to compare the diagnostic accuracy of near-infrared transillumination (NIRT), laser fluorescence measurement (LF), alternating current impedance spectroscopy (ACIS) and their combinations as adjunct methods to visual examination (VE) for occlusal caries detection using a hybrid reference standard. Methods Ninety-six first and second non-cavitated permanent molars from 76 individuals (mean age 24.2) were investigated using (VE) (ICDAS) and bitewing radiography (BWR), as well as NIRT, LF and ACIS. The findings of BWR and NIRT were evaluated by two examiners while the other examinations were conducted by one calibrated dentist. The hybrid reference standard consisted of non-operative validation based on the results of VE and BWR and operative validation. Statistical analysis included cross-tabulations, calculation of sensitivity, specificity and area under the receiver operating characteristic curve at three diagnostic thresholds: caries in general, enamel caries and dentin caries. Results NIRT, LF and ACIS exhibited high sensitivity for caries in general [1.00 (1.00–1.00), 0.77 (0.65–0.88), 0.75 (0.63–0.87)) and for dentin caries (0.97 (0.91–1.03), 0.76 (0.76–0.90), 0.64 (0.47–0.80)]. Sensitivity values for enamel caries were weak (0.21, 0.11, 0.37). Specificity values did not fall below 0.65 (NIRT) for all categories and methods, except for NIRT at the caries detection threshold (0.27). A combination of LF and ACIS with VE improved the diagnostic performance at the overall and the enamel caries threshold. The other methods showed fair to excellent discrimination at the overall caries threshold (NIRT 0.64, LF 0.89 and ACIS 0.86) and acceptable discrimination at the dentin caries threshold (NIRT 0.82, LF 0.81 and ACIS 0.79). AUROC for enamel caries exhibited the weakest discrimination. Accuracy was 65.6% for VE, 69.8% for BWR, 50.0% for NIRT, 53.1% for LF and 74.0% for ACIS. Reliability assessment for BWR and NIRT showed at least substantial agreements for all analyses. Conclusions The methods, NIRT, LF and ACIS, revealed different potential but no impeccable performance for occlusal caries detection. All are suitable instruments to detect hidden carious lesion in dentin. As auxiliaries to VE, LF and ACIS showed an increase in diagnostic performance.

scholarly journals Occlusal Caries Detection and Diagnosis Using Visual ICDAS Criteria, Laser Fluorescence Measurements, and Near-Infrared Light Transillumination Images

2019 ◽  
Vol 29 (1) ◽  
pp. 25-31 ◽  
Author(s):  
Melek Tassoker ◽  
Sevgi Ozcan ◽  
Said Karabekiroglu
Keyword(s):  
Near Infrared ◽  
Third Molar ◽  
Laser Fluorescence ◽  
Infrared Light ◽  
Caries Detection ◽  
Occlusal Caries ◽  
Fluorescence Measurements ◽  
Diagnodent Pen ◽  
Icdas Ii ◽  
Molar Teeth

Objective: Current diagnostic tools for non-cavitated occlusal caries are not very reliable. For this reason, newer systems need to be developed. The aim of this study was to compare the performance of visual inspection (ICDAS-II), laser fluorescence (DIAGNOdent pen), and the near-infrared transillumination technique (DIAGNOcam) in the detection of non-cavitated occlusal caries lesions under clinical and laboratory conditions in 90 third molar teeth planned for extraction. Materials and Methods:Ninety third molar teeth were firstly examined in clinical conditions, scored according to ICDAS-II criteria, and examined with DIAGNOdent pen and DIAGNOcam devices. After finishing the clinical examination, the teeth were re-evaluated shortly after the extractions with the same methods. Then, the teeth were sectioned for histological validation according to Downer’s criteria. Sensitivity, specificity, accuracy, and area under the receiver operating characteristic (ROC) curves were calculated based on the histological results. Results: For the D0–D1–4 threshold, the area under the ROC curve values ranged between 0.754 and 0.881 for all systems. Sensitivity values ranged between 80.5 and 96.1%, and specificity values ranged between 61.5 and 84.6% for the three caries detection methods. DIAGNOcam had the best correlation value (0.616) according to histological observations and demonstrated a sensitivity rate of 96.1%, a specificity rate of 61.5%, and an accuracy rate of 91.1%. Conclusions: DIAGNOcam was found to be the most effective method for the diagnosis of occlusal caries without cavitation in permanent molar teeth.

scholarly journals Diagnostic Drama. Use of ICDAS II and Fluorescence-Based Intraoral Camera in Early Occlusal Caries Detection: A Clinical Study

2020 ◽  
Vol 17 (8) ◽  
pp. 2937
Author(s):  
Marta Mazur ◽  
Maciej Jedliński ◽  
Artnora Ndokaj ◽  
Denise Corridore ◽  
Antonello Maruotti ◽  
...  
Keyword(s):  
Subjective Evaluation ◽  
Assessment System ◽  
Diagnostic Methods ◽  
Caries Detection ◽  
Kappa Statistics ◽  
Occlusal Caries ◽  
Posterior Teeth ◽  
Invasive Approach ◽  
Occlusal Surfaces ◽  
Icdas Ii

Background: Early diagnosis of occlusal caries is of paramount importance for a minimally invasive approach in dentistry. The aim of the present in vivo clinical prospective study was to compare the diagnostic outcomes of visual subjective evaluation between the International Caries Detection and Assessment System (ICDAS-II) and an intraoral fluorescence-based camera (VistaCam iX Proof, Dürr Dental, Bietigheim-Bissingen, Germany) for the detection of pits and fissures in early caries lesions of posterior teeth. Methods: The study included 1011 posterior teeth in 255 patients aged 13–20 years (mean age 16 ± 2.2 years). Two blinded operators evaluated all the occlusal surfaces and the first assigned an ICDAS-II code, while the second assessed the VistaCam score: sound enamel (score 0–1.2); initial enamel decay (score 1.2–1.5); dentine caries (score 1.5–3). Results: Some 283 (28%) of the assessed teeth were ICDAS-II code 0; 334 (33%) code 1; 189 (18.7%) code 2; 176 (17.4%) code 3; and 29 (2.9%) code 4. The level of agreement between the two procedures was expressed by using Cohen’s and Fleiss’ kappa statistics and performing McNemar’s test. VistaCam assessed in 513 (50.7%) sound enamel; in 292 (28.9%) initial enamel decay; and in 206 (20.4%) dentine caries. Conclusions: This comparative study showed a poor agreement between the two diagnostic methods, especially between ICDAS-II 0, 1 and 2 codes and fluorescence assessments.

Near-infrared transillumination with high dynamic range imaging for occlusal caries detection in vitro

2020 ◽  
Vol 35 (9) ◽  
pp. 2049-2058
Author(s):  
Friederike Litzenburger ◽  
Alexander Lederer ◽  
Maximilian Kollmuß ◽  
Reinhard Hickel ◽  
Karl-Heinz Kunzelmann ◽  
...  
Keyword(s):  
Near Infrared ◽  
Dynamic Range ◽  
High Dynamic Range ◽  
Caries Detection ◽  
High Dynamic Range Imaging ◽  
Range Imaging ◽  
Occlusal Caries ◽  
Occlusal Caries Detection ◽  
High Dynamic

Performance of methods of occlusal caries detection in permanent teeth under clinical and laboratory conditions

2006 ◽  
Vol 34 (2) ◽  
pp. 89-96 ◽  
Author(s):  
Alessandra Reis ◽  
Fausto Medeiros Mendes ◽  
Vivian Angnes ◽  
Gisele Angnes ◽  
Rosa Helena Miranda Grande ◽  
...  
Keyword(s):  
Caries Detection ◽  
Permanent Teeth ◽  
Occlusal Caries ◽  
Laboratory Conditions ◽  
Occlusal Caries Detection
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