Sabrina Wilde1, Priscila-Hernández Campos2, Ana-Paula-Marçal Marcondes2, Cacio Moura-Netto3, Tatiane-Fernandes Novaes2, Adrian Lussi4, Michele-Baffi Diniz2. 1. School of Dentistry, Federal University of Rio Grande do Sul, Porto Alegre, RS, Brazil. 2. Post-graduate Program in Dentistry, Cruzeiro do Sul University - São Paulo, SP, Brazil. 3. Faculty of Dental Medicine, Center for Interdisciplinary Research in Health (CIIS), Universidade Católica Portuguesa, Viseu, Portugal. 4. Center for Dental Medicine, Medical Center, University of Freiburg - Freiburg, Germany.
Abstract
BACKGROUND: Some studies have addressed the influence of optical magnification on the detection of caries lesions using a visual scoring system. However, there is a lack of research related to the use of the CAST and ADA-CCS visual scoring systems. In addition, the reliability and accuracy of ADA-CCS index in permanent teeth were not studied yet. So, the aim of this study was to evaluate, in vitro, the influence of different levels of optical magnification on the detection of occlusal caries lesions in permanent molars using three visual scoring systems. MATERIAL AND METHODS: One occlusal site per tooth was analyzed in 120 extracted permanent molars. Two trained examiners inspected the teeth using ICDAS (International Caries Detection and Assessment System), CAST (Caries Assessment Spectrum and Treatment), and ADA-CCS (American Dental Association-Caries Classification System) visual criteria, twice with each scoring system, with a one-week interval between examinations. The study was conducted in three phases: (A) without optical magnification, (B) using a binocular lens (3.5× magnification), and (C) using an operating microscope (16× magnification). Then, the teeth were sectioned longitudinally through the center of the selected site and the section with the more severe lesion was histological evaluated considering the D1 (lesions in enamel and dentin) and D3 (dentin lesions) thresholds. RESULTS: Kappa values for intra- and inter-examiner reproducibility were good to excellent for all systems. At the D1 threshold, sensitivity, accuracy, and area under the ROC curve were high for ICDAS and CAST in all phases. However, this was not the case for the ADA-CCS in phase C (<0.05). At the D3 diagnostic threshold, there was no significant difference between the visual scoring systems during the study phases (>0.05). CONCLUSIONS: The magnification does not improve the accuracy of the visual scoring systems in the detection of occlusal caries lesions in permanent molars. Key words:Dental caries, caries detection, permanent teeth, visual examination, magnification. Copyright:
BACKGROUND: Some studies have addressed the influence of optical magnification on the detection of caries lesions using a visual scoring system. However, there is a lack of research related to the use of the CAST and ADA-CCS visual scoring systems. In addition, the reliability and accuracy of ADA-CCS index in permanent teeth were not studied yet. So, the aim of this study was to evaluate, in vitro, the influence of different levels of optical magnification on the detection of occlusal caries lesions in permanent molars using three visual scoring systems. MATERIAL AND METHODS: One occlusal site per tooth was analyzed in 120 extracted permanent molars. Two trained examiners inspected the teeth using ICDAS (International Caries Detection and Assessment System), CAST (Caries Assessment Spectrum and Treatment), and ADA-CCS (American Dental Association-Caries Classification System) visual criteria, twice with each scoring system, with a one-week interval between examinations. The study was conducted in three phases: (A) without optical magnification, (B) using a binocular lens (3.5× magnification), and (C) using an operating microscope (16× magnification). Then, the teeth were sectioned longitudinally through the center of the selected site and the section with the more severe lesion was histological evaluated considering the D1 (lesions in enamel and dentin) and D3 (dentin lesions) thresholds. RESULTS: Kappa values for intra- and inter-examiner reproducibility were good to excellent for all systems. At the D1 threshold, sensitivity, accuracy, and area under the ROC curve were high for ICDAS and CAST in all phases. However, this was not the case for the ADA-CCS in phase C (<0.05). At the D3 diagnostic threshold, there was no significant difference between the visual scoring systems during the study phases (>0.05). CONCLUSIONS: The magnification does not improve the accuracy of the visual scoring systems in the detection of occlusal caries lesions in permanent molars. Key words:Dental caries, caries detection, permanent teeth, visual examination, magnification. Copyright:
Authors: Douglas A Young; Brian B Nový; Gregory G Zeller; Robert Hale; Thomas C Hart; Edmond L Truelove Journal: J Am Dent Assoc Date: 2015-02 Impact factor: 3.634
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Authors: Amid I Ismail; Nigel B Pitts; Marisol Tellez; Avijit Banerjee; Christopher Deery; Gail Douglas; Hafstein Eggertsson; Kim Ekstrand; Roger Ellwood; Juliana Gomez; Anahita Jablonski-Momeni; Justine Kolker; Christopher Longbottom; David Manton; Stefania Martignon; Michael McGrady; Peter Rechmann; David Ricketts; Woosung Sohn; Van Thompson; Svante Twetman; Robert Weyant; Mark Wolff; Andrea Zandona Journal: BMC Oral Health Date: 2015-09-15 Impact factor: 2.757