The performance of conventional and fluorescence-based methods for occlusal caries detection An in vivo study with histologic validation

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dc.contributor.authorDiniz, Michele B. [UNESP]
dc.contributor.authorBoldieri, Thalita [UNESP]
dc.contributor.authorRodrigues, Jonas A.
dc.contributor.authorSantos-Pinto, Lourdes Aparecida Martins dos [UNESP]
dc.contributor.authorLussi, Adrian
dc.contributor.authorCordeiro, Rita C. L. [UNESP]
dc.contributor.institutionCruzeiro Sul Univ UNICSUL
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade Federal do Rio Grande do Sul (UFRGS)
dc.contributor.institutionUniv Bern
dc.date.accessioned2013-09-30T18:31:19Z
dc.date.accessioned2014-05-20T13:44:52Z
dc.date.available2013-09-30T18:31:19Z
dc.date.available2014-05-20T13:44:52Z
dc.date.issued2012-04-01
dc.description.abstractBackground. The authors conducted an in vivo study to determine clinical cutoffs for a laser fluorescence (LF) device, an LF pen and a fluorescence camera (FC), as well as to evaluate the clinical performance of these methods and conventional methods in detecting occlusal caries in permanent teeth by using the histologic gold standard for total validation of the sample.Methods. One trained examiner assessed 105 occlusal surfaces by using the LF device, LF pen, FC, International Caries Detection and Assessment System (ICDAS) criteria and bitewing (BW) radiographic methods. After tooth extraction, the authors assessed the teeth histologically. They determined the optimal clinical cutoffs by means of receiver operating characteristic curve analysis.Results. The specificities and sensitivities for enamel and dentin caries detection versus only dentin caries detection thresholds were 0.60 and 0.93 and 0.77 and 0.52 (ICDAS), 1.00 and 0.29 and 0.97 and 0.44 (BW radiography), 1.00 and 0.85 and 0.77 and 0.81 (LF device), 0.80 and 0.89 and 0.71 and 0.85 (LF pen) and 0.80 and 0.74 and 0.49 and 0.85 (FC), respectively. The accuracy values were higher for ICDAS, the LF device and the LF pen than they were for BW radiography and the FC.Conclusions. The clinical cutoffs for sound teeth, enamel carious lesions and dentin carious lesions were, respectively, 0 through 4, 5 through 27 and 28 through 99 (LF device); 0 through 4, 5 through 32 and 33 through 99 (LF pen); and 0 through 1.2, 1.3 and 1.4 through 5.0 (FC). The ICDAS, the LF device and the LF pen demonstrated good performance in helping detect occlusal caries in vivo. The ICDAS did not seem to perform as well at the D, threshold (histologic scores 3 and 4) as at the D-3 threshold (histologic scores 1-4). BW radiography and the FC had the lowest performances in helping detect lesions at the D-1 and da thresholds, respectively.Clinical Implications. Occlusal caries detection should be based primarily on visual inspection. Fluorescence-based methods may be used to provide a second opinion in clinical practice.en
dc.description.affiliationCruzeiro Sul Univ UNICSUL, Sch Dent, Dept Pediat Dent, BR-04110060 São Paulo, Brazil
dc.description.affiliationUNESP Univ Estadual Paulista, Sch Dent Araraquara, Dept Pediat Dent, São Paulo, Brazil
dc.description.affiliationUniversidade Federal do Rio Grande do Sul (UFRGS), Sch Dent, Dept Pediat Dent, Porto Alegre, RS, Brazil
dc.description.affiliationUniv Bern, Sch Dent Med, Dept Prevent Restorat & Pediat Dent, CH-3012 Bern, Switzerland
dc.description.affiliationUnespUNESP Univ Estadual Paulista, Sch Dent Araraquara, Dept Pediat Dent, São Paulo, Brazil
dc.description.sponsorshipCoordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
dc.description.sponsorshipFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.description.sponsorshipIdFAPESP: 09/00218-0
dc.format.extent339-350
dc.identifierhttp://jada.ada.org/content/143/4/339.long
dc.identifier.citationJournal of The American Dental Association. Chicago: Amer Dental Assoc, v. 143, n. 4, p. 339-350, 2012.
dc.identifier.issn0002-8177
dc.identifier.orcid0000-0003-2386-842X
dc.identifier.urihttp://hdl.handle.net/11449/15740
dc.identifier.wosWOS:000302759100015
dc.language.isoeng
dc.publisherAmer Dental Assoc
dc.relation.ispartofJournal of the American Dental Association
dc.relation.ispartofjcr2.486
dc.relation.ispartofsjr0,898
dc.rights.accessRightsAcesso restrito
dc.sourceWeb of Science
dc.subjectOcclusal cariesen
dc.subjectcaries detectionen
dc.subjectvisual examinationen
dc.subjectradiographyen
dc.subjectfluorescenceen
dc.subjectclinical studyen
dc.subjectpermanent teethen
dc.titleThe performance of conventional and fluorescence-based methods for occlusal caries detection An in vivo study with histologic validationen
dc.typeArtigo
dcterms.licensehttp://www.ada.org/995.aspx
dcterms.rightsHolderAmer Dental Assoc
unesp.author.orcid0000-0003-2386-842X[4]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araraquarapt

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Artigos - Clínica Infantil - FOAR