Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries

Detalhes bibliográficos
Autor(a) principal: PRESOTO,Cristina Dupim
Data de Publicação: 2017
Outros Autores: TREVISAN,Tamara Carolina, ANDRADE,Maria Costa de, DANTAS,Andrea Abi-Rached, CAMPOS,Juliana Alvares Duarte Bonini, OLIVEIRA-JUNIOR,Osmir Batista de
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Revista de Odontologia da UNESP
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772017000200109
Resumo: Abstract Introduction The detection of small caries lesions is still a challenge for dental professionals who in their clinical practice have a wide variety of methods to detect caries on occlusal surfaces. Objective To clinically assess the effectiveness of the Vista Proof fluorescence camera, the Vista Cam digital intraoral micro camera and the International Caries Detection and Assessment System (ICDAS) visual criterion for detecting caries lesions on occlusal surfaces of permanent teeth. Material and method One hundred and seven posterior teeth from adult patients were examined visually and by means of digital radiographs by an examiner who rated them according to the presence or absence of occlusal caries. The teeth were then assessed by the other examiner using ICDAS, fluorescence and magnified digital images. The effectiveness of the methods was measured based on sensitivity, specificity, positive and negative likelihood ratio. For each method, the Receiver Operating Characteristic (ROC) curve and the Area Under the ROC curve (AUROC) were estimated. Result There was exceptional discrimination capacity for the intraoral images (AUROC=.93) and the ICDAS (AUROC=.91), with no significant statistical difference between them (z=.35, p=.73). The fluorescence exhibited an acceptable discrimination capacity (AUROC=0.78), although it was lower than the others. The positive likelihood ratio for the fluorescence was only 2.32, compared to 20.58 for the intraoral image and 58.11 for the ICDAS. Conclusion Both methods and the ICDAS exhibited an adequate clinical performance, although the ICDAS and intraoral image were more effective than the fluorescence.
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spelling Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal cariesDental carieseffectivenessdiagnosisfluorescenceAbstract Introduction The detection of small caries lesions is still a challenge for dental professionals who in their clinical practice have a wide variety of methods to detect caries on occlusal surfaces. Objective To clinically assess the effectiveness of the Vista Proof fluorescence camera, the Vista Cam digital intraoral micro camera and the International Caries Detection and Assessment System (ICDAS) visual criterion for detecting caries lesions on occlusal surfaces of permanent teeth. Material and method One hundred and seven posterior teeth from adult patients were examined visually and by means of digital radiographs by an examiner who rated them according to the presence or absence of occlusal caries. The teeth were then assessed by the other examiner using ICDAS, fluorescence and magnified digital images. The effectiveness of the methods was measured based on sensitivity, specificity, positive and negative likelihood ratio. For each method, the Receiver Operating Characteristic (ROC) curve and the Area Under the ROC curve (AUROC) were estimated. Result There was exceptional discrimination capacity for the intraoral images (AUROC=.93) and the ICDAS (AUROC=.91), with no significant statistical difference between them (z=.35, p=.73). The fluorescence exhibited an acceptable discrimination capacity (AUROC=0.78), although it was lower than the others. The positive likelihood ratio for the fluorescence was only 2.32, compared to 20.58 for the intraoral image and 58.11 for the ICDAS. Conclusion Both methods and the ICDAS exhibited an adequate clinical performance, although the ICDAS and intraoral image were more effective than the fluorescence.Universidade Estadual Paulista Júlio de Mesquita Filho2017-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772017000200109Revista de Odontologia da UNESP v.46 n.2 2017reponame:Revista de Odontologia da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESP10.1590/1807-2577.12416info:eu-repo/semantics/openAccessPRESOTO,Cristina DupimTREVISAN,Tamara CarolinaANDRADE,Maria Costa deDANTAS,Andrea Abi-RachedCAMPOS,Juliana Alvares Duarte BoniniOLIVEIRA-JUNIOR,Osmir Batista deeng2017-05-04T00:00:00Zoai:scielo:S1807-25772017000200109Revistahttps://www.revodontolunesp.com.br/PUBhttps://old.scielo.br/oai/scielo-oai.php||adriana@foar.unesp.br1807-25770101-1774opendoar:2017-05-04T00:00Revista de Odontologia da UNESP - Universidade Estadual Paulista (UNESP)false
dc.title.none.fl_str_mv Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries
title Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries
spellingShingle Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries
PRESOTO,Cristina Dupim
Dental caries
effectiveness
diagnosis
fluorescence
title_short Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries
title_full Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries
title_fullStr Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries
title_full_unstemmed Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries
title_sort Clinical effectiveness of fluorescence, digital images and ICDAS for detecting occlusal caries
author PRESOTO,Cristina Dupim
author_facet PRESOTO,Cristina Dupim
TREVISAN,Tamara Carolina
ANDRADE,Maria Costa de
DANTAS,Andrea Abi-Rached
CAMPOS,Juliana Alvares Duarte Bonini
OLIVEIRA-JUNIOR,Osmir Batista de
author_role author
author2 TREVISAN,Tamara Carolina
ANDRADE,Maria Costa de
DANTAS,Andrea Abi-Rached
CAMPOS,Juliana Alvares Duarte Bonini
OLIVEIRA-JUNIOR,Osmir Batista de
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv PRESOTO,Cristina Dupim
TREVISAN,Tamara Carolina
ANDRADE,Maria Costa de
DANTAS,Andrea Abi-Rached
CAMPOS,Juliana Alvares Duarte Bonini
OLIVEIRA-JUNIOR,Osmir Batista de
dc.subject.por.fl_str_mv Dental caries
effectiveness
diagnosis
fluorescence
topic Dental caries
effectiveness
diagnosis
fluorescence
description Abstract Introduction The detection of small caries lesions is still a challenge for dental professionals who in their clinical practice have a wide variety of methods to detect caries on occlusal surfaces. Objective To clinically assess the effectiveness of the Vista Proof fluorescence camera, the Vista Cam digital intraoral micro camera and the International Caries Detection and Assessment System (ICDAS) visual criterion for detecting caries lesions on occlusal surfaces of permanent teeth. Material and method One hundred and seven posterior teeth from adult patients were examined visually and by means of digital radiographs by an examiner who rated them according to the presence or absence of occlusal caries. The teeth were then assessed by the other examiner using ICDAS, fluorescence and magnified digital images. The effectiveness of the methods was measured based on sensitivity, specificity, positive and negative likelihood ratio. For each method, the Receiver Operating Characteristic (ROC) curve and the Area Under the ROC curve (AUROC) were estimated. Result There was exceptional discrimination capacity for the intraoral images (AUROC=.93) and the ICDAS (AUROC=.91), with no significant statistical difference between them (z=.35, p=.73). The fluorescence exhibited an acceptable discrimination capacity (AUROC=0.78), although it was lower than the others. The positive likelihood ratio for the fluorescence was only 2.32, compared to 20.58 for the intraoral image and 58.11 for the ICDAS. Conclusion Both methods and the ICDAS exhibited an adequate clinical performance, although the ICDAS and intraoral image were more effective than the fluorescence.
publishDate 2017
dc.date.none.fl_str_mv 2017-04-01
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1807-25772017000200109
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1590/1807-2577.12416
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
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dc.publisher.none.fl_str_mv Universidade Estadual Paulista Júlio de Mesquita Filho
publisher.none.fl_str_mv Universidade Estadual Paulista Júlio de Mesquita Filho
dc.source.none.fl_str_mv Revista de Odontologia da UNESP v.46 n.2 2017
reponame:Revista de Odontologia da UNESP
instname:Universidade Estadual Paulista (UNESP)
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instacron_str UNESP
institution UNESP
reponame_str Revista de Odontologia da UNESP
collection Revista de Odontologia da UNESP
repository.name.fl_str_mv Revista de Odontologia da UNESP - Universidade Estadual Paulista (UNESP)
repository.mail.fl_str_mv ||adriana@foar.unesp.br
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