Hae-Youn Ko1, Si-Mook Kang1, Hee Eun Kim2, Ho-Keun Kwon1, Baek-Il Kim3. 1. Department of Preventive Dentistry & Public Oral Health, Oral Science Research Institute, Brain Korea 21 PLUS Project, Yonsei University, College of Dentistry, 50 Yonsei-ro, Seodaemun-Gu, Seoul 120-749, Republic of Korea. 2. Department of Dental Hygiene, College of Health Science, Gachon University, Incheon, Republic of Korea. 3. Department of Preventive Dentistry & Public Oral Health, Oral Science Research Institute, Brain Korea 21 PLUS Project, Yonsei University, College of Dentistry, 50 Yonsei-ro, Seodaemun-Gu, Seoul 120-749, Republic of Korea. Electronic address: drkbi@yuhs.ac.
Abstract
OBJECTIVES: Detection of approximal caries lesions can be difficult due to their anatomical position. This study aimed to assess the ability of the quantitative light-induced fluorescence-digital (QLF-D) in detecting approximal caries, and to compare the performance with those of the International Caries Detection and Assessment System II (ICDAS II) and digital radiography (DR). METHODS: Extracted permanent teeth (n=100) were selected and mounted in pairs. The simulation pairs were assessed by one calibrated dentist using each detection method. After all the examinations, the teeth (n=95) were sectioned and examined histologically as gold standard. The modalities were compared in terms of sensitivity, specificity, areas under receiver operating characteristic curves (AUROC) for enamel (D1) and dentine (D3) levels. The intra-examiner reliability was assessed for all modalities. RESULTS: At D1 threshold, the ICDAS II presented the highest sensitivity (0.80) while the DR showed the highest specificity (0.89); however, the methods with the greatest AUC values at D1 threshold were DR and QLF-D (0.80 and 0.80 respectively). At D3 threshold, the methods with the highest sensitivity were ICDAS II and QLF-D (0.64 and 0.64 respectively) while the method with the lowest sensitivity was DR (0.50). However, with regard to the AUC values at D3 threshold, the QLF-D presented the highest value (0.76). All modalities showed to have excellent intra-examiner reliability. CONCLUSIONS: The newly developed QLF-D was not only able to detect proximal caries, but also showed to have comparable performance to the visual inspection and radiography in detecting proximal caries. CLINICAL SIGNIFICANCE: QLF-D has the potential to be a useful detection method for proximal caries.
OBJECTIVES: Detection of approximal caries lesions can be difficult due to their anatomical position. This study aimed to assess the ability of the quantitative light-induced fluorescence-digital (QLF-D) in detecting approximal caries, and to compare the performance with those of the International Caries Detection and Assessment System II (ICDAS II) and digital radiography (DR). METHODS: Extracted permanent teeth (n=100) were selected and mounted in pairs. The simulation pairs were assessed by one calibrated dentist using each detection method. After all the examinations, the teeth (n=95) were sectioned and examined histologically as gold standard. The modalities were compared in terms of sensitivity, specificity, areas under receiver operating characteristic curves (AUROC) for enamel (D1) and dentine (D3) levels. The intra-examiner reliability was assessed for all modalities. RESULTS: At D1 threshold, the ICDAS II presented the highest sensitivity (0.80) while the DR showed the highest specificity (0.89); however, the methods with the greatest AUC values at D1 threshold were DR and QLF-D (0.80 and 0.80 respectively). At D3 threshold, the methods with the highest sensitivity were ICDAS II and QLF-D (0.64 and 0.64 respectively) while the method with the lowest sensitivity was DR (0.50). However, with regard to the AUC values at D3 threshold, the QLF-D presented the highest value (0.76). All modalities showed to have excellent intra-examiner reliability. CONCLUSIONS: The newly developed QLF-D was not only able to detect proximal caries, but also showed to have comparable performance to the visual inspection and radiography in detecting proximal caries. CLINICAL SIGNIFICANCE: QLF-D has the potential to be a useful detection method for proximal caries.
Authors: Richard Macey; Tanya Walsh; Philip Riley; Anne-Marie Glenny; Helen V Worthington; Patrick A Fee; Janet E Clarkson; David Ricketts Journal: Cochrane Database Syst Rev Date: 2020-12-08
Authors: Richard Macey; Tanya Walsh; Philip Riley; Anne-Marie Glenny; Helen V Worthington; Lucy O'Malley; Janet E Clarkson; David Ricketts Journal: Cochrane Database Syst Rev Date: 2021-06-14
Authors: Tanya Walsh; Richard Macey; Philip Riley; Anne-Marie Glenny; Falk Schwendicke; Helen V Worthington; Janet E Clarkson; David Ricketts; Ting-Li Su; Anita Sengupta Journal: Cochrane Database Syst Rev Date: 2021-03-15