Optical magnification has no benefits on the detection of occlusal caries lesions in permanent molars using different visual scoring systems: an in vitro study
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Publication Date: | 2020 |
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Format: | Article |
Language: | eng |
Source: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Download full: | http://hdl.handle.net/10400.14/32405 |
Summary: | 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 (3.5x magnification), and (C) using an operating microscope (16x 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 (p<0.05). At the D3 diagnostic threshold, there was no significant difference between the visual scoring systems during the study phases (p>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. |
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Optical magnification has no benefits on the detection of occlusal caries lesions in permanent molars using different visual scoring systems: an in vitro studyCaries detectionDental cariesMagnificationPermanent teethVisual examinationBackground: 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 (3.5x magnification), and (C) using an operating microscope (16x 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 (p<0.05). At the D3 diagnostic threshold, there was no significant difference between the visual scoring systems during the study phases (p>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.Veritati - Repositório Institucional da Universidade Católica PortuguesaWilde, SabrinaCampos, Priscila Hernández deMarcondes, Ana Paula MarçalMoura-Netto, CacioNovaes, Tatiane FernandesLussi, AdrianDiniz, Michele Baffi2021-03-30T19:32:01Z20202020-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10400.14/32405eng1989-548810.4317/JCED.5644585087088433PMC726377132509231info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-12-05T01:37:18Zoai:repositorio.ucp.pt:10400.14/32405Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T18:26:09.757729Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Optical magnification has no benefits on the detection of occlusal caries lesions in permanent molars using different visual scoring systems: an in vitro study |
title |
Optical magnification has no benefits on the detection of occlusal caries lesions in permanent molars using different visual scoring systems: an in vitro study |
spellingShingle |
Optical magnification has no benefits on the detection of occlusal caries lesions in permanent molars using different visual scoring systems: an in vitro study Wilde, Sabrina Caries detection Dental caries Magnification Permanent teeth Visual examination |
title_short |
Optical magnification has no benefits on the detection of occlusal caries lesions in permanent molars using different visual scoring systems: an in vitro study |
title_full |
Optical magnification has no benefits on the detection of occlusal caries lesions in permanent molars using different visual scoring systems: an in vitro study |
title_fullStr |
Optical magnification has no benefits on the detection of occlusal caries lesions in permanent molars using different visual scoring systems: an in vitro study |
title_full_unstemmed |
Optical magnification has no benefits on the detection of occlusal caries lesions in permanent molars using different visual scoring systems: an in vitro study |
title_sort |
Optical magnification has no benefits on the detection of occlusal caries lesions in permanent molars using different visual scoring systems: an in vitro study |
author |
Wilde, Sabrina |
author_facet |
Wilde, Sabrina Campos, Priscila Hernández de Marcondes, Ana Paula Marçal Moura-Netto, Cacio Novaes, Tatiane Fernandes Lussi, Adrian Diniz, Michele Baffi |
author_role |
author |
author2 |
Campos, Priscila Hernández de Marcondes, Ana Paula Marçal Moura-Netto, Cacio Novaes, Tatiane Fernandes Lussi, Adrian Diniz, Michele Baffi |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Veritati - Repositório Institucional da Universidade Católica Portuguesa |
dc.contributor.author.fl_str_mv |
Wilde, Sabrina Campos, Priscila Hernández de Marcondes, Ana Paula Marçal Moura-Netto, Cacio Novaes, Tatiane Fernandes Lussi, Adrian Diniz, Michele Baffi |
dc.subject.por.fl_str_mv |
Caries detection Dental caries Magnification Permanent teeth Visual examination |
topic |
Caries detection Dental caries Magnification Permanent teeth Visual examination |
description |
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 (3.5x magnification), and (C) using an operating microscope (16x 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 (p<0.05). At the D3 diagnostic threshold, there was no significant difference between the visual scoring systems during the study phases (p>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. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020 2020-01-01T00:00:00Z 2021-03-30T19:32:01Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/10400.14/32405 |
url |
http://hdl.handle.net/10400.14/32405 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
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1989-5488 10.4317/JCED.56445 85087088433 PMC7263771 32509231 |
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info:eu-repo/semantics/openAccess |
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openAccess |
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application/pdf |
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