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dc.contributor.authorRodrigues, J. A. [UNESP]
dc.contributor.authorHug, I.
dc.contributor.authorDiniz, M. B. [UNESP]
dc.contributor.authorLussi, A.
dc.identifier.citationCaries Research. Basel: Karger, v. 42, n. 4, p. 297-304, 2008.
dc.description.abstractThis 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), 55.6 and 40.0 (LFpen) and 1.12 and 0.80 (FC), for intra- and interexaminer reproducibilities. The posttest probability for dentine caries detection was high for BW and LF. In conclusion, LFpen, FC and ICDAS II presented better sensitivity and LF and BW better specificity. ICDAS II combined with BW showed the best performance and is the best combination for detecting caries on occlusal surfaces. Copyright (C) 2008 S. Karger AG, Basel.en
dc.relation.ispartofCaries Research
dc.sourceWeb of Science
dc.subjectcaries detectionen
dc.subjectDIAGNOdent penen
dc.subjectfluorescence cameraen
dc.subjectInternational Caries Detection and Assessment Systemen
dc.subjectlaser fluorescenceen
dc.subjectocclusal cariesen
dc.titlePerformance of fluorescence methods, radiographic examination and ICDAS II on occlusal surfaces in vitroen
dc.contributor.institutionUniv Bern
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.description.affiliationUniv Bern, Sch Dent Med, Dept Prevent Restorat & Pediat Dent, CH-3010 Bern, Switzerland
dc.description.affiliationSão Paulo State Univ UNESP, Sch Dent, Dept Pediat Dent, Araraquara, Brazil
dc.description.affiliationUnespSão Paulo State Univ UNESP, Sch Dent, Dept Pediat Dent, Araraquara, Brazil
dc.rights.accessRightsAcesso restrito
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araraquarapt[1][3]
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