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Radiographic and Laser Fluorescence Methods Have No Benefits for Detecting Caries in Primary Teeth

Mendes, Fausto Medeiros; Novaes, T. F.; Matos, R.; Bittar, Daniela Gonçalves; Piovesan, Chaiana; Gimenez, T.; Imparato, Jose Carlos Pettorossi; Raggio, Daniela Prócida; Fraga, Mariana Minatel Braga
Fonte: KARGER; BASEL Publicador: KARGER; BASEL
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
56.5%
Clinical guidelines advise that dentists take radiographs in children to detect caries lesions missed by visual inspection; however, due to the current low caries prevalence in most countries, we hypothesized that the adjunct methods of caries detection would not significantly improve the detection of primary molar lesions in comparison to visual inspection alone. We evaluated the performance of visual inspection, alone or in combination with radiographic and laser fluorescence pen (LFpen) methods, in detecting occlusal and approximal caries lesions in primary molars. Two examiners evaluated children who had sought dental treatment with these diagnostic strategies. The reference standard involved the temporary separation of approximal and operative interventions for occlusal surfaces. The sensitivity, specificity, accuracy and utility of diagnostic strategies were calculated. Simultaneous combined strategies increased sensitivities but decreased specificities. Furthermore, no differences were observed in accuracy and utility, parameters more influenced by caries prevalence. In conclusion, adjunct radiographic and laser fluorescence methods offer no benefits to the detection of caries in primary teeth in comparison to visual inspection alone; hence...

The influence of interdental spacing on the detection of proximal caries lesions in primary teeth

Novaes, Tatiane Fernandes; Matos, Ronilza; Celiberti, Paula; Braga, Mariana Minatel; Mendes, Fausto Medeiros
Fonte: SOCIEDADE BRASILEIRA DE PESQUISA ODONTOLOGICA; SÃO PAULO Publicador: SOCIEDADE BRASILEIRA DE PESQUISA ODONTOLOGICA; SÃO PAULO
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
46.49%
The aim of this study was to investigate the influence of interdental spacing on the performance of proximal caries detection methods in primary molars. In addition, aspects related to temporary tooth separation with orthodontic separators were evaluated. The proximal spaces between the posterior primary teeth (n = 344) of 76 children (4-12 years old) were evaluated before and after temporary separation. Stainless steel strips with different standardized thicknesses were used to measure the presence of biological spacing and the spacing obtained after temporary separation with orthodontic rubber rings. First, the presence of proximal caries lesions was assessed by visual inspection, bitewing radiographs and a pen-type laser fluorescence device (DIAGNOdent pen). Visual inspection after temporary separation with separators was the reference standard method in checking the actual presence of caries. Multilevel analyses were performed considering different outcomes: the performance of the methods in detecting caries lesions and the spacing after temporary separation. The spacing did not influence the performance of the caries detection methods. The maximum spacing obtained with temporary tooth separation was 0.80 mm (mean +/- standard deviation = 0.46 +/- 0.13 mm). The temporary separation was more effective in the upper arch and less effective when an initial biological interdental spacing was present. The biological interdental spacing does not influence the performance of proximal caries detection methods in primary molars...

Laboratorial training of examiners for using a visual caries detection system in epidemiological surveys

Piovesan, Chaiana; Moro, Bruna LP; Lara, Juan S; Ardenghi, Thiago M; Guedes, Renata S; Haddad, Ana Estela; Braga, Mariana M; Mendes, Fausto M
Fonte: London Publicador: London
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
56.42%
Background: In epidemiological surveys, a good reliability among the examiners regarding the caries detection method is essential. However, training and calibrating those examiners is an arduous task because it involves several patients who are examined many times. To facilitate this step, we aimed to propose a laboratory methodology to simulate the examinations performed to detect caries lesions using the International Caries Detection and Assessment System (ICDAS) in epidemiological surveys. Methods: A benchmark examiner conducted all training sessions. A total of 67 exfoliated primary teeth, varying from sound to extensive cavitated, were set in seven arch models to simulate complete mouths in primary dentition. Sixteen examiners (graduate students) evaluated all surfaces of the teeth under illumination using buccal mirrors and ball-ended probe in two occasions, using only coronal primary caries scores of the ICDAS. As reference standard, two different examiners assessed the proximal surfaces by direct visual inspection, classifying them in sound, with non-cavitated or with cavitated lesions. After, teeth were sectioned in the bucco-lingual direction, and the examiners assessed the sections in stereomicroscope, classifying the occlusal and smooth surfaces according to lesion depth. Inter-examiner reproducibility was evaluated using weighted kappa. Sensitivities and specificities were calculated at two thresholds: all lesions and advanced lesions (cavitated lesions in proximal surfaces and lesions reaching the dentine in occlusal and smooth surfaces). Conclusion: The methodology purposed for training and calibration of several examiners designated for epidemiological surveys of dental caries in preschool children using the ICDAS is feasible...

Avaliação de cáries proximais por meio da microtomografia, tomografia Cone Beam e radiografias digitais; Assessment of proximal caries lesions through microtomography, cone beam CT and digital radiographs

Oliveira, Sibele Pereira de
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 14/10/2009 PT
Relevância na Pesquisa
56.54%
A cárie dentária continua sendo um grande desafio para os Cirurgiões-Dentistas pela dificuldade de diagnóstico, sobretudo em superfícies proximais. Muitos equipamentos se destinam a facilitar o exame do paciente, tendo como principal objetivo o diagnóstico de cáries incipientes. Dentre os exames mais utilizados está a radiografia interproximal associada ao exame clínico. O Sistema Internacional de Avaliação e Detecção de Cáries (ICDAS) vem sendo bem aceito tanto para o uso clínico como para pesquisas in vitro e in vivo, apresentando ótimos resultados. Além da técnica interproximal, a tomografia cone beam (CBCT) vem entrando no cotidiano da Odontologia, mas pouco se sabe sobre o seu desempenho para avaliação de cáries iniciais em superfícies proximais. A microtomografia (CT) é um novo método de avaliação destinado a pequenos espécimes e se assemelha a uma versão em miniatura da tomografia axial computadorizada, gerando imagens na ordem de micrômetros. Este método vem sendo utilização em pesquisas para se avaliar tecidos mineralizados, devido à sua habilidade de aferir com precisão o coeficiente de atenuação linear. O método padrão ouro que define com maior precisão os estágios da cárie é o histológico. Contudo...

Qual a importância da detecção de lesões iniciais de cárie em crianças pré-escolares? Evidências de um estudo de coorte com 2 anos de acompanhamento; What is the importance of detecting initial caries lesions in preschool children? Evidences from a cohort study with 2 years of follow-up

Guedes, Renata Saraiva
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 27/08/2015 PT
Relevância na Pesquisa
46.55%
Os objetivos desse estudo de coorte realizado em crianças pré-escolares foram: (1) avaliar a validade preditiva e de constructo utilizando um critério de avaliação de atividade de lesões de cárie associado ao Sistema Internacional de Detecção e Avaliação de Cárie (ICDAS, do inglês International Caries Detection and Assessment System); (2) avaliar o risco de superfícies hígidas, com lesões iniciais de cárie (escores 1 e 2 do ICDAS) e lesões moderadas (escores 3 e 4) progredirem para lesões cavitadas em dentina (escores 5 e 6 do ICDAS) em dentes decíduos; (3) avaliar a influência da presença de lesões iniciais no risco de desenvolvimento de lesões de cárie; (4) avaliar se o impacto da cárie dentária na qualidade de vida de crianças se altera com o incremento de novas lesões ao longo do tempo; e (5) avaliar o impacto da cárie dentária em diferentes estágios de severidade na piora da qualidade de vida relacionada à saúde bucal em crianças. Um exame inicial foi realizado por 15 examinadores durante o Dia Nacional de Vacinação em junho de 2010, na cidade de Santa Maria (RS). Nesse dia, 639 crianças de um a cinco anos de idade foram examinadas utilizando o ICDAS para detecção das lesões de cárie e um critério adicional para avaliação da atividade das lesões de cárie. Outras variáveis demográficas e socioeconômicas relacionadas a cada criança foram coletadas com os pais das crianças. Um questionário para avaliar o impacto das condições bucais na qualidade de vida das crianças (ECOHIS...

In vivo evaluation of laser fluorescence performance using different cut-off limits for occlusal caries detection

Diniz, Michele Baffi; Rodrigues, Jonas de Almeida; de Paula, Andreia Bolzan; Loiola Cordeiro, Rita de Cassia
Fonte: Springer London Ltd Publicador: Springer London Ltd
Tipo: Artigo de Revista Científica Formato: 295-300
ENG
Relevância na Pesquisa
56.44%
The aim of this in vivo study was to evaluate the performance of laser fluorescence (LF) comparing different cut-off limits for occlusal caries detection. One hundred and thirty first permanent molars were selected. Visual examination and LF assessments were performed independently. The extent of caries was assessed after operative intervention. New cut-off limits were established and compared with those proposed by the manufacturer and by Lussi et al. (Eur J Oral Sci 109:14-19, 2001). Similar sensitivity and higher specificity was found at D(2) (considering as disease only dentin caries) when the LF cut-off limits proposed by Lussi et al. and the new one were compared. At the D(3) threshold (considering as disease only deep dentin caries), no statistically significant difference among the cut-off limits for sensitivity was found. However, the new cut-off limits showed higher specificity. The LF device provided good ability to detect dentin caries lesions. Furthermore, the new cut-off limits and the values proposed by Lussi et al. could be suggested for the in vivo detection of occlusal caries.

Reproducibility and accuracy of the ICDAS-II for occlusal caries detection

Diniz, Michele Baffi; Rodrigues, Jonas Almeida; Hug, Isabel; Loiola Cordeiro, Rita de Cassia; Lussi, Adrian
Fonte: Wiley-Blackwell Publishing, Inc Publicador: Wiley-Blackwell Publishing, Inc
Tipo: Conferência ou Objeto de Conferência Formato: 399-404
ENG
Relevância na Pesquisa
56.4%
Objectives:The aim of this in vitro study was to assess the inter- and intra-examiner reproducibility and the accuracy of the International Caries Detection and Assessment System-II (ICDAS-II) in detecting occlusal caries.Methods:One hundred and sixty-three molars were independently assessed twice by two experienced dentists using the 0- to 6-graded ICDAS-II. The teeth were histologically prepared and classified using two different histological systems [Ekstrand et al. (1997) Caries Research vol. 31, pp. 224-231; Lussi et al. (1999) Caries Research vol. 33, pp. 261-266] and assessed for caries extension. Sensitivity, specificity, accuracy and area under the ROC curve (A(z)) were obtained at D(2) and D(3) thresholds. Unweighted kappa coefficient was used to assess inter- and intra-examiner reproducibility.Results:For the Ekstrand et al. histological classification the sensitivity was 0.99 and 1.00, specificity 1.00 and 0.69 and accuracy 0.99 and 0.76 at D(2) and D(3), respectively. For the Lussi et al. histological classification the sensitivity was 0.91 and 0.75, specificity 0.47 and 0.62 and accuracy 0.86 and 0.68 at D(2) and D(3), respectively. The A(z) varied from 0.54 to 0.73. The inter- and intra-examiner kappa values were 0.51 and 0.58...

The performance of conventional and fluorescence-based methods for occlusal caries detection An in vivo study with histologic validation

Diniz, Michele B.; Boldieri, Thalita; Rodrigues, Jonas A.; Santos-Pinto, Lourdes Aparecida Martins dos; Lussi, Adrian; Cordeiro, Rita C. L.
Fonte: Amer Dental Assoc Publicador: Amer Dental Assoc
Tipo: Artigo de Revista Científica Formato: 339-350
ENG
Relevância na Pesquisa
66.53%
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES); Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP); Processo FAPESP: 09/00218-0; Background. The authors conducted an in vivo study to determine clinical cutoffs for a laser fluorescence (LF) device, an LF pen and a fluorescence camera (FC), as well as to evaluate the clinical performance of these methods and conventional methods in detecting occlusal caries in permanent teeth by using the histologic gold standard for total validation of the sample.Methods. One trained examiner assessed 105 occlusal surfaces by using the LF device, LF pen, FC, International Caries Detection and Assessment System (ICDAS) criteria and bitewing (BW) radiographic methods. After tooth extraction, the authors assessed the teeth histologically. They determined the optimal clinical cutoffs by means of receiver operating characteristic curve analysis.Results. The specificities and sensitivities for enamel and dentin caries detection versus only dentin caries detection thresholds were 0.60 and 0.93 and 0.77 and 0.52 (ICDAS), 1.00 and 0.29 and 0.97 and 0.44 (BW radiography), 1.00 and 0.85 and 0.77 and 0.81 (LF device), 0.80 and 0.89 and 0.71 and 0.85 (LF pen) and 0.80 and 0.74 and 0.49 and 0.85 (FC)...

Performance of fluorescence methods, radiographic examination and ICDAS II on occlusal surfaces in vitro

Rodrigues, J. A.; Hug, I.; Diniz, M. B.; Lussi, A.
Fonte: Karger Publicador: Karger
Tipo: Artigo de Revista Científica Formato: 297-304
ENG
Relevância na Pesquisa
46.5%
This study compared the performance of fluorescence-based methods, radiographic examination, and International Caries Detection and Assessment System (ICDAS) II on occlusal surfaces. One hundred and nineteen permanent human molars were assessed twice by 2 experienced dentists using the laser fluorescence (LF and LFpen) and fluorescence camera (FC) devices, ICDAS II and bitewing radiographs (BW). After measuring, the teeth were histologically prepared and assessed for caries extension. The sensitivities for dentine caries detection were 0.86 (FC), 0.78 (LFpen), 0.73 (ICDAS II), 0.51 (LF) and 0.34 (BW). The specificities were 0.97 (BW), 0.89 (LF), 0.65 (ICDAS II), 0.63 (FC) and 0.56 (LFpen). BW presented the highest values of likelihood ratio (LR)+ (12.47) and LR- (0.68). Rank correlations with histology were 0.53 (LF), 0.52 (LFpen), 0.41 (FC), 0.59 (ICDAS II) and 0.57 (BW). The area under the ROC curve varied from 0.72 to 0.83. Inter- and intraexaminer intraclass correlation values were respectively 0.90 and 0.85 (LF), 0.93 and 0.87 (LFpen) and 0.85 and 0.76 (FC). The ICDAS II kappa values were 0.51 (interexaminer) and 0.61 (intraexaminer). The BW kappa values were 0.50 (interexaminer) and 0.62 (intraexaminer). The Bland and Altman limits of agreement were 46.0 and 38.2 (LF)...

In vitro comparison of laser fluorescence performance with visual examination for detection of occlusal caries in permanent and primary molars

Rodrigues, Jonas A.; Diniz, Michele B.; Josgrilberg, Erika B.; Cordeiro, Rita C. L.
Fonte: Springer London Ltd Publicador: Springer London Ltd
Tipo: Artigo de Revista Científica Formato: 501-506
ENG
Relevância na Pesquisa
56.4%
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES); Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP); The aim of this study was to compare the performance of the DIAGNOdent 2095 with visual examination for occlusal caries detection in permanent and primary molars. The sample comprised 148 permanent human molars and 179 primary human molars. The samples were measured and visually examined three times by two examiners. After measurement, the teeth were histologically prepared and assessed for caries extension. Sensitivity, specificity, accuracy and area under the receiver operating characteristics (ROC) curve were calculated. Intra-class correlation (ICC), unweighted kappa and the Bland and Altman method were used to assess inter- and intra-examiner reproducibility. DIAGNOdent showed higher specificity and lower sensitivity than did visual examination. The ICC values indicated an excellent agreement between the examinations. Kappa values varied from good to excellent for DIAGNOdent but from poor to good for visual examination. In conclusion, the DIAGNOdent may be a useful adjunct to conventional methods for occlusal caries detection.

Influence of Different Professional Prophylactic Methods on Fluorescence Measurements for Detection of Occlusal Caries

Diniz, M. B.; Sciasci, P.; Rodrigues, J. A.; Lussi, A.; Cordeiro, R. C. L.
Fonte: Karger Publicador: Karger
Tipo: Artigo de Revista Científica Formato: 264-268
ENG
Relevância na Pesquisa
56.37%
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES); This study aimed to evaluate the influence of professional prophylactic methods on the DIAGNOdent 2095, DIAGNOdent 2190 and VistaProof performance in detecting occlusal caries. Assessments were performed in 110 permanent teeth at baseline and after bicarbonate jet or prophylactic paste and rinsing. Performance in terms of sensitivity improved after rinsing of the occlusal surfaces when the prophylactic paste was used. However, the sodium bicarbonate jet did not significantly influence the performance of the fluorescence-based methods. It can be concluded that different professional prophylactic methods can significantly influence the performance of fluorescence-based methods for occlusal caries detection. Copyright (C) 2011 S. Karger AG, Basel

Influence of the ICDAS e-learning program for occlusal caries detection on dental students

Diniz, Michele B.; Lima, Luciana Monti; Santos-Pinto, Lourdes Aparecida Martins dos; Eckert, George J.; Zandoná, Andrea G. Ferreira; Cordeiro, Rita da Cássia Loiola
Fonte: Universidade Estadual Paulista Publicador: Universidade Estadual Paulista
Tipo: Artigo de Revista Científica Formato: 862-868
ENG
Relevância na Pesquisa
56.37%
The aim of this study was to evaluate the influence of ICDAS training in a group of dental students for occlusal caries detection in permanent teeth. Premolars and molars (N=104) with occlusal surfaces varying from ICDAS scores 0 to 6 were cleaned, one occlusal site per tooth was selected, and a photograph taken to identify the site. Eight senior dental students examined the teeth twice with a one-week interval between examinations during each of two phases: before and after the ICDAS e-learning program. Teeth were histologically assessed for caries extension. Intraclass correlation coefficients for intra- and interexaminer repeatability were high, both before (0.75 and 0.72, respectively) and after e-learning (0.82 and 0.78, respectively). The ICDAS scores decreased significantly from before to after e-learning (p=0.0001). Correlation between ICDAS scores and histology scores was moderate (0.57 before e-learning and 0.61 after). Although the ROC curve shows an improvement in the use of the ICDAS scoring after e-learning, the difference was not significant (p=0.10). Specificity of the ICDAS scores significantly improved after e-learning (77 percent vs. 36 percent), and sensitivity was reduced slightly after e-learning (87 percent vs. 92 percent). The ICDAS e-learning program improved the performance of the diagnostic skills of the investigated students for the detection of occlusal caries lesions.

Traditional and novel methods for occlusal caries detection: Performance on primary teeth

Souza, J. F.; Boldieri, T.; Diniz, M. B.; Rodrigues, J. A.; Lussi, A.; Cordeiro, R. C L
Fonte: Universidade Estadual Paulista Publicador: Universidade Estadual Paulista
Tipo: Artigo de Revista Científica Formato: 287-295
ENG
Relevância na Pesquisa
66.47%
This study aimed to assess the performance of International Caries Detection and Assessment System (ICDAS), radiographic examination, and fluorescence-based methods for detecting occlusal caries in primary teeth. One occlusal site on each of 79 primary molars was assessed twice by two examiners using ICDAS, bitewing radiography (BW), DIAGNOdent 2095 (LF), DIAGNOdent 2190 (LFpen), and VistaProof fluorescence camera (FC). The teeth were histologically prepared and assessed for caries extent. Optimal cutoff limits were calculated for LF, LFpen, and FC. At the D 1 threshold (enamel and dentin lesions), ICDAS and FC presented higher sensitivity values (0.75 and 0.73, respectively), while BW showed higher specificity (1.00). At the D 2 threshold (inner enamel and dentin lesions), ICDAS presented higher sensitivity (0.83) and statistically significantly lower specificity (0.70). At the D 3 threshold (dentin lesions), LFpen and FC showed higher sensitivity (1.00 and 0.91, respectively), while higher specificity was presented by FC (0.95), ICDAS (0.94), BW (0.94), and LF (0.92). The area under the receiver operating characteristic (ROC) curve (Az) varied from 0.780 (BW) to 0.941 (LF). Spearman correlation coefficients with histology were 0.72 (ICDAS)...

The performance of conventional and fluorescence-based methods for occlusal caries detection: an in vivo study with histological validation

Diniz, Michele Baffi; Boldieri, Thalita; Rodrigues, Jonas de Almeida; Santos-Pinto, Lourdes Aparecida Martins dos; Lussi, Adrian; Cordeiro, Rita de Cássia Loiola
Fonte: Universidade Estadual Paulista Publicador: Universidade Estadual Paulista
Tipo: Artigo de Revista Científica Formato: 339-350
ENG
Relevância na Pesquisa
66.53%
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES; Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP); Processo FAPESP: 2009/00218-0; Background The authors conducted an in vivo study to determine clinical cutoffs for a laser fluorescence (LF) device, an LF pen and a fluorescence camera (FC), as well as to evaluate the clinical performance of these methods and conventional methods in detecting occlusal caries in permanent teeth by using the histologic gold standard for total validation of the sample. Methods One trained examiner assessed 105 occlusal surfaces by using the LF device, LF pen, FC, International Caries Detection and Assessment System (ICDAS) criteria and bitewing (BW) radiographic methods. After tooth extraction, the authors assessed the teeth histologically. They determined the optimal clinical cutoffs by means of receiver operating characteristic curve analysis. Results The specificities and sensitivities for enamel and dentin caries detection versus only dentin caries detection thresholds were 0.60 and 0.93 and 0.77 and 0.52 (ICDAS), 1.00 and 0.29 and 0.97 and 0.44 (BW radiography), 1.00 and 0.85 and 0.77 and 0.81 (LF device), 0.80 and 0.89 and 0.71 and 0.85 (LF pen) and 0.80 and 0.74 and 0.49 and 0.85 (FC)...

Influência de diferentes tempos de exposição na detecção de cárie em um sistema digital wireless; Effect of different exposure times on caries detection using a wireless digital system

Daniela Pita de Melo
Fonte: Biblioteca Digital da Unicamp Publicador: Biblioteca Digital da Unicamp
Tipo: Tese de Doutorado Formato: application/pdf
Publicado em 15/12/2010 PT
Relevância na Pesquisa
56.44%
O objetivo, neste trabalho, foi verificar se diferentes tempos de exposição interferem no diagnóstico de cáries proximais e no valor médio do pixel da imagem do sistema Schick CDR Wireless. Foram obtidas imagens de 10 phantoms, constituídos de dentes humanos, e de uma escala de alumínio utilizando-se diferentes tempos de exposição. Os oito tempos de exposição estudados foram em ordem crescente: 0,06s, 0,1s, 0,13s, 0,16s, 0,2s, 0,25s, 0,3s e 0,35s. As imagens dos phantoms obtidas com os tempos selecionados foram interpretadas por quatro avaliadores quanto à presença de cárie proximal. Cada avaliador atribuiu um escore para cada uma das faces dentárias interpretadas. Esses escores foram posteriormente comparados aos cortes histológicos. Os tempos de exposição foram avaliados, quanto à sua acurácia no diagnóstico de cárie, por meio da curva ROC. As imagens obtidas da escala de Al em diferentes tempos de exposição tiveram o valor médio do pixel mensurado utilizando-se a ferramenta apropriada do software EMAGO®/Advanced. As médias das curvas ROC correspondentes aos tempos de exposição avaliados variaram de 0,53 a 0,62, sendo que a faixa de tempos que apresentou melhor resultado variou de 0,06s a 0,25s; destes...

International Caries Detection and Assessment System: A new paradigm in detection of dental caries

Shivakumar, KM; Prasad, Sumanth; Chandu, GN
Fonte: Medknow Publications Publicador: Medknow Publications
Tipo: Artigo de Revista Científica
Publicado em //2009 EN
Relevância na Pesquisa
46.53%
A new emphasis on caries measurement and management is required for the dental community. The dental professionals need new approaches in caries detection, its assessment, and management. The future of research, practice, and education in Cariology requires the development of an integrated definition of dental caries, and uniform systems for measuring the caries process. Keeping this in view, the International Caries Detection and Assessment System (ICDAS) has presented a new paradigm for the measurement of dental caries, which was developed from the systematic reviews of literature on the clinical caries detection system and other sources. The ICDAS can serve as a basis and benchmark for clinical and epidemiological research and inform dental undergraduate and postgraduate teaching in Cariology. The ICDAS system was developed to bring forward the current understanding of the process of initiation and progression of dental caries to the fields of epidemiological and clinical research.

Lasers for Caries Detection

Baker, Christopher
Fonte: Universidade de Rochester Publicador: Universidade de Rochester
Tipo: Essay
Relevância na Pesquisa
56.21%
Is Diagnodent or other laser devices, as compared to standard practices, a reliable and effective means of caries detection?

Children's discomfort in assessments using different methods for approximal caries detection

Novaes, Tatiane Fernandes de; Matos, Ronilza; Raggio, Daniela Prócida; Fraga, Mariana Minatel Braga; Mendes, Fausto Medeiros
Fonte: Sociedade Brasileira de Pesquisa Odontológica; SÃO PAULO Publicador: Sociedade Brasileira de Pesquisa Odontológica; SÃO PAULO
Tipo: Artigo de Revista Científica
ENG
Relevância na Pesquisa
56.27%
Because discomfort caused by different approximal caries detection methods can influence their performance, the assessment of this discomfort is important. Thus, this study aimed to evaluate the discomfort reported by children after the use of different diagnostic methods to detect approximal caries lesions in primary teeth: visual inspection, bitewing radiography, laser fluorescence (DIAGNOdent pen - LFpen) and temporary separation with orthodontic rubbers. Seventy-six children aged 4 to 12 years were examined using these methods. Their discomfort was assessed using the Wong-Baker scale and compared among the methods. Visual inspection caused less discomfort than did other methods. Radiography and the LFpen presented similar levels of discomfort. Older children reported higher discomfort using temporary separation, whereas younger children reported less discomfort with the LFpen. In conclusion, radiographic, temporary separation and LFpen methods provoke higher discomfort than visual inspection.

Children's discomfort in assessments using different methods for approximal caries detection

Novaes,Tatiane Fernandes; Matos,Ronilza; Raggio,Daniela Prócida; Braga,Mariana Minatel; Mendes,Fausto Medeiros
Fonte: Sociedade Brasileira de Pesquisa Odontológica - SBPqO Publicador: Sociedade Brasileira de Pesquisa Odontológica - SBPqO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2012 EN
Relevância na Pesquisa
56.27%
Because discomfort caused by different approximal caries detection methods can influence their performance, the assessment of this discomfort is important. Thus, this study aimed to evaluate the discomfort reported by children after the use of different diagnostic methods to detect approximal caries lesions in primary teeth: visual inspection, bitewing radiography, laser fluorescence (DIAGNOdent pen - LFpen) and temporary separation with orthodontic rubbers. Seventy-six children aged 4 to 12 years were examined using these methods. Their discomfort was assessed using the Wong-Baker scale and compared among the methods. Visual inspection caused less discomfort than did other methods. Radiography and the LFpen presented similar levels of discomfort. Older children reported higher discomfort using temporary separation, whereas younger children reported less discomfort with the LFpen. In conclusion, radiographic, temporary separation and LFpen methods provoke higher discomfort than visual inspection.

The influence of display modalities on proximal caries detection and treatment decision

Barbosa,Véra L.S.A; Gonzaga,Amanda K.G; Pontual,Andrea A; Bento,Patrícia M; Ramos-Perez,Flávia M.M; Filgueira,Pedro T.D; Melo,Daniela P
Fonte: Acta Odontológica Latinoamericana Publicador: Acta Odontológica Latinoamericana
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/08/2015 EN
Relevância na Pesquisa
56.52%
The aim of this study was to investigate the influence of digital radiographic display on caries detection and choice of treatment among undergraduate students. Forty images of extracted human teeth were acquired using a PSP digital system. The proximal surfaces were evaluated for the presence of proximal caries and choice of treatment by 36 undergraduate students, divided into three groups according to the semester they were taking. The images were evaluated in two forms of image display: laptop, and printed on acetate viewed on a lightbox. The accuracy of the different forms of image display on caries detection was evaluated by means of ROC curve analysis and its effect by mixed linear regression. Residue analysis was used to verify the adequacy of the treatment of choice for the chosen diagnosis. There was no significant effect either for the display modalities (p=0.058) or for the different undergraduate student groups (p=0.991). The Az was 0.539 for printed images and 0.516 for laptop. The decisions based on treatment of choice were consistent with the scores achieved for caries detection. Accuracy of caries detection using a laptop was comparable to accuracy using printed images. Treatment decision was not affected by image display modality. The semester of the dentistry course that undergraduate students were taking did not significantly increase the accuracy of their proximal caries detection.