In vitro performance of a pen-type laser fluorescence device and bitewing radiographs for approximal caries detection in permanent and primary teeth

Detalhes bibliográficos
Autor(a) principal: Souza, Juliana Feltrin de
Data de Publicação: 2014
Outros Autores: Diniz, Michele Baffi, Boldieri, Thalita, Rodrigues, Jonas de Almeida, Lussi, Adrian, Cordeiro, Rita de Cássia Loiola
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UFRGS
Texto Completo: http://hdl.handle.net/10183/115904
Resumo: Aim: To evaluate the performance of a pen type laser fluorescence device (DIAGNOdent 2190; LFpen, KaVo, Germany) and bitewing radiographs (BW) for approximal caries detection in permanent and primary teeth. Materials and Methods: A total of 246 anterior approximal surfaces (102 permanent and 144 primary) were selected. Contact points were simulated using sound teeth. Two examiners assessed all approximal surfaces using LFpen and BW. The teeth were histologically assessed for the reference standard. Optimal cut off limits were calculated for LFpen for primary and permanent teeth. Sensitivity, specificity, accuracy and area under the receiver operating characteristic curve (Az) were calculated for D1 (enamel and dentin lesions) and D3 (dentin lesions) thresholds. The reproducibility was assessed by intraclass correlation coefficient (ICC) and Cohen«SQ»s weighted kappa values. Results: For permanent teeth, the LFpen cut off were 0– 27 (sound), 28– 33 (enamel caries) and >33 (dentin caries). For primary teeth, the LFpen cut off were 0– 7 (sound), 8– 32 (enamelcaries) and >32 (dentin caries). The LFpen presented higher sensitivity values than BW for primary teeth (0.58 vs. 0.32 at D1 and 0.80 vs. 0.47 at D3) and permanent teeth (0.80 vs. 0.57 at D1 and 0.94 vs. 0.51 at D3). Specificity did not show a significant difference between the methods. Rank correlations with histology were 0.59 and 0.83 (LFpen) and 0.36 and 0.70 (BW) for primary and permanent teeth, respectively, considering all lesions. ICC values for LFpen were 0.71 (inter) and 0.86 (intra) for permanent teeth and 0.94 (inter) and 0.90/0.99 for primary teeth. Kappa values for BW were 0.69 (inter) and 0.68/0.90 (intra) for permanent teeth and 0.64 (inter) and 0.89/0.89 for primary teeth. Conclusion: LFpen presented better reproducibility for primary and permanent teeth and higher accuracy in detecting caries lesions at D1 threshold than BW for permanent teeth. LFpen should be used as an adjunct method for approximal caries detection.
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spelling Souza, Juliana Feltrin deDiniz, Michele BaffiBoldieri, ThalitaRodrigues, Jonas de AlmeidaLussi, AdrianCordeiro, Rita de Cássia Loiola2015-05-06T01:58:32Z20140970-9290http://hdl.handle.net/10183/115904000955683Aim: To evaluate the performance of a pen type laser fluorescence device (DIAGNOdent 2190; LFpen, KaVo, Germany) and bitewing radiographs (BW) for approximal caries detection in permanent and primary teeth. Materials and Methods: A total of 246 anterior approximal surfaces (102 permanent and 144 primary) were selected. Contact points were simulated using sound teeth. Two examiners assessed all approximal surfaces using LFpen and BW. The teeth were histologically assessed for the reference standard. Optimal cut off limits were calculated for LFpen for primary and permanent teeth. Sensitivity, specificity, accuracy and area under the receiver operating characteristic curve (Az) were calculated for D1 (enamel and dentin lesions) and D3 (dentin lesions) thresholds. The reproducibility was assessed by intraclass correlation coefficient (ICC) and Cohen«SQ»s weighted kappa values. Results: For permanent teeth, the LFpen cut off were 0– 27 (sound), 28– 33 (enamel caries) and >33 (dentin caries). For primary teeth, the LFpen cut off were 0– 7 (sound), 8– 32 (enamelcaries) and >32 (dentin caries). The LFpen presented higher sensitivity values than BW for primary teeth (0.58 vs. 0.32 at D1 and 0.80 vs. 0.47 at D3) and permanent teeth (0.80 vs. 0.57 at D1 and 0.94 vs. 0.51 at D3). Specificity did not show a significant difference between the methods. Rank correlations with histology were 0.59 and 0.83 (LFpen) and 0.36 and 0.70 (BW) for primary and permanent teeth, respectively, considering all lesions. ICC values for LFpen were 0.71 (inter) and 0.86 (intra) for permanent teeth and 0.94 (inter) and 0.90/0.99 for primary teeth. Kappa values for BW were 0.69 (inter) and 0.68/0.90 (intra) for permanent teeth and 0.64 (inter) and 0.89/0.89 for primary teeth. Conclusion: LFpen presented better reproducibility for primary and permanent teeth and higher accuracy in detecting caries lesions at D1 threshold than BW for permanent teeth. LFpen should be used as an adjunct method for approximal caries detection.application/pdfengIndian Journal of Dental Research. Ahmedabad. Vol. 25, no. 6 (Nov./Dec. 2014), p. 702-710Laser na odontologiaRadiografia dentariaCárie dentáriaIn vitro performance of a pen-type laser fluorescence device and bitewing radiographs for approximal caries detection in permanent and primary teethEstrangeiroinfo:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UFRGSinstname:Universidade Federal do Rio Grande do Sul (UFRGS)instacron:UFRGSORIGINAL000955683.pdf000955683.pdfTexto completo (inglês)application/pdf103924http://www.lume.ufrgs.br/bitstream/10183/115904/1/000955683.pdf344f448e3d3c392391f51e2a83c90af7MD51TEXT000955683.pdf.txt000955683.pdf.txtExtracted Texttext/plain38240http://www.lume.ufrgs.br/bitstream/10183/115904/2/000955683.pdf.txt35afc293b8473464ffcda77f8f08d1ceMD52THUMBNAIL000955683.pdf.jpg000955683.pdf.jpgGenerated Thumbnailimage/jpeg1974http://www.lume.ufrgs.br/bitstream/10183/115904/3/000955683.pdf.jpgfc0dd5ae71e02c41bc0d40b44dab0393MD5310183/1159042018-10-22 07:40:16.236oai:www.lume.ufrgs.br:10183/115904Repositório de PublicaçõesPUBhttps://lume.ufrgs.br/oai/requestopendoar:2018-10-22T10:40:16Repositório Institucional da UFRGS - Universidade Federal do Rio Grande do Sul (UFRGS)false
dc.title.pt_BR.fl_str_mv In vitro performance of a pen-type laser fluorescence device and bitewing radiographs for approximal caries detection in permanent and primary teeth
title In vitro performance of a pen-type laser fluorescence device and bitewing radiographs for approximal caries detection in permanent and primary teeth
spellingShingle In vitro performance of a pen-type laser fluorescence device and bitewing radiographs for approximal caries detection in permanent and primary teeth
Souza, Juliana Feltrin de
Laser na odontologia
Radiografia dentaria
Cárie dentária
title_short In vitro performance of a pen-type laser fluorescence device and bitewing radiographs for approximal caries detection in permanent and primary teeth
title_full In vitro performance of a pen-type laser fluorescence device and bitewing radiographs for approximal caries detection in permanent and primary teeth
title_fullStr In vitro performance of a pen-type laser fluorescence device and bitewing radiographs for approximal caries detection in permanent and primary teeth
title_full_unstemmed In vitro performance of a pen-type laser fluorescence device and bitewing radiographs for approximal caries detection in permanent and primary teeth
title_sort In vitro performance of a pen-type laser fluorescence device and bitewing radiographs for approximal caries detection in permanent and primary teeth
author Souza, Juliana Feltrin de
author_facet Souza, Juliana Feltrin de
Diniz, Michele Baffi
Boldieri, Thalita
Rodrigues, Jonas de Almeida
Lussi, Adrian
Cordeiro, Rita de Cássia Loiola
author_role author
author2 Diniz, Michele Baffi
Boldieri, Thalita
Rodrigues, Jonas de Almeida
Lussi, Adrian
Cordeiro, Rita de Cássia Loiola
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Souza, Juliana Feltrin de
Diniz, Michele Baffi
Boldieri, Thalita
Rodrigues, Jonas de Almeida
Lussi, Adrian
Cordeiro, Rita de Cássia Loiola
dc.subject.por.fl_str_mv Laser na odontologia
Radiografia dentaria
Cárie dentária
topic Laser na odontologia
Radiografia dentaria
Cárie dentária
description Aim: To evaluate the performance of a pen type laser fluorescence device (DIAGNOdent 2190; LFpen, KaVo, Germany) and bitewing radiographs (BW) for approximal caries detection in permanent and primary teeth. Materials and Methods: A total of 246 anterior approximal surfaces (102 permanent and 144 primary) were selected. Contact points were simulated using sound teeth. Two examiners assessed all approximal surfaces using LFpen and BW. The teeth were histologically assessed for the reference standard. Optimal cut off limits were calculated for LFpen for primary and permanent teeth. Sensitivity, specificity, accuracy and area under the receiver operating characteristic curve (Az) were calculated for D1 (enamel and dentin lesions) and D3 (dentin lesions) thresholds. The reproducibility was assessed by intraclass correlation coefficient (ICC) and Cohen«SQ»s weighted kappa values. Results: For permanent teeth, the LFpen cut off were 0– 27 (sound), 28– 33 (enamel caries) and >33 (dentin caries). For primary teeth, the LFpen cut off were 0– 7 (sound), 8– 32 (enamelcaries) and >32 (dentin caries). The LFpen presented higher sensitivity values than BW for primary teeth (0.58 vs. 0.32 at D1 and 0.80 vs. 0.47 at D3) and permanent teeth (0.80 vs. 0.57 at D1 and 0.94 vs. 0.51 at D3). Specificity did not show a significant difference between the methods. Rank correlations with histology were 0.59 and 0.83 (LFpen) and 0.36 and 0.70 (BW) for primary and permanent teeth, respectively, considering all lesions. ICC values for LFpen were 0.71 (inter) and 0.86 (intra) for permanent teeth and 0.94 (inter) and 0.90/0.99 for primary teeth. Kappa values for BW were 0.69 (inter) and 0.68/0.90 (intra) for permanent teeth and 0.64 (inter) and 0.89/0.89 for primary teeth. Conclusion: LFpen presented better reproducibility for primary and permanent teeth and higher accuracy in detecting caries lesions at D1 threshold than BW for permanent teeth. LFpen should be used as an adjunct method for approximal caries detection.
publishDate 2014
dc.date.issued.fl_str_mv 2014
dc.date.accessioned.fl_str_mv 2015-05-06T01:58:32Z
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dc.identifier.issn.pt_BR.fl_str_mv 0970-9290
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dc.relation.ispartof.pt_BR.fl_str_mv Indian Journal of Dental Research. Ahmedabad. Vol. 25, no. 6 (Nov./Dec. 2014), p. 702-710
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