Near-infrared light reflection for the early detection of proximal caries in posterior teeth: an in vivo study

Abstract Background The purpose of this study was to evaluate the validity of near-infrared light reflection for detecting different depths of proximal caries in posterior teeth and to compare it with commonly used clinical oral examinations and bitewing radiography images. Methods Twenty-six patien...

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Main Authors: Liheng Shen, Xiqun Yang, Chengzhi Dong, Xiaodong Tang, Simin Zheng, Tingting Wang, Linhong Wang, Fan Yang, Yuchen Zheng
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-05481-w
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author Liheng Shen
Xiqun Yang
Chengzhi Dong
Xiaodong Tang
Simin Zheng
Tingting Wang
Linhong Wang
Fan Yang
Yuchen Zheng
author_facet Liheng Shen
Xiqun Yang
Chengzhi Dong
Xiaodong Tang
Simin Zheng
Tingting Wang
Linhong Wang
Fan Yang
Yuchen Zheng
author_sort Liheng Shen
collection DOAJ
description Abstract Background The purpose of this study was to evaluate the validity of near-infrared light reflection for detecting different depths of proximal caries in posterior teeth and to compare it with commonly used clinical oral examinations and bitewing radiography images. Methods Twenty-six patients with a total of 516 proximal surfaces were included in this study. The ground truth of the proximal caries was determined through a consensus reached by two experienced dentists after an intraoral examination assisted by bitewing radiographs. Two general dentists assessed the condition of proximal caries on posterior teeth on near-infrared light reflection images. Accuracy, sensitivity, and specificity were evaluated to determine the diagnostic efficacy of near-infrared light reflection for detecting proximal caries in posterior teeth. Results For posterior teeth, the accuracy of near-infrared light reflection was 0.78, with a sensitivity of 0.44 and a specificity of 0.83. Cohen’s kappa showed poor consistency between the two diagnostic methods, near-infrared light reflection and bitewing radiography. Conclusion Near-infrared light reflection is an effective clinical tool for detecting proximal caries in posterior teeth, yet this method does not demonstrate superiority over traditional methods such as bitewing radiography. Trial registration The clinical trial was registered with the China Clinical Trial Registry ( https://www.chictr.org.cn/ ) on 18 August 2023 under the trial number ChiCTR2300074877.
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institution Kabale University
issn 1472-6831
language English
publishDate 2025-01-01
publisher BMC
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series BMC Oral Health
spelling doaj-art-31a6447740094f1c88877981c63649ca2025-01-26T12:55:23ZengBMCBMC Oral Health1472-68312025-01-012511910.1186/s12903-025-05481-wNear-infrared light reflection for the early detection of proximal caries in posterior teeth: an in vivo studyLiheng Shen0Xiqun Yang1Chengzhi Dong2Xiaodong Tang3Simin Zheng4Tingting Wang5Linhong Wang6Fan Yang7Yuchen Zheng8Center for Plastic & Reconstructive Surgery, Department of Stomatology, Affiliated People’s Hospital, Zhejiang Provincial People’s Hospital, Hangzhou Medical CollegeCentral Sterile Supply Department, Nursing Department, Affiliated People’s Hospital, Zhejiang Provincial People’s Hospital, Hangzhou Medical CollegeSchool of Stomatology, Zhejiang Chinese Medical UniversitySchool of Stomatology, Zhejiang Chinese Medical UniversitySchool of Stomatology, Zhejiang Chinese Medical UniversityCenter for Plastic & Reconstructive Surgery, Department of Stomatology, Affiliated People’s Hospital, Zhejiang Provincial People’s Hospital, Hangzhou Medical CollegeCenter for Plastic & Reconstructive Surgery, Department of Stomatology, Affiliated People’s Hospital, Zhejiang Provincial People’s Hospital, Hangzhou Medical CollegeCenter for Plastic & Reconstructive Surgery, Department of Stomatology, Affiliated People’s Hospital, Zhejiang Provincial People’s Hospital, Hangzhou Medical CollegeCenter for Plastic & Reconstructive Surgery, Department of Stomatology, Affiliated People’s Hospital, Zhejiang Provincial People’s Hospital, Hangzhou Medical CollegeAbstract Background The purpose of this study was to evaluate the validity of near-infrared light reflection for detecting different depths of proximal caries in posterior teeth and to compare it with commonly used clinical oral examinations and bitewing radiography images. Methods Twenty-six patients with a total of 516 proximal surfaces were included in this study. The ground truth of the proximal caries was determined through a consensus reached by two experienced dentists after an intraoral examination assisted by bitewing radiographs. Two general dentists assessed the condition of proximal caries on posterior teeth on near-infrared light reflection images. Accuracy, sensitivity, and specificity were evaluated to determine the diagnostic efficacy of near-infrared light reflection for detecting proximal caries in posterior teeth. Results For posterior teeth, the accuracy of near-infrared light reflection was 0.78, with a sensitivity of 0.44 and a specificity of 0.83. Cohen’s kappa showed poor consistency between the two diagnostic methods, near-infrared light reflection and bitewing radiography. Conclusion Near-infrared light reflection is an effective clinical tool for detecting proximal caries in posterior teeth, yet this method does not demonstrate superiority over traditional methods such as bitewing radiography. Trial registration The clinical trial was registered with the China Clinical Trial Registry ( https://www.chictr.org.cn/ ) on 18 August 2023 under the trial number ChiCTR2300074877.https://doi.org/10.1186/s12903-025-05481-wProximal cariesCaries detectionNear-infrared light reflectionIntraoral scanningBitewing radiography
spellingShingle Liheng Shen
Xiqun Yang
Chengzhi Dong
Xiaodong Tang
Simin Zheng
Tingting Wang
Linhong Wang
Fan Yang
Yuchen Zheng
Near-infrared light reflection for the early detection of proximal caries in posterior teeth: an in vivo study
BMC Oral Health
Proximal caries
Caries detection
Near-infrared light reflection
Intraoral scanning
Bitewing radiography
title Near-infrared light reflection for the early detection of proximal caries in posterior teeth: an in vivo study
title_full Near-infrared light reflection for the early detection of proximal caries in posterior teeth: an in vivo study
title_fullStr Near-infrared light reflection for the early detection of proximal caries in posterior teeth: an in vivo study
title_full_unstemmed Near-infrared light reflection for the early detection of proximal caries in posterior teeth: an in vivo study
title_short Near-infrared light reflection for the early detection of proximal caries in posterior teeth: an in vivo study
title_sort near infrared light reflection for the early detection of proximal caries in posterior teeth an in vivo study
topic Proximal caries
Caries detection
Near-infrared light reflection
Intraoral scanning
Bitewing radiography
url https://doi.org/10.1186/s12903-025-05481-w
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