Use of ICDAS-II, Fluorescence-Based Methods, and Radiography in Detection and Treatment Decision of Occlusal Caries Lesions: An In Vitro Study
Aim. To use visual inspection (ICDAS-II), laser fluorescence (LF), fluorescence based camera (FC) and radiographic examination (BW) for detection of caries and for treatment decision. Methods. The occlusal sites of 84 extracted permanent teeth were examined using all methods and treatment decisions...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | International Journal of Dentistry |
| Online Access: | http://dx.doi.org/10.1155/2012/371595 |
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| _version_ | 1832565183470370816 |
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| author | Anahita Jablonski-Momeni Jasmin Stucke Torben Steinberg Monika Heinzel-Gutenbrunner |
| author_facet | Anahita Jablonski-Momeni Jasmin Stucke Torben Steinberg Monika Heinzel-Gutenbrunner |
| author_sort | Anahita Jablonski-Momeni |
| collection | DOAJ |
| description | Aim. To use visual inspection (ICDAS-II), laser fluorescence (LF), fluorescence based camera (FC) and radiographic examination (BW) for detection of caries and for treatment decision. Methods. The occlusal sites of 84 extracted permanent teeth were examined using all methods and treatment decisions (preventive or operative care) were recorded based on each method independently. For validation of the findings, fissures were opened with rotating instruments and clinical depth was determined as gold standard. Correlations (𝑟𝑠), sensitivity, specificity and AUC were calculated. McNemar test was used to show whether different methods led to significant changes in treatment decisions. Results. Highest correlation was found between ICDAS-II and FC (𝑟𝑠 0.84), ICDAS-II and gold standard (0.82) and FC and gold standard (0.81). ICDAS-II provided the highest performance (AUC 1.0), followed by FC (0.95) and LF (0.88). The greatest difference was found for treatment planning of dentine lesions, where the use of FC (cut-offs according to the literature) had the greatest agreement between operative treatment and dentine lesions, followed by use of ICDAS-II. Conclusion. ICDAS-II may have high potential for detection and treatment planning, and other devices, especially the fluorescence camera, can add substantial information to the visual examination, enabling examiners plan treatment more accurately. |
| format | Article |
| id | doaj-art-a311108100714bc0aa78a3145123e4d2 |
| institution | Kabale University |
| issn | 1687-8728 1687-8736 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Dentistry |
| spelling | doaj-art-a311108100714bc0aa78a3145123e4d22025-02-03T01:09:07ZengWileyInternational Journal of Dentistry1687-87281687-87362012-01-01201210.1155/2012/371595371595Use of ICDAS-II, Fluorescence-Based Methods, and Radiography in Detection and Treatment Decision of Occlusal Caries Lesions: An In Vitro StudyAnahita Jablonski-Momeni0Jasmin Stucke1Torben Steinberg2Monika Heinzel-Gutenbrunner3Department of Paediatric and Community Dentistry, Dental School, Philipps University of Marburg, Georg-Voigt Street 3, 35033 Marburg, GermanyDepartment of Paediatric and Community Dentistry, Dental School, Philipps University of Marburg, Georg-Voigt Street 3, 35033 Marburg, GermanyDepartment of Paediatric and Community Dentistry, Dental School, Philipps University of Marburg, Georg-Voigt Street 3, 35033 Marburg, GermanyDepartment of Paediatric and Community Dentistry, Dental School, Philipps University of Marburg, Georg-Voigt Street 3, 35033 Marburg, GermanyAim. To use visual inspection (ICDAS-II), laser fluorescence (LF), fluorescence based camera (FC) and radiographic examination (BW) for detection of caries and for treatment decision. Methods. The occlusal sites of 84 extracted permanent teeth were examined using all methods and treatment decisions (preventive or operative care) were recorded based on each method independently. For validation of the findings, fissures were opened with rotating instruments and clinical depth was determined as gold standard. Correlations (𝑟𝑠), sensitivity, specificity and AUC were calculated. McNemar test was used to show whether different methods led to significant changes in treatment decisions. Results. Highest correlation was found between ICDAS-II and FC (𝑟𝑠 0.84), ICDAS-II and gold standard (0.82) and FC and gold standard (0.81). ICDAS-II provided the highest performance (AUC 1.0), followed by FC (0.95) and LF (0.88). The greatest difference was found for treatment planning of dentine lesions, where the use of FC (cut-offs according to the literature) had the greatest agreement between operative treatment and dentine lesions, followed by use of ICDAS-II. Conclusion. ICDAS-II may have high potential for detection and treatment planning, and other devices, especially the fluorescence camera, can add substantial information to the visual examination, enabling examiners plan treatment more accurately.http://dx.doi.org/10.1155/2012/371595 |
| spellingShingle | Anahita Jablonski-Momeni Jasmin Stucke Torben Steinberg Monika Heinzel-Gutenbrunner Use of ICDAS-II, Fluorescence-Based Methods, and Radiography in Detection and Treatment Decision of Occlusal Caries Lesions: An In Vitro Study International Journal of Dentistry |
| title | Use of ICDAS-II, Fluorescence-Based Methods, and Radiography in Detection and Treatment Decision of Occlusal Caries Lesions: An In Vitro Study |
| title_full | Use of ICDAS-II, Fluorescence-Based Methods, and Radiography in Detection and Treatment Decision of Occlusal Caries Lesions: An In Vitro Study |
| title_fullStr | Use of ICDAS-II, Fluorescence-Based Methods, and Radiography in Detection and Treatment Decision of Occlusal Caries Lesions: An In Vitro Study |
| title_full_unstemmed | Use of ICDAS-II, Fluorescence-Based Methods, and Radiography in Detection and Treatment Decision of Occlusal Caries Lesions: An In Vitro Study |
| title_short | Use of ICDAS-II, Fluorescence-Based Methods, and Radiography in Detection and Treatment Decision of Occlusal Caries Lesions: An In Vitro Study |
| title_sort | use of icdas ii fluorescence based methods and radiography in detection and treatment decision of occlusal caries lesions an in vitro study |
| url | http://dx.doi.org/10.1155/2012/371595 |
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