Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth

Detalhes bibliográficos
Autor(a) principal: PONTES,Laura Regina Antunes
Data de Publicação: 2017
Outros Autores: NOVAES,Tatiane Fernandes, MORO,Bruna Lorena Pereira, BRAGA,Mariana Minatel, MENDES,Fausto Medeiros
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Brazilian Oral Research
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242017000100274
Resumo: Abstract We aimed to investigate the performance of fluorescence-based methods (FBMs), compared to visual inspection after histological validation, in detecting and assessing the activity status of occlusal carious lesions in primary teeth. One examiner evaluated 50 primary molars close to exfoliation in 24 children. Teeth were assessed using quantitative light-induced fluorescence (QLF) and pen-type laser fluorescence (LFpen). After exfoliation, histological validation was performed. Teeth were cut and sections were evaluated for lesion depth and activity status (after utilization of a pH indicator) under a stereomicroscope. Parameters related to the performance of the methods in detecting caries lesions at two thresholds (initial and dentin lesions) were calculated. Regarding the activity status, lesions were classified into sound+inactive or active, and the area under the ROC curve and the diagnostic odds ratio values of the methods were calculated and compared. Evaluation of red fluorescence using QLF presented higher sensitivity but lower specificity than visual inspection in detecting dentin caries lesions. However, QLF considering different parameters and LFpen had similar performance to that obtained with visual inspection. Regarding activity assessment, all FBMs and visual inspection also presented similar performance. In conclusion, FBMs did not prove advantageous for the detection and activity assessment of occlusal caries lesions in primary molars when compared to visual inspection.
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spelling Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teethDental CariesFluorescenceDiagnosis, OralDental Caries Activity TestsTooth, DeciduousAbstract We aimed to investigate the performance of fluorescence-based methods (FBMs), compared to visual inspection after histological validation, in detecting and assessing the activity status of occlusal carious lesions in primary teeth. One examiner evaluated 50 primary molars close to exfoliation in 24 children. Teeth were assessed using quantitative light-induced fluorescence (QLF) and pen-type laser fluorescence (LFpen). After exfoliation, histological validation was performed. Teeth were cut and sections were evaluated for lesion depth and activity status (after utilization of a pH indicator) under a stereomicroscope. Parameters related to the performance of the methods in detecting caries lesions at two thresholds (initial and dentin lesions) were calculated. Regarding the activity status, lesions were classified into sound+inactive or active, and the area under the ROC curve and the diagnostic odds ratio values of the methods were calculated and compared. Evaluation of red fluorescence using QLF presented higher sensitivity but lower specificity than visual inspection in detecting dentin caries lesions. However, QLF considering different parameters and LFpen had similar performance to that obtained with visual inspection. Regarding activity assessment, all FBMs and visual inspection also presented similar performance. In conclusion, FBMs did not prove advantageous for the detection and activity assessment of occlusal caries lesions in primary molars when compared to visual inspection.Sociedade Brasileira de Pesquisa Odontológica - SBPqO2017-01-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242017000100274Brazilian Oral Research v.31 2017reponame:Brazilian Oral Researchinstname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO)instacron:SBPQO10.1590/1807-3107bor-2017.vol31.0091info:eu-repo/semantics/openAccessPONTES,Laura Regina AntunesNOVAES,Tatiane FernandesMORO,Bruna Lorena PereiraBRAGA,Mariana MinatelMENDES,Fausto Medeiroseng2017-10-31T00:00:00Zoai:scielo:S1806-83242017000100274Revistahttps://www.scielo.br/j/bor/https://old.scielo.br/oai/scielo-oai.phppob@edu.usp.br||bor@sbpqo.org.br1807-31071806-8324opendoar:2017-10-31T00:00Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO)false
dc.title.none.fl_str_mv Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth
title Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth
spellingShingle Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth
PONTES,Laura Regina Antunes
Dental Caries
Fluorescence
Diagnosis, Oral
Dental Caries Activity Tests
Tooth, Deciduous
title_short Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth
title_full Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth
title_fullStr Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth
title_full_unstemmed Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth
title_sort Clinical performance of fluorescence-based methods for detection of occlusal caries lesions in primary teeth
author PONTES,Laura Regina Antunes
author_facet PONTES,Laura Regina Antunes
NOVAES,Tatiane Fernandes
MORO,Bruna Lorena Pereira
BRAGA,Mariana Minatel
MENDES,Fausto Medeiros
author_role author
author2 NOVAES,Tatiane Fernandes
MORO,Bruna Lorena Pereira
BRAGA,Mariana Minatel
MENDES,Fausto Medeiros
author2_role author
author
author
author
dc.contributor.author.fl_str_mv PONTES,Laura Regina Antunes
NOVAES,Tatiane Fernandes
MORO,Bruna Lorena Pereira
BRAGA,Mariana Minatel
MENDES,Fausto Medeiros
dc.subject.por.fl_str_mv Dental Caries
Fluorescence
Diagnosis, Oral
Dental Caries Activity Tests
Tooth, Deciduous
topic Dental Caries
Fluorescence
Diagnosis, Oral
Dental Caries Activity Tests
Tooth, Deciduous
description Abstract We aimed to investigate the performance of fluorescence-based methods (FBMs), compared to visual inspection after histological validation, in detecting and assessing the activity status of occlusal carious lesions in primary teeth. One examiner evaluated 50 primary molars close to exfoliation in 24 children. Teeth were assessed using quantitative light-induced fluorescence (QLF) and pen-type laser fluorescence (LFpen). After exfoliation, histological validation was performed. Teeth were cut and sections were evaluated for lesion depth and activity status (after utilization of a pH indicator) under a stereomicroscope. Parameters related to the performance of the methods in detecting caries lesions at two thresholds (initial and dentin lesions) were calculated. Regarding the activity status, lesions were classified into sound+inactive or active, and the area under the ROC curve and the diagnostic odds ratio values of the methods were calculated and compared. Evaluation of red fluorescence using QLF presented higher sensitivity but lower specificity than visual inspection in detecting dentin caries lesions. However, QLF considering different parameters and LFpen had similar performance to that obtained with visual inspection. Regarding activity assessment, all FBMs and visual inspection also presented similar performance. In conclusion, FBMs did not prove advantageous for the detection and activity assessment of occlusal caries lesions in primary molars when compared to visual inspection.
publishDate 2017
dc.date.none.fl_str_mv 2017-01-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242017000100274
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1806-83242017000100274
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/1807-3107bor-2017.vol31.0091
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Pesquisa Odontológica - SBPqO
publisher.none.fl_str_mv Sociedade Brasileira de Pesquisa Odontológica - SBPqO
dc.source.none.fl_str_mv Brazilian Oral Research v.31 2017
reponame:Brazilian Oral Research
instname:Sociedade Brasileira de Pesquisa Odontológica (SBPqO)
instacron:SBPQO
instname_str Sociedade Brasileira de Pesquisa Odontológica (SBPqO)
instacron_str SBPQO
institution SBPQO
reponame_str Brazilian Oral Research
collection Brazilian Oral Research
repository.name.fl_str_mv Brazilian Oral Research - Sociedade Brasileira de Pesquisa Odontológica (SBPqO)
repository.mail.fl_str_mv pob@edu.usp.br||bor@sbpqo.org.br
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