The performance of conventional and fluorescence-based methods for occlusal caries detection: an in vivo study with histological validation

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dc.contributor.authorDiniz, Michele Baffi
dc.contributor.authorBoldieri, Thalita [UNESP]
dc.contributor.authorRodrigues, Jonas de Almeida
dc.contributor.authorSantos-Pinto, Lourdes Aparecida Martins dos [UNESP]
dc.contributor.authorLussi, Adrian
dc.contributor.authorCordeiro, Rita de Cássia Loiola [UNESP]
dc.contributor.institutionUniversidade do Cruzeiro do Sul (UNICSUL)
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.contributor.institutionUniversidade Federal do Rio Grande do Sul (UFRS)
dc.contributor.institutionUniversity of Bern
dc.date.accessioned2015-08-06T16:12:28Z
dc.date.available2015-08-06T16:12:28Z
dc.date.issued2012
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 D3 threshold (histologic scores 3 and 4) as at the D1 threshold (histologic scores 1–4). BW radiography and the FC had the lowest performances in helping detect lesions at the D1 and D3 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.affiliationUniversidade do Cruzeiro do Sul, Departamento de Clínica Infantil
dc.description.affiliationUniversidade Federal do Rio Grande do Sul, Departamento de Clínica Infantil
dc.description.affiliationUniversity of Bern, Department of Preventive, Restorative and Pediatric Dentistry
dc.description.affiliationUnespUniversidade Estadual Paulista Júlio de Mesquita Filho, Departamento de Clínica Infantil, Faculdade de Odontologia de Araraquara
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: 2009/00218-0
dc.format.extent339-350
dc.identifierhttp://jada.ada.org/article/S0002-8177(14)60973-9/abstract
dc.identifier.citationThe Journal of the American Dental Association, v. 143, n. 4, p. 339-350, 2012.
dc.identifier.doi10.14219/jada.archive.2012.0176
dc.identifier.issn0002-8177
dc.identifier.lattes5222687701645379
dc.identifier.lattes0026030170541247
dc.identifier.lattes2705695039868855
dc.identifier.lattes8185082796673527
dc.identifier.orcid0000-0003-2386-842X
dc.identifier.urihttp://hdl.handle.net/11449/125570
dc.language.isoeng
dc.relation.ispartofThe Journal of the American Dental Association
dc.relation.ispartofjcr2.486
dc.relation.ispartofsjr0,898
dc.rights.accessRightsAcesso restrito
dc.sourceCurrículo Lattes
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 histological validationen
dc.typeArtigo
unesp.author.lattes5222687701645379
unesp.author.lattes0026030170541247
unesp.author.lattes2705695039868855
unesp.author.lattes8185082796673527
unesp.author.orcid0000-0003-2386-842X[4]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Odontologia, Araraquarapt
unesp.departmentClínica Infantilpt

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