Proximal caries lesion detection in primary teeth: does this justify the association of diagnostic methods?

dc.contributor.authorBussaneli, D. G. [UNESP]
dc.contributor.authorRestrepo, M.
dc.contributor.authorBoldieri, T.
dc.contributor.authorAlbertoni, T. H.
dc.contributor.authorSantos-Pinto, L.
dc.contributor.authorCordeiro, R. C. L.
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2015-12-07T15:37:01Z
dc.date.available2015-12-07T15:37:01Z
dc.date.issued2015-08-19
dc.description.abstractThe aim of this clinical study was to evaluate and compare the performance of visual exam with use of the Nyvad criteria (visual examination - (VE)), interproximal radiography (BW), laser fluorescence device (DIAGNOdent Pen-DDPen), and their association in the diagnosis of proximal lesions in primary teeth. For this purpose, 45 children (n = 59 surfaces) of both sexes, aged between 5 and 9 years were selected, who presented healthy primary molars or primary molars with signs suggestive of the presence of caries lesions. The surfaces were clinically evaluated and coded according to the Nyvad criteria and immediately afterwards with the DDPen. Radiographic exam was performed only on the surfaces coded with Nyvad scores 2, 3, 5, or 6. Active caries lesions and/or those with discontinuous surfaces were restored, considering the depth of lesion as reference standard. Sensitivity, specificity, accuracy, and area under ROC curve were calculated for each technique and its associations. Visual exam with Nyvad criteria presented the highest specificity, accuracy, and area under ROC curve values. The DDPen presented the highest sensitivity values. Association with one or more methods resulted in an increase in specificity. The performance of visual, radiographic, and DDpen exams and their associations were good; however, the clinical examination with the Nyvad criteria was sufficient for the diagnosis of interproximal lesions in primary teeth.en
dc.description.affiliationDepartment of Orthodontics and Pediatric Dentistry, Araraquara Dental School, Univ Estadual Paulista (UNESP), Rua Humaitá 1680, Araraquara, 14801-903, SP, Brazil.
dc.description.affiliationUnespDepartment of Orthodontics and Pediatric Dentistry, Araraquara Dental School, Univ Estadual Paulista (UNESP), Rua Humaitá 1680, Araraquara, 14801-903, SP, Brazil.
dc.format.extent1-6
dc.identifierhttp://dx.doi.org/10.1007/s10103-015-1798-2
dc.identifier.citationLasers In Medical Science, p. 1-6, 2015.
dc.identifier.doi10.1007/s10103-015-1798-2
dc.identifier.issn1435-604X
dc.identifier.lattes8185082796673527
dc.identifier.pubmed26286856
dc.identifier.urihttp://hdl.handle.net/11449/131527
dc.language.isoeng
dc.publisherSpringer
dc.relation.ispartofLasers In Medical Science
dc.rights.accessRightsAcesso restrito
dc.sourcePubMed
dc.subjectDental cariesen
dc.subjectFluorescenceen
dc.subjectDental radiographyen
dc.subjectLasersen
dc.subjectDiagnosisen
dc.titleProximal caries lesion detection in primary teeth: does this justify the association of diagnostic methods?en
dc.typeArtigo
dcterms.rightsHolderSpringer
unesp.author.lattes8185082796673527
unesp.author.orcid0000-0003-2386-842X[5]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araraquarapt

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